healthcosts.net
Placement bile duct support at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$4,576.00
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.
$7,040.00
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.
$1.10 with Zing Health vs $7,040.00 with Aetna — 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Optum | Managed Medicaid Transplant | $551.28 | ↓ -88% |
| Buckeye | Managed Medicaid | $580.29 | ↓ -87% |
| United | Managed Medicaid | $609.30 | ↓ -87% |
| Caresource | Managed Medicaid | $609.30 | ↓ -87% |
| Molina | Managed Medicaid | $638.32 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $638.32 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $684.09 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $761.76 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $894.58 | ↓ -80% |
| Summacare | Medicare Advantage MD | $999.83 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $1,015.68 | ↓ -78% |
| Aetna | Medicare Advantage | $1,015.68 | ↓ -78% |
| Anthem | Medicare Advantage | $1,015.68 | ↓ -78% |
| Humana | Medicare Advantage HMO | $1,015.68 | ↓ -78% |
| The Health Plan | All Products | $1,015.68 | ↓ -78% |
| The Health Plan | Medicare Advantage | $1,015.68 | ↓ -78% |
| United | Medicare Advantage | $1,015.68 | ↓ -78% |
| Valor | All Products | $1,015.68 | ↓ -78% |
| CommuniCare | Medicare Advantage | $1,066.46 | ↓ -77% |
| PPHP | All Products | $1,117.25 | ↓ -76% |
| Anthem | All Products Mid-Level Facility | $1,506.36 | ↓ -67% |
| Anthem | All Products Mid-Level Non-Facility | $1,506.36 | ↓ -67% |
| Oscar | All Products | $1,788.86 | ↓ -61% |
| MMO | Medicare HMO & PPO | $1,789.89 | ↓ -61% |
| MMO | SuperMed | $1,917.44 | ↓ -58% |
| MMO | NASCO | $1,917.44 | ↓ -58% |
| Summacare | Preferred | $2,071.99 | ↓ -55% |
| Summacare | Premier | $2,147.00 | ↓ -53% |
| OHCP | All Products | $2,738.56 | ↓ -40% |
| OPTUM | Managed Medicaid Transplant | $2,755.97 | ↓ -40% |
| United | HMO & PPO | $2,773.38 | ↓ -39% |
| CARESOURCE | Managed Medicaid | $2,901.02 | ↓ -37% |
| UNITED | Managed Medicaid | $3,046.07 | ↓ -33% |
| MOLINA | Managed Medicaid | $3,046.07 | ↓ -33% |
| ANTHEM | Managed Medicaid | $3,046.07 | ↓ -33% |
| United | All Products - Mid-Level | $3,047.46 | ↓ -33% |
| United BH | Managed Medicaid | $3,075.08 | ↓ -33% |
| AMERIHEALTH | Managed Medicaid | $3,191.12 | ↓ -30% |
| United | All Products | $3,284.55 | ↓ -28% |
| Aultcare | PPO/HMO | $3,477.76 | ↓ -24% |
| OMAS | All Products | $3,520.00 | ↓ -23% |
| Anthem | All Products Physician | $3,825.86 | ↓ -16% |
| Anthem | All Products Physician Non-Facility | $3,825.86 | ↓ -16% |
| Anthem | All Products Physician Facility | $3,825.86 | ↓ -16% |
| Optum | All Products Transplant | $4,104.32 | ↓ -10% |
| PHPHI | All Products | $4,224.00 | ↓ -8% |
| GMS | All Products | $4,928.00 | ↑ +8% |
| MMO | Traditional | $4,928.00 | ↑ +8% |
| Consociate Health | All Products | $5,280.00 | ↑ +15% |
| Aetna | All Products First Health | $5,280.00 | ↑ +15% |
| Aetna | Asa | $5,632.00 | ↑ +23% |
| Multiplan | All Products | $6,336.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $7,040.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Placement bile duct support at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,576.00 | $1.10 – $6,336.00 |
| mercy hospital | Canton | $4,576.00 | $1.10 – $6,336.00 |
| avon hospital | Avon | not published | $2,955.72 – $3,012.02 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,825.63 – $5,587.57 |
| euclid hospital | Euclid | not published | $3,028.21 – $3,506.35 |
| fairview hospital | Cleveland | not published | $2,844.85 – $3,294.04 |
| lutheran hospital | Cleveland | not published | $2,708.39 – $3,136.03 |
| hillcrest hospital | Mayfield Heights | not published | $2,963.90 – $3,431.88 |