Prostate biopsy, any mthd at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$936.00
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.
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What you pay up front if you don't use insurance.
$1,440.00
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 $1,440.00 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 | $54.37 | ↓ -94% |
| CARESOURCE | Managed Medicaid | $57.23 | ↓ -94% |
| Buckeye | Managed Medicaid | $57.23 | ↓ -94% |
| ANTHEM | Managed Medicaid | $60.09 | ↓ -94% |
| UNITED | Managed Medicaid | $60.09 | ↓ -94% |
| MOLINA | Managed Medicaid | $60.09 | ↓ -94% |
| United BH | Managed Medicaid | $60.66 | ↓ -94% |
| AMERIHEALTH | Managed Medicaid | $62.95 | ↓ -93% |
| Summacare | Medicare Advantage Lower Level | $105.70 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $122.99 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $138.22 | ↓ -85% |
| Summacare | Medicare Advantage MD | $154.48 | ↓ -83% |
| The Health Plan | All Products | $163.98 | ↓ -82% |
| Valor | All Products | $163.98 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $163.98 | ↓ -82% |
| Humana | Medicare Advantage HMO | $163.98 | ↓ -82% |
| Aetna | Medicare Advantage | $163.98 | ↓ -82% |
| Anthem | Medicare Advantage | $163.98 | ↓ -82% |
| United | Medicare Advantage | $163.98 | ↓ -82% |
| The Health Plan | Medicare Advantage | $163.98 | ↓ -82% |
| CommuniCare | Medicare Advantage | $172.18 | ↓ -82% |
| PPHP | All Products | $175.62 | ↓ -81% |
| United | HMO & PPO | $181.79 | ↓ -81% |
| United | All Products | $181.79 | ↓ -81% |
| United | All Products - Mid-Level | $192.47 | ↓ -79% |
| Anthem | All Products Mid-Level Facility | $231.97 | ↓ -75% |
| Anthem | All Products Mid-Level Non-Facility | $231.97 | ↓ -75% |
| MMO | Medicare HMO & PPO | $291.37 | ↓ -69% |
| Summacare | Premier | $331.72 | ↓ -65% |
| UNITED | MEDICARE ADVANTAGE | $332.37 | ↓ -64% |
| HUMANA | Medicare Advantage HMO | $332.37 | ↓ -64% |
| OPTUM | All Products VA | $332.37 | ↓ -64% |
| MMO | Medicare Advantage HMO & PPO | $332.37 | ↓ -64% |
| Summacare | Preferred | $334.52 | ↓ -64% |
| ANTHEM | MEDICARE ADVANTAGE | $339.12 | ↓ -64% |
| Valor | HMO & PPO | $339.12 | ↓ -64% |
| UPMC | MEDICARE ADVANTAGE | $339.12 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $339.12 | ↓ -64% |
| Summacare | MEDICARE ADVANTAGE | $339.12 | ↓ -64% |
| The Health Plan | MEDICARE ADVANTAGE | $344.01 | ↓ -63% |
| CIGNA | MEDICARE ADVANTAGE | $349.29 | ↓ -63% |
| Perennial Health | MEDICARE ADVANTAGE | $358.96 | ↓ -62% |
| Oscar | All Products | $365.90 | ↓ -61% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $366.25 | ↓ -61% |
| PPHP | ALL PRODUCTS | $373.03 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $406.95 | ↓ -57% |
| PHPHI | ALL PRODUCTS | $460.48 | ↓ -51% |
| PHP | ALL PRODUCTS | $460.48 | ↓ -51% |
| Summacare | PREMIER | $516.60 | ↓ -45% |
| AETNA | Acop | $528.11 | ↓ -44% |
| OHCP | All Products | $560.16 | ↓ -40% |
| CC EHP | ALL PRODUCTS | $582.80 | ↓ -38% |
| Anthem | All Products Physician Facility | $589.14 | ↓ -37% |
| Anthem | All Products Physician | $589.14 | ↓ -37% |
| Anthem | All Products Physician Non-Facility | $589.14 | ↓ -37% |
| AETNA | Asa_Whirlpool_Peia | $617.33 | ↓ -34% |
| ANTHEM | HPN | $630.41 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $647.55 | ↓ -31% |
| AETNA | International | $647.55 | ↓ -31% |
| OHCP | ALL PRODUCTS | $699.35 | ↓ -25% |
| Aultcare | PPO/HMO | $710.87 | ↓ -24% |
| OMAS | ALL PRODUCTS | $719.50 | ↓ -23% |
| OMAS | All Products | $720.00 | ↓ -23% |
| MMO | TRADITIONAL | $749.72 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $777.06 | ↓ -17% |
| MMO | NASCO | $777.60 | ↓ -17% |
| MMO | SuperMed | $777.60 | ↓ -17% |
| ANTHEM | TRADITIONAL | $795.77 | ↓ -15% |
| OPTUM | All Products Transplant | $814.47 | ↓ -13% |
| Optum | All Products Transplant | $839.52 | ↓ -10% |
| UPMC | ALL PRODUCTS | $863.40 | ↓ -8% |
| The Health Plan | HMO | $863.40 | ↓ -8% |
| PHPHI | All Products | $864.00 | ↓ -8% |
| MMO | ALL PRODUCTS | $872.89 | ↓ -7% |
| The Health Plan | ASO Self-Funded | $992.91 | ↑ +6% |
| ANTHEM | PPO/HMO | $1,004.67 | ↑ +7% |
| GMS | ALL PRODUCTS | $1,007.30 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,007.30 | ↑ +8% |
| MMO | Traditional | $1,008.00 | ↑ +8% |
| GMS | All Products | $1,008.00 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $1,079.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $1,079.25 | ↑ +15% |
| Consociate Health | All Products | $1,080.00 | ↑ +15% |
| Aetna | All Products First Health | $1,080.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $1,151.20 | ↑ +23% |
| Aetna | Asa | $1,152.00 | ↑ +23% |
| UNITED | ALL PRODUCTS | $1,210.20 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $1,295.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $1,295.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,295.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,295.10 | ↑ +38% |
| Multiplan | All Products | $1,296.00 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,439.00 | ↑ +54% |
| Aetna | Qhp/Ifp | $1,440.00 | ↑ +54% |
| United | Managed Medicaid | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | 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
Prostate biopsy, any mthd at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $683.89 | $99.07 – $1,061.83 |
| cleveland clinic main campus | Cleveland | $1,871.35 | $1.10 – $1,295.10 |
| mercy hospital | Canton | $936.00 | $1.10 – $1,296.00 |
| University Hospitals Ahuja Medical Center | Beachwood | $711.00 | $50.00 – $853.20 |
| University Hospitals Beachwood Medical Center | Beachwood | $711.00 | $339.12 – $858.89 |
| University Hospitals Conneaut Medical Center | Conneaut | $674.25 | $59.00 – $59.00 |
| University Hospitals Elyria Medical Center | Elyria | $711.00 | $339.12 – $610.41 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $711.00 | $52.00 – $610.41 |