healthcosts.net
Sigmoidoscopy w/plcmt stent at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$778.05
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.
$1,197.00
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 $17,015.80 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 | $93.28 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $100.53 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $121.98 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $125.31 | ↓ -84% |
| Buckeye | Managed Medicaid | $131.91 | ↓ -83% |
| The Health Plan | Medicare Advantage | $134.04 | ↓ -83% |
| Valor | All Products | $134.04 | ↓ -83% |
| Anthem | Medicare Advantage | $134.04 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $134.04 | ↓ -83% |
| Humana | Medicare Advantage HMO | $134.04 | ↓ -83% |
| The Health Plan | All Products | $134.04 | ↓ -83% |
| Aetna | Medicare Advantage | $134.04 | ↓ -83% |
| United | Medicare Advantage | $134.04 | ↓ -83% |
| Summacare | Medicare Advantage MD | $136.33 | ↓ -82% |
| United | Managed Medicaid | $138.51 | ↓ -82% |
| Caresource | Managed Medicaid | $138.51 | ↓ -82% |
| CommuniCare | Medicare Advantage | $140.74 | ↓ -82% |
| Molina | Managed Medicaid | $145.10 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $145.10 | ↓ -81% |
| PPHP | All Products | $147.44 | ↓ -81% |
| Anthem | All Products Mid-Level Facility | $202.81 | ↓ -74% |
| Anthem | All Products Mid-Level Non-Facility | $202.81 | ↓ -74% |
| Summacare | Preferred | $273.44 | ↓ -65% |
| MMO | Medicare HMO & PPO | $281.78 | ↓ -64% |
| Summacare | Premier | $292.76 | ↓ -62% |
| Oscar | All Products | $304.16 | ↓ -61% |
| United | HMO & PPO | $375.82 | ↓ -52% |
| United | All Products - Mid-Level | $412.96 | ↓ -47% |
| United | All Products | $445.09 | ↓ -43% |
| OHCP | All Products | $465.63 | ↓ -40% |
| Anthem | All Products Physician Facility | $515.10 | ↓ -34% |
| Anthem | All Products Physician Non-Facility | $515.10 | ↓ -34% |
| Anthem | All Products Physician | $515.10 | ↓ -34% |
| Aultcare | PPO/HMO | $591.32 | ↓ -24% |
| OMAS | All Products | $598.50 | ↓ -23% |
| Optum | All Products Transplant | $697.85 | ↓ -10% |
| PHPHI | All Products | $718.20 | ↓ -8% |
| GMS | All Products | $837.90 | ↑ +8% |
| MMO | Traditional | $837.90 | ↑ +8% |
| Consociate Health | All Products | $897.75 | ↑ +15% |
| Aetna | All Products First Health | $897.75 | ↑ +15% |
| Aetna | Asa | $957.60 | ↑ +23% |
| Multiplan | All Products | $1,077.30 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,197.00 | ↑ +54% |
| MMO | Medicare Advantage HMO & PPO | $5,500.28 | ↑ +607% |
| OPTUM | All Products VA | $5,500.28 | ↑ +607% |
| UNITED | MEDICARE ADVANTAGE | $5,500.28 | ↑ +607% |
| HUMANA | Medicare Advantage HMO | $5,500.28 | ↑ +607% |
| The Health Plan | MEDICARE ADVANTAGE | $5,692.79 | ↑ +632% |
| Summacare | MEDICARE ADVANTAGE | $5,743.54 | ↑ +638% |
| ANTHEM | MEDICARE ADVANTAGE | $5,743.54 | ↑ +638% |
| AETNA | MEDICARE ADVANTAGE | $5,743.54 | ↑ +638% |
| Valor | HMO & PPO | $5,743.54 | ↑ +638% |
| UPMC | MEDICARE ADVANTAGE | $5,743.54 | ↑ +638% |
| CIGNA | MEDICARE ADVANTAGE | $5,915.84 | ↑ +660% |
| Perennial Health | MEDICARE ADVANTAGE | $5,940.30 | ↑ +663% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,203.02 | ↑ +697% |
| PPHP | ALL PRODUCTS | $6,317.89 | ↑ +712% |
| MMO | NASCO | $9,730.56 | ↑ +1151% |
| MMO | SuperMed | $9,730.56 | ↑ +1151% |
| ANTHEM | HPN | $14,463.38 | ↑ +1759% |
| MMO | ALL PRODUCTS | $14,783.86 | ↑ +1800% |
| ANTHEM | PPO/HMO | $17,015.80 | ↑ +2087% |
| 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
Sigmoidoscopy w/plcmt stent at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $17,798.95 | $1.10 – $24,644.70 |
| avon hospital | Avon | $17,798.95 | $285.27 – $24,644.70 |
| euclid hospital | Euclid | $17,798.95 | $285.27 – $24,644.70 |
| fairview hospital | Cleveland | $17,798.95 | $243.67 – $24,644.70 |
| lutheran hospital | Cleveland | $17,798.95 | $285.27 – $24,644.70 |
| hillcrest hospital | Mayfield Heights | $17,798.95 | $243.67 – $24,644.70 |
| marymount hospital | Garfield Heights | $17,798.95 | $285.27 – $24,644.70 |
| medina hospital | Medina | $17,798.95 | $193.58 – $24,644.70 |