healthcosts.net
Small bowel endoscopy at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,339.00
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.
$2,060.00
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 $5,378.41 with ANTHEM — 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 | $171.88 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $183.30 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $224.77 | ↓ -83% |
| Optum | Managed Medicaid Transplant | $233.88 | ↓ -83% |
| The Health Plan | All Products | $244.40 | ↓ -82% |
| Humana | Medicare Advantage HMO | $244.40 | ↓ -82% |
| Valor | All Products | $244.40 | ↓ -82% |
| United | Medicare Advantage | $244.40 | ↓ -82% |
| Aetna | Medicare Advantage | $244.40 | ↓ -82% |
| The Health Plan | Medicare Advantage | $244.40 | ↓ -82% |
| Anthem | Medicare Advantage | $244.40 | ↓ -82% |
| Optum | Medicare Advantage Transplant | $244.40 | ↓ -82% |
| Buckeye | Managed Medicaid | $246.19 | ↓ -82% |
| Summacare | Medicare Advantage MD | $251.21 | ↓ -81% |
| CommuniCare | Medicare Advantage | $256.62 | ↓ -81% |
| Caresource | Managed Medicaid | $258.50 | ↓ -81% |
| United | Managed Medicaid | $258.50 | ↓ -81% |
| PPHP | All Products | $268.84 | ↓ -80% |
| Molina | Managed Medicaid | $270.81 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $270.81 | ↓ -80% |
| Anthem | All Products Mid-Level Non-Facility | $374.73 | ↓ -72% |
| Anthem | All Products Mid-Level Facility | $374.73 | ↓ -72% |
| Summacare | Preferred | $498.58 | ↓ -63% |
| Oscar | All Products | $523.45 | ↓ -61% |
| MMO | Medicare HMO & PPO | $538.85 | ↓ -60% |
| Summacare | Premier | $539.44 | ↓ -60% |
| OPTUM | Managed Medicaid Transplant | $619.37 | ↓ -54% |
| CARESOURCE | Managed Medicaid | $651.97 | ↓ -51% |
| MOLINA | Managed Medicaid | $684.57 | ↓ -49% |
| ANTHEM | Managed Medicaid | $684.57 | ↓ -49% |
| UNITED | Managed Medicaid | $684.57 | ↓ -49% |
| United | HMO & PPO | $690.62 | ↓ -48% |
| United BH | Managed Medicaid | $691.09 | ↓ -48% |
| AMERIHEALTH | Managed Medicaid | $717.17 | ↓ -46% |
| United | All Products - Mid-Level | $758.87 | ↓ -43% |
| OHCP | All Products | $801.34 | ↓ -40% |
| United | All Products | $817.91 | ↓ -39% |
| Anthem | All Products Physician | $951.77 | ↓ -29% |
| Anthem | All Products Physician Facility | $951.77 | ↓ -29% |
| Anthem | All Products Physician Non-Facility | $951.77 | ↓ -29% |
| Aultcare | PPO/HMO | $1,017.64 | ↓ -24% |
| OMAS | All Products | $1,030.00 | ↓ -23% |
| Optum | All Products Transplant | $1,200.98 | ↓ -10% |
| PHPHI | All Products | $1,236.00 | ↓ -8% |
| GMS | All Products | $1,442.00 | ↑ +8% |
| MMO | Traditional | $1,442.00 | ↑ +8% |
| Aetna | All Products First Health | $1,545.00 | ↑ +15% |
| Consociate Health | All Products | $1,545.00 | ↑ +15% |
| Aetna | Asa | $1,648.00 | ↑ +23% |
| UNITED | MEDICARE ADVANTAGE | $1,752.78 | ↑ +31% |
| HUMANA | Medicare Advantage HMO | $1,752.78 | ↑ +31% |
| MMO | Medicare Advantage HMO & PPO | $1,752.78 | ↑ +31% |
| OPTUM | All Products VA | $1,752.78 | ↑ +31% |
| The Health Plan | MEDICARE ADVANTAGE | $1,814.13 | ↑ +35% |
| Valor | HMO & PPO | $1,815.43 | ↑ +36% |
| ANTHEM | MEDICARE ADVANTAGE | $1,815.43 | ↑ +36% |
| UPMC | MEDICARE ADVANTAGE | $1,815.43 | ↑ +36% |
| AETNA | MEDICARE ADVANTAGE | $1,815.43 | ↑ +36% |
| Summacare | MEDICARE ADVANTAGE | $1,815.43 | ↑ +36% |
| Multiplan | All Products | $1,854.00 | ↑ +38% |
| CIGNA | MEDICARE ADVANTAGE | $1,869.90 | ↑ +40% |
| Perennial Health | MEDICARE ADVANTAGE | $1,893.00 | ↑ +41% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,960.67 | ↑ +46% |
| PPHP | ALL PRODUCTS | $1,996.98 | ↑ +49% |
| Aetna | Qhp/Ifp | $2,060.00 | ↑ +54% |
| MMO | NASCO | $3,248.90 | ↑ +143% |
| MMO | SuperMed | $3,248.90 | ↑ +143% |
| ANTHEM | HPN | $4,571.63 | ↑ +241% |
| MMO | ALL PRODUCTS | $4,672.93 | ↑ +249% |
| ANTHEM | PPO/HMO | $5,378.41 | ↑ +302% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Small bowel endoscopy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,671.90 | $1.10 – $7,853.40 |
| avon hospital | Avon | $5,671.90 | $523.70 – $7,853.40 |
| euclid hospital | Euclid | $5,671.90 | $523.70 – $7,853.40 |
| fairview hospital | Cleveland | $5,671.90 | $447.34 – $7,853.40 |
| lutheran hospital | Cleveland | $5,671.90 | $523.70 – $7,853.40 |
| hillcrest hospital | Mayfield Heights | $5,671.90 | $447.34 – $7,853.40 |
| marymount hospital | Garfield Heights | $5,671.90 | $523.70 – $7,853.40 |
| medina hospital | Medina | $5,671.90 | $355.37 – $7,853.40 |