healthcosts.net
Ligation/biopsy of temporal artery 37609 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$793.00
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.
$1,220.00
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 $4,629.18 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% |
| Optum | Managed Medicaid Transplant | $99.46 | ↓ -87% |
| Buckeye | Managed Medicaid | $104.69 | ↓ -87% |
| United | Managed Medicaid | $109.92 | ↓ -86% |
| Caresource | Managed Medicaid | $109.92 | ↓ -86% |
| Oscar | All Products | $114.35 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $115.16 | ↓ -85% |
| Molina | Managed Medicaid | $115.16 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $124.19 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $137.47 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $162.40 | ↓ -80% |
| OHCP | All Products | $175.05 | ↓ -78% |
| Summacare | Medicare Advantage MD | $181.51 | ↓ -77% |
| Anthem | Medicare Advantage | $183.29 | ↓ -77% |
| Valor | All Products | $183.29 | ↓ -77% |
| United | Medicare Advantage | $183.29 | ↓ -77% |
| Aetna | Medicare Advantage | $183.29 | ↓ -77% |
| The Health Plan | Medicare Advantage | $183.29 | ↓ -77% |
| The Health Plan | All Products | $183.29 | ↓ -77% |
| Humana | Medicare Advantage HMO | $183.29 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $183.29 | ↓ -77% |
| CommuniCare | Medicare Advantage | $192.45 | ↓ -76% |
| PPHP | All Products | $201.62 | ↓ -75% |
| Aultcare | PPO/HMO | $222.30 | ↓ -72% |
| OMAS | All Products | $225.00 | ↓ -72% |
| Optum | All Products Transplant | $262.35 | ↓ -67% |
| PHPHI | All Products | $270.00 | ↓ -66% |
| Anthem | All Products Mid-Level Facility | $273.36 | ↓ -66% |
| GMS | All Products | $315.00 | ↓ -60% |
| MMO | Traditional | $315.00 | ↓ -60% |
| Consociate Health | All Products | $337.50 | ↓ -57% |
| Aetna | All Products First Health | $337.50 | ↓ -57% |
| Aetna | Asa | $360.00 | ↓ -55% |
| MMO | Medicare HMO & PPO | $364.93 | ↓ -54% |
| Summacare | Preferred | $373.91 | ↓ -53% |
| Cigna | All Products Mid-Level | $384.93 | ↓ -51% |
| Summacare | Premier | $389.76 | ↓ -51% |
| Multiplan | All Products | $405.00 | ↓ -49% |
| Anthem | All Products Mid-Level Non-Facility | $411.70 | ↓ -48% |
| Aetna | Acop | $425.87 | ↓ -46% |
| Aetna | Qhp/Ifp | $450.00 | ↓ -43% |
| Cigna | All Products Physician | $454.84 | ↓ -43% |
| Anthem | All Products Physician | $694.28 | ↓ -12% |
| Anthem | All Products Physician Facility | $694.28 | ↓ -12% |
| United | HMO & PPO | $751.15 | ↓ -5% |
| United | All Products - Mid-Level | $825.39 | ↑ +4% |
| United | All Products | $889.60 | ↑ +12% |
| OPTUM | Managed Medicaid Transplant | $987.90 | ↑ +25% |
| CARESOURCE | Managed Medicaid | $1,039.89 | ↑ +31% |
| Anthem | All Products Physician Non-Facility | $1,045.62 | ↑ +32% |
| ANTHEM | Managed Medicaid | $1,091.88 | ↑ +38% |
| MOLINA | Managed Medicaid | $1,091.88 | ↑ +38% |
| UNITED | Managed Medicaid | $1,091.88 | ↑ +38% |
| United BH | Managed Medicaid | $1,102.28 | ↑ +39% |
| AMERIHEALTH | Managed Medicaid | $1,143.88 | ↑ +44% |
| HUMANA | Medicare Advantage HMO | $1,497.07 | ↑ +89% |
| OPTUM | All Products VA | $1,497.07 | ↑ +89% |
| UNITED | MEDICARE ADVANTAGE | $1,497.07 | ↑ +89% |
| MMO | Medicare Advantage HMO & PPO | $1,497.07 | ↑ +89% |
| The Health Plan | MEDICARE ADVANTAGE | $1,549.47 | ↑ +95% |
| ANTHEM | MEDICARE ADVANTAGE | $1,562.54 | ↑ +97% |
| Summacare | MEDICARE ADVANTAGE | $1,562.54 | ↑ +97% |
| AETNA | MEDICARE ADVANTAGE | $1,562.54 | ↑ +97% |
| UPMC | MEDICARE ADVANTAGE | $1,562.54 | ↑ +97% |
| Valor | HMO & PPO | $1,562.54 | ↑ +97% |
| CIGNA | MEDICARE ADVANTAGE | $1,609.41 | ↑ +103% |
| Perennial Health | MEDICARE ADVANTAGE | $1,616.83 | ↑ +104% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,687.54 | ↑ +113% |
| PPHP | ALL PRODUCTS | $1,718.79 | ↑ +117% |
| MMO | SuperMed | $2,768.64 | ↑ +249% |
| MMO | NASCO | $2,768.64 | ↑ +249% |
| ANTHEM | HPN | $3,934.78 | ↑ +396% |
| MMO | ALL PRODUCTS | $4,021.97 | ↑ +407% |
| ANTHEM | PPO/HMO | $4,629.18 | ↑ +484% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ligation/biopsy of temporal artery 37609 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $6,055.40 | $0.01 – $8,384.40 |
| avon hospital | Avon | $6,055.40 | $0.01 – $8,384.40 |
| euclid hospital | Euclid | $6,055.40 | $0.01 – $8,384.40 |
| fairview hospital | Cleveland | $6,055.40 | $0.01 – $8,384.40 |
| lutheran hospital | Cleveland | $6,055.40 | $0.01 – $8,384.40 |
| hillcrest hospital | Mayfield Heights | $6,055.40 | $0.01 – $8,384.40 |
| marymount hospital | Garfield Heights | $6,055.40 | $0.01 – $8,384.40 |
| medina hospital | Medina | $6,055.40 | $0.01 – $8,384.40 |