healthcosts.net
Parial mast w/lymph removal 19302 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$3,637.40
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.
$5,596.00
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 $18,611.38 with ANTHEM — 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% |
| Oscar | All Products | $363.36 | ↓ -90% |
| Optum | Managed Medicaid Transplant | $480.32 | ↓ -87% |
| Buckeye | Managed Medicaid | $505.60 | ↓ -86% |
| Caresource | Managed Medicaid | $530.88 | ↓ -85% |
| United | Managed Medicaid | $530.88 | ↓ -85% |
| Molina | Managed Medicaid | $556.16 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $556.16 | ↓ -85% |
| OHCP | All Products | $556.27 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $561.70 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $635.20 | ↓ -83% |
| Aultcare | PPO/HMO | $706.42 | ↓ -81% |
| OMAS | All Products | $715.00 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $734.53 | ↓ -80% |
| Summacare | Medicare Advantage MD | $820.94 | ↓ -77% |
| Optum | All Products Transplant | $833.69 | ↓ -77% |
| United | Medicare Advantage | $846.93 | ↓ -77% |
| Valor | All Products | $846.93 | ↓ -77% |
| Humana | Medicare Advantage HMO | $846.93 | ↓ -77% |
| Anthem | Medicare Advantage | $846.93 | ↓ -77% |
| The Health Plan | All Products | $846.93 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $846.93 | ↓ -77% |
| The Health Plan | Medicare Advantage | $846.93 | ↓ -77% |
| Aetna | Medicare Advantage | $846.93 | ↓ -77% |
| PHPHI | All Products | $858.00 | ↓ -76% |
| CommuniCare | Medicare Advantage | $889.28 | ↓ -76% |
| PPHP | All Products | $931.62 | ↓ -74% |
| GMS | All Products | $1,001.00 | ↓ -72% |
| MMO | Traditional | $1,001.00 | ↓ -72% |
| Aetna | All Products First Health | $1,072.50 | ↓ -71% |
| Consociate Health | All Products | $1,072.50 | ↓ -71% |
| Aetna | Asa | $1,144.00 | ↓ -69% |
| Anthem | All Products Mid-Level Non-Facility | $1,223.02 | ↓ -66% |
| Anthem | All Products Mid-Level Facility | $1,223.02 | ↓ -66% |
| Multiplan | All Products | $1,287.00 | ↓ -65% |
| Aetna | Qhp/Ifp | $1,430.00 | ↓ -61% |
| MMO | Medicare HMO & PPO | $1,516.01 | ↓ -58% |
| Summacare | Preferred | $1,727.74 | ↓ -53% |
| Summacare | Premier | $1,762.87 | ↓ -52% |
| United | HMO & PPO | $2,258.05 | ↓ -38% |
| OPTUM | Managed Medicaid Transplant | $2,444.11 | ↓ -33% |
| United | All Products - Mid-Level | $2,481.20 | ↓ -32% |
| CARESOURCE | Managed Medicaid | $2,572.75 | ↓ -29% |
| United | All Products | $2,674.24 | ↓ -26% |
| ANTHEM | Managed Medicaid | $2,701.39 | ↓ -26% |
| MOLINA | Managed Medicaid | $2,701.39 | ↓ -26% |
| UNITED | Managed Medicaid | $2,701.39 | ↓ -26% |
| United BH | Managed Medicaid | $2,727.12 | ↓ -25% |
| AMERIHEALTH | Managed Medicaid | $2,830.03 | ↓ -22% |
| Anthem | All Products Physician Facility | $3,106.25 | ↓ -15% |
| Anthem | All Products Physician | $3,106.25 | ↓ -15% |
| Anthem | All Products Physician Non-Facility | $3,106.25 | ↓ -15% |
| MMO | Medicare Advantage HMO & PPO | $6,025.70 | ↑ +66% |
| HUMANA | Medicare Advantage HMO | $6,025.70 | ↑ +66% |
| UNITED | MEDICARE ADVANTAGE | $6,025.70 | ↑ +66% |
| OPTUM | All Products VA | $6,025.70 | ↑ +66% |
| The Health Plan | MEDICARE ADVANTAGE | $6,236.60 | ↑ +71% |
| AETNA | MEDICARE ADVANTAGE | $6,282.11 | ↑ +73% |
| Summacare | MEDICARE ADVANTAGE | $6,282.11 | ↑ +73% |
| ANTHEM | MEDICARE ADVANTAGE | $6,282.11 | ↑ +73% |
| UPMC | MEDICARE ADVANTAGE | $6,282.11 | ↑ +73% |
| Valor | HMO & PPO | $6,282.11 | ↑ +73% |
| CIGNA | MEDICARE ADVANTAGE | $6,470.57 | ↑ +78% |
| Perennial Health | MEDICARE ADVANTAGE | $6,507.75 | ↑ +79% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,784.68 | ↑ +87% |
| PPHP | ALL PRODUCTS | $6,910.32 | ↑ +90% |
| MMO | SuperMed | $11,133.70 | ↑ +206% |
| MMO | NASCO | $11,133.70 | ↑ +206% |
| ANTHEM | HPN | $15,819.61 | ↑ +335% |
| MMO | ALL PRODUCTS | $16,170.15 | ↑ +345% |
| ANTHEM | PPO/HMO | $18,611.38 | ↑ +412% |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Parial mast w/lymph removal 19302 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,637.40 | $1.10 – $6,282.11 |
| mercy hospital | Canton | $3,637.40 | $1.10 – $6,470.57 |
| avon hospital | Avon | not published | $2,621.26 – $6,910.32 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,279.58 – $4,955.30 |
| euclid hospital | Euclid | not published | $2,685.56 – $6,910.32 |
| fairview hospital | Cleveland | not published | $2,522.94 – $6,910.32 |
| lutheran hospital | Cleveland | not published | $2,401.92 – $6,910.32 |
| hillcrest hospital | Mayfield Heights | not published | $2,628.51 – $6,910.32 |