healthcosts.net
Revise additional leg tendon at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$486.20
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.
$748.00
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 $4,903.61 with AMERIHEALTH — 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 | $63.15 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $66.43 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $82.58 | ↓ -83% |
| The Health Plan | Medicare Advantage | $88.57 | ↓ -82% |
| The Health Plan | All Products | $88.57 | ↓ -82% |
| Humana | Medicare Advantage HMO | $88.57 | ↓ -82% |
| Valor | All Products | $88.57 | ↓ -82% |
| United | Medicare Advantage | $88.57 | ↓ -82% |
| Aetna | Medicare Advantage | $88.57 | ↓ -82% |
| Anthem | Medicare Advantage | $88.57 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $88.57 | ↓ -82% |
| Summacare | Medicare Advantage MD | $92.29 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $92.41 | ↓ -81% |
| CommuniCare | Medicare Advantage | $93.00 | ↓ -81% |
| Buckeye | Managed Medicaid | $97.27 | ↓ -80% |
| PPHP | All Products | $97.43 | ↓ -80% |
| Caresource | Managed Medicaid | $102.13 | ↓ -79% |
| United | Managed Medicaid | $102.13 | ↓ -79% |
| Molina | Managed Medicaid | $107.00 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $107.00 | ↓ -78% |
| Anthem | All Products Mid-Level Facility | $134.55 | ↓ -72% |
| Anthem | All Products Mid-Level Non-Facility | $134.55 | ↓ -72% |
| Summacare | Preferred | $180.68 | ↓ -63% |
| Oscar | All Products | $190.07 | ↓ -61% |
| MMO | Medicare HMO & PPO | $190.88 | ↓ -61% |
| Summacare | Premier | $198.19 | ↓ -59% |
| United | HMO & PPO | $251.84 | ↓ -48% |
| United | All Products - Mid-Level | $276.73 | ↓ -43% |
| OHCP | All Products | $290.97 | ↓ -40% |
| United | All Products | $298.26 | ↓ -39% |
| Anthem | All Products Physician Non-Facility | $341.72 | ↓ -30% |
| Anthem | All Products Physician Facility | $341.72 | ↓ -30% |
| Anthem | All Products Physician | $341.72 | ↓ -30% |
| Aultcare | PPO/HMO | $369.51 | ↓ -24% |
| OMAS | All Products | $374.00 | ↓ -23% |
| MMO | SuperMed | $403.92 | ↓ -17% |
| MMO | NASCO | $403.92 | ↓ -17% |
| Optum | All Products Transplant | $436.08 | ↓ -10% |
| PHPHI | All Products | $448.80 | ↓ -8% |
| GMS | All Products | $523.60 | ↑ +8% |
| MMO | Traditional | $523.60 | ↑ +8% |
| Consociate Health | All Products | $561.00 | ↑ +15% |
| Aetna | All Products First Health | $561.00 | ↑ +15% |
| Aetna | Asa | $598.40 | ↑ +23% |
| Multiplan | All Products | $673.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $748.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $4,234.94 | ↑ +771% |
| CARESOURCE | Managed Medicaid | $4,457.83 | ↑ +817% |
| ANTHEM | Managed Medicaid | $4,680.72 | ↑ +863% |
| UNITED | Managed Medicaid | $4,680.72 | ↑ +863% |
| MOLINA | Managed Medicaid | $4,680.72 | ↑ +863% |
| United BH | Managed Medicaid | $4,725.30 | ↑ +872% |
| AMERIHEALTH | Managed Medicaid | $4,903.61 | ↑ +909% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Revise additional leg tendon at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $486.20 | $1.10 – $6,177.60 |
| mercy hospital | Canton | $486.20 | $1.10 – $4,785.20 |
| avon hospital | Avon | not published | $4,541.89 – $4,628.40 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,415.27 – $8,586.11 |
| euclid hospital | Euclid | not published | $4,653.29 – $5,388.02 |
| fairview hospital | Cleveland | not published | $4,371.53 – $5,061.77 |
| lutheran hospital | Cleveland | not published | $4,161.85 – $4,818.98 |
| hillcrest hospital | Mayfield Heights | not published | $4,554.45 – $5,273.58 |