healthcosts.net
Treat fracture of ulna at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,393.60
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.
$2,144.00
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 $2,144.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| MMO | Medicare Advantage HMO & PPO | $221.64 | ↓ -84% |
| HUMANA | Medicare Advantage HMO | $221.64 | ↓ -84% |
| OPTUM | All Products VA | $221.64 | ↓ -84% |
| UNITED | MEDICARE ADVANTAGE | $221.64 | ↓ -84% |
| The Health Plan | MEDICARE ADVANTAGE | $229.40 | ↓ -84% |
| Summacare | MEDICARE ADVANTAGE | $233.37 | ↓ -83% |
| ANTHEM | MEDICARE ADVANTAGE | $233.37 | ↓ -83% |
| Valor | HMO & PPO | $233.37 | ↓ -83% |
| UPMC | MEDICARE ADVANTAGE | $233.37 | ↓ -83% |
| AETNA | MEDICARE ADVANTAGE | $233.37 | ↓ -83% |
| OPTUM | Managed Medicaid Transplant | $234.24 | ↓ -83% |
| Optum | Managed Medicaid Transplant | $238.72 | ↓ -83% |
| Perennial Health | MEDICARE ADVANTAGE | $239.38 | ↓ -83% |
| CIGNA | MEDICARE ADVANTAGE | $240.37 | ↓ -83% |
| CARESOURCE | Managed Medicaid | $246.57 | ↓ -82% |
| Buckeye | Managed Medicaid | $246.57 | ↓ -82% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $252.04 | ↓ -82% |
| PPHP | ALL PRODUCTS | $256.70 | ↓ -82% |
| ANTHEM | Managed Medicaid | $258.90 | ↓ -81% |
| UNITED | Managed Medicaid | $258.90 | ↓ -81% |
| MOLINA | Managed Medicaid | $258.90 | ↓ -81% |
| United BH | Managed Medicaid | $261.36 | ↓ -81% |
| United | Managed Medicaid | $263.84 | ↓ -81% |
| Caresource | Managed Medicaid | $263.84 | ↓ -81% |
| AMERIHEALTH | Managed Medicaid | $271.23 | ↓ -81% |
| Molina | Managed Medicaid | $276.41 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $276.41 | ↓ -80% |
| Summacare | Medicare Advantage Lower Level | $286.41 | ↓ -79% |
| Summacare | Medicare Advantage Psych | $325.95 | ↓ -77% |
| Summacare | Medicare Advantage CNA | $374.54 | ↓ -73% |
| MMO | SuperMed | $403.20 | ↓ -71% |
| MMO | NASCO | $403.20 | ↓ -71% |
| Summacare | Medicare Advantage MD | $418.60 | ↓ -70% |
| Optum | Medicare Advantage Transplant | $434.60 | ↓ -69% |
| The Health Plan | All Products | $434.60 | ↓ -69% |
| Valor | All Products | $434.60 | ↓ -69% |
| Humana | Medicare Advantage HMO | $434.60 | ↓ -69% |
| Aetna | Medicare Advantage | $434.60 | ↓ -69% |
| The Health Plan | Medicare Advantage | $434.60 | ↓ -69% |
| Anthem | Medicare Advantage | $434.60 | ↓ -69% |
| United | Medicare Advantage | $434.60 | ↓ -69% |
| CommuniCare | Medicare Advantage | $456.33 | ↓ -67% |
| PPHP | All Products | $475.88 | ↓ -66% |
| Oscar | All Products | $544.79 | ↓ -61% |
| ANTHEM | HPN | $587.66 | ↓ -58% |
| MMO | ALL PRODUCTS | $600.68 | ↓ -57% |
| Anthem | All Products Mid-Level Facility | $617.05 | ↓ -56% |
| Cigna | All Products Mid-Level | $623.32 | ↓ -55% |
| Anthem | All Products Mid-Level Non-Facility | $666.64 | ↓ -52% |
| Aetna | Acop | $676.02 | ↓ -51% |
| ANTHEM | PPO/HMO | $691.37 | ↓ -50% |
| Cigna | All Products Physician | $736.52 | ↓ -47% |
| MMO | Medicare HMO & PPO | $755.59 | ↓ -46% |
| OHCP | All Products | $834.02 | ↓ -40% |
| Summacare | Preferred | $886.58 | ↓ -36% |
| Summacare | Premier | $898.89 | ↓ -35% |
| Aultcare | PPO/HMO | $1,059.14 | ↓ -24% |
| OMAS | All Products | $1,072.00 | ↓ -23% |
| United | HMO & PPO | $1,242.44 | ↓ -11% |
| Optum | All Products Transplant | $1,249.95 | ↓ -10% |
| PHPHI | All Products | $1,286.40 | ↓ -8% |
| United | All Products - Mid-Level | $1,365.22 | ↓ -2% |
| United | All Products | $1,471.43 | ↑ +6% |
| GMS | All Products | $1,500.80 | ↑ +8% |
| MMO | Traditional | $1,500.80 | ↑ +8% |
| Anthem | All Products Physician Facility | $1,567.17 | ↑ +12% |
| Anthem | All Products Physician | $1,567.17 | ↑ +12% |
| Aetna | All Products First Health | $1,608.00 | ↑ +15% |
| Consociate Health | All Products | $1,608.00 | ↑ +15% |
| Anthem | All Products Physician Non-Facility | $1,693.14 | ↑ +21% |
| Aetna | Asa | $1,715.20 | ↑ +23% |
| Multiplan | All Products | $1,929.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,144.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Treat fracture of ulna at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,393.60 | $0.01 – $1,929.60 |
| avon hospital | Avon | $716.95 | $222.38 – $992.70 |
| euclid hospital | Euclid | $716.95 | $204.59 – $992.70 |
| fairview hospital | Cleveland | $716.95 | $204.59 – $992.70 |
| lutheran hospital | Cleveland | $716.95 | $222.38 – $992.70 |
| hillcrest hospital | Mayfield Heights | $716.95 | $204.59 – $992.70 |
| marymount hospital | Garfield Heights | $716.95 | $204.59 – $992.70 |
| medina hospital | Medina | $716.95 | $222.38 – $992.70 |