Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$36,428.60
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.
$56,044.00
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.
$1.10 with Zing Health vs $87,978.22 with ANTHEM — 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $552.16 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $589.19 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $722.06 | ↓ -98% |
| Optum | Managed Medicaid Transplant | $722.39 | ↓ -98% |
| Buckeye | Managed Medicaid | $760.41 | ↓ -98% |
| The Health Plan | All Products | $785.59 | ↓ -98% |
| Anthem | Medicare Advantage | $785.59 | ↓ -98% |
| Valor | All Products | $785.59 | ↓ -98% |
| United | Medicare Advantage | $785.59 | ↓ -98% |
| Aetna | Medicare Advantage | $785.59 | ↓ -98% |
| Humana | Medicare Advantage HMO | $785.59 | ↓ -98% |
| The Health Plan | Medicare Advantage | $785.59 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $785.59 | ↓ -98% |
| United | Managed Medicaid | $798.43 | ↓ -98% |
| Caresource | Managed Medicaid | $798.43 | ↓ -98% |
| Summacare | Medicare Advantage MD | $807.01 | ↓ -98% |
| CommuniCare | Medicare Advantage | $824.87 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $836.45 | ↓ -98% |
| Molina | Managed Medicaid | $836.45 | ↓ -98% |
| PPHP | All Products | $864.15 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $1,218.76 | ↓ -97% |
| Anthem | All Products Mid-Level Facility | $1,218.76 | ↓ -97% |
| ANTHEM | HPN | $1,471.35 | ↓ -96% |
| Summacare | Preferred | $1,602.60 | ↓ -96% |
| Oscar | All Products | $1,668.17 | ↓ -95% |
| MMO | Medicare HMO & PPO | $1,681.69 | ↓ -95% |
| Summacare | Premier | $1,732.94 | ↓ -95% |
| United | HMO & PPO | $2,224.19 | ↓ -94% |
| United | All Products - Mid-Level | $2,443.99 | ↓ -93% |
| OHCP | All Products | $2,553.79 | ↓ -93% |
| United | All Products | $2,634.13 | ↓ -93% |
| Anthem | All Products Physician | $3,095.39 | ↓ -92% |
| Anthem | All Products Physician Facility | $3,095.39 | ↓ -92% |
| Anthem | All Products Physician Non-Facility | $3,095.39 | ↓ -92% |
| Aultcare | PPO/HMO | $3,243.11 | ↓ -91% |
| OMAS | All Products | $3,282.50 | ↓ -91% |
| Optum | All Products Transplant | $3,827.40 | ↓ -89% |
| PHPHI | All Products | $3,939.00 | ↓ -89% |
| GMS | All Products | $4,595.50 | ↓ -87% |
| MMO | Traditional | $4,595.50 | ↓ -87% |
| Aetna | All Products First Health | $4,923.75 | ↓ -86% |
| Consociate Health | All Products | $4,923.75 | ↓ -86% |
| Aetna | Asa | $5,252.00 | ↓ -86% |
| Multiplan | All Products | $5,908.50 | ↓ -84% |
| Aetna | Qhp/Ifp | $6,565.00 | ↓ -82% |
| AETNA | Acop | $7,614.00 | ↓ -79% |
| AETNA | Asa_Whirlpool_Peia | $8,885.00 | ↓ -76% |
| AETNA | International | $9,329.00 | ↓ -74% |
| OSCAR | ALL PRODUCTS | $15,849.24 | ↓ -56% |
| OPTUM | Managed Medicaid Transplant | $17,330.27 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $17,934.08 | ↓ -51% |
| PHP | ALL PRODUCTS | $17,934.08 | ↓ -51% |
| CARESOURCE | Managed Medicaid | $18,242.39 | ↓ -50% |
| MOLINA | Managed Medicaid | $19,154.51 | ↓ -47% |
| UNITED | Managed Medicaid | $19,154.51 | ↓ -47% |
| ANTHEM | Managed Medicaid | $19,154.51 | ↓ -47% |
| United BH | Managed Medicaid | $19,336.93 | ↓ -47% |
| AMERIHEALTH | Managed Medicaid | $20,066.63 | ↓ -45% |
| Summacare | PREMIER | $20,119.80 | ↓ -45% |
| UNITED | ALL PRODUCTS | $20,673.00 | ↓ -43% |
| CC EHP | ALL PRODUCTS | $22,697.82 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $25,219.80 | ↓ -31% |
| OHCP | ALL PRODUCTS | $27,237.38 | ↓ -25% |
| OMAS | ALL PRODUCTS | $28,022.00 | ↓ -23% |
| MMO | TRADITIONAL | $29,198.92 | ↓ -20% |
| HUMANA | Medicare Advantage HMO | $29,624.26 | ↓ -19% |
| OPTUM | All Products VA | $29,624.26 | ↓ -19% |
| UNITED | MEDICARE ADVANTAGE | $29,624.26 | ↓ -19% |
| MMO | Medicare Advantage HMO & PPO | $29,624.26 | ↓ -19% |
| ANTHEM | MEDICARE ADVANTAGE | $29,696.29 | ↓ -18% |
| Valor | HMO & PPO | $29,696.29 | ↓ -18% |
| UPMC | MEDICARE ADVANTAGE | $29,696.29 | ↓ -18% |
| AETNA | MEDICARE ADVANTAGE | $29,696.29 | ↓ -18% |
| Summacare | MEDICARE ADVANTAGE | $29,696.29 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $30,263.76 | ↓ -17% |
| CIGNA | MEDICARE ADVANTAGE | $30,587.17 | ↓ -16% |
| The Health Plan | MEDICARE ADVANTAGE | $30,661.11 | ↓ -16% |
| ANTHEM | TRADITIONAL | $30,992.33 | ↓ -15% |
| OPTUM | All Products Transplant | $31,720.90 | ↓ -13% |
| Perennial Health | MEDICARE ADVANTAGE | $31,994.20 | ↓ -12% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $32,071.99 | ↓ -12% |
| PPHP | ALL PRODUCTS | $32,665.91 | ↓ -10% |
| UPMC | ALL PRODUCTS | $33,626.40 | ↓ -8% |
| The Health Plan | HMO | $33,626.40 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $38,670.36 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $39,230.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $39,230.80 | ↑ +8% |
| AETNA | ALL PRODUCTS | $42,033.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $42,033.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $44,835.20 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $50,439.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $50,439.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $50,439.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $50,439.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $56,044.00 | ↑ +54% |
| MMO | SuperMed | $56,172.03 | ↑ +54% |
| MMO | NASCO | $56,172.03 | ↑ +54% |
| MMO | ALL PRODUCTS | $76,438.24 | ↑ +110% |
| ANTHEM | PPO/HMO | $87,978.22 | ↑ +142% |
| United BH | ALL PRODUCTS | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | 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
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $51,769.20 | not published |
| Trinity Medical Center East | Steubenville | $20,342.57 | $24,611.40 – $32,815.20 |
| cleveland clinic main campus | Cleveland | $36,428.60 | $1.10 – $50,439.60 |
| avon hospital | Avon | $36,428.60 | $1,598.82 – $50,439.60 |
| euclid hospital | Euclid | $36,428.60 | $1,100.65 – $50,439.60 |
| fairview hospital | Cleveland | $36,428.60 | $1,090.37 – $50,439.60 |
| lutheran hospital | Cleveland | $36,428.60 | $1,090.37 – $50,439.60 |
| hillcrest hospital | Mayfield Heights | $36,428.60 | $1,090.37 – $50,439.60 |