healthcosts.net
Rpr csf leak/pseudomeng/laminectomy63709 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$4,069.00
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.
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What you pay up front if you don't use insurance.
$6,260.00
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 $8,572.30 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 | $695.53 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $792.50 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $816.03 | ↓ -80% |
| Buckeye | Managed Medicaid | $858.98 | ↓ -79% |
| United | Managed Medicaid | $901.93 | ↓ -78% |
| Caresource | Managed Medicaid | $901.93 | ↓ -78% |
| Summacare | Medicare Advantage CNA | $909.54 | ↓ -78% |
| Molina | Managed Medicaid | $944.88 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $944.88 | ↓ -77% |
| Summacare | Medicare Advantage MD | $1,016.55 | ↓ -75% |
| Optum | Medicare Advantage Transplant | $1,056.66 | ↓ -74% |
| Anthem | Medicare Advantage | $1,056.66 | ↓ -74% |
| Valor | All Products | $1,056.66 | ↓ -74% |
| United | Medicare Advantage | $1,056.66 | ↓ -74% |
| The Health Plan | Medicare Advantage | $1,056.66 | ↓ -74% |
| Humana | Medicare Advantage HMO | $1,056.66 | ↓ -74% |
| The Health Plan | All Products | $1,056.66 | ↓ -74% |
| Aetna | Medicare Advantage | $1,056.66 | ↓ -74% |
| CommuniCare | Medicare Advantage | $1,109.49 | ↓ -73% |
| PPHP | All Products | $1,155.65 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $1,512.09 | ↓ -63% |
| Anthem | All Products Mid-Level Non-Facility | $1,512.09 | ↓ -63% |
| Oscar | All Products | $1,590.67 | ↓ -61% |
| MMO | Medicare HMO & PPO | $1,919.22 | ↓ -53% |
| MMO | SuperMed | $1,929.98 | ↓ -53% |
| MMO | NASCO | $1,929.98 | ↓ -53% |
| Summacare | Preferred | $2,155.59 | ↓ -47% |
| Summacare | Premier | $2,182.90 | ↓ -46% |
| OHCP | All Products | $2,435.14 | ↓ -40% |
| United | HMO & PPO | $2,792.58 | ↓ -31% |
| United | All Products - Mid-Level | $3,068.55 | ↓ -25% |
| Aultcare | PPO/HMO | $3,092.44 | ↓ -24% |
| OMAS | All Products | $3,130.00 | ↓ -23% |
| United | All Products | $3,307.29 | ↓ -19% |
| Optum | All Products Transplant | $3,649.58 | ↓ -10% |
| PHPHI | All Products | $3,756.00 | ↓ -8% |
| Anthem | All Products Physician | $3,840.40 | ↓ -6% |
| Anthem | All Products Physician Facility | $3,840.40 | ↓ -6% |
| Anthem | All Products Physician Non-Facility | $3,840.40 | ↓ -6% |
| GMS | All Products | $4,382.00 | ↑ +8% |
| MMO | Traditional | $4,382.00 | ↑ +8% |
| Aetna | All Products First Health | $4,695.00 | ↑ +15% |
| Consociate Health | All Products | $4,695.00 | ↑ +15% |
| Aetna | Asa | $5,008.00 | ↑ +23% |
| Multiplan | All Products | $5,634.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $6,260.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $7,403.35 | ↑ +82% |
| CARESOURCE | Managed Medicaid | $7,793.00 | ↑ +92% |
| MOLINA | Managed Medicaid | $8,182.65 | ↑ +101% |
| UNITED | Managed Medicaid | $8,182.65 | ↑ +101% |
| ANTHEM | Managed Medicaid | $8,182.65 | ↑ +101% |
| United BH | Managed Medicaid | $8,260.58 | ↑ +103% |
| AMERIHEALTH | Managed Medicaid | $8,572.30 | ↑ +111% |
| 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
Rpr csf leak/pseudomeng/laminectomy63709 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,069.00 | $1.10 – $10,799.44 |
| mercy hospital | Canton | $4,069.00 | $1.10 – $8,365.29 |
| avon hospital | Avon | not published | $7,939.95 – $8,091.19 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $12,963.06 – $15,009.86 |
| euclid hospital | Euclid | not published | $8,134.69 – $9,419.11 |
| fairview hospital | Cleveland | not published | $7,642.13 – $8,848.79 |
| lutheran hospital | Cleveland | not published | $7,275.57 – $8,424.34 |
| hillcrest hospital | Mayfield Heights | not published | $7,961.90 – $9,219.05 |