healthcosts.net
Laparoscopy pyeloplasty at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$6,076.20
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.
$9,348.00
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 $29,793.81 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 | $760.23 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $816.18 | ↓ -87% |
| Optum | Managed Medicaid Transplant | $871.33 | ↓ -86% |
| Buckeye | Managed Medicaid | $917.19 | ↓ -85% |
| United | Managed Medicaid | $963.05 | ↓ -84% |
| Caresource | Managed Medicaid | $963.05 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $994.15 | ↓ -84% |
| Molina | Managed Medicaid | $1,008.91 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $1,008.91 | ↓ -83% |
| The Health Plan | All Products | $1,088.24 | ↓ -82% |
| Valor | All Products | $1,088.24 | ↓ -82% |
| United | Medicare Advantage | $1,088.24 | ↓ -82% |
| Aetna | Medicare Advantage | $1,088.24 | ↓ -82% |
| Anthem | Medicare Advantage | $1,088.24 | ↓ -82% |
| The Health Plan | Medicare Advantage | $1,088.24 | ↓ -82% |
| Humana | Medicare Advantage HMO | $1,088.24 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $1,088.24 | ↓ -82% |
| Summacare | Medicare Advantage MD | $1,111.11 | ↓ -82% |
| CommuniCare | Medicare Advantage | $1,142.65 | ↓ -81% |
| PPHP | All Products | $1,197.06 | ↓ -80% |
| Anthem | All Products Mid-Level Non-Facility | $1,647.64 | ↓ -73% |
| Anthem | All Products Mid-Level Facility | $1,647.64 | ↓ -73% |
| Summacare | Preferred | $2,220.01 | ↓ -63% |
| MMO | Medicare HMO & PPO | $2,231.09 | ↓ -63% |
| Oscar | All Products | $2,375.33 | ↓ -61% |
| Summacare | Premier | $2,385.96 | ↓ -61% |
| United | HMO & PPO | $3,052.53 | ↓ -50% |
| United | All Products - Mid-Level | $3,354.19 | ↓ -45% |
| United | All Products | $3,615.15 | ↓ -41% |
| OHCP | All Products | $3,636.37 | ↓ -40% |
| Anthem | All Products Physician Facility | $4,184.68 | ↓ -31% |
| Anthem | All Products Physician | $4,184.68 | ↓ -31% |
| Anthem | All Products Physician Non-Facility | $4,184.68 | ↓ -31% |
| OPTUM | Managed Medicaid Transplant | $4,503.79 | ↓ -26% |
| Aultcare | PPO/HMO | $4,617.91 | ↓ -24% |
| OMAS | All Products | $4,674.00 | ↓ -23% |
| CARESOURCE | Managed Medicaid | $4,740.83 | ↓ -22% |
| MOLINA | Managed Medicaid | $4,977.87 | ↓ -18% |
| ANTHEM | Managed Medicaid | $4,977.87 | ↓ -18% |
| UNITED | Managed Medicaid | $4,977.87 | ↓ -18% |
| United BH | Managed Medicaid | $5,025.28 | ↓ -17% |
| AMERIHEALTH | Managed Medicaid | $5,214.91 | ↓ -14% |
| Optum | All Products Transplant | $5,449.88 | ↓ -10% |
| PHPHI | All Products | $5,608.80 | ↓ -8% |
| GMS | All Products | $6,543.60 | ↑ +8% |
| MMO | Traditional | $6,543.60 | ↑ +8% |
| Consociate Health | All Products | $7,011.00 | ↑ +15% |
| Aetna | All Products First Health | $7,011.00 | ↑ +15% |
| Aetna | Asa | $7,478.40 | ↑ +23% |
| Multiplan | All Products | $8,413.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $9,348.00 | ↑ +54% |
| OPTUM | All Products VA | $9,619.76 | ↑ +58% |
| HUMANA | Medicare Advantage HMO | $9,619.76 | ↑ +58% |
| UNITED | MEDICARE ADVANTAGE | $9,619.76 | ↑ +58% |
| MMO | Medicare Advantage HMO & PPO | $9,619.76 | ↑ +58% |
| The Health Plan | MEDICARE ADVANTAGE | $9,956.45 | ↑ +64% |
| Summacare | MEDICARE ADVANTAGE | $10,056.64 | ↑ +66% |
| Valor | HMO & PPO | $10,056.64 | ↑ +66% |
| UPMC | MEDICARE ADVANTAGE | $10,056.64 | ↑ +66% |
| ANTHEM | MEDICARE ADVANTAGE | $10,056.64 | ↑ +66% |
| AETNA | MEDICARE ADVANTAGE | $10,056.64 | ↑ +66% |
| CIGNA | MEDICARE ADVANTAGE | $10,358.34 | ↑ +70% |
| Perennial Health | MEDICARE ADVANTAGE | $10,389.34 | ↑ +71% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $10,861.17 | ↑ +79% |
| PPHP | ALL PRODUCTS | $11,062.31 | ↑ +82% |
| MMO | NASCO | $17,575.94 | ↑ +189% |
| MMO | SuperMed | $17,575.94 | ↑ +189% |
| ANTHEM | HPN | $25,324.64 | ↑ +317% |
| MMO | ALL PRODUCTS | $25,885.80 | ↑ +326% |
| ANTHEM | PPO/HMO | $29,793.81 | ↑ +390% |
| 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
Laparoscopy pyeloplasty at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $6,076.20 | $1.10 – $10,056.64 |
| mercy hospital | Canton | $6,076.20 | $1.10 – $10,358.34 |
| avon hospital | Avon | not published | $4,830.22 – $11,062.31 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,886.01 – $9,131.17 |
| euclid hospital | Euclid | not published | $4,948.69 – $11,062.31 |
| fairview hospital | Cleveland | not published | $4,649.04 – $11,062.31 |
| lutheran hospital | Cleveland | not published | $4,426.04 – $11,062.31 |
| hillcrest hospital | Mayfield Heights | not published | $4,843.58 – $11,062.31 |