healthcosts.net
Treat thigh fx growth plate at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
not published by hospital
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.
not published by hospital
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.
$234.24 with OPTUM vs $4,506.96 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $234.24 | — |
| Buckeye | Managed Medicaid | $246.57 | — |
| CARESOURCE | Managed Medicaid | $246.57 | — |
| MOLINA | Managed Medicaid | $258.90 | — |
| ANTHEM | Managed Medicaid | $258.90 | — |
| UNITED | Managed Medicaid | $258.90 | — |
| United BH | Managed Medicaid | $261.36 | — |
| AMERIHEALTH | Managed Medicaid | $271.23 | — |
| MMO | Medicare Advantage HMO & PPO | $1,478.75 | — |
| HUMANA | Medicare Advantage HMO | $1,478.75 | — |
| OPTUM | All Products VA | $1,478.75 | — |
| UNITED | MEDICARE ADVANTAGE | $1,478.75 | — |
| AETNA | MEDICARE ADVANTAGE | $1,521.28 | — |
| ANTHEM | MEDICARE ADVANTAGE | $1,521.28 | — |
| Summacare | MEDICARE ADVANTAGE | $1,521.28 | — |
| UPMC | MEDICARE ADVANTAGE | $1,521.28 | — |
| Valor | HMO & PPO | $1,521.28 | — |
| The Health Plan | MEDICARE ADVANTAGE | $1,530.50 | — |
| CIGNA | MEDICARE ADVANTAGE | $1,566.92 | — |
| Perennial Health | MEDICARE ADVANTAGE | $1,597.05 | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,642.99 | — |
| PPHP | ALL PRODUCTS | $1,673.41 | — |
| Zing Health | Medicare Advantage | $1,673.41 | — |
| ANTHEM | HPN | $3,830.90 | — |
| MMO | ALL PRODUCTS | $3,915.79 | — |
| ANTHEM | PPO/HMO | $4,506.96 | — |
Visitor-reported prices
Comments
Treat thigh fx growth plate at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| University Hospitals Ahuja Medical Center | Beachwood | $1,815.75 | $494.85 – $2,738.31 |
| University Hospitals Beachwood Medical Center | Beachwood | $1,815.75 | $900.00 – $3,852.98 |
| University Hospitals Conneaut Medical Center | Conneaut | $1,678.50 | not published |
| University Hospitals Geneva Medical Center | Geneva | $1,678.50 | $447.60 – $2,014.20 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $1,815.75 | $1,521.28 – $2,738.31 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $1,815.75 | $1,521.28 – $2,738.31 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $1,815.75 | $1,642.82 – $2,957.08 |
| University Hospitals St. John Medical Center | Westlake OH | $1,815.75 | $593.15 – $2,957.08 |