healthcosts.net
Sigmoidoscopy w/resection at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,006.85
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.
$1,549.00
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 $7,779.76 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 | $119.91 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $129.12 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $156.80 | ↓ -84% |
| The Health Plan | Medicare Advantage | $172.16 | ↓ -83% |
| The Health Plan | All Products | $172.16 | ↓ -83% |
| Humana | Medicare Advantage HMO | $172.16 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $172.16 | ↓ -83% |
| Anthem | Medicare Advantage | $172.16 | ↓ -83% |
| Valor | All Products | $172.16 | ↓ -83% |
| United | Medicare Advantage | $172.16 | ↓ -83% |
| Aetna | Medicare Advantage | $172.16 | ↓ -83% |
| Summacare | Medicare Advantage MD | $175.25 | ↓ -83% |
| CommuniCare | Medicare Advantage | $180.77 | ↓ -82% |
| PPHP | All Products | $189.38 | ↓ -81% |
| Anthem | All Products Mid-Level Non-Facility | $261.89 | ↓ -74% |
| Anthem | All Products Mid-Level Facility | $261.89 | ↓ -74% |
| Summacare | Preferred | $351.21 | ↓ -65% |
| MMO | Medicare HMO & PPO | $359.07 | ↓ -64% |
| Summacare | Premier | $376.32 | ↓ -63% |
| Oscar | All Products | $393.60 | ↓ -61% |
| United | HMO & PPO | $482.43 | ↓ -52% |
| United | All Products - Mid-Level | $530.11 | ↓ -47% |
| United | All Products | $571.35 | ↓ -43% |
| OHCP | All Products | $602.56 | ↓ -40% |
| Anthem | All Products Physician | $665.16 | ↓ -34% |
| Anthem | All Products Physician Facility | $665.16 | ↓ -34% |
| Anthem | All Products Physician Non-Facility | $665.16 | ↓ -34% |
| Aultcare | PPO/HMO | $765.21 | ↓ -24% |
| OMAS | All Products | $774.50 | ↓ -23% |
| Optum | All Products Transplant | $903.07 | ↓ -10% |
| PHPHI | All Products | $929.40 | ↓ -8% |
| GMS | All Products | $1,084.30 | ↑ +8% |
| MMO | Traditional | $1,084.30 | ↑ +8% |
| Consociate Health | All Products | $1,161.75 | ↑ +15% |
| Aetna | All Products First Health | $1,161.75 | ↑ +15% |
| Aetna | Asa | $1,239.20 | ↑ +23% |
| Multiplan | All Products | $1,394.10 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,549.00 | ↑ +54% |
| MMO | Medicare Advantage HMO & PPO | $2,533.91 | ↑ +152% |
| HUMANA | Medicare Advantage HMO | $2,533.91 | ↑ +152% |
| OPTUM | All Products VA | $2,533.91 | ↑ +152% |
| UNITED | MEDICARE ADVANTAGE | $2,533.91 | ↑ +152% |
| The Health Plan | MEDICARE ADVANTAGE | $2,622.60 | ↑ +160% |
| ANTHEM | MEDICARE ADVANTAGE | $2,625.99 | ↑ +161% |
| UPMC | MEDICARE ADVANTAGE | $2,625.99 | ↑ +161% |
| AETNA | MEDICARE ADVANTAGE | $2,625.99 | ↑ +161% |
| Valor | HMO & PPO | $2,625.99 | ↑ +161% |
| Summacare | MEDICARE ADVANTAGE | $2,625.99 | ↑ +161% |
| CIGNA | MEDICARE ADVANTAGE | $2,704.77 | ↑ +169% |
| Perennial Health | MEDICARE ADVANTAGE | $2,736.63 | ↑ +172% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,836.07 | ↑ +182% |
| PPHP | ALL PRODUCTS | $2,888.59 | ↑ +187% |
| MMO | SuperMed | $4,793.60 | ↑ +376% |
| MMO | NASCO | $4,793.60 | ↑ +376% |
| ANTHEM | HPN | $6,612.77 | ↑ +557% |
| MMO | ALL PRODUCTS | $6,759.30 | ↑ +571% |
| ANTHEM | PPO/HMO | $7,779.76 | ↑ +673% |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Sigmoidoscopy w/resection at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $8,199.75 | $1.10 – $11,353.50 |
| mercy hospital | Canton | $1,006.85 | $1.10 – $2,704.77 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,254.25 | $900.00 – $4,726.78 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,254.25 | $900.00 – $6,650.88 |
| University Hospitals Elyria Medical Center | Elyria | $3,254.25 | $2,625.99 – $4,726.78 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,254.25 | $2,625.99 – $4,726.78 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $3,254.25 | $2,625.99 – $4,726.78 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $3,254.25 | $2,625.99 – $4,726.78 |