healthcosts.net
Reconstruction of nail bed at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$764.40
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.
$1,176.00
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 $5,783.06 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 | $105.19 | ↓ -86% |
| Buckeye | Managed Medicaid | $110.73 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $115.36 | ↓ -85% |
| United | Managed Medicaid | $116.27 | ↓ -85% |
| Caresource | Managed Medicaid | $116.27 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $121.80 | ↓ -84% |
| Molina | Managed Medicaid | $121.80 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $127.55 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $150.86 | ↓ -80% |
| Summacare | Medicare Advantage MD | $168.61 | ↓ -78% |
| Humana | Medicare Advantage HMO | $170.06 | ↓ -78% |
| Valor | All Products | $170.06 | ↓ -78% |
| United | Medicare Advantage | $170.06 | ↓ -78% |
| Aetna | Medicare Advantage | $170.06 | ↓ -78% |
| The Health Plan | Medicare Advantage | $170.06 | ↓ -78% |
| The Health Plan | All Products | $170.06 | ↓ -78% |
| Anthem | Medicare Advantage | $170.06 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $170.06 | ↓ -78% |
| CommuniCare | Medicare Advantage | $178.56 | ↓ -77% |
| PPHP | All Products | $187.07 | ↓ -76% |
| Anthem | All Products Mid-Level Facility | $247.44 | ↓ -68% |
| Oscar | All Products | $298.82 | ↓ -61% |
| MMO | Medicare HMO & PPO | $320.62 | ↓ -58% |
| Summacare | Preferred | $346.92 | ↓ -55% |
| Cigna | All Products Mid-Level | $352.03 | ↓ -54% |
| Summacare | Premier | $362.06 | ↓ -53% |
| Anthem | All Products Mid-Level Non-Facility | $376.51 | ↓ -51% |
| Aetna | Acop | $390.63 | ↓ -49% |
| Cigna | All Products Physician | $415.96 | ↓ -46% |
| OHCP | All Products | $457.46 | ↓ -40% |
| Aultcare | PPO/HMO | $580.94 | ↓ -24% |
| OMAS | All Products | $588.00 | ↓ -23% |
| Anthem | All Products Physician Facility | $628.43 | ↓ -18% |
| Anthem | All Products Physician | $628.43 | ↓ -18% |
| Optum | All Products Transplant | $685.61 | ↓ -10% |
| United | HMO & PPO | $695.28 | ↓ -9% |
| PHPHI | All Products | $705.60 | ↓ -8% |
| United | All Products - Mid-Level | $763.99 | ↓ -0% |
| MMO | Traditional | $823.20 | ↑ +8% |
| GMS | All Products | $823.20 | ↑ +8% |
| United | All Products | $823.43 | ↑ +8% |
| OPTUM | Managed Medicaid Transplant | $841.82 | ↑ +10% |
| Consociate Health | All Products | $882.00 | ↑ +15% |
| Aetna | All Products First Health | $882.00 | ↑ +15% |
| CARESOURCE | Managed Medicaid | $886.13 | ↑ +16% |
| ANTHEM | Managed Medicaid | $930.44 | ↑ +22% |
| UNITED | Managed Medicaid | $930.44 | ↑ +22% |
| MOLINA | Managed Medicaid | $930.44 | ↑ +22% |
| United BH | Managed Medicaid | $939.30 | ↑ +23% |
| Aetna | Asa | $940.80 | ↑ +23% |
| Anthem | All Products Physician Non-Facility | $956.26 | ↑ +25% |
| AMERIHEALTH | Managed Medicaid | $974.74 | ↑ +28% |
| Multiplan | All Products | $1,058.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,176.00 | ↑ +54% |
| MMO | Medicare Advantage HMO & PPO | $1,690.17 | ↑ +121% |
| HUMANA | Medicare Advantage HMO | $1,690.17 | ↑ +121% |
| UNITED | MEDICARE ADVANTAGE | $1,690.17 | ↑ +121% |
| OPTUM | All Products VA | $1,690.17 | ↑ +121% |
| The Health Plan | MEDICARE ADVANTAGE | $1,749.33 | ↑ +129% |
| Perennial Health | MEDICARE ADVANTAGE | $1,825.39 | ↑ +139% |
| ANTHEM | MEDICARE ADVANTAGE | $1,952.02 | ↑ +155% |
| AETNA | MEDICARE ADVANTAGE | $1,952.02 | ↑ +155% |
| Valor | HMO & PPO | $1,952.02 | ↑ +155% |
| Summacare | MEDICARE ADVANTAGE | $1,952.02 | ↑ +155% |
| UPMC | MEDICARE ADVANTAGE | $1,952.02 | ↑ +155% |
| CIGNA | MEDICARE ADVANTAGE | $2,010.58 | ↑ +163% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,108.18 | ↑ +176% |
| PPHP | ALL PRODUCTS | $2,147.22 | ↑ +181% |
| MMO | SuperMed | $3,114.50 | ↑ +307% |
| MMO | NASCO | $3,114.50 | ↑ +307% |
| ANTHEM | HPN | $4,915.58 | ↑ +543% |
| MMO | ALL PRODUCTS | $5,024.51 | ↑ +557% |
| ANTHEM | PPO/HMO | $5,783.06 | ↑ +657% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Reconstruction of nail bed at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $764.40 | $1.10 – $1,952.02 |
| mercy hospital | Canton | $764.40 | $1.10 – $2,010.58 |
| avon hospital | Avon | not published | $902.84 – $2,147.22 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,474.01 – $1,706.75 |
| euclid hospital | Euclid | not published | $924.99 – $2,147.22 |
| fairview hospital | Cleveland | not published | $868.97 – $2,147.22 |
| lutheran hospital | Cleveland | not published | $827.29 – $2,147.22 |
| hillcrest hospital | Mayfield Heights | not published | $905.34 – $2,147.22 |