healthcosts.net
Prolng off/op e/m ea 15 min 99417 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$174.20
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.
$268.00
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 $268.00 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 | $18.29 | ↓ -90% |
| Optum | Managed Medicaid Transplant | $21.73 | ↓ -88% |
| Buckeye | Managed Medicaid | $22.87 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $23.92 | ↓ -86% |
| Caresource | Managed Medicaid | $24.01 | ↓ -86% |
| United | Managed Medicaid | $24.01 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $25.16 | ↓ -86% |
| Molina | Managed Medicaid | $25.16 | ↓ -86% |
| Summacare | Medicare Advantage MD | $26.73 | ↓ -85% |
| PPHP | All Products | $30.39 | ↓ -83% |
| Anthem | All Products Mid-Level Facility | $34.43 | ↓ -80% |
| Anthem | All Products Mid-Level Non-Facility | $35.52 | ↓ -80% |
| Cigna | All Products Mid-Level | $38.74 | ↓ -78% |
| MMO | NASCO | $44.05 | ↓ -75% |
| MMO | SuperMed | $44.05 | ↓ -75% |
| Cigna | All Products Physician | $45.78 | ↓ -74% |
| United | HMO & PPO | $50.18 | ↓ -71% |
| OPTUM | Managed Medicaid Transplant | $50.62 | ↓ -71% |
| MMO | Medicare HMO & PPO | $52.73 | ↓ -70% |
| CARESOURCE | Managed Medicaid | $53.28 | ↓ -69% |
| UNITED | Managed Medicaid | $55.94 | ↓ -68% |
| ANTHEM | Managed Medicaid | $55.94 | ↓ -68% |
| MOLINA | Managed Medicaid | $55.94 | ↓ -68% |
| United BH | Managed Medicaid | $56.48 | ↓ -68% |
| Summacare | Premier | $57.41 | ↓ -67% |
| AMERIHEALTH | Managed Medicaid | $58.61 | ↓ -66% |
| United | All Products - Mid-Level | $61.47 | ↓ -65% |
| Anthem | All Products Physician | $61.54 | ↓ -65% |
| Anthem | All Products Physician Facility | $61.54 | ↓ -65% |
| Anthem | All Products Physician Non-Facility | $63.48 | ↓ -64% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $64.89 | ↓ -63% |
| United | All Products | $66.31 | ↓ -62% |
| Oscar | All Products | $68.10 | ↓ -61% |
| OHCP | All Products | $104.25 | ↓ -40% |
| Aultcare | PPO/HMO | $132.39 | ↓ -24% |
| OMAS | All Products | $134.00 | ↓ -23% |
| Optum | All Products Transplant | $156.24 | ↓ -10% |
| PHPHI | All Products | $160.80 | ↓ -8% |
| MMO | Traditional | $187.60 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $187.60 | ↑ +8% |
| GMS | All Products | $187.60 | ↑ +8% |
| Summacare | Preferred | $187.60 | ↑ +8% |
| Consociate Health | All Products | $201.00 | ↑ +15% |
| Aetna | All Products First Health | $201.00 | ↑ +15% |
| Aetna | Asa | $214.40 | ↑ +23% |
| Multiplan | All Products | $241.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $268.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| The Health Plan | All Products | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
Comments
Prolng off/op e/m ea 15 min 99417 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $174.20 | $1.10 – $241.20 |
| mercy hospital | Canton | $174.20 | $1.10 – $1,276,448.04 |
| University Hospitals Ahuja Medical Center | Beachwood | $42.00 | $12.38 – $56.11 |
| University Hospitals Beachwood Medical Center | Beachwood | $42.00 | $14.71 – $56.11 |
| University Hospitals Conneaut Medical Center | Conneaut | $39.00 | not published |
| University Hospitals Geneva Medical Center | Geneva | $39.00 | $10.40 – $46.80 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $42.00 | $17.77 – $56.11 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $42.00 | $31.17 – $56.11 |