healthcosts.net
Incision of hip tendons at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$2,628.60
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$4,044.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $9,170.92 with ANTHEM — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $412.62 | ↓ -84% |
| Buckeye | Managed Medicaid | $434.34 | ↓ -83% |
| Summacare | Medicare Advantage Lower Level | $441.14 | ↓ -83% |
| Caresource | Managed Medicaid | $456.06 | ↓ -83% |
| United | Managed Medicaid | $456.06 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $474.27 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $477.77 | ↓ -82% |
| Molina | Managed Medicaid | $477.77 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $576.88 | ↓ -78% |
| Anthem | Medicare Advantage | $632.36 | ↓ -76% |
| Humana | Medicare Advantage HMO | $632.36 | ↓ -76% |
| The Health Plan | Medicare Advantage | $632.36 | ↓ -76% |
| The Health Plan | All Products | $632.36 | ↓ -76% |
| Valor | All Products | $632.36 | ↓ -76% |
| Aetna | Medicare Advantage | $632.36 | ↓ -76% |
| United | Medicare Advantage | $632.36 | ↓ -76% |
| Optum | Medicare Advantage Transplant | $632.36 | ↓ -76% |
| Summacare | Medicare Advantage MD | $644.75 | ↓ -75% |
| CommuniCare | Medicare Advantage | $663.98 | ↓ -75% |
| PPHP | All Products | $695.60 | ↓ -74% |
| Anthem | All Products Mid-Level Facility | $952.09 | ↓ -64% |
| Anthem | All Products Mid-Level Non-Facility | $952.09 | ↓ -64% |
| Oscar | All Products | $1,027.58 | ↓ -61% |
| MMO | Medicare HMO & PPO | $1,261.41 | ↓ -52% |
| Summacare | Preferred | $1,290.01 | ↓ -51% |
| Summacare | Premier | $1,384.51 | ↓ -47% |
| OHCP | All Products | $1,573.12 | ↓ -40% |
| United | HMO & PPO | $1,769.90 | ↓ -33% |
| United | All Products - Mid-Level | $1,944.81 | ↓ -26% |
| Aultcare | PPO/HMO | $1,997.74 | ↓ -24% |
| OMAS | All Products | $2,022.00 | ↓ -23% |
| United | All Products | $2,096.12 | ↓ -20% |
| Optum | All Products Transplant | $2,357.65 | ↓ -10% |
| Anthem | All Products Physician Facility | $2,418.15 | ↓ -8% |
| Anthem | All Products Physician | $2,418.15 | ↓ -8% |
| Anthem | All Products Physician Non-Facility | $2,418.15 | ↓ -8% |
| PHPHI | All Products | $2,426.40 | ↓ -8% |
| OPTUM | Managed Medicaid Transplant | $2,435.09 | ↓ -7% |
| CARESOURCE | Managed Medicaid | $2,563.25 | ↓ -2% |
| MOLINA | Managed Medicaid | $2,691.41 | ↑ +2% |
| UNITED | Managed Medicaid | $2,691.41 | ↑ +2% |
| ANTHEM | Managed Medicaid | $2,691.41 | ↑ +2% |
| United BH | Managed Medicaid | $2,717.05 | ↑ +3% |
| AMERIHEALTH | Managed Medicaid | $2,819.58 | ↑ +7% |
| GMS | All Products | $2,830.80 | ↑ +8% |
| MMO | Traditional | $2,830.80 | ↑ +8% |
| OPTUM | All Products VA | $2,997.95 | ↑ +14% |
| UNITED | MEDICARE ADVANTAGE | $2,997.95 | ↑ +14% |
| HUMANA | Medicare Advantage HMO | $2,997.95 | ↑ +14% |
| MMO | Medicare Advantage HMO & PPO | $2,997.95 | ↑ +14% |
| Consociate Health | All Products | $3,033.00 | ↑ +15% |
| Aetna | All Products First Health | $3,033.00 | ↑ +15% |
| UPMC | MEDICARE ADVANTAGE | $3,095.56 | ↑ +18% |
| Valor | HMO & PPO | $3,095.56 | ↑ +18% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↑ +18% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↑ +18% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↑ +18% |
| The Health Plan | MEDICARE ADVANTAGE | $3,102.88 | ↑ +18% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↑ +21% |
| Aetna | Asa | $3,235.20 | ↑ +23% |
| Perennial Health | MEDICARE ADVANTAGE | $3,237.79 | ↑ +23% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↑ +27% |
| PPHP | ALL PRODUCTS | $3,405.12 | ↑ +30% |
| Multiplan | All Products | $3,639.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $4,044.00 | ↑ +54% |
| MMO | NASCO | $5,526.53 | ↑ +110% |
| MMO | SuperMed | $5,526.53 | ↑ +110% |
| ANTHEM | HPN | $7,795.25 | ↑ +197% |
| MMO | ALL PRODUCTS | $7,967.98 | ↑ +203% |
| ANTHEM | PPO/HMO | $9,170.92 | ↑ +249% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Incision of hip tendons at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,628.60 | $1.10 – $3,639.60 |
| mercy hospital | Canton | $2,628.60 | $1.10 – $3,639.60 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,752.25 | $900.00 – $5,572.02 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,752.25 | $900.00 – $7,840.20 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,006.75 | not published |
| University Hospitals Elyria Medical Center | Elyria | $3,752.25 | $3,095.56 – $5,572.02 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,752.25 | $3,095.56 – $5,572.02 |
| University Hospitals Geneva Medical Center | Geneva | $3,006.75 | not published |