healthcosts.net
Mapping io sentinel lymph node at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$650.00
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.
$1,000.00
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 $3,398.00 with UNITED — 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 | $65.08 | ↓ -90% |
| Buckeye | Managed Medicaid | $68.51 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $68.51 | ↓ -89% |
| Optum | Managed Medicaid Transplant | $70.13 | ↓ -89% |
| ANTHEM | Managed Medicaid | $71.94 | ↓ -89% |
| UNITED | Managed Medicaid | $71.94 | ↓ -89% |
| MOLINA | Managed Medicaid | $71.94 | ↓ -89% |
| United BH | Managed Medicaid | $72.62 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $75.36 | ↓ -88% |
| United | Managed Medicaid | $77.51 | ↓ -88% |
| Caresource | Managed Medicaid | $77.51 | ↓ -88% |
| Molina | Managed Medicaid | $81.20 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $81.20 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $84.92 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $91.34 | ↓ -86% |
| Oscar | All Products | $91.48 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $111.04 | ↓ -83% |
| Valor | All Products | $121.79 | ↓ -81% |
| United | Medicare Advantage | $121.79 | ↓ -81% |
| Aetna | Medicare Advantage | $121.79 | ↓ -81% |
| The Health Plan | Medicare Advantage | $121.79 | ↓ -81% |
| The Health Plan | All Products | $121.79 | ↓ -81% |
| Humana | Medicare Advantage HMO | $121.79 | ↓ -81% |
| Optum | Medicare Advantage Transplant | $121.79 | ↓ -81% |
| Anthem | Medicare Advantage | $121.79 | ↓ -81% |
| Summacare | Medicare Advantage MD | $124.11 | ↓ -81% |
| CommuniCare | Medicare Advantage | $127.88 | ↓ -80% |
| PPHP | All Products | $133.97 | ↓ -79% |
| OHCP | All Products | $140.04 | ↓ -78% |
| Aultcare | PPO/HMO | $177.84 | ↓ -73% |
| OMAS | All Products | $180.00 | ↓ -72% |
| Anthem | All Products Mid-Level Non-Facility | $184.88 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $184.88 | ↓ -72% |
| MMO | SuperMed | $194.40 | ↓ -70% |
| MMO | NASCO | $194.40 | ↓ -70% |
| Optum | All Products Transplant | $209.88 | ↓ -68% |
| PHPHI | All Products | $216.00 | ↓ -67% |
| MMO | Medicare HMO & PPO | $241.48 | ↓ -63% |
| Summacare | Preferred | $248.45 | ↓ -62% |
| MMO | Traditional | $252.00 | ↓ -61% |
| GMS | All Products | $252.00 | ↓ -61% |
| Summacare | Premier | $266.51 | ↓ -59% |
| Consociate Health | All Products | $270.00 | ↓ -58% |
| Aetna | All Products First Health | $270.00 | ↓ -58% |
| Aetna | Asa | $288.00 | ↓ -56% |
| Multiplan | All Products | $324.00 | ↓ -50% |
| United | HMO & PPO | $341.27 | ↓ -47% |
| Aetna | Qhp/Ifp | $360.00 | ↓ -45% |
| United | All Products - Mid-Level | $374.99 | ↓ -42% |
| United | All Products | $404.17 | ↓ -38% |
| Anthem | All Products Physician Facility | $469.57 | ↓ -28% |
| Anthem | All Products Physician | $469.57 | ↓ -28% |
| Anthem | All Products Physician Non-Facility | $469.57 | ↓ -28% |
| UNITED | ALL PRODUCTS | $3,398.00 | ↑ +423% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
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Mapping io sentinel lymph node at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $650.00 | $1.10 – $900.00 |
| avon hospital | Avon | $1,595.10 | $69.79 – $2,208.60 |
| euclid hospital | Euclid | $1,595.10 | $71.51 – $2,208.60 |
| fairview hospital | Cleveland | $1,595.10 | $67.18 – $2,208.60 |
| lutheran hospital | Cleveland | $1,595.10 | $63.95 – $2,208.60 |
| hillcrest hospital | Mayfield Heights | $1,595.10 | $70.00 – $2,208.60 |
| marymount hospital | Garfield Heights | $1,595.10 | $63.15 – $2,208.60 |
| medina hospital | Medina | $1,595.10 | $65.50 – $2,208.60 |