healthcosts.net
Insert pm/icd lead dual at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$17,414.15
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.
$26,791.00
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 $26,791.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $223.65 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $242.35 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $277.19 | ↓ -98% |
| Buckeye | Managed Medicaid | $291.78 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $292.46 | ↓ -98% |
| Caresource | Managed Medicaid | $306.37 | ↓ -98% |
| United | Managed Medicaid | $306.37 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $320.96 | ↓ -98% |
| Molina | Managed Medicaid | $320.96 | ↓ -98% |
| Anthem | Medicare Advantage | $323.13 | ↓ -98% |
| The Health Plan | Medicare Advantage | $323.13 | ↓ -98% |
| The Health Plan | All Products | $323.13 | ↓ -98% |
| Humana | Medicare Advantage HMO | $323.13 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $323.13 | ↓ -98% |
| United | Medicare Advantage | $323.13 | ↓ -98% |
| Valor | All Products | $323.13 | ↓ -98% |
| Aetna | Medicare Advantage | $323.13 | ↓ -98% |
| Summacare | Medicare Advantage MD | $326.87 | ↓ -98% |
| CommuniCare | Medicare Advantage | $339.29 | ↓ -98% |
| PPHP | All Products | $355.44 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $490.43 | ↓ -97% |
| Anthem | All Products Mid-Level Facility | $490.43 | ↓ -97% |
| Oscar | All Products | $568.17 | ↓ -97% |
| ANTHEM | HPN | $592.27 | ↓ -97% |
| OPTUM | Managed Medicaid Transplant | $639.93 | ↓ -96% |
| Summacare | Preferred | $659.19 | ↓ -96% |
| CARESOURCE | Managed Medicaid | $673.61 | ↓ -96% |
| MMO | Medicare HMO & PPO | $690.42 | ↓ -96% |
| Summacare | Premier | $701.90 | ↓ -96% |
| ANTHEM | Managed Medicaid | $707.29 | ↓ -96% |
| UNITED | Managed Medicaid | $707.29 | ↓ -96% |
| MOLINA | Managed Medicaid | $707.29 | ↓ -96% |
| United BH | Managed Medicaid | $714.03 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $740.97 | ↓ -96% |
| OHCP | All Products | $869.80 | ↓ -95% |
| United | HMO & PPO | $898.26 | ↓ -95% |
| United | All Products - Mid-Level | $987.03 | ↓ -94% |
| United | All Products | $1,063.83 | ↓ -94% |
| Aultcare | PPO/HMO | $1,104.58 | ↓ -94% |
| OMAS | All Products | $1,118.00 | ↓ -94% |
| Anthem | All Products Physician | $1,245.58 | ↓ -93% |
| Anthem | All Products Physician Facility | $1,245.58 | ↓ -93% |
| Anthem | All Products Physician Non-Facility | $1,245.58 | ↓ -93% |
| Optum | All Products Transplant | $1,303.59 | ↓ -93% |
| PHPHI | All Products | $1,341.60 | ↓ -92% |
| GMS | All Products | $1,565.20 | ↓ -91% |
| MMO | Traditional | $1,565.20 | ↓ -91% |
| Consociate Health | All Products | $1,677.00 | ↓ -90% |
| Aetna | All Products First Health | $1,677.00 | ↓ -90% |
| Aetna | Asa | $1,788.80 | ↓ -90% |
| Multiplan | All Products | $2,012.40 | ↓ -88% |
| Aetna | Qhp/Ifp | $2,236.00 | ↓ -87% |
| AETNA | Acop | $6,075.00 | ↓ -65% |
| AETNA | Asa_Whirlpool_Peia | $7,090.00 | ↓ -59% |
| AETNA | International | $7,445.00 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $7,576.49 | ↓ -56% |
| HUMANA | Medicare Advantage HMO | $7,646.84 | ↓ -56% |
| OPTUM | All Products VA | $7,646.84 | ↓ -56% |
| MMO | Medicare Advantage HMO & PPO | $7,646.84 | ↓ -56% |
| UNITED | MEDICARE ADVANTAGE | $7,646.84 | ↓ -56% |
| Valor | HMO & PPO | $7,829.16 | ↓ -55% |
| UPMC | MEDICARE ADVANTAGE | $7,829.16 | ↓ -55% |
| AETNA | MEDICARE ADVANTAGE | $7,829.16 | ↓ -55% |
| ANTHEM | MEDICARE ADVANTAGE | $7,829.16 | ↓ -55% |
| Summacare | MEDICARE ADVANTAGE | $7,829.16 | ↓ -55% |
| The Health Plan | MEDICARE ADVANTAGE | $7,914.48 | ↓ -55% |
| CIGNA | MEDICARE ADVANTAGE | $8,064.03 | ↓ -54% |
| Perennial Health | MEDICARE ADVANTAGE | $8,258.59 | ↓ -53% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $8,455.49 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $8,573.12 | ↓ -51% |
| PHP | ALL PRODUCTS | $8,573.12 | ↓ -51% |
| PPHP | ALL PRODUCTS | $8,612.07 | ↓ -51% |
| UNITED | ALL PRODUCTS | $9,608.00 | ↓ -45% |
| Summacare | PREMIER | $9,617.97 | ↓ -45% |
| CC EHP | ALL PRODUCTS | $10,850.36 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $12,055.95 | ↓ -31% |
| OHCP | ALL PRODUCTS | $13,020.43 | ↓ -25% |
| OMAS | ALL PRODUCTS | $13,395.50 | ↓ -23% |
| MMO | TRADITIONAL | $13,958.11 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $14,467.14 | ↓ -17% |
| MMO | NASCO | $14,506.24 | ↓ -17% |
| MMO | SuperMed | $14,506.24 | ↓ -17% |
| ANTHEM | TRADITIONAL | $14,815.42 | ↓ -15% |
| OPTUM | All Products Transplant | $15,163.71 | ↓ -13% |
| The Health Plan | HMO | $16,074.60 | ↓ -8% |
| UPMC | ALL PRODUCTS | $16,074.60 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $18,485.79 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $18,753.70 | ↑ +8% |
| GMS | ALL PRODUCTS | $18,753.70 | ↑ +8% |
| AETNA | ALL PRODUCTS | $20,093.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $20,093.25 | ↑ +15% |
| MMO | ALL PRODUCTS | $20,152.25 | ↑ +16% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $21,432.80 | ↑ +23% |
| ANTHEM | PPO/HMO | $23,194.66 | ↑ +33% |
| Managed Care Services | TRANSPLANT | $24,111.90 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $24,111.90 | ↑ +38% |
| FrontPath | TRANSPLANT | $24,111.90 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $24,111.90 | ↑ +38% |
| AETNA | Qhp/Ipf | $26,791.00 | ↑ +54% |
| Aetna | Acop | 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 | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Insert pm/icd lead dual at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $17,414.15 | $1.10 – $24,111.90 |
| avon hospital | Avon | $17,414.15 | $652.16 – $24,111.90 |
| euclid hospital | Euclid | $17,414.15 | $652.16 – $24,111.90 |
| fairview hospital | Cleveland | $17,414.15 | $557.06 – $24,111.90 |
| lutheran hospital | Cleveland | $17,414.15 | $628.88 – $24,111.90 |
| hillcrest hospital | Mayfield Heights | $17,414.15 | $557.06 – $24,111.90 |
| marymount hospital | Garfield Heights | $17,414.15 | $620.95 – $24,111.90 |
| medina hospital | Medina | $17,414.15 | $442.54 – $24,111.90 |