healthcosts.net
Mouth vestibule bx/w complex rpr 40814 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$915.20
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.
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What you pay up front if you don't use insurance.
$1,408.00
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 $9,292.73 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 | $172.89 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $179.43 | ↓ -80% |
| Buckeye | Managed Medicaid | $188.87 | ↓ -79% |
| Summacare | Medicare Advantage Psych | $190.61 | ↓ -79% |
| Caresource | Managed Medicaid | $198.31 | ↓ -78% |
| United | Managed Medicaid | $198.31 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $207.76 | ↓ -77% |
| Molina | Managed Medicaid | $207.76 | ↓ -77% |
| Summacare | Medicare Advantage CNA | $226.08 | ↓ -75% |
| Summacare | Medicare Advantage MD | $252.68 | ↓ -72% |
| Humana | Medicare Advantage HMO | $254.15 | ↓ -72% |
| Valor | All Products | $254.15 | ↓ -72% |
| United | Medicare Advantage | $254.15 | ↓ -72% |
| Aetna | Medicare Advantage | $254.15 | ↓ -72% |
| The Health Plan | Medicare Advantage | $254.15 | ↓ -72% |
| The Health Plan | All Products | $254.15 | ↓ -72% |
| Anthem | Medicare Advantage | $254.15 | ↓ -72% |
| Optum | Medicare Advantage Transplant | $254.15 | ↓ -72% |
| CommuniCare | Medicare Advantage | $266.86 | ↓ -71% |
| PPHP | All Products | $279.57 | ↓ -69% |
| Oscar | All Products | $357.77 | ↓ -61% |
| Anthem | All Products Mid-Level Facility | $374.30 | ↓ -59% |
| Cigna | All Products Mid-Level | $457.29 | ↓ -50% |
| Anthem | All Products Mid-Level Non-Facility | $489.08 | ↓ -47% |
| Summacare | Preferred | $518.47 | ↓ -43% |
| MMO | Medicare HMO & PPO | $519.97 | ↓ -43% |
| Aetna | Acop | $530.38 | ↓ -42% |
| Cigna | All Products Physician | $540.34 | ↓ -41% |
| Summacare | Premier | $542.60 | ↓ -41% |
| OHCP | All Products | $547.71 | ↓ -40% |
| Aultcare | PPO/HMO | $695.55 | ↓ -24% |
| OMAS | All Products | $704.00 | ↓ -23% |
| Optum | All Products Transplant | $820.86 | ↓ -10% |
| PHPHI | All Products | $844.80 | ↓ -8% |
| United | HMO & PPO | $894.49 | ↓ -2% |
| Anthem | All Products Physician | $950.62 | ↑ +4% |
| Anthem | All Products Physician Facility | $950.62 | ↑ +4% |
| United | All Products - Mid-Level | $982.89 | ↑ +7% |
| GMS | All Products | $985.60 | ↑ +8% |
| MMO | Traditional | $985.60 | ↑ +8% |
| Aetna | All Products First Health | $1,056.00 | ↑ +15% |
| Consociate Health | All Products | $1,056.00 | ↑ +15% |
| United | All Products | $1,059.36 | ↑ +16% |
| Aetna | Asa | $1,126.40 | ↑ +23% |
| Anthem | All Products Physician Non-Facility | $1,242.17 | ↑ +36% |
| Multiplan | All Products | $1,267.20 | ↑ +38% |
| OPTUM | Managed Medicaid Transplant | $1,358.50 | ↑ +48% |
| Aetna | Qhp/Ifp | $1,408.00 | ↑ +54% |
| CARESOURCE | Managed Medicaid | $1,430.00 | ↑ +56% |
| MOLINA | Managed Medicaid | $1,501.50 | ↑ +64% |
| ANTHEM | Managed Medicaid | $1,501.50 | ↑ +64% |
| UNITED | Managed Medicaid | $1,501.50 | ↑ +64% |
| United BH | Managed Medicaid | $1,515.80 | ↑ +66% |
| AMERIHEALTH | Managed Medicaid | $1,573.00 | ↑ +72% |
| UNITED | MEDICARE ADVANTAGE | $2,996.53 | ↑ +227% |
| HUMANA | Medicare Advantage HMO | $2,996.53 | ↑ +227% |
| MMO | Medicare Advantage HMO & PPO | $2,996.53 | ↑ +227% |
| OPTUM | All Products VA | $2,996.53 | ↑ +227% |
| The Health Plan | MEDICARE ADVANTAGE | $3,101.41 | ↑ +239% |
| Valor | HMO & PPO | $3,136.68 | ↑ +243% |
| ANTHEM | MEDICARE ADVANTAGE | $3,136.68 | ↑ +243% |
| AETNA | MEDICARE ADVANTAGE | $3,136.68 | ↑ +243% |
| UPMC | MEDICARE ADVANTAGE | $3,136.68 | ↑ +243% |
| Summacare | MEDICARE ADVANTAGE | $3,136.68 | ↑ +243% |
| CIGNA | MEDICARE ADVANTAGE | $3,230.78 | ↑ +253% |
| Perennial Health | MEDICARE ADVANTAGE | $3,236.25 | ↑ +254% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,387.61 | ↑ +270% |
| PPHP | ALL PRODUCTS | $3,450.35 | ↑ +277% |
| MMO | NASCO | $5,497.86 | ↑ +501% |
| MMO | SuperMed | $5,497.86 | ↑ +501% |
| ANTHEM | HPN | $7,898.79 | ↑ +763% |
| MMO | ALL PRODUCTS | $8,073.81 | ↑ +782% |
| ANTHEM | PPO/HMO | $9,292.73 | ↑ +915% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Mouth vestibule bx/w complex rpr 40814 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $9,696.70 | $0.01 – $13,426.20 |
| avon hospital | Avon | $9,696.70 | $0.01 – $13,426.20 |
| euclid hospital | Euclid | $9,696.70 | $0.01 – $13,426.20 |
| fairview hospital | Cleveland | $9,696.70 | $0.01 – $13,426.20 |
| lutheran hospital | Cleveland | $9,696.70 | $0.01 – $13,426.20 |
| hillcrest hospital | Mayfield Heights | $9,696.70 | $0.01 – $13,426.20 |
| marymount hospital | Garfield Heights | $9,696.70 | $0.01 – $13,426.20 |
| medina hospital | Medina | $9,696.70 | $0.01 – $13,426.20 |