healthcosts.net
Neurorraphy w/vein autograft at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$3,640.00
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.
$5,600.00
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 $24,597.37 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% |
| Optum | Managed Medicaid Transplant | $499.05 | ↓ -86% |
| Buckeye | Managed Medicaid | $525.32 | ↓ -86% |
| United | Managed Medicaid | $551.59 | ↓ -85% |
| Caresource | Managed Medicaid | $551.59 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $577.85 | ↓ -84% |
| Molina | Managed Medicaid | $577.85 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $628.46 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $690.79 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $821.83 | ↓ -77% |
| Summacare | Medicare Advantage MD | $918.52 | ↓ -75% |
| The Health Plan | All Products | $921.05 | ↓ -75% |
| Valor | All Products | $921.05 | ↓ -75% |
| Anthem | Medicare Advantage | $921.05 | ↓ -75% |
| Humana | Medicare Advantage HMO | $921.05 | ↓ -75% |
| United | Medicare Advantage | $921.05 | ↓ -75% |
| Aetna | Medicare Advantage | $921.05 | ↓ -75% |
| The Health Plan | Medicare Advantage | $921.05 | ↓ -75% |
| Optum | Medicare Advantage Transplant | $921.05 | ↓ -75% |
| CommuniCare | Medicare Advantage | $967.10 | ↓ -73% |
| PPHP | All Products | $1,013.16 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $1,365.57 | ↓ -62% |
| Anthem | All Products Mid-Level Non-Facility | $1,365.57 | ↓ -62% |
| Oscar | All Products | $1,422.96 | ↓ -61% |
| MMO | Medicare HMO & PPO | $1,764.65 | ↓ -52% |
| Summacare | Preferred | $1,878.94 | ↓ -48% |
| Summacare | Premier | $1,972.39 | ↓ -46% |
| OHCP | All Products | $2,178.40 | ↓ -40% |
| United | HMO & PPO | $2,519.53 | ↓ -31% |
| Aultcare | PPO/HMO | $2,766.40 | ↓ -24% |
| United | All Products - Mid-Level | $2,768.52 | ↓ -24% |
| OMAS | All Products | $2,800.00 | ↓ -23% |
| OPTUM | Managed Medicaid Transplant | $2,822.50 | ↓ -22% |
| CARESOURCE | Managed Medicaid | $2,971.05 | ↓ -18% |
| United | All Products | $2,983.91 | ↓ -18% |
| UNITED | Managed Medicaid | $3,119.60 | ↓ -14% |
| ANTHEM | Managed Medicaid | $3,119.60 | ↓ -14% |
| MOLINA | Managed Medicaid | $3,119.60 | ↓ -14% |
| United BH | Managed Medicaid | $3,149.31 | ↓ -13% |
| Optum | All Products Transplant | $3,264.80 | ↓ -10% |
| AMERIHEALTH | Managed Medicaid | $3,268.16 | ↓ -10% |
| PHPHI | All Products | $3,360.00 | ↓ -8% |
| Anthem | All Products Physician Facility | $3,468.25 | ↓ -5% |
| Anthem | All Products Physician Non-Facility | $3,468.25 | ↓ -5% |
| Anthem | All Products Physician | $3,468.25 | ↓ -5% |
| GMS | All Products | $3,920.00 | ↑ +8% |
| MMO | Traditional | $3,920.00 | ↑ +8% |
| Consociate Health | All Products | $4,200.00 | ↑ +15% |
| Aetna | All Products First Health | $4,200.00 | ↑ +15% |
| Aetna | Asa | $4,480.00 | ↑ +23% |
| Multiplan | All Products | $5,040.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $5,600.00 | ↑ +54% |
| MMO | Medicare Advantage HMO & PPO | $5,917.23 | ↑ +63% |
| UNITED | MEDICARE ADVANTAGE | $5,917.23 | ↑ +63% |
| OPTUM | All Products VA | $5,917.23 | ↑ +63% |
| HUMANA | Medicare Advantage HMO | $5,917.23 | ↑ +63% |
| The Health Plan | MEDICARE ADVANTAGE | $6,124.34 | ↑ +68% |
| Perennial Health | MEDICARE ADVANTAGE | $6,390.61 | ↑ +76% |
| UPMC | MEDICARE ADVANTAGE | $8,302.63 | ↑ +128% |
| ANTHEM | MEDICARE ADVANTAGE | $8,302.63 | ↑ +128% |
| AETNA | MEDICARE ADVANTAGE | $8,302.63 | ↑ +128% |
| Valor | HMO & PPO | $8,302.63 | ↑ +128% |
| Summacare | MEDICARE ADVANTAGE | $8,302.63 | ↑ +128% |
| CIGNA | MEDICARE ADVANTAGE | $8,551.71 | ↑ +135% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $8,966.84 | ↑ +146% |
| PPHP | ALL PRODUCTS | $9,132.89 | ↑ +151% |
| MMO | SuperMed | $11,373.82 | ↑ +212% |
| MMO | NASCO | $11,373.82 | ↑ +212% |
| ANTHEM | HPN | $20,907.68 | ↑ +474% |
| MMO | ALL PRODUCTS | $21,370.97 | ↑ +487% |
| ANTHEM | PPO/HMO | $24,597.37 | ↑ +576% |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Neurorraphy w/vein autograft at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,640.00 | $1.10 – $8,302.63 |
| mercy hospital | Canton | $3,640.00 | $1.10 – $8,551.71 |
| avon hospital | Avon | not published | $3,027.08 – $9,132.89 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,942.12 – $5,722.45 |
| euclid hospital | Euclid | not published | $3,101.31 – $9,132.89 |
| fairview hospital | Cleveland | not published | $2,913.53 – $9,132.89 |
| lutheran hospital | Cleveland | not published | $2,773.77 – $9,132.89 |
| hillcrest hospital | Mayfield Heights | not published | $3,035.44 – $9,132.89 |