Ph1 assmt&mgmt nqhp 11-20 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$135.20
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.
$208.00
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 $208.00 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 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $14.01 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $14.93 | ↓ -89% |
| Summacare | Medicare Advantage CNA | $18.33 | ↓ -86% |
| Valor | All Products | $19.91 | ↓ -85% |
| Aetna | Medicare Advantage | $19.91 | ↓ -85% |
| Humana | Medicare Advantage HMO | $19.91 | ↓ -85% |
| Optum | Medicare Advantage Transplant | $19.91 | ↓ -85% |
| United | Medicare Advantage | $19.91 | ↓ -85% |
| Anthem | Medicare Advantage | $19.91 | ↓ -85% |
| The Health Plan | Medicare Advantage | $19.91 | ↓ -85% |
| The Health Plan | All Products | $19.91 | ↓ -85% |
| Summacare | Medicare Advantage MD | $20.48 | ↓ -85% |
| CommuniCare | Medicare Advantage | $20.91 | ↓ -85% |
| PPHP | All Products | $21.90 | ↓ -84% |
| ANTHEM | MEDICARE ADVANTAGE | $28.26 | ↓ -79% |
| UPMC | MEDICARE ADVANTAGE | $28.26 | ↓ -79% |
| Valor | HMO & PPO | $28.26 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $28.26 | ↓ -79% |
| Summacare | MEDICARE ADVANTAGE | $28.26 | ↓ -79% |
| CIGNA | MEDICARE ADVANTAGE | $29.11 | ↓ -78% |
| Anthem | All Products Mid-Level Facility | $29.49 | ↓ -78% |
| Cigna | All Products Mid-Level | $29.94 | ↓ -78% |
| UNITED | MEDICARE ADVANTAGE | $30.24 | ↓ -78% |
| MMO | Medicare Advantage HMO & PPO | $30.24 | ↓ -78% |
| HUMANA | Medicare Advantage HMO | $30.24 | ↓ -78% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $30.52 | ↓ -77% |
| PPHP | ALL PRODUCTS | $31.09 | ↓ -77% |
| The Health Plan | MEDICARE ADVANTAGE | $31.30 | ↓ -77% |
| Anthem | All Products Mid-Level Non-Facility | $32.03 | ↓ -76% |
| Perennial Health | MEDICARE ADVANTAGE | $32.66 | ↓ -76% |
| Cigna | All Products Physician | $35.37 | ↓ -74% |
| Aetna | Acop | $37.39 | ↓ -72% |
| MMO | NASCO | $37.63 | ↓ -72% |
| MMO | SuperMed | $37.63 | ↓ -72% |
| Summacare | Preferred | $40.62 | ↓ -70% |
| ANTHEM | HPN | $40.81 | ↓ -70% |
| MMO | Medicare HMO & PPO | $43.27 | ↓ -68% |
| Summacare | Premier | $43.98 | ↓ -67% |
| ANTHEM | PPO/HMO | $44.87 | ↓ -67% |
| Oscar | All Products | $50.82 | ↓ -62% |
| OPTUM | Managed Medicaid Transplant | $54.56 | ↓ -60% |
| CARESOURCE | Managed Medicaid | $57.43 | ↓ -58% |
| Buckeye | Managed Medicaid | $57.43 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $58.82 | ↓ -56% |
| MOLINA | Managed Medicaid | $60.30 | ↓ -55% |
| ANTHEM | Managed Medicaid | $60.30 | ↓ -55% |
| UNITED | Managed Medicaid | $60.30 | ↓ -55% |
| United BH | Managed Medicaid | $60.88 | ↓ -55% |
| United | All Products - Mid-Level | $60.89 | ↓ -55% |
| United | HMO & PPO | $62.01 | ↓ -54% |
| AMERIHEALTH | Managed Medicaid | $63.17 | ↓ -53% |
| United | All Products | $64.35 | ↓ -52% |
| PHP | ALL PRODUCTS | $66.56 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $66.56 | ↓ -51% |
| MMO | ALL PRODUCTS | $72.74 | ↓ -46% |
| Summacare | PREMIER | $74.67 | ↓ -45% |
| Anthem | All Products Physician Facility | $74.91 | ↓ -45% |
| Anthem | All Products Physician | $74.91 | ↓ -45% |
| OHCP | All Products | $77.80 | ↓ -42% |
| Anthem | All Products Physician Non-Facility | $81.33 | ↓ -40% |
| CC EHP | ALL PRODUCTS | $84.24 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $93.60 | ↓ -31% |
| Aultcare | PPO/HMO | $98.80 | ↓ -27% |
| OMAS | All Products | $100.00 | ↓ -26% |
| OHCP | ALL PRODUCTS | $101.09 | ↓ -25% |
| OMAS | ALL PRODUCTS | $104.00 | ↓ -23% |
| MMO | TRADITIONAL | $108.37 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $112.32 | ↓ -17% |
| ANTHEM | TRADITIONAL | $115.02 | ↓ -15% |
| Optum | All Products Transplant | $116.60 | ↓ -14% |
| OPTUM | All Products Transplant | $117.73 | ↓ -13% |
| PHPHI | All Products | $120.00 | ↓ -11% |
| The Health Plan | HMO | $124.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $124.80 | ↓ -8% |
| AETNA | Acop | $124.80 | ↓ -8% |
| MMO | Traditional | $140.00 | ↑ +4% |
| GMS | All Products | $140.00 | ↑ +4% |
| The Health Plan | ASO Self-Funded | $143.52 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $145.60 | ↑ +8% |
| AETNA | International | $145.60 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $145.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $145.60 | ↑ +8% |
| Aetna | All Products First Health | $150.00 | ↑ +11% |
| Consociate Health | All Products | $150.00 | ↑ +11% |
| Consociate Health | ALL PRODUCTS | $156.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $156.00 | ↑ +15% |
| Aetna | Asa | $160.00 | ↑ +18% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $166.40 | ↑ +23% |
| UNITED | ALL PRODUCTS | $174.93 | ↑ +29% |
| Multiplan | All Products | $180.00 | ↑ +33% |
| Tertiary Care Network | TRANSPLANT | $187.20 | ↑ +38% |
| FrontPath | TRANSPLANT | $187.20 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $187.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $187.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $200.00 | ↑ +48% |
| AETNA | Qhp/Ipf | $208.00 | ↑ +54% |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 11-20 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $135.20 | $1.10 – $187.20 |
| avon hospital | Avon | $135.20 | $0.01 – $187.20 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $135.20 | $58.82 – $187.20 |
| euclid hospital | Euclid | $135.20 | $0.01 – $187.20 |
| fairview hospital | Cleveland | $135.20 | $0.01 – $187.20 |
| lutheran hospital | Cleveland | $135.20 | $0.01 – $187.20 |
| hillcrest hospital | Mayfield Heights | $135.20 | $0.01 – $187.20 |
| lodi hospital | Lodi | $135.20 | $28.26 – $187.20 |