Inj, eteplirsen, 10 mg at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,872.00
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.
$2,880.00
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.
$2.17 with AETNA vs $13,108.79 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $2.17 | ↓ -100% |
| UPMC | MEDICARE ADVANTAGE | $167.35 | ↓ -91% |
| Valor | HMO & PPO | $167.35 | ↓ -91% |
| ANTHEM | MEDICARE ADVANTAGE | $167.35 | ↓ -91% |
| Summacare | MEDICARE ADVANTAGE | $167.35 | ↓ -91% |
| AETNA | MEDICARE ADVANTAGE | $167.35 | ↓ -91% |
| CIGNA | MEDICARE ADVANTAGE | $172.37 | ↓ -91% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $180.74 | ↓ -90% |
| PPHP | ALL PRODUCTS | $184.09 | ↓ -90% |
| Zing Health | Medicare Advantage | $184.09 | ↓ -90% |
| ANTHEM | HPN | $300.16 | ↓ -84% |
| MMO | ALL PRODUCTS | $324.16 | ↓ -83% |
| AETNA | Acop | $341.76 | ↓ -82% |
| UNITED | ALL PRODUCTS | $412.80 | ↓ -78% |
| AETNA | International | $437.76 | ↓ -77% |
| ANTHEM | PPO/HMO | $495.79 | ↓ -74% |
| OSCAR | ALL PRODUCTS | $814.46 | ↓ -56% |
| PHP | ALL PRODUCTS | $921.60 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $921.60 | ↓ -51% |
| Summacare | Preferred | $950.40 | ↓ -49% |
| Summacare | PREMIER | $1,033.92 | ↓ -45% |
| CC EHP | ALL PRODUCTS | $1,149.12 | ↓ -39% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,296.00 | ↓ -31% |
| OHCP | ALL PRODUCTS | $1,399.68 | ↓ -25% |
| Aultcare | PPO/HMO | $1,422.72 | ↓ -24% |
| OMAS | ALL PRODUCTS | $1,440.00 | ↓ -23% |
| MMO | TRADITIONAL | $1,500.48 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $1,555.20 | ↓ -17% |
| ANTHEM | TRADITIONAL | $1,592.64 | ↓ -15% |
| OPTUM | All Products Transplant | $1,630.08 | ↓ -13% |
| The Health Plan | HMO | $1,728.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $1,728.00 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $1,987.20 | ↑ +6% |
| GMS | ALL PRODUCTS | $2,016.00 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $2,016.00 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $2,160.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $2,160.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,304.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $2,592.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $2,592.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,592.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $2,592.00 | ↑ +38% |
| AETNA | Qhp/Ipf | $2,880.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $11,321.23 | ↑ +505% |
| Buckeye | Managed Medicaid | $11,917.08 | ↑ +537% |
| CARESOURCE | Managed Medicaid | $11,917.08 | ↑ +537% |
| UNITED | Managed Medicaid | $12,512.93 | ↑ +568% |
| ANTHEM | Managed Medicaid | $12,512.93 | ↑ +568% |
| MOLINA | Managed Medicaid | $12,512.93 | ↑ +568% |
| United BH | Managed Medicaid | $12,632.10 | ↑ +575% |
| AMERIHEALTH | Managed Medicaid | $13,108.79 | ↑ +600% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Inj, eteplirsen, 10 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| avon hospital | Avon | $1,872.00 | $167.35 – $12,373.07 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1,872.00 | $814.46 – $22,953.13 |
| euclid hospital | Euclid | $1,872.00 | $167.35 – $14,403.73 |
| fairview hospital | Cleveland | $1,872.00 | $2.17 – $13,531.58 |
| lutheran hospital | Cleveland | $1,872.00 | $167.35 – $12,882.52 |
| hillcrest hospital | Mayfield Heights | $1,872.00 | $2.17 – $14,097.79 |
| lodi hospital | Lodi | $1,872.00 | $167.35 – $21,993.87 |
| marymount hospital | Garfield Heights | $1,872.00 | $167.35 – $12,719.98 |