healthcosts.net
Scan proc cranial extra at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$909.35
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.
$1,399.00
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 $1,565.84 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 | $106.24 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $107.19 | ↓ -88% |
| Optum | Managed Medicaid Transplant | $111.23 | ↓ -88% |
| Buckeye | Managed Medicaid | $117.08 | ↓ -87% |
| Caresource | Managed Medicaid | $122.93 | ↓ -86% |
| United | Managed Medicaid | $122.93 | ↓ -86% |
| Molina | Managed Medicaid | $128.79 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $128.79 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $138.92 | ↓ -85% |
| Humana | Medicare Advantage HMO | $142.92 | ↓ -84% |
| Valor | All Products | $142.92 | ↓ -84% |
| United | Medicare Advantage | $142.92 | ↓ -84% |
| Aetna | Medicare Advantage | $142.92 | ↓ -84% |
| The Health Plan | Medicare Advantage | $142.92 | ↓ -84% |
| The Health Plan | All Products | $142.92 | ↓ -84% |
| Optum | Medicare Advantage Transplant | $142.92 | ↓ -84% |
| Anthem | Medicare Advantage | $142.92 | ↓ -84% |
| CommuniCare | Medicare Advantage | $150.07 | ↓ -83% |
| Summacare | Medicare Advantage MD | $155.27 | ↓ -83% |
| PPHP | All Products | $157.21 | ↓ -83% |
| Anthem | All Products Mid-Level Facility | $232.21 | ↓ -74% |
| Anthem | All Products Mid-Level Non-Facility | $232.21 | ↓ -74% |
| Summacare | Preferred | $291.56 | ↓ -68% |
| Summacare | Premier | $333.42 | ↓ -63% |
| MMO | Medicare HMO & PPO | $350.28 | ↓ -61% |
| Oscar | All Products | $355.49 | ↓ -61% |
| United | HMO & PPO | $425.60 | ↓ -53% |
| United | All Products - Mid-Level | $467.65 | ↓ -49% |
| United | All Products | $504.04 | ↓ -45% |
| OHCP | All Products | $544.21 | ↓ -40% |
| Anthem | All Products Physician Non-Facility | $589.77 | ↓ -35% |
| Anthem | All Products Physician | $589.77 | ↓ -35% |
| Anthem | All Products Physician Facility | $589.77 | ↓ -35% |
| Aultcare | PPO/HMO | $691.11 | ↓ -24% |
| OMAS | All Products | $699.50 | ↓ -23% |
| MMO | NASCO | $755.46 | ↓ -17% |
| MMO | SuperMed | $755.46 | ↓ -17% |
| Optum | All Products Transplant | $815.62 | ↓ -10% |
| PHPHI | All Products | $839.40 | ↓ -8% |
| GMS | All Products | $979.30 | ↑ +8% |
| MMO | Traditional | $979.30 | ↑ +8% |
| Aetna | All Products First Health | $1,049.25 | ↑ +15% |
| Consociate Health | All Products | $1,049.25 | ↑ +15% |
| Aetna | Asa | $1,119.20 | ↑ +23% |
| Multiplan | All Products | $1,259.10 | ↑ +38% |
| OPTUM | Managed Medicaid Transplant | $1,352.32 | ↑ +49% |
| Aetna | Qhp/Ifp | $1,399.00 | ↑ +54% |
| CARESOURCE | Managed Medicaid | $1,423.49 | ↑ +57% |
| UNITED | Managed Medicaid | $1,494.66 | ↑ +64% |
| MOLINA | Managed Medicaid | $1,494.66 | ↑ +64% |
| ANTHEM | Managed Medicaid | $1,494.66 | ↑ +64% |
| United BH | Managed Medicaid | $1,508.90 | ↑ +66% |
| AMERIHEALTH | Managed Medicaid | $1,565.84 | ↑ +72% |
| 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
Scan proc cranial extra at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $909.35 | $1.10 – $1,972.65 |
| mercy hospital | Canton | $909.35 | $1.10 – $1,528.02 |
| avon hospital | Avon | not published | $1,450.33 – $1,477.96 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,367.87 – $2,741.74 |
| euclid hospital | Euclid | not published | $1,485.90 – $1,720.52 |
| fairview hospital | Cleveland | not published | $1,395.93 – $1,616.34 |
| lutheran hospital | Cleveland | not published | $1,328.97 – $1,538.81 |
| hillcrest hospital | Mayfield Heights | not published | $1,454.34 – $1,683.97 |