healthcosts.net
Nasal/sinus endo spendt remove tiss 31288 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,066.00
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.
?
What you pay up front if you don't use insurance.
$1,640.00
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 $19,780.99 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 | $143.48 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $146.45 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $187.63 | ↓ -82% |
| Aetna | Medicare Advantage | $195.27 | ↓ -82% |
| Anthem | Medicare Advantage | $195.27 | ↓ -82% |
| The Health Plan | Medicare Advantage | $195.27 | ↓ -82% |
| The Health Plan | All Products | $195.27 | ↓ -82% |
| United | Medicare Advantage | $195.27 | ↓ -82% |
| Humana | Medicare Advantage HMO | $195.27 | ↓ -82% |
| Valor | All Products | $195.27 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $195.27 | ↓ -82% |
| CommuniCare | Medicare Advantage | $205.03 | ↓ -81% |
| Summacare | Medicare Advantage MD | $209.70 | ↓ -80% |
| OPTUM | Managed Medicaid Transplant | $211.85 | ↓ -80% |
| PPHP | All Products | $214.80 | ↓ -80% |
| Optum | Managed Medicaid Transplant | $221.86 | ↓ -79% |
| Buckeye | Managed Medicaid | $223.00 | ↓ -79% |
| CARESOURCE | Managed Medicaid | $223.00 | ↓ -79% |
| MOLINA | Managed Medicaid | $234.15 | ↓ -78% |
| ANTHEM | Managed Medicaid | $234.15 | ↓ -78% |
| UNITED | Managed Medicaid | $234.15 | ↓ -78% |
| United BH | Managed Medicaid | $236.38 | ↓ -78% |
| Caresource | Managed Medicaid | $245.22 | ↓ -77% |
| United | Managed Medicaid | $245.22 | ↓ -77% |
| AMERIHEALTH | Managed Medicaid | $245.30 | ↓ -77% |
| Molina | Managed Medicaid | $256.89 | ↓ -76% |
| AmeriHealth | Managed Medicaid | $256.89 | ↓ -76% |
| Anthem | All Products Mid-Level Non-Facility | $313.79 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $313.79 | ↓ -71% |
| Summacare | Preferred | $398.35 | ↓ -63% |
| Oscar | All Products | $416.72 | ↓ -61% |
| Summacare | Premier | $450.31 | ↓ -58% |
| MMO | Medicare HMO & PPO | $476.97 | ↓ -55% |
| United | HMO & PPO | $576.94 | ↓ -46% |
| United | All Products - Mid-Level | $633.95 | ↓ -41% |
| OHCP | All Products | $637.96 | ↓ -40% |
| United | All Products | $683.28 | ↓ -36% |
| Anthem | All Products Physician | $796.93 | ↓ -25% |
| Anthem | All Products Physician Facility | $796.93 | ↓ -25% |
| Anthem | All Products Physician Non-Facility | $796.93 | ↓ -25% |
| Aultcare | PPO/HMO | $810.16 | ↓ -24% |
| OMAS | All Products | $820.00 | ↓ -23% |
| Optum | All Products Transplant | $956.12 | ↓ -10% |
| PHPHI | All Products | $984.00 | ↓ -8% |
| GMS | All Products | $1,148.00 | ↑ +8% |
| MMO | Traditional | $1,148.00 | ↑ +8% |
| Aetna | All Products First Health | $1,230.00 | ↑ +15% |
| Consociate Health | All Products | $1,230.00 | ↑ +15% |
| Aetna | Asa | $1,312.00 | ↑ +23% |
| Multiplan | All Products | $1,476.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,640.00 | ↑ +54% |
| MMO | Medicare Advantage HMO & PPO | $6,396.22 | ↑ +500% |
| UNITED | MEDICARE ADVANTAGE | $6,396.22 | ↑ +500% |
| OPTUM | All Products VA | $6,396.22 | ↑ +500% |
| HUMANA | Medicare Advantage HMO | $6,396.22 | ↑ +500% |
| The Health Plan | MEDICARE ADVANTAGE | $6,620.09 | ↑ +521% |
| Valor | HMO & PPO | $6,676.90 | ↑ +526% |
| Summacare | MEDICARE ADVANTAGE | $6,676.90 | ↑ +526% |
| ANTHEM | MEDICARE ADVANTAGE | $6,676.90 | ↑ +526% |
| UPMC | MEDICARE ADVANTAGE | $6,676.90 | ↑ +526% |
| AETNA | MEDICARE ADVANTAGE | $6,676.90 | ↑ +526% |
| CIGNA | MEDICARE ADVANTAGE | $6,877.21 | ↑ +545% |
| Perennial Health | MEDICARE ADVANTAGE | $6,907.92 | ↑ +548% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,211.05 | ↑ +576% |
| PPHP | ALL PRODUCTS | $7,344.59 | ↑ +589% |
| MMO | NASCO | $11,685.63 | ↑ +996% |
| MMO | SuperMed | $11,685.63 | ↑ +996% |
| ANTHEM | HPN | $16,813.77 | ↑ +1477% |
| MMO | ALL PRODUCTS | $17,186.34 | ↑ +1512% |
| ANTHEM | PPO/HMO | $19,780.99 | ↑ +1756% |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Nasal/sinus endo spendt remove tiss 31288 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,066.00 | $1.10 – $6,676.90 |
| mercy hospital | Canton | $1,066.00 | $1.10 – $6,877.21 |
| avon hospital | Avon | not published | $227.21 – $7,344.59 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $370.96 – $429.53 |
| euclid hospital | Euclid | not published | $232.78 – $7,344.59 |
| fairview hospital | Cleveland | not published | $218.69 – $7,344.59 |
| lutheran hospital | Cleveland | not published | $208.19 – $7,344.59 |
| hillcrest hospital | Mayfield Heights | not published | $227.84 – $7,344.59 |