healthcosts.net
Removal of tendon lesion at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,284.40
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.
$1,976.00
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 $9,170.92 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 | $174.90 | ↓ -86% |
| Buckeye | Managed Medicaid | $184.11 | ↓ -86% |
| Caresource | Managed Medicaid | $193.32 | ↓ -85% |
| United | Managed Medicaid | $193.32 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $202.52 | ↓ -84% |
| Molina | Managed Medicaid | $202.52 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $222.33 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $250.87 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $290.74 | ↓ -77% |
| Summacare | Medicare Advantage MD | $324.95 | ↓ -75% |
| Humana | Medicare Advantage HMO | $334.49 | ↓ -74% |
| Valor | All Products | $334.49 | ↓ -74% |
| United | Medicare Advantage | $334.49 | ↓ -74% |
| Aetna | Medicare Advantage | $334.49 | ↓ -74% |
| The Health Plan | Medicare Advantage | $334.49 | ↓ -74% |
| The Health Plan | All Products | $334.49 | ↓ -74% |
| Anthem | Medicare Advantage | $334.49 | ↓ -74% |
| Optum | Medicare Advantage Transplant | $334.49 | ↓ -74% |
| CommuniCare | Medicare Advantage | $351.21 | ↓ -73% |
| PPHP | All Products | $367.94 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $473.32 | ↓ -63% |
| Oscar | All Products | $502.10 | ↓ -61% |
| MMO | Medicare HMO & PPO | $626.44 | ↓ -51% |
| Cigna | All Products Mid-Level | $654.83 | ↓ -49% |
| Summacare | Preferred | $682.36 | ↓ -47% |
| Summacare | Premier | $697.78 | ↓ -46% |
| Anthem | All Products Mid-Level Non-Facility | $700.36 | ↓ -45% |
| Aetna | Acop | $761.84 | ↓ -41% |
| OHCP | All Products | $768.66 | ↓ -40% |
| Cigna | All Products Physician | $773.75 | ↓ -40% |
| Aultcare | PPO/HMO | $976.14 | ↓ -24% |
| OMAS | All Products | $988.00 | ↓ -23% |
| Optum | All Products Transplant | $1,152.01 | ↓ -10% |
| PHPHI | All Products | $1,185.60 | ↓ -8% |
| Anthem | All Products Physician | $1,202.12 | ↓ -6% |
| Anthem | All Products Physician Facility | $1,202.12 | ↓ -6% |
| United | HMO & PPO | $1,302.03 | ↑ +1% |
| MMO | Traditional | $1,383.20 | ↑ +8% |
| GMS | All Products | $1,383.20 | ↑ +8% |
| United | All Products - Mid-Level | $1,430.70 | ↑ +11% |
| Aetna | All Products First Health | $1,482.00 | ↑ +15% |
| Consociate Health | All Products | $1,482.00 | ↑ +15% |
| United | All Products | $1,542.01 | ↑ +20% |
| Aetna | Asa | $1,580.80 | ↑ +23% |
| Multiplan | All Products | $1,778.40 | ↑ +38% |
| Anthem | All Products Physician Non-Facility | $1,778.76 | ↑ +38% |
| OPTUM | Managed Medicaid Transplant | $1,971.00 | ↑ +53% |
| Aetna | Qhp/Ifp | $1,976.00 | ↑ +54% |
| CARESOURCE | Managed Medicaid | $2,074.74 | ↑ +62% |
| ANTHEM | Managed Medicaid | $2,178.48 | ↑ +70% |
| MOLINA | Managed Medicaid | $2,178.48 | ↑ +70% |
| UNITED | Managed Medicaid | $2,178.48 | ↑ +70% |
| United BH | Managed Medicaid | $2,199.22 | ↑ +71% |
| AMERIHEALTH | Managed Medicaid | $2,282.21 | ↑ +78% |
| HUMANA | Medicare Advantage HMO | $2,997.95 | ↑ +133% |
| OPTUM | All Products VA | $2,997.95 | ↑ +133% |
| UNITED | MEDICARE ADVANTAGE | $2,997.95 | ↑ +133% |
| MMO | Medicare Advantage HMO & PPO | $2,997.95 | ↑ +133% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↑ +141% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↑ +141% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↑ +141% |
| UPMC | MEDICARE ADVANTAGE | $3,095.56 | ↑ +141% |
| Valor | HMO & PPO | $3,095.56 | ↑ +141% |
| The Health Plan | MEDICARE ADVANTAGE | $3,102.88 | ↑ +142% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↑ +148% |
| Perennial Health | MEDICARE ADVANTAGE | $3,237.79 | ↑ +152% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↑ +160% |
| PPHP | ALL PRODUCTS | $3,405.12 | ↑ +165% |
| MMO | NASCO | $5,526.53 | ↑ +330% |
| MMO | SuperMed | $5,526.53 | ↑ +330% |
| ANTHEM | HPN | $7,795.25 | ↑ +507% |
| MMO | ALL PRODUCTS | $7,967.98 | ↑ +520% |
| ANTHEM | PPO/HMO | $9,170.92 | ↑ +614% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Removal of tendon lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,284.40 | $1.10 – $3,095.56 |
| mercy hospital | Canton | $1,284.40 | $1.10 – $3,188.43 |
| avon hospital | Avon | not published | $2,113.87 – $3,405.12 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,451.18 – $3,996.10 |
| euclid hospital | Euclid | not published | $2,165.72 – $3,405.12 |
| fairview hospital | Cleveland | not published | $2,034.58 – $3,405.12 |
| lutheran hospital | Cleveland | not published | $1,936.98 – $3,405.12 |
| hillcrest hospital | Mayfield Heights | not published | $2,119.71 – $3,405.12 |