healthcosts.net
MRI breast c-+ w/cad uni at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$3,776.50
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.
$5,810.00
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.
$0.87 with AETNA vs $4,970.00 with AETNA — 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 |
|---|---|---|---|
| AETNA | Acop | $0.87 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $61.31 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $71.44 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $80.18 | ↓ -98% |
| Summacare | Medicare Advantage MD | $89.61 | ↓ -98% |
| The Health Plan | Medicare Advantage | $95.25 | ↓ -97% |
| Valor | All Products | $95.25 | ↓ -97% |
| Aetna | Medicare Advantage | $95.25 | ↓ -97% |
| MMO | Medicare HMO & PPO | $95.25 | ↓ -97% |
| Humana | Medicare Advantage HMO | $95.25 | ↓ -97% |
| United | Medicare Advantage | $95.25 | ↓ -97% |
| Optum | Medicare Advantage Transplant | $95.25 | ↓ -97% |
| The Health Plan | All Products | $95.25 | ↓ -97% |
| Anthem | Medicare Advantage | $95.25 | ↓ -97% |
| CommuniCare | Medicare Advantage | $100.01 | ↓ -97% |
| PPHP | All Products | $101.88 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $134.15 | ↓ -96% |
| Anthem | All Products Mid-Level Facility | $134.15 | ↓ -96% |
| United | HMO & PPO | $189.38 | ↓ -95% |
| Summacare | Premier | $192.43 | ↓ -95% |
| Summacare | Preferred | $194.31 | ↓ -95% |
| Oscar | All Products | $213.44 | ↓ -94% |
| United | All Products - Mid-Level | $249.27 | ↓ -93% |
| United | All Products | $273.97 | ↓ -93% |
| Optum | Managed Medicaid Transplant | $285.16 | ↓ -92% |
| Buckeye | Managed Medicaid | $300.17 | ↓ -92% |
| OPTUM | Managed Medicaid Transplant | $306.46 | ↓ -92% |
| Caresource | Managed Medicaid | $315.18 | ↓ -92% |
| United | Managed Medicaid | $315.18 | ↓ -92% |
| CARESOURCE | Managed Medicaid | $322.59 | ↓ -91% |
| OHCP | All Products | $326.76 | ↓ -91% |
| Molina | Managed Medicaid | $330.19 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $330.19 | ↓ -91% |
| ANTHEM | Managed Medicaid | $338.72 | ↓ -91% |
| UNITED | Managed Medicaid | $338.72 | ↓ -91% |
| MOLINA | Managed Medicaid | $338.72 | ↓ -91% |
| Anthem | All Products Physician Facility | $340.72 | ↓ -91% |
| Anthem | All Products Physician | $340.72 | ↓ -91% |
| Anthem | All Products Physician Non-Facility | $340.72 | ↓ -91% |
| United BH | Managed Medicaid | $341.95 | ↓ -91% |
| AMERIHEALTH | Managed Medicaid | $354.85 | ↓ -91% |
| Aultcare | PPO/HMO | $414.96 | ↓ -89% |
| OMAS | All Products | $420.00 | ↓ -89% |
| MMO | NASCO | $453.60 | ↓ -88% |
| MMO | SuperMed | $453.60 | ↓ -88% |
| Optum | All Products Transplant | $489.72 | ↓ -87% |
| PHPHI | All Products | $504.00 | ↓ -87% |
| GMS | All Products | $588.00 | ↓ -84% |
| MMO | Traditional | $588.00 | ↓ -84% |
| ANTHEM | HPN | $603.69 | ↓ -84% |
| Consociate Health | All Products | $630.00 | ↓ -83% |
| Aetna | All Products First Health | $630.00 | ↓ -83% |
| Aetna | Asa | $672.00 | ↓ -82% |
| ANTHEM | PPO/HMO | $721.36 | ↓ -81% |
| Multiplan | All Products | $756.00 | ↓ -80% |
| AETNA | International | $817.28 | ↓ -78% |
| Aetna | Qhp/Ifp | $840.00 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $1,083.46 | ↓ -71% |
| OSCAR | ALL PRODUCTS | $1,405.52 | ↓ -63% |
| UNITED | ALL PRODUCTS | $1,437.91 | ↓ -62% |
| PHP | ALL PRODUCTS | $1,590.40 | ↓ -58% |
| PHPHI | ALL PRODUCTS | $1,590.40 | ↓ -58% |
| Summacare | PREMIER | $1,784.23 | ↓ -53% |
| CC EHP | ALL PRODUCTS | $2,012.85 | ↓ -47% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,236.50 | ↓ -41% |
| OHCP | ALL PRODUCTS | $2,415.42 | ↓ -36% |
| OMAS | ALL PRODUCTS | $2,485.00 | ↓ -34% |
| MMO | TRADITIONAL | $2,589.37 | ↓ -31% |
| Ohio Healthy | TRANSPLANT | $2,683.80 | ↓ -29% |
| ANTHEM | TRADITIONAL | $2,748.41 | ↓ -27% |
| OPTUM | All Products Transplant | $2,813.02 | ↓ -26% |
| The Health Plan | HMO | $2,982.00 | ↓ -21% |
| UPMC | ALL PRODUCTS | $2,982.00 | ↓ -21% |
| The Health Plan | ASO Self-Funded | $3,429.30 | ↓ -9% |
| Medical Benefit Corp | Transplant SMCP | $3,479.00 | ↓ -8% |
| GMS | ALL PRODUCTS | $3,479.00 | ↓ -8% |
| Consociate Health | ALL PRODUCTS | $3,727.50 | ↓ -1% |
| AETNA | ALL PRODUCTS | $3,727.50 | ↓ -1% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $3,976.00 | ↑ +5% |
| Tertiary Care Network | TRANSPLANT | $4,473.00 | ↑ +18% |
| MULTIPLAN | ALL PRODUCTS | $4,473.00 | ↑ +18% |
| Managed Care Services | TRANSPLANT | $4,473.00 | ↑ +18% |
| FrontPath | TRANSPLANT | $4,473.00 | ↑ +18% |
| AETNA | Qhp/Ipf | $4,970.00 | ↑ +32% |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
Visitor-reported prices
Comments
MRI breast c-+ w/cad uni at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,776.50 | $1.10 – $4,473.00 |
| avon hospital | Avon | $3,230.50 | $0.87 – $4,473.00 |
| euclid hospital | Euclid | $3,230.50 | $0.87 – $4,473.00 |
| fairview hospital | Cleveland | $3,230.50 | $0.87 – $4,473.00 |
| lutheran hospital | Cleveland | $3,230.50 | $0.87 – $4,473.00 |
| hillcrest hospital | Mayfield Heights | $3,230.50 | $0.87 – $4,473.00 |
| marymount hospital | Garfield Heights | $3,230.50 | $0.87 – $4,473.00 |
| medina hospital | Medina | $3,230.50 | $0.87 – $4,473.00 |