healthcosts.net
Pr evaluation psychiatric diagnostic w/medical services at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,081.60
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.
$1,664.00
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 $1,664.00 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% |
| Optum | Managed Medicaid Transplant | $83.51 | ↓ -92% |
| Buckeye | Managed Medicaid | $87.90 | ↓ -92% |
| Caresource | Managed Medicaid | $92.30 | ↓ -91% |
| United | Managed Medicaid | $92.30 | ↓ -91% |
| Molina | Managed Medicaid | $96.69 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $96.69 | ↓ -91% |
| Summacare | Medicare Advantage Lower Level | $105.11 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $119.16 | ↓ -89% |
| OSCAR | ALL PRODUCTS | $136.31 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $137.45 | ↓ -87% |
| UNITED | MEDICARE ADVANTAGE | $148.46 | ↓ -86% |
| MMO | Medicare Advantage HMO & PPO | $148.46 | ↓ -86% |
| OPTUM | All Products VA | $148.46 | ↓ -86% |
| HUMANA | Medicare Advantage HMO | $148.46 | ↓ -86% |
| Summacare | Medicare Advantage MD | $153.62 | ↓ -86% |
| The Health Plan | MEDICARE ADVANTAGE | $153.65 | ↓ -86% |
| PHPHI | ALL PRODUCTS | $154.24 | ↓ -86% |
| PHP | ALL PRODUCTS | $154.24 | ↓ -86% |
| OPTUM | Managed Medicaid Transplant | $156.65 | ↓ -86% |
| Aetna | Medicare Advantage | $158.88 | ↓ -85% |
| Valor | All Products | $158.88 | ↓ -85% |
| Optum | Medicare Advantage Transplant | $158.88 | ↓ -85% |
| Anthem | Medicare Advantage | $158.88 | ↓ -85% |
| United | Medicare Advantage | $158.88 | ↓ -85% |
| Humana | Medicare Advantage HMO | $158.88 | ↓ -85% |
| The Health Plan | Medicare Advantage | $158.88 | ↓ -85% |
| The Health Plan | All Products | $158.88 | ↓ -85% |
| Summacare | Preferred | $159.06 | ↓ -85% |
| Perennial Health | MEDICARE ADVANTAGE | $160.33 | ↓ -85% |
| CARESOURCE | Managed Medicaid | $164.89 | ↓ -85% |
| CommuniCare | Medicare Advantage | $166.82 | ↓ -85% |
| Valor | HMO & PPO | $167.92 | ↓ -84% |
| UPMC | MEDICARE ADVANTAGE | $167.92 | ↓ -84% |
| AETNA | MEDICARE ADVANTAGE | $167.92 | ↓ -84% |
| Summacare | MEDICARE ADVANTAGE | $167.92 | ↓ -84% |
| ANTHEM | MEDICARE ADVANTAGE | $167.92 | ↓ -84% |
| CIGNA | MEDICARE ADVANTAGE | $172.96 | ↓ -84% |
| Summacare | PREMIER | $173.04 | ↓ -84% |
| MOLINA | Managed Medicaid | $173.13 | ↓ -84% |
| ANTHEM | Managed Medicaid | $173.13 | ↓ -84% |
| UNITED | Managed Medicaid | $173.13 | ↓ -84% |
| PPHP | All Products | $174.65 | ↓ -84% |
| United BH | Managed Medicaid | $174.78 | ↓ -84% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $181.36 | ↓ -83% |
| AMERIHEALTH | Managed Medicaid | $181.38 | ↓ -83% |
| PPHP | ALL PRODUCTS | $184.72 | ↓ -83% |
| CC EHP | ALL PRODUCTS | $195.21 | ↓ -82% |
| MMO | Medicare HMO & PPO | $207.72 | ↓ -81% |
| Aetna | Acop | $216.51 | ↓ -80% |
| Amish Community Aid Plan | ALL PRODUCTS | $216.90 | ↓ -80% |
| Anthem | All Products Mid-Level Facility | $231.71 | ↓ -79% |
| OHCP | ALL PRODUCTS | $234.25 | ↓ -78% |
| Aultcare | PPO/HMO | $238.11 | ↓ -78% |
