healthcosts.net
Small bowel endoscopy/biopsy at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$720.20
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.
$1,108.00
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 | $96.05 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $103.37 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $125.60 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $137.83 | ↓ -81% |
| Humana | Medicare Advantage HMO | $137.83 | ↓ -81% |
| Valor | All Products | $137.83 | ↓ -81% |
| United | Medicare Advantage | $137.83 | ↓ -81% |
| Aetna | Medicare Advantage | $137.83 | ↓ -81% |
| Anthem | Medicare Advantage | $137.83 | ↓ -81% |
| The Health Plan | Medicare Advantage | $137.83 | ↓ -81% |
| The Health Plan | All Products | $137.83 | ↓ -81% |
| Summacare | Medicare Advantage MD | $140.38 | ↓ -81% |
| Optum | Managed Medicaid Transplant | $141.36 | ↓ -80% |
| CommuniCare | Medicare Advantage | $144.72 | ↓ -80% |
| Buckeye | Managed Medicaid | $148.80 | ↓ -79% |
| PPHP | All Products | $151.61 | ↓ -79% |
| Caresource | Managed Medicaid | $156.24 | ↓ -78% |
| United | Managed Medicaid | $156.24 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $163.68 | ↓ -77% |
| Molina | Managed Medicaid | $163.68 | ↓ -77% |
| Anthem | All Products Mid-Level Facility | $208.48 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $208.48 | ↓ -71% |
| Summacare | Preferred | $281.17 | ↓ -61% |
| Oscar | All Products | $281.54 | ↓ -61% |
| Summacare | Premier | $301.45 | ↓ -58% |
| MMO | Medicare HMO & PPO | $305.73 | ↓ -58% |
| United | HMO & PPO | $386.25 | ↓ -46% |
| United | All Products - Mid-Level | $424.42 | ↓ -41% |
| OHCP | All Products | $431.01 | ↓ -40% |
| United | All Products | $457.44 | ↓ -36% |
| Anthem | All Products Physician | $529.51 | ↓ -26% |
| Anthem | All Products Physician Facility | $529.51 | ↓ -26% |
| Anthem | All Products Physician Non-Facility | $529.51 | ↓ -26% |
| Aultcare | PPO/HMO | $547.35 | ↓ -24% |
| OMAS | All Products | $554.00 | ↓ -23% |
| OPTUM | Managed Medicaid Transplant | $619.37 | ↓ -14% |
| Optum | All Products Transplant | $645.96 | ↓ -10% |
| CARESOURCE | Managed Medicaid | $651.97 | ↓ -9% |
| PHPHI | All Products | $664.80 | ↓ -8% |
| MOLINA | Managed Medicaid | $684.57 | ↓ -5% |
| UNITED | Managed Medicaid | $684.57 | ↓ -5% |
| ANTHEM | Managed Medicaid | $684.57 | ↓ -5% |
| United BH | Managed Medicaid | $691.09 | ↓ -4% |
| AMERIHEALTH | Managed Medicaid | $717.17 | ↓ -0% |
| GMS | All Products | $775.60 | ↑ +8% |
| MMO | Traditional | $775.60 | ↑ +8% |
| Consociate Health | All Products | $831.00 | ↑ +15% |
| Aetna | All Products First Health | $831.00 | ↑ +15% |
| Aetna | Asa | $886.40 | ↑ +23% |
| Multiplan | All Products | $997.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,108.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | $1,752.78 | ↑ +143% |
| UNITED | MEDICARE ADVANTAGE | $1,752.78 | ↑ +143% |
| OPTUM | All Products VA | $1,752.78 | ↑ +143% |
| MMO | Medicare Advantage HMO & PPO | $1,752.78 | ↑ +143% |
| The Health Plan | MEDICARE ADVANTAGE | $1,814.13 | ↑ +152% |
| Valor | HMO & PPO | $1,815.43 | ↑ +152% |
| Summacare | MEDICARE ADVANTAGE | $1,815.43 | ↑ +152% |
| UPMC | MEDICARE ADVANTAGE | $1,815.43 | ↑ +152% |
| ANTHEM | MEDICARE ADVANTAGE | $1,815.43 | ↑ +152% |
| AETNA | MEDICARE ADVANTAGE | $1,815.43 | ↑ +152% |
| CIGNA | MEDICARE ADVANTAGE | $1,869.90 | ↑ +160% |
| Perennial Health | MEDICARE ADVANTAGE | $1,893.00 | ↑ +163% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,960.67 | ↑ +172% |
| PPHP | ALL PRODUCTS | $1,996.98 | ↑ +177% |
| MMO | SuperMed | $3,248.90 | ↑ +351% |
| MMO | NASCO | $3,248.90 | ↑ +351% |
| ANTHEM | HPN | $4,571.63 | ↑ +535% |
| MMO | ALL PRODUCTS | $4,672.93 | ↑ +549% |
| ANTHEM | PPO/HMO | $5,378.41 | ↑ +647% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Small bowel endoscopy/biopsy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,671.90 | $1.10 – $7,853.40 |
| mercy hospital | Canton | $720.20 | $1.10 – $1,869.90 |
| University Hospitals Ahuja Medical Center | Beachwood | $4,161.00 | $900.00 – $4,993.20 |
| University Hospitals Beachwood Medical Center | Beachwood | $4,161.00 | $900.00 – $4,993.20 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,847.50 | not published |
| University Hospitals Elyria Medical Center | Elyria | $4,161.00 | $1,815.43 – $3,267.78 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $4,161.00 | $1,815.43 – $3,267.78 |
| University Hospitals Geneva Medical Center | Geneva | $3,847.50 | not published |