healthcosts.net
Reconstruction of urethra at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$4,531.80
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.
$6,972.00
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.
$1.10 with Zing Health vs $15,028.30 with ANTHEM — 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $598.18 | ↓ -87% |
| Optum | Managed Medicaid Transplant | $629.05 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $643.88 | ↓ -86% |
| Buckeye | Managed Medicaid | $662.16 | ↓ -85% |
| Caresource | Managed Medicaid | $695.27 | ↓ -85% |
| United | Managed Medicaid | $695.27 | ↓ -85% |
| Molina | Managed Medicaid | $728.38 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $728.38 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $782.24 | ↓ -83% |
| United | Medicare Advantage | $858.51 | ↓ -81% |
| Valor | All Products | $858.51 | ↓ -81% |
| The Health Plan | Medicare Advantage | $858.51 | ↓ -81% |
| The Health Plan | All Products | $858.51 | ↓ -81% |
| Anthem | Medicare Advantage | $858.51 | ↓ -81% |
| Humana | Medicare Advantage HMO | $858.51 | ↓ -81% |
| Aetna | Medicare Advantage | $858.51 | ↓ -81% |
| Optum | Medicare Advantage Transplant | $858.51 | ↓ -81% |
| Summacare | Medicare Advantage MD | $874.27 | ↓ -81% |
| CommuniCare | Medicare Advantage | $901.44 | ↓ -80% |
| PPHP | All Products | $944.36 | ↓ -79% |
| Anthem | All Products Mid-Level Facility | $1,297.30 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $1,297.30 | ↓ -71% |
| MMO | Medicare HMO & PPO | $1,716.81 | ↓ -62% |
| Summacare | Preferred | $1,751.36 | ↓ -61% |
| Oscar | All Products | $1,771.59 | ↓ -61% |
| Summacare | Premier | $1,877.37 | ↓ -59% |
| United | HMO & PPO | $2,405.44 | ↓ -47% |
| United | All Products - Mid-Level | $2,643.15 | ↓ -42% |
| OHCP | All Products | $2,712.11 | ↓ -40% |
| United | All Products | $2,848.80 | ↓ -37% |
| OPTUM | Managed Medicaid Transplant | $2,885.48 | ↓ -36% |
| CARESOURCE | Managed Medicaid | $3,037.35 | ↓ -33% |
| UNITED | Managed Medicaid | $3,189.22 | ↓ -30% |
| MOLINA | Managed Medicaid | $3,189.22 | ↓ -30% |
| ANTHEM | Managed Medicaid | $3,189.22 | ↓ -30% |
| United BH | Managed Medicaid | $3,219.59 | ↓ -29% |
| Anthem | All Products Physician | $3,294.89 | ↓ -27% |
| Anthem | All Products Physician Facility | $3,294.89 | ↓ -27% |
| Anthem | All Products Physician Non-Facility | $3,294.89 | ↓ -27% |
| AMERIHEALTH | Managed Medicaid | $3,341.09 | ↓ -26% |
| Aultcare | PPO/HMO | $3,444.17 | ↓ -24% |
| OMAS | All Products | $3,486.00 | ↓ -23% |
| Optum | All Products Transplant | $4,064.68 | ↓ -10% |
| PHPHI | All Products | $4,183.20 | ↓ -8% |
| HUMANA | Medicare Advantage HMO | $4,697.16 | ↑ +4% |
| MMO | Medicare Advantage HMO & PPO | $4,697.16 | ↑ +4% |
| OPTUM | All Products VA | $4,697.16 | ↑ +4% |
| UNITED | MEDICARE ADVANTAGE | $4,697.16 | ↑ +4% |
| The Health Plan | MEDICARE ADVANTAGE | $4,861.56 | ↑ +7% |
| MMO | Traditional | $4,880.40 | ↑ +8% |
| GMS | All Products | $4,880.40 | ↑ +8% |
| AETNA | MEDICARE ADVANTAGE | $5,072.67 | ↑ +12% |
| ANTHEM | MEDICARE ADVANTAGE | $5,072.67 | ↑ +12% |
| Summacare | MEDICARE ADVANTAGE | $5,072.67 | ↑ +12% |
| Valor | HMO & PPO | $5,072.67 | ↑ +12% |
| UPMC | MEDICARE ADVANTAGE | $5,072.67 | ↑ +12% |
| Perennial Health | MEDICARE ADVANTAGE | $5,072.94 | ↑ +12% |
| CIGNA | MEDICARE ADVANTAGE | $5,224.85 | ↑ +15% |
| Consociate Health | All Products | $5,229.00 | ↑ +15% |
| Aetna | All Products First Health | $5,229.00 | ↑ +15% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $5,478.49 | ↑ +21% |
| Aetna | Asa | $5,577.60 | ↑ +23% |
| PPHP | ALL PRODUCTS | $5,579.94 | ↑ +23% |
| Multiplan | All Products | $6,274.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $6,972.00 | ↑ +54% |
| MMO | NASCO | $8,834.56 | ↑ +95% |
| MMO | SuperMed | $8,834.56 | ↑ +95% |
| ANTHEM | HPN | $12,774.00 | ↑ +182% |
| MMO | ALL PRODUCTS | $13,057.06 | ↑ +188% |
| ANTHEM | PPO/HMO | $15,028.30 | ↑ +232% |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Reconstruction of urethra at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,531.80 | $1.10 – $6,274.80 |
| mercy hospital | Canton | $4,531.80 | $1.10 – $6,274.80 |
| avon hospital | Avon | not published | $3,094.62 – $5,579.94 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $5,052.40 – $5,850.15 |
| euclid hospital | Euclid | not published | $3,170.52 – $5,579.94 |
| fairview hospital | Cleveland | not published | $2,978.54 – $5,579.94 |
| lutheran hospital | Cleveland | not published | $2,835.67 – $5,579.94 |
| hillcrest hospital | Mayfield Heights | not published | $3,103.18 – $5,579.94 |