| OMAS | ALL PRODUCTS | $241.00 | ↓ -78% |
| Cigna | All Products Mid-Level | $244.96 | ↓ -77% |
| MMO | TRADITIONAL | $251.12 | ↓ -77% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $253.38 | ↓ -77% |
| Ohio Healthy | TRANSPLANT | $260.28 | ↓ -76% |
| Anthem | All Products Mid-Level Non-Facility | $261.99 | ↓ -76% |
| ANTHEM | TRADITIONAL | $266.55 | ↓ -75% |
| MMO | SuperMed | $272.38 | ↓ -75% |
| MMO | NASCO | $272.38 | ↓ -75% |
| OPTUM | All Products Transplant | $272.81 | ↓ -75% |
| The Health Plan | HMO | $289.20 | ↓ -73% |
| UPMC | ALL PRODUCTS | $289.20 | ↓ -73% |
| AETNA | Acop | $289.20 | ↓ -73% |
| Cigna | All Products Physician | $289.44 | ↓ -73% |
| ANTHEM | HPN | $311.41 | ↓ -71% |
| Summacare | Premier | $329.89 | ↓ -69% |
| The Health Plan | ASO Self-Funded | $332.58 | ↓ -69% |
| AETNA | International | $337.40 | ↓ -69% |
| Medical Benefit Corp | Transplant SMCP | $337.40 | ↓ -69% |
| GMS | ALL PRODUCTS | $337.40 | ↓ -69% |
| AETNA | Asa_Whirlpool_Peia | $337.40 | ↓ -69% |
| AETNA | ALL PRODUCTS | $361.50 | ↓ -67% |
| Consociate Health | ALL PRODUCTS | $361.50 | ↓ -67% |
| UNITED | ALL PRODUCTS | $376.44 | ↓ -65% |
| Oscar | All Products | $422.82 | ↓ -61% |
| MMO | ALL PRODUCTS | $432.24 | ↓ -60% |
| Tertiary Care Network | TRANSPLANT | $433.80 | ↓ -60% |
| FrontPath | TRANSPLANT | $433.80 | ↓ -60% |
| Managed Care Services | TRANSPLANT | $433.80 | ↓ -60% |
| MULTIPLAN | ALL PRODUCTS | $433.80 | ↓ -60% |
| AETNA | Qhp/Ipf | $482.00 | ↓ -55% |
| United | All Products - Mid-Level | $493.11 | ↓ -54% |
| ANTHEM | PPO/HMO | $497.49 | ↓ -54% |
| United | HMO & PPO | $502.20 | ↓ -54% |
| United | All Products | $521.15 | ↓ -52% |
| Anthem | All Products Physician | $588.48 | ↓ -46% |
| Anthem | All Products Physician Facility | $588.48 | ↓ -46% |
| OHCP | All Products | $647.30 | ↓ -40% |
| Anthem | All Products Physician Non-Facility | $665.39 | ↓ -38% |
| OMAS | All Products | $832.00 | ↓ -23% |
| Optum | All Products Transplant | $970.11 | ↓ -10% |
| PHPHI | All Products | $998.40 | ↓ -8% |
| MMO | Traditional | $1,164.80 | ↑ +8% |
| GMS | All Products | $1,164.80 | ↑ +8% |
| Consociate Health | All Products | $1,248.00 | ↑ +15% |
| Aetna | All Products First Health | $1,248.00 | ↑ +15% |
| Aetna | Asa | $1,331.20 | ↑ +23% |
| Multiplan | All Products | $1,497.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,664.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Pr evaluation psychiatric diagnostic w/medical services at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,081.60 | $1.10 – $1,497.60 |
| avon hospital | Avon | $313.30 | $136.31 – $433.80 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $313.30 | $136.31 – $433.80 |
| euclid hospital | Euclid | $313.30 | $136.31 – $433.80 |
| fairview hospital | Cleveland | $313.30 | $136.31 – $433.80 |
| lutheran hospital | Cleveland | $313.30 | $136.31 – $433.80 |
| hillcrest hospital | Mayfield Heights | $313.30 | $136.31 – $433.80 |
| marymount hospital | Garfield Heights | $313.30 | $136.31 – $433.80 |