Intraoral periapical first at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$32.50
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.
$50.00
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 $612.78 with AMERIHEALTH — 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 | ↓ -97% |
| Oscar | All Products | $12.71 | ↓ -61% |
| OHCP | All Products | $19.45 | ↓ -40% |
| Anthem | All Products Mid-Level Facility | $20.41 | ↓ -37% |
| Anthem | All Products Mid-Level Non-Facility | $20.41 | ↓ -37% |
| Aultcare | PPO/HMO | $24.70 | ↓ -24% |
| OMAS | All Products | $25.00 | ↓ -23% |
| MMO | SuperMed | $27.00 | ↓ -17% |
| MMO | NASCO | $27.00 | ↓ -17% |
| Optum | All Products Transplant | $29.15 | ↓ -10% |
| United | All Products - Mid-Level | $29.84 | ↓ -8% |
| PHPHI | All Products | $30.00 | ↓ -8% |
| United | HMO & PPO | $30.40 | ↓ -6% |
| United | All Products | $31.54 | ↓ -3% |
| GMS | All Products | $35.00 | ↑ +8% |
| MMO | Traditional | $35.00 | ↑ +8% |
| Summacare | Medicare Advantage MD | $35.00 | ↑ +8% |
| Summacare | Medicare Advantage Lower Level | $35.00 | ↑ +8% |
| Summacare | Premier | $35.00 | ↑ +8% |
| Summacare | Medicare Advantage CNA | $35.00 | ↑ +8% |
| Summacare | Preferred | $35.00 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $35.00 | ↑ +8% |
| Aetna | All Products First Health | $37.50 | ↑ +15% |
| Consociate Health | All Products | $37.50 | ↑ +15% |
| Aetna | Asa | $40.00 | ↑ +23% |
| Multiplan | All Products | $45.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $50.00 | ↑ +54% |
| Anthem | All Products Physician | $51.83 | ↑ +59% |
| Anthem | All Products Physician Facility | $51.83 | ↑ +59% |
| Anthem | All Products Physician Non-Facility | $51.83 | ↑ +59% |
| HUMANA | Medicare Advantage HMO | $81.36 | ↑ +150% |
| OPTUM | All Products VA | $81.36 | ↑ +150% |
| UNITED | MEDICARE ADVANTAGE | $81.36 | ↑ +150% |
| MMO | Medicare Advantage HMO & PPO | $81.36 | ↑ +150% |
| AETNA | MEDICARE ADVANTAGE | $82.33 | ↑ +153% |
| UPMC | MEDICARE ADVANTAGE | $82.33 | ↑ +153% |
| Summacare | MEDICARE ADVANTAGE | $82.33 | ↑ +153% |
| Valor | HMO & PPO | $82.33 | ↑ +153% |
| ANTHEM | MEDICARE ADVANTAGE | $82.33 | ↑ +153% |
| The Health Plan | MEDICARE ADVANTAGE | $84.20 | ↑ +159% |
| CIGNA | MEDICARE ADVANTAGE | $84.80 | ↑ +161% |
| Perennial Health | MEDICARE ADVANTAGE | $87.86 | ↑ +170% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $88.92 | ↑ +174% |
| PPHP | ALL PRODUCTS | $90.57 | ↑ +179% |
| ANTHEM | HPN | $207.33 | ↑ +538% |
| MMO | ALL PRODUCTS | $211.92 | ↑ +552% |
| ANTHEM | PPO/HMO | $243.92 | ↑ +651% |
| OPTUM | Managed Medicaid Transplant | $529.22 | ↑ +1528% |
| Buckeye | Managed Medicaid | $557.07 | ↑ +1614% |
| CARESOURCE | Managed Medicaid | $557.07 | ↑ +1614% |
| MOLINA | Managed Medicaid | $584.92 | ↑ +1700% |
| UNITED | Managed Medicaid | $584.92 | ↑ +1700% |
| ANTHEM | Managed Medicaid | $584.92 | ↑ +1700% |
| United BH | Managed Medicaid | $590.49 | ↑ +1717% |
| AMERIHEALTH | Managed Medicaid | $612.78 | ↑ +1785% |
| United | Medicare Advantage | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| PPHP | All Products | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| The Health Plan | All Products | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Intraoral periapical first at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $32.50 | $1.10 – $771.98 |
| mercy hospital | Canton | $32.50 | $1.10 – $597.98 |
| avon hospital | Avon | not published | $81.63 – $578.39 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $926.65 – $1,072.96 |
| euclid hospital | Euclid | not published | $78.83 – $673.31 |
| fairview hospital | Cleveland | not published | $78.83 – $632.54 |
| lutheran hospital | Cleveland | not published | $81.63 – $602.21 |
| hillcrest hospital | Mayfield Heights | not published | $78.83 – $659.01 |