Rpr nsl vlv collapse w/rmdlg at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$17,687.80
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.
$27,212.00
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.
$0.01 with UNITED vs $27,212.00 with AETNA — 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $91.87 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $95.26 | ↓ -99% |
| Optum | Managed Medicaid Transplant | $109.38 | ↓ -99% |
| Buckeye | Managed Medicaid | $115.14 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $120.14 | ↓ -99% |
| Caresource | Managed Medicaid | $120.90 | ↓ -99% |
| United | Managed Medicaid | $120.90 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $126.65 | ↓ -99% |
| Molina | Managed Medicaid | $126.65 | ↓ -99% |
| Optum | Medicare Advantage Transplant | $127.01 | ↓ -99% |
| Valor | All Products | $127.01 | ↓ -99% |
| Aetna | Medicare Advantage | $127.01 | ↓ -99% |
| United | Medicare Advantage | $127.01 | ↓ -99% |
| The Health Plan | Medicare Advantage | $127.01 | ↓ -99% |
| The Health Plan | All Products | $127.01 | ↓ -99% |
| Humana | Medicare Advantage HMO | $127.01 | ↓ -99% |
| Anthem | Medicare Advantage | $127.01 | ↓ -99% |
| CommuniCare | Medicare Advantage | $133.36 | ↓ -99% |
| Summacare | Medicare Advantage MD | $134.27 | ↓ -99% |
| PPHP | All Products | $139.71 | ↓ -99% |
| Anthem | All Products Mid-Level Facility | $200.69 | ↓ -99% |
| Oscar | All Products | $248.00 | ↓ -99% |
| ANTHEM | HPN | $249.73 | ↓ -99% |
| MMO | Medicare HMO & PPO | $254.32 | ↓ -99% |
| Summacare | Preferred | $259.10 | ↓ -99% |
| Summacare | Premier | $288.33 | ↓ -98% |
| OHCP | All Products | $379.66 | ↓ -98% |
| Aultcare | PPO/HMO | $482.14 | ↓ -97% |
| OMAS | All Products | $488.00 | ↓ -97% |
| Anthem | All Products Physician | $509.70 | ↓ -97% |
| Anthem | All Products Physician Facility | $509.70 | ↓ -97% |
| Optum | All Products Transplant | $569.01 | ↓ -97% |
| PHPHI | All Products | $585.60 | ↓ -97% |
| GMS | All Products | $683.20 | ↓ -96% |
| MMO | Traditional | $683.20 | ↓ -96% |
| Consociate Health | All Products | $732.00 | ↓ -96% |
| Aetna | All Products First Health | $732.00 | ↓ -96% |
| Aetna | Asa | $780.80 | ↓ -96% |
| Multiplan | All Products | $878.40 | ↓ -95% |
| Aetna | Qhp/Ifp | $976.00 | ↓ -94% |
| OPTUM | Managed Medicaid Transplant | $1,237.01 | ↓ -93% |
| CARESOURCE | Managed Medicaid | $1,302.12 | ↓ -93% |
| ANTHEM | Managed Medicaid | $1,367.23 | ↓ -92% |
| UNITED | Managed Medicaid | $1,367.23 | ↓ -92% |
| MOLINA | Managed Medicaid | $1,367.23 | ↓ -92% |
| United BH | Managed Medicaid | $1,380.25 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $1,432.33 | ↓ -92% |
| Cigna | All Products Mid-Level | $2,981.11 | ↓ -83% |
| Anthem | All Products Mid-Level Non-Facility | $3,188.34 | ↓ -82% |
| Cigna | All Products Physician | $3,522.49 | ↓ -80% |
| UNITED | MEDICARE ADVANTAGE | $5,465.95 | ↓ -69% |
| MMO | Medicare Advantage HMO & PPO | $5,465.95 | ↓ -69% |
| OPTUM | All Products VA | $5,465.95 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $5,465.95 | ↓ -69% |
| ANTHEM | MEDICARE ADVANTAGE | $5,600.62 | ↓ -68% |
| Valor | HMO & PPO | $5,600.62 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $5,600.62 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $5,600.62 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $5,600.62 | ↓ -68% |
| The Health Plan | MEDICARE ADVANTAGE | $5,657.26 | ↓ -68% |
| United | HMO & PPO | $5,689.56 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $5,768.63 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $5,903.23 | ↓ -67% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,048.66 | ↓ -66% |
| PPHP | ALL PRODUCTS | $6,160.68 | ↓ -65% |
| United | All Products - Mid-Level | $6,251.82 | ↓ -65% |
| United | All Products | $6,738.22 | ↓ -62% |
| AETNA | Acop | $7,614.00 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $7,695.55 | ↓ -56% |
| Anthem | All Products Physician Non-Facility | $8,097.70 | ↓ -54% |
| PHP | ALL PRODUCTS | $8,707.84 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $8,707.84 | ↓ -51% |
| AETNA | Asa_Whirlpool_Peia | $8,885.00 | ↓ -50% |
| AETNA | International | $9,329.00 | ↓ -47% |
| Summacare | PREMIER | $9,769.11 | ↓ -45% |
| MMO | SuperMed | $9,999.36 | ↓ -43% |
| MMO | NASCO | $9,999.36 | ↓ -43% |
| CC EHP | ALL PRODUCTS | $11,020.86 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $12,245.40 | ↓ -31% |
| OHCP | ALL PRODUCTS | $13,225.03 | ↓ -25% |
| OMAS | ALL PRODUCTS | $13,606.00 | ↓ -23% |
| MMO | TRADITIONAL | $14,177.45 | ↓ -20% |
| MMO | ALL PRODUCTS | $14,415.98 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $14,694.48 | ↓ -17% |
| ANTHEM | TRADITIONAL | $15,048.24 | ↓ -15% |
| OPTUM | All Products Transplant | $15,401.99 | ↓ -13% |
| UPMC | ALL PRODUCTS | $16,327.20 | ↓ -8% |
| The Health Plan | HMO | $16,327.20 | ↓ -8% |
| ANTHEM | PPO/HMO | $16,592.38 | ↓ -6% |
| The Health Plan | ASO Self-Funded | $18,776.28 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $19,048.40 | ↑ +8% |
| GMS | ALL PRODUCTS | $19,048.40 | ↑ +8% |
| AETNA | ALL PRODUCTS | $20,409.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $20,409.00 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $21,769.60 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $24,490.80 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $24,490.80 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $24,490.80 | ↑ +38% |
| FrontPath | TRANSPLANT | $24,490.80 | ↑ +38% |
| AETNA | Qhp/Ipf | $27,212.00 | ↑ +54% |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Rpr nsl vlv collapse w/rmdlg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $17,687.80 | $0.01 – $24,490.80 |
| avon hospital | Avon | $17,687.80 | $0.01 – $24,490.80 |
| euclid hospital | Euclid | $17,687.80 | $0.01 – $24,490.80 |
| fairview hospital | Cleveland | $17,687.80 | $0.01 – $24,490.80 |
| lutheran hospital | Cleveland | $17,687.80 | $0.01 – $24,490.80 |
| hillcrest hospital | Mayfield Heights | $17,687.80 | $0.01 – $24,490.80 |
| marymount hospital | Garfield Heights | $17,687.80 | $0.01 – $24,490.80 |
| medina hospital | Medina | $17,687.80 | $0.01 – $24,490.80 |