Special physics consult at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$735.15
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.
$1,131.00
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.
$0.87 with AETNA vs $1,131.00 with Aetna — 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 |
|---|---|---|---|
| AETNA | Acop | $0.87 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| OPTUM | Managed Medicaid Transplant | $83.90 | ↓ -89% |
| Summacare | Medicare Advantage Lower Level | $86.61 | ↓ -88% |
| Buckeye | Managed Medicaid | $88.32 | ↓ -88% |
| CARESOURCE | Managed Medicaid | $88.32 | ↓ -88% |
| ANTHEM | Managed Medicaid | $92.74 | ↓ -87% |
| MOLINA | Managed Medicaid | $92.74 | ↓ -87% |
| UNITED | Managed Medicaid | $92.74 | ↓ -87% |
| United BH | Managed Medicaid | $93.62 | ↓ -87% |
| Optum | Managed Medicaid Transplant | $94.93 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $97.15 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $104.25 | ↓ -86% |
| United | Managed Medicaid | $104.93 | ↓ -86% |
| Caresource | Managed Medicaid | $104.93 | ↓ -86% |
| Molina | Managed Medicaid | $109.92 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $109.92 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $113.25 | ↓ -85% |
| MMO | Medicare Advantage HMO & PPO | $122.68 | ↓ -83% |
| HUMANA | Medicare Advantage HMO | $122.68 | ↓ -83% |
| UNITED | MEDICARE ADVANTAGE | $122.68 | ↓ -83% |
| OPTUM | All Products VA | $122.68 | ↓ -83% |
| Summacare | Medicare Advantage MD | $126.58 | ↓ -83% |
| The Health Plan | MEDICARE ADVANTAGE | $126.97 | ↓ -83% |
| AETNA | MEDICARE ADVANTAGE | $127.16 | ↓ -83% |
| Summacare | MEDICARE ADVANTAGE | $127.16 | ↓ -83% |
| ANTHEM | MEDICARE ADVANTAGE | $127.16 | ↓ -83% |
| UPMC | MEDICARE ADVANTAGE | $127.16 | ↓ -83% |
| Valor | HMO & PPO | $127.16 | ↓ -83% |
| CIGNA | MEDICARE ADVANTAGE | $130.98 | ↓ -82% |
| Perennial Health | MEDICARE ADVANTAGE | $132.49 | ↓ -82% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $137.33 | ↓ -81% |
| Humana | Medicare Advantage HMO | $139.00 | ↓ -81% |
| The Health Plan | Medicare Advantage | $139.00 | ↓ -81% |
| Aetna | Medicare Advantage | $139.00 | ↓ -81% |
| United | Medicare Advantage | $139.00 | ↓ -81% |
| The Health Plan | All Products | $139.00 | ↓ -81% |
| Valor | All Products | $139.00 | ↓ -81% |
| Anthem | Medicare Advantage | $139.00 | ↓ -81% |
| Optum | Medicare Advantage Transplant | $139.00 | ↓ -81% |
| PPHP | ALL PRODUCTS | $139.88 | ↓ -81% |
| PPHP | All Products | $143.90 | ↓ -80% |
| CommuniCare | Medicare Advantage | $145.95 | ↓ -80% |
| Anthem | All Products Mid-Level Non-Facility | $175.45 | ↓ -76% |
| Anthem | All Products Mid-Level Facility | $175.45 | ↓ -76% |
| MMO | Medicare HMO & PPO | $193.70 | ↓ -74% |
| MMO | NASCO | $231.17 | ↓ -69% |
| MMO | SuperMed | $231.17 | ↓ -69% |
| OSCAR | ALL PRODUCTS | $259.04 | ↓ -65% |
| United | HMO & PPO | $260.47 | ↓ -65% |
