healthcosts.net
Injection radioactive tracer sentinel node (both sides) at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,044.55
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.
$1,607.00
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.
$0.01 with UNITED vs $3,004.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $19.59 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $20.39 | ↓ -98% |
| Oscar | All Products | $20.58 | ↓ -98% |
| Optum | Managed Medicaid Transplant | $21.50 | ↓ -98% |
| Buckeye | Managed Medicaid | $22.63 | ↓ -98% |
| Caresource | Managed Medicaid | $23.76 | ↓ -98% |
| United | Managed Medicaid | $23.76 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $24.89 | ↓ -98% |
| Molina | Managed Medicaid | $24.89 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $25.62 | ↓ -98% |
| Aetna | Medicare Advantage | $27.19 | ↓ -97% |
| The Health Plan | All Products | $27.19 | ↓ -97% |
| The Health Plan | Medicare Advantage | $27.19 | ↓ -97% |
| Optum | Medicare Advantage Transplant | $27.19 | ↓ -97% |
| Anthem | Medicare Advantage | $27.19 | ↓ -97% |
| Valor | All Products | $27.19 | ↓ -97% |
| Humana | Medicare Advantage HMO | $27.19 | ↓ -97% |
| United | Medicare Advantage | $27.19 | ↓ -97% |
| CommuniCare | Medicare Advantage | $28.55 | ↓ -97% |
| Summacare | Medicare Advantage MD | $28.63 | ↓ -97% |
| PPHP | All Products | $29.91 | ↓ -97% |
| OHCP | All Products | $31.51 | ↓ -97% |
| Aultcare | PPO/HMO | $40.01 | ↓ -96% |
| OMAS | All Products | $40.50 | ↓ -96% |
| Anthem | All Products Mid-Level Facility | $43.56 | ↓ -96% |
| Optum | All Products Transplant | $47.22 | ↓ -95% |
| PHPHI | All Products | $48.60 | ↓ -95% |
| ANTHEM | HPN | $55.22 | ↓ -95% |
| Summacare | Preferred | $55.47 | ↓ -95% |
| GMS | All Products | $56.70 | ↓ -95% |
| MMO | Traditional | $56.70 | ↓ -95% |
| Consociate Health | All Products | $60.75 | ↓ -94% |
| Aetna | All Products First Health | $60.75 | ↓ -94% |
| Summacare | Premier | $61.49 | ↓ -94% |
| Aetna | Asa | $64.80 | ↓ -94% |
| MMO | Medicare HMO & PPO | $69.44 | ↓ -93% |
| Multiplan | All Products | $72.90 | ↓ -93% |
| Aetna | Qhp/Ifp | $81.00 | ↓ -92% |
| Cigna | All Products Mid-Level | $100.09 | ↓ -90% |
| Anthem | All Products Mid-Level Non-Facility | $107.04 | ↓ -90% |
| Anthem | All Products Physician Facility | $110.64 | ↓ -89% |
| Anthem | All Products Physician | $110.64 | ↓ -89% |
| Aetna | Acop | $111.34 | ↓ -89% |
| Cigna | All Products Physician | $118.26 | ↓ -89% |
| United | HMO & PPO | $196.73 | ↓ -81% |
| United | All Products - Mid-Level | $216.17 | ↓ -79% |
| United | All Products | $232.99 | ↓ -78% |
| OPTUM | Managed Medicaid Transplant | $247.14 | ↓ -76% |
| CARESOURCE | Managed Medicaid | $260.15 | ↓ -75% |
| Anthem | All Products Physician Non-Facility | $271.85 | ↓ -74% |
| ANTHEM | Managed Medicaid | $273.16 | ↓ -74% |
| UNITED | Managed Medicaid | $273.16 | ↓ -74% |
| MOLINA | Managed Medicaid | $273.16 | ↓ -74% |
| United BH | Managed Medicaid | $275.76 | ↓ -74% |
| AMERIHEALTH | Managed Medicaid | $286.17 | ↓ -73% |
| MMO | Medicare Advantage HMO & PPO | $371.28 | ↓ -64% |
| UNITED | MEDICARE ADVANTAGE | $371.28 | ↓ -64% |
| OPTUM | All Products VA | $371.28 | ↓ -64% |
| HUMANA | Medicare Advantage HMO | $371.28 | ↓ -64% |
| ANTHEM | MEDICARE ADVANTAGE | $378.21 | ↓ -64% |
| Summacare | MEDICARE ADVANTAGE | $378.21 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $378.21 | ↓ -64% |
| UPMC | MEDICARE ADVANTAGE | $378.21 | ↓ -64% |
| Valor | HMO & PPO | $378.21 | ↓ -64% |
| The Health Plan | MEDICARE ADVANTAGE | $384.28 | ↓ -63% |
| CIGNA | MEDICARE ADVANTAGE | $389.56 | ↓ -63% |
| Perennial Health | MEDICARE ADVANTAGE | $400.99 | ↓ -62% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $408.47 | ↓ -61% |
| PPHP | ALL PRODUCTS | $416.04 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $454.46 | ↓ -56% |
| PHP | ALL PRODUCTS | $514.24 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $514.24 | ↓ -51% |
| Summacare | PREMIER | $576.91 | ↓ -45% |
| CC EHP | ALL PRODUCTS | $650.84 | ↓ -38% |
| MMO | SuperMed | $704.26 | ↓ -33% |
| MMO | NASCO | $704.26 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $723.15 | ↓ -31% |
| OHCP | ALL PRODUCTS | $781.00 | ↓ -25% |
| OMAS | ALL PRODUCTS | $803.50 | ↓ -23% |
| MMO | TRADITIONAL | $837.25 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $867.78 | ↓ -17% |
| ANTHEM | TRADITIONAL | $888.67 | ↓ -15% |
| OPTUM | All Products Transplant | $909.56 | ↓ -13% |
| The Health Plan | HMO | $964.20 | ↓ -8% |
| UPMC | ALL PRODUCTS | $964.20 | ↓ -8% |
| MMO | ALL PRODUCTS | $973.52 | ↓ -7% |
| The Health Plan | ASO Self-Funded | $1,108.83 | ↑ +6% |
| ANTHEM | PPO/HMO | $1,120.50 | ↑ +7% |
| Medical Benefit Corp | Transplant SMCP | $1,124.90 | ↑ +8% |
| GMS | ALL PRODUCTS | $1,124.90 | ↑ +8% |
| AETNA | ALL PRODUCTS | $1,205.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,205.25 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,285.60 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $1,446.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,446.30 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,446.30 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,446.30 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,607.00 | ↑ +54% |
| AETNA | Acop | $2,451.00 | ↑ +135% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +174% |
| AETNA | International | $3,004.00 | ↑ +188% |
| AETNA | NAP | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Injection radioactive tracer sentinel node (both sides) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,044.55 | $0.01 – $1,446.30 |
| avon hospital | Avon | $1,044.55 | $0.01 – $1,446.30 |
| euclid hospital | Euclid | $1,044.55 | $0.01 – $1,446.30 |
| fairview hospital | Cleveland | $1,044.55 | $0.01 – $1,446.30 |
| lutheran hospital | Cleveland | $1,044.55 | $0.01 – $1,446.30 |
| hillcrest hospital | Mayfield Heights | $1,044.55 | $0.01 – $1,446.30 |
| marymount hospital | Garfield Heights | $1,044.55 | $0.01 – $1,446.30 |
| medina hospital | Medina | $1,044.55 | $0.01 – $1,446.30 |