healthcosts.net
Replace aortic valve w/byp prq aprch 33367 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$3,088.80
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.
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What you pay up front if you don't use insurance.
$4,752.00
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 $13,135.08 with AMERIHEALTH — 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 | $371.51 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $416.28 | ↓ -87% |
| Optum | Managed Medicaid Transplant | $446.03 | ↓ -86% |
| Buckeye | Managed Medicaid | $469.50 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $485.83 | ↓ -84% |
| United | Managed Medicaid | $492.98 | ↓ -84% |
| Caresource | Managed Medicaid | $492.98 | ↓ -84% |
| Molina | Managed Medicaid | $516.45 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $516.45 | ↓ -83% |
| Summacare | Medicare Advantage MD | $542.98 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $555.04 | ↓ -82% |
| Aetna | Medicare Advantage | $555.04 | ↓ -82% |
| Anthem | Medicare Advantage | $555.04 | ↓ -82% |
| Humana | Medicare Advantage HMO | $555.04 | ↓ -82% |
| The Health Plan | All Products | $555.04 | ↓ -82% |
| The Health Plan | Medicare Advantage | $555.04 | ↓ -82% |
| United | Medicare Advantage | $555.04 | ↓ -82% |
| Valor | All Products | $555.04 | ↓ -82% |
| CommuniCare | Medicare Advantage | $582.79 | ↓ -81% |
| PPHP | All Products | $610.54 | ↓ -80% |
| Anthem | All Products Mid-Level Non-Facility | $816.09 | ↓ -74% |
| Anthem | All Products Mid-Level Facility | $816.09 | ↓ -74% |
| MMO | SuperMed | $1,032.19 | ↓ -67% |
| MMO | NASCO | $1,032.19 | ↓ -67% |
| MMO | Medicare HMO & PPO | $1,106.20 | ↓ -64% |
| Summacare | Preferred | $1,132.28 | ↓ -63% |
| Summacare | Premier | $1,165.98 | ↓ -62% |
| Oscar | All Products | $1,207.48 | ↓ -61% |
| United | HMO & PPO | $1,493.79 | ↓ -52% |
| United | All Products - Mid-Level | $1,641.41 | ↓ -47% |
| United | All Products | $1,769.12 | ↓ -43% |
| OHCP | All Products | $1,848.53 | ↓ -40% |
| Anthem | All Products Physician Facility | $2,072.66 | ↓ -33% |
| Anthem | All Products Physician | $2,072.66 | ↓ -33% |
| Anthem | All Products Physician Non-Facility | $2,072.66 | ↓ -33% |
| Aultcare | PPO/HMO | $2,347.49 | ↓ -24% |
| OMAS | All Products | $2,376.00 | ↓ -23% |
| Optum | All Products Transplant | $2,770.42 | ↓ -10% |
| PHPHI | All Products | $2,851.20 | ↓ -8% |
| GMS | All Products | $3,326.40 | ↑ +8% |
| MMO | Traditional | $3,326.40 | ↑ +8% |
| Aetna | All Products First Health | $3,564.00 | ↑ +15% |
| Consociate Health | All Products | $3,564.00 | ↑ +15% |
| Aetna | Asa | $3,801.60 | ↑ +23% |
| Multiplan | All Products | $4,276.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $4,752.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $11,343.93 | ↑ +267% |
| CARESOURCE | Managed Medicaid | $11,940.98 | ↑ +287% |
| ANTHEM | Managed Medicaid | $12,538.03 | ↑ +306% |
| UNITED | Managed Medicaid | $12,538.03 | ↑ +306% |
| MOLINA | Managed Medicaid | $12,538.03 | ↑ +306% |
| United BH | Managed Medicaid | $12,657.44 | ↑ +310% |
| AMERIHEALTH | Managed Medicaid | $13,135.08 | ↑ +325% |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | 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
Replace aortic valve w/byp prq aprch 33367 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,088.80 | $1.10 – $16,547.65 |
| mercy hospital | Canton | $3,088.80 | $1.10 – $12,817.88 |
| University Hospitals Samaritan Medical Center | Ashland | $18,614.25 | $552.28 – $994.11 |
| avon hospital | Avon | not published | $12,166.16 – $12,397.90 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $19,862.91 – $22,999.16 |
| euclid hospital | Euclid | not published | $12,464.53 – $14,432.62 |
| fairview hospital | Cleveland | not published | $11,709.80 – $13,558.72 |
| lutheran hospital | Cleveland | not published | $11,148.13 – $12,908.36 |