healthcosts.net
Ot evaluation moderate complexity patient/family at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$438.10
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.
$674.00
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 $674.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $62.56 | ↓ -86% |
| Optum | Managed Medicaid Transplant | $66.98 | ↓ -85% |
| Buckeye | Managed Medicaid | $70.50 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $72.59 | ↓ -83% |
| United | Managed Medicaid | $74.03 | ↓ -83% |
| Caresource | Managed Medicaid | $74.03 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $77.55 | ↓ -82% |
| Molina | Managed Medicaid | $77.55 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $81.80 | ↓ -81% |
| United | HMO & PPO | $87.22 | ↓ -80% |
| Summacare | Medicare Advantage MD | $91.43 | ↓ -79% |
| United | Medicare Advantage | $96.78 | ↓ -78% |
| The Health Plan | All Products | $96.78 | ↓ -78% |
| The Health Plan | Medicare Advantage | $96.78 | ↓ -78% |
| Valor | All Products | $96.78 | ↓ -78% |
| Aetna | Medicare Advantage | $96.78 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $96.78 | ↓ -78% |
| Anthem | Medicare Advantage | $96.78 | ↓ -78% |
| Humana | Medicare Advantage HMO | $96.78 | ↓ -78% |
| CommuniCare | Medicare Advantage | $101.62 | ↓ -77% |
| OPTUM | Managed Medicaid Transplant | $102.68 | ↓ -77% |
| PPHP | All Products | $103.94 | ↓ -76% |
| CARESOURCE | Managed Medicaid | $108.08 | ↓ -75% |
| ANTHEM | Managed Medicaid | $113.48 | ↓ -74% |
| UNITED | Managed Medicaid | $113.48 | ↓ -74% |
| MOLINA | Managed Medicaid | $113.48 | ↓ -74% |
| United BH | Managed Medicaid | $114.56 | ↓ -74% |
| AMERIHEALTH | Managed Medicaid | $118.89 | ↓ -73% |
| United | All Products - Mid-Level | $119.10 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $128.99 | ↓ -71% |
| MMO | Medicare Advantage HMO & PPO | $128.99 | ↓ -71% |
| HUMANA | Medicare Advantage HMO | $128.99 | ↓ -71% |
| UPMC | MEDICARE ADVANTAGE | $129.28 | ↓ -70% |
| Summacare | MEDICARE ADVANTAGE | $129.28 | ↓ -70% |
| AETNA | MEDICARE ADVANTAGE | $129.28 | ↓ -70% |
| ANTHEM | MEDICARE ADVANTAGE | $129.28 | ↓ -70% |
| Valor | HMO & PPO | $129.28 | ↓ -70% |
| Anthem | All Products Mid-Level Facility | $132.65 | ↓ -70% |
| Anthem | All Products Mid-Level Non-Facility | $132.65 | ↓ -70% |
| CIGNA | MEDICARE ADVANTAGE | $133.16 | ↓ -70% |
| The Health Plan | MEDICARE ADVANTAGE | $133.50 | ↓ -70% |
| Perennial Health | MEDICARE ADVANTAGE | $139.31 | ↓ -68% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $139.62 | ↓ -68% |
| PPHP | ALL PRODUCTS | $142.21 | ↓ -68% |
| MMO | Medicare HMO & PPO | $155.40 | ↓ -65% |
| United | All Products | $156.03 | ↓ -64% |
| Oscar | All Products | $156.53 | ↓ -64% |
| MMO | NASCO | $170.24 | ↓ -61% |
| MMO | SuperMed | $170.24 | ↓ -61% |
| ANTHEM | HPN | $174.06 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $190.61 | ↓ -56% |
| Summacare | Premier | $196.33 | ↓ -55% |
| Summacare | Preferred | $197.43 | ↓ -55% |
| ANTHEM | PPO/HMO | $205.24 | ↓ -53% |
| PHPHI | ALL PRODUCTS | $215.68 | ↓ -51% |
| PHP | ALL PRODUCTS | $215.68 | ↓ -51% |
| AETNA | Acop | $223.77 | ↓ -49% |
| UNITED | ALL PRODUCTS | $239.00 | ↓ -45% |
| OHCP | All Products | $239.62 | ↓ -45% |
| Summacare | PREMIER | $241.97 | ↓ -45% |
| AETNA | Asa_Whirlpool_Peia | $261.51 | ↓ -40% |
| CC EHP | ALL PRODUCTS | $272.97 | ↓ -38% |
| AETNA | International | $274.32 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $303.30 | ↓ -31% |
| Aultcare | PPO/HMO | $304.30 | ↓ -31% |
| OMAS | All Products | $308.00 | ↓ -30% |
| OHCP | ALL PRODUCTS | $327.56 | ↓ -25% |
| MMO | ALL PRODUCTS | $332.77 | ↓ -24% |
| Anthem | All Products Physician | $336.91 | ↓ -23% |
| Anthem | All Products Physician Facility | $336.91 | ↓ -23% |
| Anthem | All Products Physician Non-Facility | $336.91 | ↓ -23% |
| OMAS | ALL PRODUCTS | $337.00 | ↓ -23% |
| MMO | TRADITIONAL | $351.15 | ↓ -20% |
| Optum | All Products Transplant | $359.13 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $363.96 | ↓ -17% |
| PHPHI | All Products | $369.60 | ↓ -16% |
| ANTHEM | TRADITIONAL | $372.72 | ↓ -15% |
| OPTUM | All Products Transplant | $381.48 | ↓ -13% |
| The Health Plan | HMO | $404.40 | ↓ -8% |
| UPMC | ALL PRODUCTS | $404.40 | ↓ -8% |
| GMS | All Products | $431.20 | ↓ -2% |
| MMO | Traditional | $431.20 | ↓ -2% |
| Aetna | All Products First Health | $462.00 | ↑ +5% |
| Consociate Health | All Products | $462.00 | ↑ +5% |
| The Health Plan | ASO Self-Funded | $465.06 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $471.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $471.80 | ↑ +8% |
| Aetna | Asa | $492.80 | ↑ +12% |
| Consociate Health | ALL PRODUCTS | $505.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $505.50 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $539.20 | ↑ +23% |
| Multiplan | All Products | $554.40 | ↑ +27% |
| Tertiary Care Network | TRANSPLANT | $606.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $606.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $606.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $606.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $616.00 | ↑ +41% |
| AETNA | Qhp/Ipf | $674.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $438.10 | $1.10 – $606.60 |
| avon hospital | Avon | $438.10 | $110.12 – $606.60 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $438.10 | $179.79 – $606.60 |
| euclid hospital | Euclid | $438.10 | $112.82 – $606.60 |
| fairview hospital | Cleveland | $438.10 | $105.99 – $606.60 |
| lutheran hospital | Cleveland | $438.10 | $100.91 – $606.60 |
| hillcrest hospital | Mayfield Heights | $438.10 | $110.43 – $606.60 |
| lodi hospital | Lodi | $438.10 | $128.99 – $606.60 |