healthcosts.net
Screen/visual acuity/bilat/quant 99173 at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$117.00
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.
$180.00
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 $180.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $1.94 | ↓ -98% |
| Optum | Managed Medicaid Transplant | $2.28 | ↓ -98% |
| Buckeye | Managed Medicaid | $2.40 | ↓ -98% |
| United | Managed Medicaid | $2.52 | ↓ -98% |
| Caresource | Managed Medicaid | $2.52 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $2.54 | ↓ -98% |
| Molina | Managed Medicaid | $2.64 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $2.64 | ↓ -98% |
| Summacare | Medicare Advantage MD | $2.84 | ↓ -98% |
| PPHP | All Products | $3.23 | ↓ -97% |
| Anthem | All Products Mid-Level Facility | $3.85 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $3.85 | ↓ -97% |
| MMO | Medicare HMO & PPO | $4.65 | ↓ -96% |
| United | HMO & PPO | $5.16 | ↓ -96% |
| MMO | NASCO | $5.38 | ↓ -95% |
| MMO | SuperMed | $5.38 | ↓ -95% |
| Summacare | Premier | $6.10 | ↓ -95% |
| United | All Products - Mid-Level | $6.20 | ↓ -95% |
| United | All Products | $6.82 | ↓ -94% |
| Anthem | All Products Physician Non-Facility | $9.78 | ↓ -92% |
| Anthem | All Products Physician Facility | $9.78 | ↓ -92% |
| Anthem | All Products Physician | $9.78 | ↓ -92% |
| Oscar | All Products | $13.21 | ↓ -89% |
| OHCP | All Products | $20.23 | ↓ -83% |
| Aultcare | PPO/HMO | $25.69 | ↓ -78% |
| OMAS | All Products | $26.00 | ↓ -78% |
| ANTHEM | HPN | $26.78 | ↓ -77% |
| Optum | All Products Transplant | $30.32 | ↓ -74% |
| PHPHI | All Products | $31.20 | ↓ -73% |
| ANTHEM | PPO/HMO | $31.50 | ↓ -73% |
| GMS | All Products | $36.40 | ↓ -69% |
| MMO | Traditional | $36.40 | ↓ -69% |
| Summacare | Medicare Advantage Psych | $36.40 | ↓ -69% |
| Summacare | Preferred | $36.40 | ↓ -69% |
| Consociate Health | All Products | $39.00 | ↓ -67% |
| Aetna | All Products First Health | $39.00 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $39.24 | ↓ -66% |
| Aetna | Asa | $41.60 | ↓ -64% |
| Multiplan | All Products | $46.80 | ↓ -60% |
| OPTUM | Managed Medicaid Transplant | $50.62 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $50.90 | ↓ -56% |
| Aetna | Qhp/Ifp | $52.00 | ↓ -56% |
| CARESOURCE | Managed Medicaid | $53.28 | ↓ -54% |
| MOLINA | Managed Medicaid | $55.94 | ↓ -52% |
| UNITED | Managed Medicaid | $55.94 | ↓ -52% |
| ANTHEM | Managed Medicaid | $55.94 | ↓ -52% |
| United BH | Managed Medicaid | $56.48 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $57.60 | ↓ -51% |
| PHP | ALL PRODUCTS | $57.60 | ↓ -51% |
| AMERIHEALTH | Managed Medicaid | $58.61 | ↓ -50% |
| Summacare | PREMIER | $64.62 | ↓ -45% |
| CC EHP | ALL PRODUCTS | $72.90 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $81.00 | ↓ -31% |
| OHCP | ALL PRODUCTS | $87.48 | ↓ -25% |
| OMAS | ALL PRODUCTS | $90.00 | ↓ -23% |
| MMO | TRADITIONAL | $93.78 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $97.20 | ↓ -17% |
| ANTHEM | TRADITIONAL | $99.54 | ↓ -15% |
| OPTUM | All Products Transplant | $101.88 | ↓ -13% |
| UPMC | ALL PRODUCTS | $108.00 | ↓ -8% |
| The Health Plan | HMO | $108.00 | ↓ -8% |
| AETNA | Acop | $108.00 | ↓ -8% |
| The Health Plan | ASO Self-Funded | $124.20 | ↑ +6% |
| AETNA | Asa_Whirlpool_Peia | $126.00 | ↑ +8% |
| GMS | ALL PRODUCTS | $126.00 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $126.00 | ↑ +8% |
| AETNA | International | $126.00 | ↑ +8% |
| AETNA | ALL PRODUCTS | $135.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $135.00 | ↑ +15% |
| UNITED | ALL PRODUCTS | $140.58 | ↑ +20% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $144.00 | ↑ +23% |
| Managed Care Services | TRANSPLANT | $162.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $162.00 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $162.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $162.00 | ↑ +38% |
| AETNA | Qhp/Ipf | $180.00 | ↑ +54% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| MMO | ALL PRODUCTS | not published by hospital | — |
| The Health Plan | All Products | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Screen/visual acuity/bilat/quant 99173 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $117.00 | $1.10 – $162.00 |
| avon hospital | Avon | $117.00 | $30.67 – $162.00 |
| euclid hospital | Euclid | $117.00 | $30.67 – $162.00 |
| fairview hospital | Cleveland | $117.00 | $27.97 – $162.00 |
| lutheran hospital | Cleveland | $117.00 | $30.67 – $162.00 |
| hillcrest hospital | Mayfield Heights | $117.00 | $27.97 – $162.00 |
| marymount hospital | Garfield Heights | $117.00 | $30.67 – $162.00 |
| medina hospital | Medina | $117.00 | $26.08 – $162.00 |