Ortho hnd/fngr w/jnt cstm w/fit&adj at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$381.55
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.
$587.00
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.
$72.46 with OPTUM vs $1,436.47 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $72.46 | ↓ -81% |
| Buckeye | Managed Medicaid | $76.27 | ↓ -80% |
| CARESOURCE | Managed Medicaid | $76.27 | ↓ -80% |
| ANTHEM | Managed Medicaid | $80.08 | ↓ -79% |
| MOLINA | Managed Medicaid | $80.08 | ↓ -79% |
| UNITED | Managed Medicaid | $80.08 | ↓ -79% |
| United BH | Managed Medicaid | $80.85 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $83.90 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $127.97 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $166.00 | ↓ -56% |
| Zing Health | Medicare Advantage | $176.10 | ↓ -54% |
| PHPHI | ALL PRODUCTS | $187.84 | ↓ -51% |
| PHP | ALL PRODUCTS | $187.84 | ↓ -51% |
| Summacare | Preferred | $193.71 | ↓ -49% |
| Summacare | PREMIER | $210.73 | ↓ -45% |
| CC EHP | ALL PRODUCTS | $227.17 | ↓ -40% |
| Amish Community Aid Plan | ALL PRODUCTS | $264.15 | ↓ -31% |
| OHCP | ALL PRODUCTS | $285.28 | ↓ -25% |
| Aultcare | PPO/HMO | $289.98 | ↓ -24% |
| OMAS | ALL PRODUCTS | $293.50 | ↓ -23% |
| MMO | TRADITIONAL | $305.83 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $316.98 | ↓ -17% |
| ANTHEM | TRADITIONAL | $324.61 | ↓ -15% |
| OPTUM | All Products Transplant | $332.24 | ↓ -13% |
| The Health Plan | HMO | $352.20 | ↓ -8% |
| AETNA | Acop | $352.20 | ↓ -8% |
| UPMC | ALL PRODUCTS | $352.20 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $405.03 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $410.90 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $410.90 | ↑ +8% |
| AETNA | International | $410.90 | ↑ +8% |
| GMS | ALL PRODUCTS | $410.90 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $440.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $440.25 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $469.60 | ↑ +23% |
| UNITED | ALL PRODUCTS | $493.67 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $528.30 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $528.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $528.30 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $528.30 | ↑ +38% |
| AETNA | Qhp/Ipf | $587.00 | ↑ +54% |
| ANTHEM | HPN | $1,221.01 | ↑ +220% |
| ANTHEM | PPO/HMO | $1,436.47 | ↑ +276% |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ortho hnd/fngr w/jnt cstm w/fit&adj at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $229.45 | $1.10 – $456.08 |
| avon hospital | Avon | $229.45 | $76.95 – $317.70 |
| euclid hospital | Euclid | $229.45 | $76.95 – $317.70 |
| fairview hospital | Cleveland | $229.45 | $74.79 – $317.70 |
| lutheran hospital | Cleveland | $229.45 | $71.20 – $317.70 |
| hillcrest hospital | Mayfield Heights | $229.45 | $76.95 – $317.70 |
| lodi hospital | Lodi | $419.90 | $121.57 – $581.40 |
| marymount hospital | Garfield Heights | $229.45 | $70.31 – $317.70 |