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Reconstruction of mouth at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$5,033.60
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.
$7,744.00
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 $16,592.38 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% |
| Summacare | Medicare Advantage Lower Level | $741.44 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $769.90 | ↓ -85% |
| Optum | Managed Medicaid Transplant | $938.96 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $969.58 | ↓ -81% |
| Buckeye | Managed Medicaid | $988.38 | ↓ -80% |
| The Health Plan | Medicare Advantage | $1,026.53 | ↓ -80% |
| Anthem | Medicare Advantage | $1,026.53 | ↓ -80% |
| The Health Plan | All Products | $1,026.53 | ↓ -80% |
| Aetna | Medicare Advantage | $1,026.53 | ↓ -80% |
| Humana | Medicare Advantage HMO | $1,026.53 | ↓ -80% |
| United | Medicare Advantage | $1,026.53 | ↓ -80% |
| Valor | All Products | $1,026.53 | ↓ -80% |
| Optum | Medicare Advantage Transplant | $1,026.53 | ↓ -80% |
| Caresource | Managed Medicaid | $1,037.80 | ↓ -79% |
| United | Managed Medicaid | $1,037.80 | ↓ -79% |
| CommuniCare | Medicare Advantage | $1,077.86 | ↓ -79% |
| Summacare | Medicare Advantage MD | $1,083.65 | ↓ -78% |
| Molina | Managed Medicaid | $1,087.22 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $1,087.22 | ↓ -78% |
| PPHP | All Products | $1,129.18 | ↓ -78% |
| OPTUM | Managed Medicaid Transplant | $1,358.50 | ↓ -73% |
| CARESOURCE | Managed Medicaid | $1,430.00 | ↓ -72% |
| UNITED | Managed Medicaid | $1,501.50 | ↓ -70% |
| MOLINA | Managed Medicaid | $1,501.50 | ↓ -70% |
| ANTHEM | Managed Medicaid | $1,501.50 | ↓ -70% |
| United BH | Managed Medicaid | $1,515.80 | ↓ -70% |
| AMERIHEALTH | Managed Medicaid | $1,573.00 | ↓ -69% |
| Anthem | All Products Mid-Level Facility | $1,616.45 | ↓ -68% |
| Cigna | All Products Mid-Level | $1,839.25 | ↓ -63% |
| Anthem | All Products Mid-Level Non-Facility | $1,967.10 | ↓ -61% |
| Oscar | All Products | $1,967.75 | ↓ -61% |
| Aetna | Acop | $2,047.05 | ↓ -59% |
| Summacare | Preferred | $2,094.12 | ↓ -58% |
| MMO | Medicare HMO & PPO | $2,144.10 | ↓ -57% |
| Cigna | All Products Physician | $2,173.26 | ↓ -57% |
| Summacare | Premier | $2,326.99 | ↓ -54% |
| OHCP | All Products | $3,012.42 | ↓ -40% |
| United | HMO & PPO | $3,617.30 | ↓ -28% |
| Aultcare | PPO/HMO | $3,825.54 | ↓ -24% |
| OMAS | All Products | $3,872.00 | ↓ -23% |
| United | All Products - Mid-Level | $3,974.78 | ↓ -21% |
| Anthem | All Products Physician | $4,105.45 | ↓ -18% |
| Anthem | All Products Physician Facility | $4,105.45 | ↓ -18% |
| United | All Products | $4,284.02 | ↓ -15% |
| Optum | All Products Transplant | $4,514.75 | ↓ -10% |
| PHPHI | All Products | $4,646.40 | ↓ -8% |
| Anthem | All Products Physician Non-Facility | $4,996.02 | ↓ -1% |
| GMS | All Products | $5,420.80 | ↑ +8% |
| MMO | Traditional | $5,420.80 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $5,465.95 | ↑ +9% |
| HUMANA | Medicare Advantage HMO | $5,465.95 | ↑ +9% |
| OPTUM | All Products VA | $5,465.95 | ↑ +9% |
| MMO | Medicare Advantage HMO & PPO | $5,465.95 | ↑ +9% |
| ANTHEM | MEDICARE ADVANTAGE | $5,600.62 | ↑ +11% |
| UPMC | MEDICARE ADVANTAGE | $5,600.62 | ↑ +11% |
| Valor | HMO & PPO | $5,600.62 | ↑ +11% |
| AETNA | MEDICARE ADVANTAGE | $5,600.62 | ↑ +11% |
| Summacare | MEDICARE ADVANTAGE | $5,600.62 | ↑ +11% |
| The Health Plan | MEDICARE ADVANTAGE | $5,657.26 | ↑ +12% |
| CIGNA | MEDICARE ADVANTAGE | $5,768.63 | ↑ +15% |
| Consociate Health | All Products | $5,808.00 | ↑ +15% |
| Aetna | All Products First Health | $5,808.00 | ↑ +15% |
| Perennial Health | MEDICARE ADVANTAGE | $5,903.23 | ↑ +17% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,048.66 | ↑ +20% |
| PPHP | ALL PRODUCTS | $6,160.68 | ↑ +22% |
| Aetna | Asa | $6,195.20 | ↑ +23% |
| Multiplan | All Products | $6,969.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $7,744.00 | ↑ +54% |
| MMO | NASCO | $9,999.36 | ↑ +99% |
| MMO | SuperMed | $9,999.36 | ↑ +99% |
| ANTHEM | HPN | $14,103.47 | ↑ +180% |
| MMO | ALL PRODUCTS | $14,415.98 | ↑ +186% |
| ANTHEM | PPO/HMO | $16,592.38 | ↑ +230% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Reconstruction of mouth at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,033.60 | $1.10 – $6,969.60 |
| mercy hospital | Canton | $5,033.60 | $1.10 – $6,969.60 |
| avon hospital | Avon | not published | $1,501.50 – $6,160.68 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,358.50 – $1,573.00 |
| euclid hospital | Euclid | not published | $1,358.50 – $6,160.68 |
| fairview hospital | Cleveland | not published | $1,358.50 – $6,160.68 |
| lutheran hospital | Cleveland | not published | $1,358.50 – $6,160.68 |
| hillcrest hospital | Mayfield Heights | not published | $1,358.50 – $6,160.68 |