healthcosts.net
Knee arthroscopy/surgery at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$2,641.60
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.
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What you pay up front if you don't use insurance.
$4,064.00
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 $20,338.07 with ANTHEM — 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 | $467.40 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $515.65 | ↓ -80% |
| Optum | Managed Medicaid Transplant | $518.13 | ↓ -80% |
| Buckeye | Managed Medicaid | $545.40 | ↓ -79% |
| Caresource | Managed Medicaid | $572.67 | ↓ -78% |
| United | Managed Medicaid | $572.67 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $599.94 | ↓ -77% |
| Molina | Managed Medicaid | $599.94 | ↓ -77% |
| Summacare | Medicare Advantage CNA | $611.22 | ↓ -77% |
| Summacare | Medicare Advantage MD | $683.13 | ↓ -74% |
| Humana | Medicare Advantage HMO | $687.53 | ↓ -74% |
| Valor | All Products | $687.53 | ↓ -74% |
| United | Medicare Advantage | $687.53 | ↓ -74% |
| Aetna | Medicare Advantage | $687.53 | ↓ -74% |
| Anthem | Medicare Advantage | $687.53 | ↓ -74% |
| Optum | Medicare Advantage Transplant | $687.53 | ↓ -74% |
| The Health Plan | Medicare Advantage | $687.53 | ↓ -74% |
| The Health Plan | All Products | $687.53 | ↓ -74% |
| CommuniCare | Medicare Advantage | $721.91 | ↓ -73% |
| PPHP | All Products | $756.28 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $1,008.97 | ↓ -62% |
| Anthem | All Products Mid-Level Non-Facility | $1,008.97 | ↓ -62% |
| Oscar | All Products | $1,032.66 | ↓ -61% |
| MMO | Medicare HMO & PPO | $1,277.75 | ↓ -52% |
| Summacare | Preferred | $1,402.56 | ↓ -47% |
| Summacare | Premier | $1,466.92 | ↓ -44% |
| OHCP | All Products | $1,580.90 | ↓ -40% |
| United | HMO & PPO | $1,870.88 | ↓ -29% |
| Aultcare | PPO/HMO | $2,007.62 | ↓ -24% |
| OMAS | All Products | $2,032.00 | ↓ -23% |
| United | All Products - Mid-Level | $2,055.77 | ↓ -22% |
| United | All Products | $2,215.71 | ↓ -16% |
| Optum | All Products Transplant | $2,369.31 | ↓ -10% |
| PHPHI | All Products | $2,438.40 | ↓ -8% |
| Anthem | All Products Physician Facility | $2,562.57 | ↓ -3% |
| Anthem | All Products Physician | $2,562.57 | ↓ -3% |
| Anthem | All Products Physician Non-Facility | $2,562.57 | ↓ -3% |
| GMS | All Products | $2,844.80 | ↑ +8% |
| MMO | Traditional | $2,844.80 | ↑ +8% |
| Aetna | All Products First Health | $3,048.00 | ↑ +15% |
| Consociate Health | All Products | $3,048.00 | ↑ +15% |
| Aetna | Asa | $3,251.20 | ↑ +23% |
| OPTUM | Managed Medicaid Transplant | $3,451.33 | ↑ +31% |
| CARESOURCE | Managed Medicaid | $3,632.98 | ↑ +38% |
| Multiplan | All Products | $3,657.60 | ↑ +38% |
| MOLINA | Managed Medicaid | $3,814.63 | ↑ +44% |
| ANTHEM | Managed Medicaid | $3,814.63 | ↑ +44% |
| UNITED | Managed Medicaid | $3,814.63 | ↑ +44% |
| United BH | Managed Medicaid | $3,850.96 | ↑ +46% |
| AMERIHEALTH | Managed Medicaid | $3,996.28 | ↑ +51% |
| Aetna | Qhp/Ifp | $4,064.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $6,600.66 | ↑ +150% |
| MMO | Medicare Advantage HMO & PPO | $6,600.66 | ↑ +150% |
| OPTUM | All Products VA | $6,600.66 | ↑ +150% |
| HUMANA | Medicare Advantage HMO | $6,600.66 | ↑ +150% |
| The Health Plan | MEDICARE ADVANTAGE | $6,831.69 | ↑ +159% |
| UPMC | MEDICARE ADVANTAGE | $6,864.94 | ↑ +160% |
| Valor | HMO & PPO | $6,864.94 | ↑ +160% |
| Summacare | MEDICARE ADVANTAGE | $6,864.94 | ↑ +160% |
| ANTHEM | MEDICARE ADVANTAGE | $6,864.94 | ↑ +160% |
| AETNA | MEDICARE ADVANTAGE | $6,864.94 | ↑ +160% |
| CIGNA | MEDICARE ADVANTAGE | $7,070.89 | ↑ +168% |
| Perennial Health | MEDICARE ADVANTAGE | $7,128.72 | ↑ +170% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,414.13 | ↑ +181% |
| PPHP | ALL PRODUCTS | $7,551.43 | ↑ +186% |
| MMO | NASCO | $12,214.27 | ↑ +362% |
| MMO | SuperMed | $12,214.27 | ↑ +362% |
| ANTHEM | HPN | $17,287.29 | ↑ +554% |
| MMO | ALL PRODUCTS | $17,670.35 | ↑ +569% |
| ANTHEM | PPO/HMO | $20,338.07 | ↑ +670% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Knee arthroscopy/surgery at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,641.60 | $1.10 – $6,864.94 |
| mercy hospital | Canton | $2,641.60 | $1.10 – $7,070.89 |
| avon hospital | Avon | not published | $3,701.48 – $7,551.43 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $6,043.19 – $6,997.38 |
| euclid hospital | Euclid | not published | $3,792.27 – $7,551.43 |
| fairview hospital | Cleveland | not published | $3,562.64 – $7,551.43 |
| lutheran hospital | Cleveland | not published | $3,391.76 – $7,551.43 |
| hillcrest hospital | Mayfield Heights | not published | $3,711.72 – $7,551.43 |