healthcosts.net
Incision of urethra at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$293.80
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.
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What you pay up front if you don't use insurance.
$452.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $5,859.03 with ANTHEM — same scan, same building. Share
Negotiated rates by payer
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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 →
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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% |
| Summacare | Medicare Advantage Lower Level | $42.34 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $45.96 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $55.37 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $56.28 | ↓ -81% |
| Buckeye | Managed Medicaid | $59.24 | ↓ -80% |
| Humana | Medicare Advantage HMO | $61.28 | ↓ -79% |
| Anthem | Medicare Advantage | $61.28 | ↓ -79% |
| Aetna | Medicare Advantage | $61.28 | ↓ -79% |
| The Health Plan | All Products | $61.28 | ↓ -79% |
| The Health Plan | Medicare Advantage | $61.28 | ↓ -79% |
| United | Medicare Advantage | $61.28 | ↓ -79% |
| Valor | All Products | $61.28 | ↓ -79% |
| Optum | Medicare Advantage Transplant | $61.28 | ↓ -79% |
| Summacare | Medicare Advantage MD | $61.88 | ↓ -79% |
| United | Managed Medicaid | $62.20 | ↓ -79% |
| Caresource | Managed Medicaid | $62.20 | ↓ -79% |
| CommuniCare | Medicare Advantage | $64.34 | ↓ -78% |
| Molina | Managed Medicaid | $65.16 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $65.16 | ↓ -78% |
| PPHP | All Products | $67.41 | ↓ -77% |
| Anthem | All Products Mid-Level Non-Facility | $90.48 | ↓ -69% |
| Anthem | All Products Mid-Level Facility | $90.48 | ↓ -69% |
| Oscar | All Products | $114.85 | ↓ -61% |
| MMO | Medicare HMO & PPO | $116.83 | ↓ -60% |
| Summacare | Preferred | $125.01 | ↓ -57% |
| Summacare | Premier | $132.89 | ↓ -55% |
| United | HMO & PPO | $168.50 | ↓ -43% |
| OHCP | All Products | $175.83 | ↓ -40% |
| United | All Products - Mid-Level | $185.16 | ↓ -37% |
| United | All Products | $199.56 | ↓ -32% |
| Aultcare | PPO/HMO | $223.29 | ↓ -24% |
| OMAS | All Products | $226.00 | ↓ -23% |
| Anthem | All Products Physician Non-Facility | $229.81 | ↓ -22% |
| Anthem | All Products Physician Facility | $229.81 | ↓ -22% |
| Anthem | All Products Physician | $229.81 | ↓ -22% |
| Optum | All Products Transplant | $263.52 | ↓ -10% |
| PHPHI | All Products | $271.20 | ↓ -8% |
| GMS | All Products | $316.40 | ↑ +8% |
| MMO | Traditional | $316.40 | ↑ +8% |
| Consociate Health | All Products | $339.00 | ↑ +15% |
| Aetna | All Products First Health | $339.00 | ↑ +15% |
| Aetna | Asa | $361.60 | ↑ +23% |
| Multiplan | All Products | $406.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $452.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $1,676.36 | ↑ +471% |
| CARESOURCE | Managed Medicaid | $1,764.59 | ↑ +501% |
| MOLINA | Managed Medicaid | $1,852.82 | ↑ +531% |
| ANTHEM | Managed Medicaid | $1,852.82 | ↑ +531% |
| UNITED | Managed Medicaid | $1,852.82 | ↑ +531% |
| United BH | Managed Medicaid | $1,870.47 | ↑ +537% |
| HUMANA | Medicare Advantage HMO | $1,892.78 | ↑ +544% |
| UNITED | MEDICARE ADVANTAGE | $1,892.78 | ↑ +544% |
| OPTUM | All Products VA | $1,892.78 | ↑ +544% |
| MMO | Medicare Advantage HMO & PPO | $1,892.78 | ↑ +544% |
| AMERIHEALTH | Managed Medicaid | $1,941.05 | ↑ +561% |
| The Health Plan | MEDICARE ADVANTAGE | $1,959.03 | ↑ +567% |
| UPMC | MEDICARE ADVANTAGE | $1,977.66 | ↑ +573% |
| Valor | HMO & PPO | $1,977.66 | ↑ +573% |
| Summacare | MEDICARE ADVANTAGE | $1,977.66 | ↑ +573% |
| ANTHEM | MEDICARE ADVANTAGE | $1,977.66 | ↑ +573% |
| AETNA | MEDICARE ADVANTAGE | $1,977.66 | ↑ +573% |
| CIGNA | MEDICARE ADVANTAGE | $2,036.99 | ↑ +593% |
| Perennial Health | MEDICARE ADVANTAGE | $2,044.20 | ↑ +596% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,135.88 | ↑ +627% |
| PPHP | ALL PRODUCTS | $2,175.43 | ↑ +640% |
| MMO | NASCO | $3,478.27 | ↑ +1084% |
| MMO | SuperMed | $3,478.27 | ↑ +1084% |
| ANTHEM | HPN | $4,980.15 | ↑ +1595% |
| MMO | ALL PRODUCTS | $5,090.51 | ↑ +1633% |
| ANTHEM | PPO/HMO | $5,859.03 | ↑ +1894% |
| 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 urethra at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $6,124.95 | $0.01 – $8,480.70 |
| mercy hospital | Canton | $293.80 | $1.10 – $2,036.99 |
| avon hospital | Avon | not published | $1,797.86 – $2,175.43 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,935.26 – $3,398.73 |
| euclid hospital | Euclid | not published | $1,767.05 – $2,175.43 |
| fairview hospital | Cleveland | not published | $1,730.43 – $2,175.43 |
| lutheran hospital | Cleveland | not published | $1,647.42 – $2,175.43 |
| hillcrest hospital | Mayfield Heights | not published | $1,767.05 – $2,175.43 |