Ph1 assmt&mgmt nqhp 21-30 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$203.45
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.
$313.00
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 $313.00 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% |
| OPTUM | Managed Medicaid Transplant | $17.35 | ↓ -91% |
| Buckeye | Managed Medicaid | $18.26 | ↓ -91% |
| CARESOURCE | Managed Medicaid | $18.26 | ↓ -91% |
| MOLINA | Managed Medicaid | $19.17 | ↓ -91% |
| UNITED | Managed Medicaid | $19.17 | ↓ -91% |
| ANTHEM | Managed Medicaid | $19.17 | ↓ -91% |
| United BH | Managed Medicaid | $19.36 | ↓ -90% |
| Summacare | Medicare Advantage Lower Level | $19.65 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $20.09 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $21.69 | ↓ -89% |
| Summacare | Medicare Advantage CNA | $25.70 | ↓ -87% |
| Summacare | Medicare Advantage MD | $28.72 | ↓ -86% |
| Anthem | Medicare Advantage | $28.92 | ↓ -86% |
| Optum | Medicare Advantage Transplant | $28.92 | ↓ -86% |
| United | Medicare Advantage | $28.92 | ↓ -86% |
| Aetna | Medicare Advantage | $28.92 | ↓ -86% |
| Valor | All Products | $28.92 | ↓ -86% |
| The Health Plan | All Products | $28.92 | ↓ -86% |
| The Health Plan | Medicare Advantage | $28.92 | ↓ -86% |
| Humana | Medicare Advantage HMO | $28.92 | ↓ -86% |
| CommuniCare | Medicare Advantage | $30.37 | ↓ -85% |
| PPHP | All Products | $31.81 | ↓ -84% |
| Summacare | MEDICARE ADVANTAGE | $41.50 | ↓ -80% |
| Valor | HMO & PPO | $41.50 | ↓ -80% |
| AETNA | MEDICARE ADVANTAGE | $41.50 | ↓ -80% |
| UPMC | MEDICARE ADVANTAGE | $41.50 | ↓ -80% |
| ANTHEM | MEDICARE ADVANTAGE | $41.50 | ↓ -80% |
| Anthem | All Products Mid-Level Facility | $41.86 | ↓ -79% |
| Cigna | All Products Mid-Level | $41.89 | ↓ -79% |
| CIGNA | MEDICARE ADVANTAGE | $42.75 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $43.07 | ↓ -79% |
| MMO | Medicare Advantage HMO & PPO | $43.07 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $43.07 | ↓ -79% |
| The Health Plan | MEDICARE ADVANTAGE | $44.58 | ↓ -78% |
| Anthem | All Products Mid-Level Non-Facility | $44.80 | ↓ -78% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $44.82 | ↓ -78% |
| PPHP | ALL PRODUCTS | $45.65 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $46.52 | ↓ -77% |
| Cigna | All Products Physician | $49.50 | ↓ -76% |
| MMO | SuperMed | $53.76 | ↓ -74% |
| MMO | NASCO | $53.76 | ↓ -74% |
| Aetna | Acop | $55.13 | ↓ -73% |
| ANTHEM | HPN | $58.12 | ↓ -71% |
| Summacare | Preferred | $59.00 | ↓ -71% |
| Summacare | Premier | $61.67 | ↓ -70% |
| MMO | Medicare HMO & PPO | $65.54 | ↓ -68% |
| ANTHEM | PPO/HMO | $65.89 | ↓ -68% |
| Oscar | All Products | $76.23 | ↓ -63% |
| United | All Products - Mid-Level | $84.10 | ↓ -59% |
| United | HMO & PPO | $85.65 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $88.52 | ↓ -56% |
| United | All Products | $88.88 | ↓ -56% |
| PHP | ALL PRODUCTS | $100.16 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $100.16 | ↓ -51% |
| Anthem | All Products Physician | $106.32 | ↓ -48% |
| Anthem | All Products Physician Facility | $106.32 | ↓ -48% |
| MMO | ALL PRODUCTS | $106.82 | ↓ -47% |
| Summacare | PREMIER | $112.37 | ↓ -45% |
| Anthem | All Products Physician Non-Facility | $113.78 | ↓ -44% |
| OHCP | All Products | $116.70 | ↓ -43% |
| CC EHP | ALL PRODUCTS | $126.77 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $140.85 | ↓ -31% |
| Aultcare | PPO/HMO | $148.20 | ↓ -27% |
| OMAS | All Products | $150.00 | ↓ -26% |
| OHCP | ALL PRODUCTS | $152.12 | ↓ -25% |
| OMAS | ALL PRODUCTS | $156.50 | ↓ -23% |
| MMO | TRADITIONAL | $163.07 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $169.02 | ↓ -17% |
| ANTHEM | TRADITIONAL | $173.09 | ↓ -15% |
| Optum | All Products Transplant | $174.90 | ↓ -14% |
| OPTUM | All Products Transplant | $177.16 | ↓ -13% |
| PHPHI | All Products | $180.00 | ↓ -12% |
| The Health Plan | HMO | $187.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $187.80 | ↓ -8% |
| AETNA | Acop | $187.80 | ↓ -8% |
| MMO | Traditional | $210.00 | ↑ +3% |
| GMS | All Products | $210.00 | ↑ +3% |
| The Health Plan | ASO Self-Funded | $215.97 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $219.10 | ↑ +8% |
| AETNA | International | $219.10 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $219.10 | ↑ +8% |
| GMS | ALL PRODUCTS | $219.10 | ↑ +8% |
| Aetna | All Products First Health | $225.00 | ↑ +11% |
| Consociate Health | All Products | $225.00 | ↑ +11% |
| Consociate Health | ALL PRODUCTS | $234.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $234.75 | ↑ +15% |
| Aetna | Asa | $240.00 | ↑ +18% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $250.40 | ↑ +23% |
| UNITED | ALL PRODUCTS | $263.23 | ↑ +29% |
| Multiplan | All Products | $270.00 | ↑ +33% |
| Tertiary Care Network | TRANSPLANT | $281.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $281.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $281.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $281.70 | ↑ +38% |
| Aetna | Qhp/Ifp | $300.00 | ↑ +47% |
| AETNA | Qhp/Ipf | $313.00 | ↑ +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 21-30 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $203.45 | $1.10 – $281.70 |
| avon hospital | Avon | $203.45 | $0.01 – $281.70 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $203.45 | $30.37 – $281.70 |
| euclid hospital | Euclid | $203.45 | $0.01 – $281.70 |
| fairview hospital | Cleveland | $203.45 | $0.01 – $281.70 |
| lutheran hospital | Cleveland | $203.45 | $0.01 – $281.70 |
| hillcrest hospital | Mayfield Heights | $203.45 | $0.01 – $281.70 |
| lodi hospital | Lodi | $203.45 | $29.11 – $281.70 |