Prq skel fix talus fx w/mnpj at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$11,643.45
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.
$17,913.00
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 $20,338.07 with ANTHEM — 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 | $258.50 | ↓ -98% |
| Buckeye | Managed Medicaid | $272.10 | ↓ -98% |
| Caresource | Managed Medicaid | $285.71 | ↓ -98% |
| United | Managed Medicaid | $285.71 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $299.31 | ↓ -97% |
| Molina | Managed Medicaid | $299.31 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $304.82 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $354.95 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $398.61 | ↓ -97% |
| Summacare | Medicare Advantage MD | $445.50 | ↓ -96% |
| The Health Plan | All Products | $473.27 | ↓ -96% |
| Valor | All Products | $473.27 | ↓ -96% |
| United | Medicare Advantage | $473.27 | ↓ -96% |
| Aetna | Medicare Advantage | $473.27 | ↓ -96% |
| Humana | Medicare Advantage HMO | $473.27 | ↓ -96% |
| The Health Plan | Medicare Advantage | $473.27 | ↓ -96% |
| Anthem | Medicare Advantage | $473.27 | ↓ -96% |
| Optum | Medicare Advantage Transplant | $473.27 | ↓ -96% |
| CommuniCare | Medicare Advantage | $496.93 | ↓ -96% |
| Oscar | All Products | $498.04 | ↓ -96% |
| PPHP | All Products | $506.47 | ↓ -96% |
| Anthem | All Products Mid-Level Facility | $660.73 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $660.73 | ↓ -94% |
| MMO | Medicare HMO & PPO | $742.64 | ↓ -94% |
| OHCP | All Products | $762.44 | ↓ -93% |
| ANTHEM | HPN | $848.10 | ↓ -93% |
| Summacare | Premier | $956.66 | ↓ -92% |
| Summacare | Preferred | $965.47 | ↓ -92% |
| Aultcare | PPO/HMO | $968.24 | ↓ -92% |
| OMAS | All Products | $980.00 | ↓ -92% |
| Optum | All Products Transplant | $1,142.68 | ↓ -90% |
| PHPHI | All Products | $1,176.00 | ↓ -90% |
| United | HMO & PPO | $1,226.17 | ↓ -89% |
| United | All Products - Mid-Level | $1,347.34 | ↓ -88% |
| GMS | All Products | $1,372.00 | ↓ -88% |
| MMO | Traditional | $1,372.00 | ↓ -88% |
| United | All Products | $1,452.17 | ↓ -88% |
| Consociate Health | All Products | $1,470.00 | ↓ -87% |
| Aetna | All Products First Health | $1,470.00 | ↓ -87% |
| Aetna | Asa | $1,568.00 | ↓ -87% |
| Anthem | All Products Physician | $1,678.12 | ↓ -86% |
| Anthem | All Products Physician Non-Facility | $1,678.12 | ↓ -86% |
| Anthem | All Products Physician Facility | $1,678.12 | ↓ -86% |
| Multiplan | All Products | $1,764.00 | ↓ -85% |
| Aetna | Qhp/Ifp | $1,960.00 | ↓ -83% |
| UNITED | ALL PRODUCTS | $2,453.00 | ↓ -79% |
| OPTUM | Managed Medicaid Transplant | $2,860.13 | ↓ -75% |
| CARESOURCE | Managed Medicaid | $3,010.66 | ↓ -74% |
| UNITED | Managed Medicaid | $3,161.19 | ↓ -73% |
| ANTHEM | Managed Medicaid | $3,161.19 | ↓ -73% |
| MOLINA | Managed Medicaid | $3,161.19 | ↓ -73% |
| United BH | Managed Medicaid | $3,191.30 | ↓ -73% |
| AETNA | Acop | $3,265.00 | ↓ -72% |
| AMERIHEALTH | Managed Medicaid | $3,311.73 | ↓ -72% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -67% |
| AETNA | International | $4,001.00 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $5,065.80 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $5,732.16 | ↓ -51% |
| PHP | ALL PRODUCTS | $5,732.16 | ↓ -51% |
| Summacare | PREMIER | $6,430.77 | ↓ -45% |
| OPTUM | All Products VA | $6,600.66 | ↓ -43% |
| MMO | Medicare Advantage HMO & PPO | $6,600.66 | ↓ -43% |
| HUMANA | Medicare Advantage HMO | $6,600.66 | ↓ -43% |
| UNITED | MEDICARE ADVANTAGE | $6,600.66 | ↓ -43% |
| The Health Plan | MEDICARE ADVANTAGE | $6,831.69 | ↓ -41% |
| AETNA | MEDICARE ADVANTAGE | $6,864.94 | ↓ -41% |
| UPMC | MEDICARE ADVANTAGE | $6,864.94 | ↓ -41% |
| Summacare | MEDICARE ADVANTAGE | $6,864.94 | ↓ -41% |
| ANTHEM | MEDICARE ADVANTAGE | $6,864.94 | ↓ -41% |
| Valor | HMO & PPO | $6,864.94 | ↓ -41% |
| CIGNA | MEDICARE ADVANTAGE | $7,070.89 | ↓ -39% |
| Perennial Health | MEDICARE ADVANTAGE | $7,128.72 | ↓ -39% |
| CC EHP | ALL PRODUCTS | $7,254.77 | ↓ -38% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,414.13 | ↓ -36% |
| PPHP | ALL PRODUCTS | $7,551.43 | ↓ -35% |
| Amish Community Aid Plan | ALL PRODUCTS | $8,060.85 | ↓ -31% |
| OHCP | ALL PRODUCTS | $8,705.72 | ↓ -25% |
| OMAS | ALL PRODUCTS | $8,956.50 | ↓ -23% |
| MMO | TRADITIONAL | $9,332.67 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $9,673.02 | ↓ -17% |
| ANTHEM | TRADITIONAL | $9,905.89 | ↓ -15% |
| OPTUM | All Products Transplant | $10,138.76 | ↓ -13% |
| The Health Plan | HMO | $10,747.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $10,747.80 | ↓ -8% |
| MMO | SuperMed | $12,214.27 | ↑ +5% |
| MMO | NASCO | $12,214.27 | ↑ +5% |
| The Health Plan | ASO Self-Funded | $12,359.97 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $12,539.10 | ↑ +8% |
| GMS | ALL PRODUCTS | $12,539.10 | ↑ +8% |
| AETNA | ALL PRODUCTS | $13,434.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $13,434.75 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $14,330.40 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $16,121.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $16,121.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $16,121.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $16,121.70 | ↑ +38% |
| MMO | ALL PRODUCTS | $17,670.35 | ↑ +52% |
| AETNA | Qhp/Ipf | $17,913.00 | ↑ +54% |
| ANTHEM | PPO/HMO | $20,338.07 | ↑ +75% |
| Aetna | Acop | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Prq skel fix talus fx w/mnpj at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,274.00 | $1.10 – $6,864.94 |
| mercy hospital | Canton | $1,274.00 | $1.10 – $7,070.89 |
| avon hospital | Avon | not published | $3,067.43 – $7,551.43 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $5,008.00 – $5,798.74 |
| euclid hospital | Euclid | not published | $3,142.67 – $7,551.43 |
| fairview hospital | Cleveland | not published | $2,952.37 – $7,551.43 |
| lutheran hospital | Cleveland | not published | $2,810.76 – $7,551.43 |
| hillcrest hospital | Mayfield Heights | not published | $3,075.91 – $7,551.43 |