healthcosts.net
Initiation & management bipap/cpap initial day at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$608.40
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.
$936.00
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.
$64.26 with ANTHEM vs $936.00 with AETNA — 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 |
|---|---|---|---|
| ANTHEM | HPN | $64.26 | ↓ -89% |
| OPTUM | Managed Medicaid Transplant | $64.41 | ↓ -89% |
| Buckeye | Managed Medicaid | $67.80 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $67.80 | ↓ -89% |
| ANTHEM | Managed Medicaid | $71.19 | ↓ -88% |
| MOLINA | Managed Medicaid | $71.19 | ↓ -88% |
| UNITED | Managed Medicaid | $71.19 | ↓ -88% |
| United BH | Managed Medicaid | $71.87 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $74.58 | ↓ -88% |
| HUMANA | Medicare Advantage HMO | $187.93 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $187.93 | ↓ -69% |
| OPTUM | All Products VA | $187.93 | ↓ -69% |
| MMO | Medicare Advantage HMO & PPO | $187.93 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $194.51 | ↓ -68% |
| Perennial Health | MEDICARE ADVANTAGE | $202.96 | ↓ -67% |
| UPMC | MEDICARE ADVANTAGE | $207.17 | ↓ -66% |
| Summacare | MEDICARE ADVANTAGE | $207.17 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $207.17 | ↓ -66% |
| Valor | HMO & PPO | $207.17 | ↓ -66% |
| ANTHEM | MEDICARE ADVANTAGE | $207.17 | ↓ -66% |
| CIGNA | MEDICARE ADVANTAGE | $213.38 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $223.74 | ↓ -63% |
| Zing Health | Medicare Advantage | $227.89 | ↓ -63% |
| PPHP | ALL PRODUCTS | $227.89 | ↓ -63% |
| OSCAR | ALL PRODUCTS | $264.70 | ↓ -56% |
| PHP | ALL PRODUCTS | $299.52 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $299.52 | ↓ -51% |
| Summacare | Preferred | $308.88 | ↓ -49% |
| Summacare | PREMIER | $336.02 | ↓ -45% |
| CC EHP | ALL PRODUCTS | $379.08 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $421.20 | ↓ -31% |
| OHCP | ALL PRODUCTS | $454.90 | ↓ -25% |
| Aultcare | PPO/HMO | $462.38 | ↓ -24% |
| OMAS | ALL PRODUCTS | $468.00 | ↓ -23% |
| MMO | TRADITIONAL | $487.66 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $505.44 | ↓ -17% |
| ANTHEM | TRADITIONAL | $517.61 | ↓ -15% |
| OPTUM | All Products Transplant | $529.78 | ↓ -13% |
| MMO | ALL PRODUCTS | $533.25 | ↓ -12% |
| AETNA | Acop | $561.60 | ↓ -8% |
| UPMC | ALL PRODUCTS | $561.60 | ↓ -8% |
| The Health Plan | HMO | $561.60 | ↓ -8% |
| ANTHEM | PPO/HMO | $613.76 | ↑ +1% |
| The Health Plan | ASO Self-Funded | $645.84 | ↑ +6% |
| GMS | ALL PRODUCTS | $655.20 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $655.20 | ↑ +8% |
| AETNA | International | $655.20 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $655.20 | ↑ +8% |
| AETNA | ALL PRODUCTS | $702.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $702.00 | ↑ +15% |
| UNITED | ALL PRODUCTS | $731.02 | ↑ +20% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $748.80 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $842.40 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $842.40 | ↑ +38% |
| FrontPath | TRANSPLANT | $842.40 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $842.40 | ↑ +38% |
| AETNA | Qhp/Ipf | $936.00 | ↑ +54% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Initiation & management bipap/cpap initial day at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $608.40 | $1.10 – $842.40 |
| avon hospital | Avon | $608.40 | $69.08 – $842.40 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $608.40 | $112.79 – $842.40 |
| euclid hospital | Euclid | $608.40 | $70.55 – $842.40 |
| fairview hospital | Cleveland | $608.40 | $60.26 – $842.40 |
| lutheran hospital | Cleveland | $608.40 | $63.30 – $842.40 |
| hillcrest hospital | Mayfield Heights | $608.40 | $60.26 – $842.40 |
| lodi hospital | Lodi | $608.40 | $108.07 – $842.40 |