Tbs i&r fx rsk qhp at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$57.20
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.
$88.00
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 $372.80 with AMERIHEALTH — 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 | ↓ -98% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $5.95 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $7.36 | ↓ -87% |
| Optum | Managed Medicaid Transplant | $7.49 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $7.79 | ↓ -86% |
| Buckeye | Managed Medicaid | $7.88 | ↓ -86% |
| Caresource | Managed Medicaid | $8.27 | ↓ -86% |
| United | Managed Medicaid | $8.27 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $8.67 | ↓ -85% |
| Molina | Managed Medicaid | $8.67 | ↓ -85% |
| Summacare | Medicare Advantage MD | $8.70 | ↓ -85% |
| Valor | All Products | $9.81 | ↓ -83% |
| The Health Plan | All Products | $9.81 | ↓ -83% |
| The Health Plan | Medicare Advantage | $9.81 | ↓ -83% |
| United | Medicare Advantage | $9.81 | ↓ -83% |
| Aetna | Medicare Advantage | $9.81 | ↓ -83% |
| Anthem | Medicare Advantage | $9.81 | ↓ -83% |
| Humana | Medicare Advantage HMO | $9.81 | ↓ -83% |
| Optum | Medicare Advantage Transplant | $9.81 | ↓ -83% |
| PPHP | All Products | $9.89 | ↓ -83% |
| CommuniCare | Medicare Advantage | $10.30 | ↓ -82% |
| Anthem | All Products Mid-Level Non-Facility | $13.07 | ↓ -77% |
| Anthem | All Products Mid-Level Facility | $13.07 | ↓ -77% |
| MMO | NASCO | $16.13 | ↓ -72% |
| MMO | SuperMed | $16.13 | ↓ -72% |
| MMO | Medicare HMO & PPO | $17.48 | ↓ -69% |
| United | HMO & PPO | $18.58 | ↓ -68% |
| Summacare | Premier | $18.69 | ↓ -67% |
| Summacare | Preferred | $20.01 | ↓ -65% |
| Oscar | All Products | $22.36 | ↓ -61% |
| United | All Products - Mid-Level | $24.45 | ↓ -57% |
| United | All Products | $26.88 | ↓ -53% |
| Anthem | All Products Physician | $33.20 | ↓ -42% |
| Anthem | All Products Physician Non-Facility | $33.20 | ↓ -42% |
| Anthem | All Products Physician Facility | $33.20 | ↓ -42% |
| OHCP | All Products | $34.23 | ↓ -40% |
| Aultcare | PPO/HMO | $43.47 | ↓ -24% |
| OMAS | All Products | $44.00 | ↓ -23% |
| Optum | All Products Transplant | $51.30 | ↓ -10% |
| UNITED | ALL PRODUCTS | $52.56 | ↓ -8% |
| PHPHI | All Products | $52.80 | ↓ -8% |
| GMS | All Products | $61.60 | ↑ +8% |
| MMO | Traditional | $61.60 | ↑ +8% |
| Aetna | All Products First Health | $66.00 | ↑ +15% |
| Consociate Health | All Products | $66.00 | ↑ +15% |
| Aetna | Asa | $70.40 | ↑ +23% |
| Multiplan | All Products | $79.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $88.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $321.96 | ↑ +463% |
| CARESOURCE | Managed Medicaid | $338.91 | ↑ +493% |
| UNITED | Managed Medicaid | $355.86 | ↑ +522% |
| ANTHEM | Managed Medicaid | $355.86 | ↑ +522% |
| MOLINA | Managed Medicaid | $355.86 | ↑ +522% |
| United BH | Managed Medicaid | $359.24 | ↑ +528% |
| AMERIHEALTH | Managed Medicaid | $372.80 | ↑ +552% |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
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Tbs i&r fx rsk qhp at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $66.30 | $1.10 – $469.67 |
| avon hospital | Avon | $66.30 | $0.87 – $351.88 |
| euclid hospital | Euclid | $66.30 | $0.87 – $409.63 |
| fairview hospital | Cleveland | $66.30 | $0.87 – $384.82 |
| lutheran hospital | Cleveland | $66.30 | $0.87 – $366.37 |
| hillcrest hospital | Mayfield Heights | $66.30 | $0.87 – $400.93 |
| marymount hospital | Garfield Heights | $66.30 | $0.87 – $361.75 |
| medina hospital | Medina | $66.30 | $0.87 – $375.22 |