healthcosts.net
Sigmoidoscopy w/tumr remove at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$586.30
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.
$902.00
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 $4,831.00 with UNITED — 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 | $73.10 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $79.91 | ↓ -86% |
| Oscar | All Products | $80.55 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $95.59 | ↓ -84% |
| Humana | Medicare Advantage HMO | $106.55 | ↓ -82% |
| Aetna | Medicare Advantage | $106.55 | ↓ -82% |
| Anthem | Medicare Advantage | $106.55 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $106.55 | ↓ -82% |
| The Health Plan | All Products | $106.55 | ↓ -82% |
| The Health Plan | Medicare Advantage | $106.55 | ↓ -82% |
| United | Medicare Advantage | $106.55 | ↓ -82% |
| Valor | All Products | $106.55 | ↓ -82% |
| Summacare | Medicare Advantage MD | $106.84 | ↓ -82% |
| CommuniCare | Medicare Advantage | $111.88 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $114.83 | ↓ -80% |
| PPHP | All Products | $117.21 | ↓ -80% |
| Buckeye | Managed Medicaid | $120.87 | ↓ -79% |
| OHCP | All Products | $123.31 | ↓ -79% |
| United | Managed Medicaid | $126.91 | ↓ -78% |
| Caresource | Managed Medicaid | $126.91 | ↓ -78% |
| Molina | Managed Medicaid | $132.96 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $132.96 | ↓ -77% |
| Aultcare | PPO/HMO | $156.60 | ↓ -73% |
| OMAS | All Products | $158.50 | ↓ -73% |
| Anthem | All Products Mid-Level Facility | $158.55 | ↓ -73% |
| Optum | All Products Transplant | $184.81 | ↓ -68% |
| PHPHI | All Products | $190.20 | ↓ -68% |
| Summacare | Preferred | $217.36 | ↓ -63% |
| GMS | All Products | $221.90 | ↓ -62% |
| MMO | Traditional | $221.90 | ↓ -62% |
| Summacare | Premier | $229.42 | ↓ -61% |
| Consociate Health | All Products | $237.75 | ↓ -59% |
| Aetna | All Products First Health | $237.75 | ↓ -59% |
| MMO | Medicare HMO & PPO | $248.96 | ↓ -58% |
| Aetna | Asa | $253.60 | ↓ -57% |
| Multiplan | All Products | $285.30 | ↓ -51% |
| Aetna | Qhp/Ifp | $317.00 | ↓ -46% |
| Cigna | All Products Mid-Level | $363.27 | ↓ -38% |
| Aetna | Acop | $374.88 | ↓ -36% |
| Anthem | All Products Mid-Level Non-Facility | $388.53 | ↓ -34% |
| Anthem | All Products Physician Facility | $402.67 | ↓ -31% |
| Anthem | All Products Physician | $402.67 | ↓ -31% |
| Cigna | All Products Physician | $429.24 | ↓ -27% |
| OPTUM | Managed Medicaid Transplant | $706.64 | ↑ +21% |
| United | HMO & PPO | $711.81 | ↑ +21% |
| CARESOURCE | Managed Medicaid | $743.83 | ↑ +27% |
| UNITED | Managed Medicaid | $781.02 | ↑ +33% |
| MOLINA | Managed Medicaid | $781.02 | ↑ +33% |
| ANTHEM | Managed Medicaid | $781.02 | ↑ +33% |
| United | All Products - Mid-Level | $782.15 | ↑ +33% |
| United BH | Managed Medicaid | $788.46 | ↑ +34% |
| AMERIHEALTH | Managed Medicaid | $818.21 | ↑ +40% |
| United | All Products | $843.00 | ↑ +44% |
| Anthem | All Products Physician Non-Facility | $986.76 | ↑ +68% |
| HUMANA | Medicare Advantage HMO | $1,089.45 | ↑ +86% |
| MMO | Medicare Advantage HMO & PPO | $1,089.45 | ↑ +86% |
| UNITED | MEDICARE ADVANTAGE | $1,089.45 | ↑ +86% |
| OPTUM | All Products VA | $1,089.45 | ↑ +86% |
| The Health Plan | MEDICARE ADVANTAGE | $1,127.58 | ↑ +92% |
| ANTHEM | MEDICARE ADVANTAGE | $1,132.12 | ↑ +93% |
| Summacare | MEDICARE ADVANTAGE | $1,132.12 | ↑ +93% |
| Valor | HMO & PPO | $1,132.12 | ↑ +93% |
| UPMC | MEDICARE ADVANTAGE | $1,132.12 | ↑ +93% |
| AETNA | MEDICARE ADVANTAGE | $1,132.12 | ↑ +93% |
| CIGNA | MEDICARE ADVANTAGE | $1,166.08 | ↑ +99% |
| Perennial Health | MEDICARE ADVANTAGE | $1,176.60 | ↑ +101% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,222.68 | ↑ +109% |
| PPHP | ALL PRODUCTS | $1,245.33 | ↑ +112% |
| MMO | SuperMed | $2,014.21 | ↑ +244% |
| MMO | NASCO | $2,014.21 | ↑ +244% |
| ANTHEM | HPN | $2,850.89 | ↑ +386% |
| MMO | ALL PRODUCTS | $2,914.06 | ↑ +397% |
| ANTHEM | PPO/HMO | $3,354.00 | ↑ +472% |
| UNITED | ALL PRODUCTS | $4,831.00 | ↑ +724% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Sigmoidoscopy w/tumr remove at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,525.60 | $1.10 – $4,881.60 |
| mercy hospital | Canton | $586.30 | $1.10 – $1,166.08 |
| University Hospitals Ahuja Medical Center | Beachwood | $2,502.75 | $737.48 – $3,003.30 |
| University Hospitals Beachwood Medical Center | Beachwood | $2,502.75 | $900.00 – $3,003.30 |
| University Hospitals Conneaut Medical Center | Conneaut | $2,314.50 | not published |
| University Hospitals Elyria Medical Center | Elyria | $2,502.75 | $1,132.12 – $2,037.81 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $2,502.75 | $1,132.12 – $2,037.81 |
| University Hospitals Geneva Medical Center | Geneva | $2,314.50 | not published |