healthcosts.net
Removal clot in graft oth/thn 35875 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$2,787.20
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.
$4,288.00
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 $15,596.41 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 | $359.29 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $399.73 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $469.85 | ↓ -83% |
| Optum | Managed Medicaid Transplant | $471.84 | ↓ -83% |
| Buckeye | Managed Medicaid | $496.67 | ↓ -82% |
| United | Managed Medicaid | $521.50 | ↓ -81% |
| Caresource | Managed Medicaid | $521.50 | ↓ -81% |
| Summacare | Medicare Advantage MD | $525.12 | ↓ -81% |
| Humana | Medicare Advantage HMO | $532.97 | ↓ -81% |
| Valor | All Products | $532.97 | ↓ -81% |
| United | Medicare Advantage | $532.97 | ↓ -81% |
| Aetna | Medicare Advantage | $532.97 | ↓ -81% |
| Optum | Medicare Advantage Transplant | $532.97 | ↓ -81% |
| Anthem | Medicare Advantage | $532.97 | ↓ -81% |
| The Health Plan | Medicare Advantage | $532.97 | ↓ -81% |
| The Health Plan | All Products | $532.97 | ↓ -81% |
| Molina | Managed Medicaid | $546.34 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $546.34 | ↓ -80% |
| CommuniCare | Medicare Advantage | $559.62 | ↓ -80% |
| PPHP | All Products | $586.27 | ↓ -79% |
| Anthem | All Products Mid-Level Non-Facility | $790.00 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $790.00 | ↓ -72% |
| Summacare | Preferred | $1,087.26 | ↓ -61% |
| Oscar | All Products | $1,089.58 | ↓ -61% |
| MMO | Medicare HMO & PPO | $1,123.46 | ↓ -60% |
| Summacare | Premier | $1,127.63 | ↓ -60% |
| United | HMO & PPO | $1,451.61 | ↓ -48% |
| United | All Products - Mid-Level | $1,595.07 | ↓ -43% |
| OHCP | All Products | $1,668.03 | ↓ -40% |
| United | All Products | $1,719.17 | ↓ -38% |
| Anthem | All Products Physician | $2,006.43 | ↓ -28% |
| Anthem | All Products Physician Non-Facility | $2,006.43 | ↓ -28% |
| Anthem | All Products Physician Facility | $2,006.43 | ↓ -28% |
| Aultcare | PPO/HMO | $2,118.27 | ↓ -24% |
| OMAS | All Products | $2,144.00 | ↓ -23% |
| OPTUM | Managed Medicaid Transplant | $2,221.81 | ↓ -20% |
| CARESOURCE | Managed Medicaid | $2,338.75 | ↓ -16% |
| ANTHEM | Managed Medicaid | $2,455.69 | ↓ -12% |
| MOLINA | Managed Medicaid | $2,455.69 | ↓ -12% |
| UNITED | Managed Medicaid | $2,455.69 | ↓ -12% |
| United BH | Managed Medicaid | $2,479.08 | ↓ -11% |
| Optum | All Products Transplant | $2,499.90 | ↓ -10% |
| AMERIHEALTH | Managed Medicaid | $2,572.63 | ↓ -8% |
| PHPHI | All Products | $2,572.80 | ↓ -8% |
| GMS | All Products | $3,001.60 | ↑ +8% |
| MMO | Traditional | $3,001.60 | ↑ +8% |
| Consociate Health | All Products | $3,216.00 | ↑ +15% |
| Aetna | All Products First Health | $3,216.00 | ↑ +15% |
| Aetna | Asa | $3,430.40 | ↑ +23% |
| Multiplan | All Products | $3,859.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $4,288.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $4,994.76 | ↑ +79% |
| UNITED | MEDICARE ADVANTAGE | $4,994.76 | ↑ +79% |
| OPTUM | All Products VA | $4,994.76 | ↑ +79% |
| MMO | Medicare Advantage HMO & PPO | $4,994.76 | ↑ +79% |
| The Health Plan | MEDICARE ADVANTAGE | $5,169.58 | ↑ +85% |
| Valor | HMO & PPO | $5,264.43 | ↑ +89% |
| Summacare | MEDICARE ADVANTAGE | $5,264.43 | ↑ +89% |
| UPMC | MEDICARE ADVANTAGE | $5,264.43 | ↑ +89% |
| ANTHEM | MEDICARE ADVANTAGE | $5,264.43 | ↑ +89% |
| AETNA | MEDICARE ADVANTAGE | $5,264.43 | ↑ +89% |
| Perennial Health | MEDICARE ADVANTAGE | $5,394.34 | ↑ +94% |
| CIGNA | MEDICARE ADVANTAGE | $5,422.37 | ↑ +95% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $5,685.59 | ↑ +104% |
| PPHP | ALL PRODUCTS | $5,790.88 | ↑ +108% |
| MMO | SuperMed | $9,382.91 | ↑ +237% |
| MMO | NASCO | $9,382.91 | ↑ +237% |
| ANTHEM | HPN | $13,256.90 | ↑ +376% |
| MMO | ALL PRODUCTS | $13,550.65 | ↑ +386% |
| ANTHEM | PPO/HMO | $15,596.41 | ↑ +460% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Removal clot in graft oth/thn 35875 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,787.20 | $1.10 – $5,264.43 |
| mercy hospital | Canton | $2,787.20 | $1.10 – $5,422.37 |
| University Hospitals Ahuja Medical Center | Beachwood | $5,270.25 | $900.00 – $9,475.98 |
| University Hospitals Beachwood Medical Center | Beachwood | $5,270.25 | $900.00 – $13,333.32 |
| University Hospitals Conneaut Medical Center | Conneaut | $5,270.25 | not published |
| University Hospitals Elyria Medical Center | Elyria | $5,270.25 | $5,264.43 – $9,475.98 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $5,270.25 | $5,264.43 – $9,475.98 |
| University Hospitals Geneva Medical Center | Geneva | $5,270.25 | not published |