healthcosts.net
Remove epididymis lesion at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,370.20
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.
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What you pay up front if you don't use insurance.
$2,108.00
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 $5,859.03 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 | $198.42 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $218.33 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $248.68 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $259.47 | ↓ -81% |
| Buckeye | Managed Medicaid | $261.77 | ↓ -81% |
| Caresource | Managed Medicaid | $274.86 | ↓ -80% |
| United | Managed Medicaid | $274.86 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $287.95 | ↓ -79% |
| Molina | Managed Medicaid | $287.95 | ↓ -79% |
| Summacare | Medicare Advantage MD | $290.00 | ↓ -79% |
| Humana | Medicare Advantage HMO | $291.10 | ↓ -79% |
| Valor | All Products | $291.10 | ↓ -79% |
| United | Medicare Advantage | $291.10 | ↓ -79% |
| Aetna | Medicare Advantage | $291.10 | ↓ -79% |
| Optum | Medicare Advantage Transplant | $291.10 | ↓ -79% |
| Anthem | Medicare Advantage | $291.10 | ↓ -79% |
| The Health Plan | Medicare Advantage | $291.10 | ↓ -79% |
| The Health Plan | All Products | $291.10 | ↓ -79% |
| CommuniCare | Medicare Advantage | $305.66 | ↓ -78% |
| PPHP | All Products | $320.21 | ↓ -77% |
| Anthem | All Products Mid-Level Non-Facility | $428.26 | ↓ -69% |
| Anthem | All Products Mid-Level Facility | $428.26 | ↓ -69% |
| Oscar | All Products | $535.64 | ↓ -61% |
| MMO | Medicare HMO & PPO | $571.88 | ↓ -58% |
| Summacare | Preferred | $593.84 | ↓ -57% |
| Summacare | Premier | $622.73 | ↓ -55% |
| United | HMO & PPO | $796.52 | ↓ -42% |
| OHCP | All Products | $820.01 | ↓ -40% |
| United | All Products - Mid-Level | $875.23 | ↓ -36% |
| United | All Products | $943.33 | ↓ -31% |
| Aultcare | PPO/HMO | $1,041.35 | ↓ -24% |
| OMAS | All Products | $1,054.00 | ↓ -23% |
| Anthem | All Products Physician | $1,087.69 | ↓ -21% |
| Anthem | All Products Physician Facility | $1,087.69 | ↓ -21% |
| Anthem | All Products Physician Non-Facility | $1,087.69 | ↓ -21% |
| OPTUM | Managed Medicaid Transplant | $1,186.50 | ↓ -13% |
| Optum | All Products Transplant | $1,228.96 | ↓ -10% |
| CARESOURCE | Managed Medicaid | $1,248.95 | ↓ -9% |
| PHPHI | All Products | $1,264.80 | ↓ -8% |
| MOLINA | Managed Medicaid | $1,311.40 | ↓ -4% |
| UNITED | Managed Medicaid | $1,311.40 | ↓ -4% |
| ANTHEM | Managed Medicaid | $1,311.40 | ↓ -4% |
| United BH | Managed Medicaid | $1,323.89 | ↓ -3% |
| AMERIHEALTH | Managed Medicaid | $1,373.85 | ↑ +0% |
| GMS | All Products | $1,475.60 | ↑ +8% |
| MMO | Traditional | $1,475.60 | ↑ +8% |
| Consociate Health | All Products | $1,581.00 | ↑ +15% |
| Aetna | All Products First Health | $1,581.00 | ↑ +15% |
| Aetna | Asa | $1,686.40 | ↑ +23% |
| OPTUM | All Products VA | $1,892.78 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $1,892.78 | ↑ +38% |
| HUMANA | Medicare Advantage HMO | $1,892.78 | ↑ +38% |
| MMO | Medicare Advantage HMO & PPO | $1,892.78 | ↑ +38% |
| Multiplan | All Products | $1,897.20 | ↑ +38% |
| The Health Plan | MEDICARE ADVANTAGE | $1,959.03 | ↑ +43% |
| Valor | HMO & PPO | $1,977.66 | ↑ +44% |
| Summacare | MEDICARE ADVANTAGE | $1,977.66 | ↑ +44% |
| UPMC | MEDICARE ADVANTAGE | $1,977.66 | ↑ +44% |
| ANTHEM | MEDICARE ADVANTAGE | $1,977.66 | ↑ +44% |
| AETNA | MEDICARE ADVANTAGE | $1,977.66 | ↑ +44% |
| CIGNA | MEDICARE ADVANTAGE | $2,036.99 | ↑ +49% |
| Perennial Health | MEDICARE ADVANTAGE | $2,044.20 | ↑ +49% |
| Aetna | Qhp/Ifp | $2,108.00 | ↑ +54% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,135.88 | ↑ +56% |
| PPHP | ALL PRODUCTS | $2,175.43 | ↑ +59% |
| MMO | SuperMed | $3,478.27 | ↑ +154% |
| MMO | NASCO | $3,478.27 | ↑ +154% |
| ANTHEM | HPN | $4,980.15 | ↑ +263% |
| MMO | ALL PRODUCTS | $5,090.51 | ↑ +272% |
| ANTHEM | PPO/HMO | $5,859.03 | ↑ +328% |
| 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
Remove epididymis lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $6,124.95 | $0.01 – $8,480.70 |
| mercy hospital | Canton | $1,370.20 | $1.10 – $2,036.99 |
| avon hospital | Avon | not published | $1,272.51 – $2,175.43 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,077.54 – $2,405.57 |
| euclid hospital | Euclid | not published | $1,303.71 – $2,175.43 |
| fairview hospital | Cleveland | not published | $1,224.77 – $2,175.43 |
| lutheran hospital | Cleveland | not published | $1,166.02 – $2,175.43 |
| hillcrest hospital | Mayfield Heights | not published | $1,276.02 – $2,175.43 |