healthcosts.net
Revise reconst elbow joint at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$7,150.00
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.
$11,000.00
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 $49,144.62 with ANTHEM — 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 | $1,088.46 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $1,153.01 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $1,237.37 | ↓ -83% |
| Buckeye | Managed Medicaid | $1,302.49 | ↓ -82% |
| Caresource | Managed Medicaid | $1,367.61 | ↓ -81% |
| United | Managed Medicaid | $1,367.61 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $1,423.38 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $1,432.74 | ↓ -80% |
| Molina | Managed Medicaid | $1,432.74 | ↓ -80% |
| Humana | Medicare Advantage HMO | $1,537.34 | ↓ -78% |
| Valor | All Products | $1,537.34 | ↓ -78% |
| United | Medicare Advantage | $1,537.34 | ↓ -78% |
| Aetna | Medicare Advantage | $1,537.34 | ↓ -78% |
| Optum | Medicare Advantage Transplant | $1,537.34 | ↓ -78% |
| Anthem | Medicare Advantage | $1,537.34 | ↓ -78% |
| The Health Plan | Medicare Advantage | $1,537.34 | ↓ -78% |
| The Health Plan | All Products | $1,537.34 | ↓ -78% |
| Summacare | Medicare Advantage MD | $1,590.83 | ↓ -78% |
| CommuniCare | Medicare Advantage | $1,614.21 | ↓ -77% |
| PPHP | All Products | $1,691.07 | ↓ -76% |
| Anthem | All Products Mid-Level Non-Facility | $2,367.12 | ↓ -67% |
| Anthem | All Products Mid-Level Facility | $2,367.12 | ↓ -67% |
| Oscar | All Products | $2,795.10 | ↓ -61% |
| MMO | Medicare HMO & PPO | $3,069.46 | ↓ -57% |
| Summacare | Preferred | $3,136.17 | ↓ -56% |
| Summacare | Premier | $3,416.10 | ↓ -52% |
| OHCP | All Products | $4,279.00 | ↓ -40% |
| United | HMO & PPO | $4,367.92 | ↓ -39% |
| United | All Products - Mid-Level | $4,799.57 | ↓ -33% |
| United | All Products | $5,172.99 | ↓ -28% |
| Aultcare | PPO/HMO | $5,434.00 | ↓ -24% |
| OMAS | All Products | $5,500.00 | ↓ -23% |
| Anthem | All Products Physician | $6,011.99 | ↓ -16% |
| Anthem | All Products Physician Facility | $6,011.99 | ↓ -16% |
| Anthem | All Products Physician Non-Facility | $6,011.99 | ↓ -16% |
| OPTUM | Managed Medicaid Transplant | $6,256.68 | ↓ -12% |
| Optum | All Products Transplant | $6,413.00 | ↓ -10% |
| CARESOURCE | Managed Medicaid | $6,585.98 | ↓ -8% |
| PHPHI | All Products | $6,600.00 | ↓ -8% |
| MOLINA | Managed Medicaid | $6,915.28 | ↓ -3% |
| UNITED | Managed Medicaid | $6,915.28 | ↓ -3% |
| ANTHEM | Managed Medicaid | $6,915.28 | ↓ -3% |
| United BH | Managed Medicaid | $6,981.14 | ↓ -2% |
| AMERIHEALTH | Managed Medicaid | $7,244.58 | ↑ +1% |
| GMS | All Products | $7,700.00 | ↑ +8% |
| MMO | Traditional | $7,700.00 | ↑ +8% |
| Consociate Health | All Products | $8,250.00 | ↑ +15% |
| Aetna | All Products First Health | $8,250.00 | ↑ +15% |
| Aetna | Asa | $8,800.00 | ↑ +23% |
| Multiplan | All Products | $9,900.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $11,000.00 | ↑ +54% |
| Valor | HMO & PPO | $16,588.34 | ↑ +132% |
| Summacare | MEDICARE ADVANTAGE | $16,588.34 | ↑ +132% |
| UPMC | MEDICARE ADVANTAGE | $16,588.34 | ↑ +132% |
| ANTHEM | MEDICARE ADVANTAGE | $16,588.34 | ↑ +132% |
| AETNA | MEDICARE ADVANTAGE | $16,588.34 | ↑ +132% |
| UNITED | MEDICARE ADVANTAGE | $16,992.04 | ↑ +138% |
| OPTUM | All Products VA | $16,992.04 | ↑ +138% |
| MMO | Medicare Advantage HMO & PPO | $16,992.04 | ↑ +138% |
| HUMANA | Medicare Advantage HMO | $16,992.04 | ↑ +138% |
| CIGNA | MEDICARE ADVANTAGE | $17,085.99 | ↑ +139% |
| The Health Plan | MEDICARE ADVANTAGE | $17,586.76 | ↑ +146% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $17,915.41 | ↑ +151% |
| PPHP | ALL PRODUCTS | $18,247.18 | ↑ +155% |
| Perennial Health | MEDICARE ADVANTAGE | $18,351.40 | ↑ +157% |
| MMO | NASCO | $31,818.75 | ↑ +345% |
| MMO | SuperMed | $31,818.75 | ↑ +345% |
| ANTHEM | HPN | $41,772.76 | ↑ +484% |
| MMO | ALL PRODUCTS | $42,698.39 | ↑ +497% |
| ANTHEM | PPO/HMO | $49,144.62 | ↑ +587% |
| 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
Revise reconst elbow joint at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $7,150.00 | $1.10 – $17,048.31 |
| mercy hospital | Canton | $7,150.00 | $1.10 – $17,085.99 |
| avon hospital | Avon | not published | $6,710.17 – $18,247.18 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $10,955.28 – $12,685.06 |
| euclid hospital | Euclid | not published | $6,874.74 – $18,247.18 |
| fairview hospital | Cleveland | not published | $6,458.47 – $18,247.18 |
| lutheran hospital | Cleveland | not published | $6,148.69 – $18,247.18 |
| hillcrest hospital | Mayfield Heights | not published | $6,728.72 – $18,247.18 |