Quant diff pulm perf w/imaging at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,802.45
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.
?
What you pay up front if you don't use insurance.
$2,773.00
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.
$0.87 with AETNA vs $2,773.00 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 |
|---|---|---|---|
| AETNA | Acop | $0.87 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $20.64 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $24.43 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $26.99 | ↓ -99% |
| Summacare | Medicare Advantage MD | $30.16 | ↓ -98% |
| Valor | All Products | $32.57 | ↓ -98% |
| Anthem | Medicare Advantage | $32.57 | ↓ -98% |
| Humana | Medicare Advantage HMO | $32.57 | ↓ -98% |
| Aetna | Medicare Advantage | $32.57 | ↓ -98% |
| United | Medicare Advantage | $32.57 | ↓ -98% |
| The Health Plan | All Products | $32.57 | ↓ -98% |
| Optum | Medicare Advantage Transplant | $32.57 | ↓ -98% |
| The Health Plan | Medicare Advantage | $32.57 | ↓ -98% |
| CommuniCare | Medicare Advantage | $34.20 | ↓ -98% |
| PPHP | All Products | $34.29 | ↓ -98% |
| Anthem | All Products Mid-Level Facility | $45.79 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $45.79 | ↓ -97% |
| MMO | Medicare HMO & PPO | $58.52 | ↓ -97% |
| United | HMO & PPO | $63.77 | ↓ -96% |
| Summacare | Premier | $64.77 | ↓ -96% |
| Summacare | Preferred | $66.44 | ↓ -96% |
| Oscar | All Products | $76.23 | ↓ -96% |
| United | All Products - Mid-Level | $83.94 | ↓ -95% |
| United | All Products | $92.26 | ↓ -95% |
| Anthem | All Products Physician Non-Facility | $116.30 | ↓ -94% |
| Anthem | All Products Physician | $116.30 | ↓ -94% |
| Anthem | All Products Physician Facility | $116.30 | ↓ -94% |
| OHCP | All Products | $116.70 | ↓ -94% |
| Aultcare | PPO/HMO | $148.20 | ↓ -92% |
| OMAS | All Products | $150.00 | ↓ -92% |
| MMO | NASCO | $162.00 | ↓ -91% |
| MMO | SuperMed | $162.00 | ↓ -91% |
| Optum | All Products Transplant | $174.90 | ↓ -90% |
| PHPHI | All Products | $180.00 | ↓ -90% |
| MMO | Traditional | $210.00 | ↓ -88% |
| GMS | All Products | $210.00 | ↓ -88% |
| Consociate Health | All Products | $225.00 | ↓ -88% |
| Aetna | All Products First Health | $225.00 | ↓ -88% |
| Aetna | Asa | $240.00 | ↓ -87% |
| Multiplan | All Products | $270.00 | ↓ -85% |
| Aetna | Qhp/Ifp | $300.00 | ↓ -83% |
| ANTHEM | HPN | $327.47 | ↓ -82% |
| OPTUM | All Products VA | $371.28 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $371.28 | ↓ -79% |
| MMO | Medicare Advantage HMO & PPO | $371.28 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $371.28 | ↓ -79% |
| UPMC | MEDICARE ADVANTAGE | $378.21 | ↓ -79% |
| ANTHEM | MEDICARE ADVANTAGE | $378.21 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $378.21 | ↓ -79% |
| Summacare | MEDICARE ADVANTAGE | $378.21 | ↓ -79% |
| Valor | HMO & PPO | $378.21 | ↓ -79% |
| The Health Plan | MEDICARE ADVANTAGE | $384.28 | ↓ -79% |
| CIGNA | MEDICARE ADVANTAGE | $389.56 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $400.99 | ↓ -78% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $408.47 | ↓ -77% |
| PPHP | ALL PRODUCTS | $416.04 | ↓ -77% |
| OPTUM | Managed Medicaid Transplant | $705.42 | ↓ -61% |
| CARESOURCE | Managed Medicaid | $742.55 | ↓ -59% |
| Buckeye | Managed Medicaid | $742.55 | ↓ -59% |
| UNITED | Managed Medicaid | $779.68 | ↓ -57% |
| MOLINA | Managed Medicaid | $779.68 | ↓ -57% |
| ANTHEM | Managed Medicaid | $779.68 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $784.20 | ↓ -56% |
| United BH | Managed Medicaid | $787.10 | ↓ -56% |
| AMERIHEALTH | Managed Medicaid | $816.81 | ↓ -55% |
| PHP | ALL PRODUCTS | $887.36 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $887.36 | ↓ -51% |
| AETNA | International | $959.83 | ↓ -47% |
| MMO | ALL PRODUCTS | $973.52 | ↓ -46% |
| Summacare | PREMIER | $995.51 | ↓ -45% |
| ANTHEM | PPO/HMO | $1,120.50 | ↓ -38% |
| CC EHP | ALL PRODUCTS | $1,123.07 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,247.85 | ↓ -31% |
| OHCP | ALL PRODUCTS | $1,347.68 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,386.50 | ↓ -23% |
| MMO | TRADITIONAL | $1,444.73 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $1,497.42 | ↓ -17% |
| ANTHEM | TRADITIONAL | $1,533.47 | ↓ -15% |
| OPTUM | All Products Transplant | $1,569.52 | ↓ -13% |
| The Health Plan | HMO | $1,663.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $1,663.80 | ↓ -8% |
| UNITED | ALL PRODUCTS | $1,909.17 | ↑ +6% |
| The Health Plan | ASO Self-Funded | $1,913.37 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $1,941.10 | ↑ +8% |
| GMS | ALL PRODUCTS | $1,941.10 | ↑ +8% |
| AETNA | ALL PRODUCTS | $2,079.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $2,079.75 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $2,218.40 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $2,495.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $2,495.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $2,495.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,495.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $2,773.00 | ↑ +54% |
| Cigna | All Products Physician | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $974.40 | not published |
| Anderson Hospital | Cincinnati | $974.40 | not published |
| Clermont Hospital | Batavia | $974.40 | not published |
| Kings Mills Hospital | Mason | $974.40 | not published |
| Mercy West Hospital | Cincinnati | $974.40 | not published |
| St Ritas Medical Center | Lima | $895.20 | not published |
| Trinity Medical Center East | Steubenville | $689.35 | $834.00 – $1,070.30 |
| cleveland clinic main campus | Cleveland | $1,997.45 | $1.10 – $2,495.70 |