| Summacare | Premier | $271.81 | ↓ -63% |
| ANTHEM | HPN | $275.75 | ↓ -62% |
| Summacare | Preferred | $283.56 | ↓ -61% |
| Oscar | All Products | $287.39 | ↓ -61% |
| PHPHI | ALL PRODUCTS | $293.12 | ↓ -60% |
| PHP | ALL PRODUCTS | $293.12 | ↓ -60% |
| MMO | ALL PRODUCTS | $327.31 | ↓ -55% |
| Summacare | PREMIER | $328.84 | ↓ -55% |
| United | All Products - Mid-Level | $342.85 | ↓ -53% |
| CC EHP | ALL PRODUCTS | $370.98 | ↓ -50% |
| ANTHEM | PPO/HMO | $376.73 | ↓ -49% |
| United | All Products | $376.83 | ↓ -49% |
| Amish Community Aid Plan | ALL PRODUCTS | $412.20 | ↓ -44% |
| OHCP | All Products | $439.96 | ↓ -40% |
| OHCP | ALL PRODUCTS | $445.18 | ↓ -39% |
| Anthem | All Products Physician | $445.61 | ↓ -39% |
| Anthem | All Products Physician Non-Facility | $445.61 | ↓ -39% |
| Anthem | All Products Physician Facility | $445.61 | ↓ -39% |
| Aultcare | PPO/HMO | $452.50 | ↓ -38% |
| OMAS | ALL PRODUCTS | $458.00 | ↓ -38% |
| MMO | TRADITIONAL | $477.24 | ↓ -35% |
| Ohio Healthy | TRANSPLANT | $494.64 | ↓ -33% |
| ANTHEM | TRADITIONAL | $506.55 | ↓ -31% |
| OPTUM | All Products Transplant | $518.46 | ↓ -29% |
| The Health Plan | HMO | $549.60 | ↓ -25% |
| UPMC | ALL PRODUCTS | $549.60 | ↓ -25% |
| OMAS | All Products | $565.50 | ↓ -23% |
| The Health Plan | ASO Self-Funded | $632.04 | ↓ -14% |
| AETNA | International | $641.20 | ↓ -13% |
| Medical Benefit Corp | Transplant SMCP | $641.20 | ↓ -13% |
| GMS | ALL PRODUCTS | $641.20 | ↓ -13% |
| Optum | All Products Transplant | $659.37 | ↓ -10% |
| PHPHI | All Products | $678.60 | ↓ -8% |
| AETNA | ALL PRODUCTS | $687.00 | ↓ -7% |
| Consociate Health | ALL PRODUCTS | $687.00 | ↓ -7% |
| UNITED | ALL PRODUCTS | $715.40 | ↓ -3% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $732.80 | ↓ -0% |
| GMS | All Products | $791.70 | ↑ +8% |
| MMO | Traditional | $791.70 | ↑ +8% |
| MULTIPLAN | ALL PRODUCTS | $824.40 | ↑ +12% |
| Tertiary Care Network | TRANSPLANT | $824.40 | ↑ +12% |
| FrontPath | TRANSPLANT | $824.40 | ↑ +12% |
| Managed Care Services | TRANSPLANT | $824.40 | ↑ +12% |
| Aetna | All Products First Health | $848.25 | ↑ +15% |
| Consociate Health | All Products | $848.25 | ↑ +15% |
| Aetna | Asa | $904.80 | ↑ +23% |
| AETNA | Qhp/Ipf | $916.00 | ↑ +25% |
| Multiplan | All Products | $1,017.90 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,131.00 | ↑ +54% |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Special physics consult at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $705.60 | not published |
| Anderson Hospital | Cincinnati | $705.60 | not published |
| St Ritas Medical Center | Lima | $1,362.60 | not published |
| Trinity Medical Center East | Steubenville | $479.57 | $580.20 – $744.59 |
| cleveland clinic main campus | Cleveland | $735.15 | $1.10 – $1,017.90 |
| avon hospital | Avon | $595.40 | $0.87 – $824.40 |
| euclid hospital | Euclid | $595.40 | $0.87 – $824.40 |
| fairview hospital | Cleveland | $595.40 | $0.87 – $824.40 |