healthcosts.net
Replace tissue expander w/perm prost 11970 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$2,142.40
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.
$3,296.00
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 $20,338.07 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 | $342.35 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $345.47 | ↓ -84% |
| Buckeye | Managed Medicaid | $360.37 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $375.26 | ↓ -82% |
| Caresource | Managed Medicaid | $378.39 | ↓ -82% |
| United | Managed Medicaid | $378.39 | ↓ -82% |
| Molina | Managed Medicaid | $396.41 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $396.41 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $451.77 | ↓ -79% |
| Humana | Medicare Advantage HMO | $500.35 | ↓ -77% |
| Valor | All Products | $500.35 | ↓ -77% |
| Aetna | Medicare Advantage | $500.35 | ↓ -77% |
| Anthem | Medicare Advantage | $500.35 | ↓ -77% |
| Optum | Medicare Advantage Transplant | $500.35 | ↓ -77% |
| The Health Plan | Medicare Advantage | $500.35 | ↓ -77% |
| United | Medicare Advantage | $500.35 | ↓ -77% |
| The Health Plan | All Products | $500.35 | ↓ -77% |
| Summacare | Medicare Advantage MD | $504.92 | ↓ -76% |
| CommuniCare | Medicare Advantage | $525.37 | ↓ -75% |
| PPHP | All Products | $550.39 | ↓ -74% |
| Anthem | All Products Mid-Level Non-Facility | $747.32 | ↓ -65% |
| Anthem | All Products Mid-Level Facility | $747.32 | ↓ -65% |
| Oscar | All Products | $837.51 | ↓ -61% |
| Summacare | Preferred | $1,020.71 | ↓ -52% |
| MMO | Medicare HMO & PPO | $1,050.64 | ↓ -51% |
| Summacare | Premier | $1,084.24 | ↓ -49% |
| OHCP | All Products | $1,282.14 | ↓ -40% |
| United | HMO & PPO | $1,381.69 | ↓ -36% |
| United | All Products - Mid-Level | $1,518.24 | ↓ -29% |
| Aultcare | PPO/HMO | $1,628.22 | ↓ -24% |
| United | All Products | $1,636.36 | ↓ -24% |
| OMAS | All Products | $1,648.00 | ↓ -23% |
| Anthem | All Products Physician Non-Facility | $1,898.05 | ↓ -11% |
| Anthem | All Products Physician Facility | $1,898.05 | ↓ -11% |
| Anthem | All Products Physician | $1,898.05 | ↓ -11% |
| Optum | All Products Transplant | $1,921.57 | ↓ -10% |
| PHPHI | All Products | $1,977.60 | ↓ -8% |
| GMS | All Products | $2,307.20 | ↑ +8% |
| MMO | Traditional | $2,307.20 | ↑ +8% |
| OPTUM | Managed Medicaid Transplant | $2,444.11 | ↑ +14% |
| Aetna | All Products First Health | $2,472.00 | ↑ +15% |
| Consociate Health | All Products | $2,472.00 | ↑ +15% |
| CARESOURCE | Managed Medicaid | $2,572.75 | ↑ +20% |
| Aetna | Asa | $2,636.80 | ↑ +23% |
| UNITED | Managed Medicaid | $2,701.39 | ↑ +26% |
| MOLINA | Managed Medicaid | $2,701.39 | ↑ +26% |
| ANTHEM | Managed Medicaid | $2,701.39 | ↑ +26% |
| United BH | Managed Medicaid | $2,727.12 | ↑ +27% |
| AMERIHEALTH | Managed Medicaid | $2,830.03 | ↑ +32% |
| Multiplan | All Products | $2,966.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $3,296.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $6,600.66 | ↑ +208% |
| MMO | Medicare Advantage HMO & PPO | $6,600.66 | ↑ +208% |
| OPTUM | All Products VA | $6,600.66 | ↑ +208% |
| HUMANA | Medicare Advantage HMO | $6,600.66 | ↑ +208% |
| The Health Plan | MEDICARE ADVANTAGE | $6,831.69 | ↑ +219% |
| UPMC | MEDICARE ADVANTAGE | $6,864.94 | ↑ +220% |
| Valor | HMO & PPO | $6,864.94 | ↑ +220% |
| Summacare | MEDICARE ADVANTAGE | $6,864.94 | ↑ +220% |
| ANTHEM | MEDICARE ADVANTAGE | $6,864.94 | ↑ +220% |
| AETNA | MEDICARE ADVANTAGE | $6,864.94 | ↑ +220% |
| CIGNA | MEDICARE ADVANTAGE | $7,070.89 | ↑ +230% |
| Perennial Health | MEDICARE ADVANTAGE | $7,128.72 | ↑ +233% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,414.13 | ↑ +246% |
| PPHP | ALL PRODUCTS | $7,551.43 | ↑ +252% |
| MMO | NASCO | $12,214.27 | ↑ +470% |
| MMO | SuperMed | $12,214.27 | ↑ +470% |
| ANTHEM | HPN | $17,287.29 | ↑ +707% |
| MMO | ALL PRODUCTS | $17,670.35 | ↑ +725% |
| ANTHEM | PPO/HMO | $20,338.07 | ↑ +849% |
| 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
Replace tissue expander w/perm prost 11970 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,142.40 | $1.10 – $6,864.94 |
| mercy hospital | Canton | $2,142.40 | $1.10 – $7,070.89 |
| avon hospital | Avon | not published | $2,621.26 – $7,551.43 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,279.58 – $4,955.30 |
| euclid hospital | Euclid | not published | $2,685.56 – $7,551.43 |
| fairview hospital | Cleveland | not published | $2,522.94 – $7,551.43 |
| lutheran hospital | Cleveland | not published | $2,401.92 – $7,551.43 |
| hillcrest hospital | Mayfield Heights | not published | $2,628.51 – $7,551.43 |