healthcosts.net
Thorcscpy w/biop pleura at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,190.80
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.
$1,832.00
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 $16,944.69 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% |
| Optum | Managed Medicaid Transplant | $123.29 | ↓ -90% |
| Buckeye | Managed Medicaid | $129.78 | ↓ -89% |
| Caresource | Managed Medicaid | $136.27 | ↓ -89% |
| United | Managed Medicaid | $136.27 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $142.76 | ↓ -88% |
| Molina | Managed Medicaid | $142.76 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $155.62 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $176.41 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $203.50 | ↓ -83% |
| Summacare | Medicare Advantage MD | $227.44 | ↓ -81% |
| The Health Plan | All Products | $235.21 | ↓ -80% |
| Valor | All Products | $235.21 | ↓ -80% |
| United | Medicare Advantage | $235.21 | ↓ -80% |
| Aetna | Medicare Advantage | $235.21 | ↓ -80% |
| Anthem | Medicare Advantage | $235.21 | ↓ -80% |
| The Health Plan | Medicare Advantage | $235.21 | ↓ -80% |
| Humana | Medicare Advantage HMO | $235.21 | ↓ -80% |
| Optum | Medicare Advantage Transplant | $235.21 | ↓ -80% |
| CommuniCare | Medicare Advantage | $246.97 | ↓ -79% |
| PPHP | All Products | $258.56 | ↓ -78% |
| Anthem | All Products Mid-Level Non-Facility | $341.08 | ↓ -71% |
| Anthem | All Products Mid-Level Facility | $341.08 | ↓ -71% |
| Oscar | All Products | $465.51 | ↓ -61% |
| MMO | Medicare HMO & PPO | $469.20 | ↓ -61% |
| Summacare | Preferred | $479.83 | ↓ -60% |
| Summacare | Premier | $488.40 | ↓ -59% |
| United | HMO & PPO | $628.68 | ↓ -47% |
| United | All Products - Mid-Level | $690.81 | ↓ -42% |
| OHCP | All Products | $712.65 | ↓ -40% |
| United | All Products | $744.55 | ↓ -37% |
| Anthem | All Products Physician | $866.29 | ↓ -27% |
| Anthem | All Products Physician Facility | $866.29 | ↓ -27% |
| Anthem | All Products Physician Non-Facility | $866.29 | ↓ -27% |
| Aultcare | PPO/HMO | $905.01 | ↓ -24% |
| OMAS | All Products | $916.00 | ↓ -23% |
| Optum | All Products Transplant | $1,068.06 | ↓ -10% |
| PHPHI | All Products | $1,099.20 | ↓ -8% |
| GMS | All Products | $1,282.40 | ↑ +8% |
| MMO | Traditional | $1,282.40 | ↑ +8% |
| OPTUM | Managed Medicaid Transplant | $1,367.07 | ↑ +15% |
| Aetna | All Products First Health | $1,374.00 | ↑ +15% |
| Consociate Health | All Products | $1,374.00 | ↑ +15% |
| CARESOURCE | Managed Medicaid | $1,439.02 | ↑ +21% |
| Aetna | Asa | $1,465.60 | ↑ +23% |
| UNITED | Managed Medicaid | $1,510.97 | ↑ +27% |
| MOLINA | Managed Medicaid | $1,510.97 | ↑ +27% |
| ANTHEM | Managed Medicaid | $1,510.97 | ↑ +27% |
| United BH | Managed Medicaid | $1,525.36 | ↑ +28% |
| AMERIHEALTH | Managed Medicaid | $1,582.92 | ↑ +33% |
| Multiplan | All Products | $1,648.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,832.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $5,390.83 | ↑ +353% |
| MMO | Medicare Advantage HMO & PPO | $5,390.83 | ↑ +353% |
| OPTUM | All Products VA | $5,390.83 | ↑ +353% |
| HUMANA | Medicare Advantage HMO | $5,390.83 | ↑ +353% |
| The Health Plan | MEDICARE ADVANTAGE | $5,579.51 | ↑ +369% |
| UPMC | MEDICARE ADVANTAGE | $5,719.53 | ↑ +380% |
| Valor | HMO & PPO | $5,719.53 | ↑ +380% |
| Summacare | MEDICARE ADVANTAGE | $5,719.53 | ↑ +380% |
| ANTHEM | MEDICARE ADVANTAGE | $5,719.53 | ↑ +380% |
| AETNA | MEDICARE ADVANTAGE | $5,719.53 | ↑ +380% |
| Perennial Health | MEDICARE ADVANTAGE | $5,822.10 | ↑ +389% |
| CIGNA | MEDICARE ADVANTAGE | $5,891.12 | ↑ +395% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,177.10 | ↑ +419% |
| PPHP | ALL PRODUCTS | $6,291.49 | ↑ +428% |
| MMO | NASCO | $9,852.42 | ↑ +727% |
| MMO | SuperMed | $9,852.42 | ↑ +727% |
| ANTHEM | HPN | $14,402.93 | ↑ +1110% |
| MMO | ALL PRODUCTS | $14,722.08 | ↑ +1136% |
| ANTHEM | PPO/HMO | $16,944.69 | ↑ +1323% |
| 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
Thorcscpy w/biop pleura at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $17,444.70 | $0.01 – $24,154.20 |
| mercy hospital | Canton | $1,190.80 | $1.10 – $5,891.12 |
| avon hospital | Avon | not published | $1,466.16 – $6,291.49 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,393.72 – $2,771.67 |
| euclid hospital | Euclid | not published | $1,502.12 – $6,291.49 |
| fairview hospital | Cleveland | not published | $1,411.17 – $6,291.49 |
| lutheran hospital | Cleveland | not published | $1,343.48 – $6,291.49 |
| hillcrest hospital | Mayfield Heights | not published | $1,470.21 – $6,291.49 |