healthcosts.net
Thorax spine fusion at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$4,941.95
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.
?
What you pay up front if you don't use insurance.
$7,603.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $49,144.62 with ANTHEM — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $800.58 | ↓ -84% |
| Optum | Managed Medicaid Transplant | $897.42 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $914.75 | ↓ -81% |
| Buckeye | Managed Medicaid | $944.65 | ↓ -81% |
| United | Managed Medicaid | $991.88 | ↓ -80% |
| Caresource | Managed Medicaid | $991.88 | ↓ -80% |
| Molina | Managed Medicaid | $1,039.12 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $1,039.12 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $1,046.91 | ↓ -79% |
| Summacare | Medicare Advantage MD | $1,170.08 | ↓ -76% |
| Optum | Medicare Advantage Transplant | $1,219.67 | ↓ -75% |
| Anthem | Medicare Advantage | $1,219.67 | ↓ -75% |
| Valor | All Products | $1,219.67 | ↓ -75% |
| Humana | Medicare Advantage HMO | $1,219.67 | ↓ -75% |
| The Health Plan | Medicare Advantage | $1,219.67 | ↓ -75% |
| The Health Plan | All Products | $1,219.67 | ↓ -75% |
| Aetna | Medicare Advantage | $1,219.67 | ↓ -75% |
| United | Medicare Advantage | $1,219.67 | ↓ -75% |
| CommuniCare | Medicare Advantage | $1,280.65 | ↓ -74% |
| PPHP | All Products | $1,330.19 | ↓ -73% |
| Anthem | All Products Mid-Level Facility | $1,731.64 | ↓ -65% |
| Anthem | All Products Mid-Level Non-Facility | $1,731.64 | ↓ -65% |
| Oscar | All Products | $1,931.92 | ↓ -61% |
| MMO | Medicare HMO & PPO | $2,180.23 | ↓ -56% |
| MMO | SuperMed | $2,216.70 | ↓ -55% |
| MMO | NASCO | $2,216.70 | ↓ -55% |
| Summacare | Preferred | $2,488.13 | ↓ -50% |
| Summacare | Premier | $2,512.59 | ↓ -49% |
| OHCP | All Products | $2,957.57 | ↓ -40% |
| United | HMO & PPO | $3,206.01 | ↓ -35% |
| United | All Products - Mid-Level | $3,522.84 | ↓ -29% |
| Aultcare | PPO/HMO | $3,755.88 | ↓ -24% |
| United | All Products | $3,796.93 | ↓ -23% |
| OMAS | All Products | $3,801.50 | ↓ -23% |
| Anthem | All Products Physician | $4,397.99 | ↓ -11% |
| Anthem | All Products Physician Non-Facility | $4,397.99 | ↓ -11% |
| Anthem | All Products Physician Facility | $4,397.99 | ↓ -11% |
| Optum | All Products Transplant | $4,432.55 | ↓ -10% |
| PHPHI | All Products | $4,561.80 | ↓ -8% |
| MMO | Traditional | $5,322.10 | ↑ +8% |
| GMS | All Products | $5,322.10 | ↑ +8% |
| Aetna | All Products First Health | $5,702.25 | ↑ +15% |
| Consociate Health | All Products | $5,702.25 | ↑ +15% |
| Aetna | Asa | $6,082.40 | ↑ +23% |
| Multiplan | All Products | $6,842.70 | ↑ +38% |
| Aetna | Qhp/Ifp | $7,603.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $11,158.03 | ↑ +126% |
| CARESOURCE | Managed Medicaid | $11,745.29 | ↑ +138% |
| UNITED | Managed Medicaid | $12,332.55 | ↑ +150% |
| ANTHEM | Managed Medicaid | $12,332.55 | ↑ +150% |
| MOLINA | Managed Medicaid | $12,332.55 | ↑ +150% |
| United BH | Managed Medicaid | $12,450.01 | ↑ +152% |
| AMERIHEALTH | Managed Medicaid | $12,919.82 | ↑ +161% |
| UPMC | MEDICARE ADVANTAGE | $16,588.34 | ↑ +236% |
| AETNA | MEDICARE ADVANTAGE | $16,588.34 | ↑ +236% |
| ANTHEM | MEDICARE ADVANTAGE | $16,588.34 | ↑ +236% |
| Summacare | MEDICARE ADVANTAGE | $16,588.34 | ↑ +236% |
| Valor | HMO & PPO | $16,588.34 | ↑ +236% |
| CIGNA | MEDICARE ADVANTAGE | $17,085.99 | ↑ +246% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $17,915.41 | ↑ +263% |
| PPHP | ALL PRODUCTS | $18,247.18 | ↑ +269% |
| ANTHEM | HPN | $41,772.76 | ↑ +745% |
| MMO | ALL PRODUCTS | $42,698.39 | ↑ +764% |
| ANTHEM | PPO/HMO | $49,144.62 | ↑ +894% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Thorax spine fusion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,941.95 | $1.10 – $16,588.34 |
| mercy hospital | Canton | $4,941.95 | $1.10 – $17,085.99 |
| avon hospital | Avon | not published | $11,966.78 – $18,247.18 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $19,537.41 – $22,622.26 |
| euclid hospital | Euclid | not published | $12,260.27 – $18,247.18 |
| fairview hospital | Cleveland | not published | $11,517.90 – $45,617.94 |
| lutheran hospital | Cleveland | not published | $10,965.43 – $18,247.18 |
| hillcrest hospital | Mayfield Heights | not published | $11,999.86 – $45,617.94 |