healthcosts.net
Treatment of urethra lesion at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$787.80
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.
$1,212.00
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 $9,879.99 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 | $93.98 | ↓ -88% |
| Buckeye | Managed Medicaid | $98.93 | ↓ -87% |
| United | Managed Medicaid | $103.88 | ↓ -87% |
| Caresource | Managed Medicaid | $103.88 | ↓ -87% |
| Molina | Managed Medicaid | $108.82 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $108.82 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $111.90 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $121.50 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $146.34 | ↓ -81% |
| Aetna | Medicare Advantage | $162.00 | ↓ -79% |
| Anthem | Medicare Advantage | $162.00 | ↓ -79% |
| The Health Plan | Medicare Advantage | $162.00 | ↓ -79% |
| The Health Plan | All Products | $162.00 | ↓ -79% |
| Humana | Medicare Advantage HMO | $162.00 | ↓ -79% |
| Valor | All Products | $162.00 | ↓ -79% |
| United | Medicare Advantage | $162.00 | ↓ -79% |
| Optum | Medicare Advantage Transplant | $162.00 | ↓ -79% |
| Summacare | Medicare Advantage MD | $163.55 | ↓ -79% |
| CommuniCare | Medicare Advantage | $170.10 | ↓ -78% |
| PPHP | All Products | $178.20 | ↓ -77% |
| Anthem | All Products Mid-Level Facility | $241.76 | ↓ -69% |
| Cigna | All Products Mid-Level | $257.11 | ↓ -67% |
| Anthem | All Products Mid-Level Non-Facility | $274.98 | ↓ -65% |
| Aetna | Acop | $284.02 | ↓ -64% |
| Cigna | All Products Physician | $303.80 | ↓ -61% |
| Oscar | All Products | $307.97 | ↓ -61% |
| MMO | Medicare HMO & PPO | $318.09 | ↓ -60% |
| Summacare | Preferred | $330.48 | ↓ -58% |
| Summacare | Premier | $351.21 | ↓ -55% |
| OHCP | All Products | $471.47 | ↓ -40% |
| United | HMO & PPO | $510.43 | ↓ -35% |
| United | All Products - Mid-Level | $560.88 | ↓ -29% |
| Aultcare | PPO/HMO | $598.73 | ↓ -24% |
| United | All Products | $604.51 | ↓ -23% |
| OMAS | All Products | $606.00 | ↓ -23% |
| Anthem | All Products Physician Facility | $614.03 | ↓ -22% |
| Anthem | All Products Physician | $614.03 | ↓ -22% |
| Anthem | All Products Physician Non-Facility | $698.39 | ↓ -11% |
| Optum | All Products Transplant | $706.60 | ↓ -10% |
| PHPHI | All Products | $727.20 | ↓ -8% |
| MMO | Traditional | $848.40 | ↑ +8% |
| GMS | All Products | $848.40 | ↑ +8% |
| Aetna | All Products First Health | $909.00 | ↑ +15% |
| Consociate Health | All Products | $909.00 | ↑ +15% |
| Aetna | Asa | $969.60 | ↑ +23% |
| Multiplan | All Products | $1,090.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,212.00 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $1,676.36 | ↑ +113% |
| CARESOURCE | Managed Medicaid | $1,764.59 | ↑ +124% |
| ANTHEM | Managed Medicaid | $1,852.82 | ↑ +135% |
| UNITED | Managed Medicaid | $1,852.82 | ↑ +135% |
| MOLINA | Managed Medicaid | $1,852.82 | ↑ +135% |
| United BH | Managed Medicaid | $1,870.47 | ↑ +137% |
| AMERIHEALTH | Managed Medicaid | $1,941.05 | ↑ +146% |
| MMO | Medicare Advantage HMO & PPO | $3,186.78 | ↑ +305% |
| OPTUM | All Products VA | $3,186.78 | ↑ +305% |
| UNITED | MEDICARE ADVANTAGE | $3,186.78 | ↑ +305% |
| HUMANA | Medicare Advantage HMO | $3,186.78 | ↑ +305% |
| The Health Plan | MEDICARE ADVANTAGE | $3,298.32 | ↑ +319% |
| ANTHEM | MEDICARE ADVANTAGE | $3,334.90 | ↑ +323% |
| AETNA | MEDICARE ADVANTAGE | $3,334.90 | ↑ +323% |
| Summacare | MEDICARE ADVANTAGE | $3,334.90 | ↑ +323% |
| Valor | HMO & PPO | $3,334.90 | ↑ +323% |
| UPMC | MEDICARE ADVANTAGE | $3,334.90 | ↑ +323% |
| CIGNA | MEDICARE ADVANTAGE | $3,434.95 | ↑ +336% |
| Perennial Health | MEDICARE ADVANTAGE | $3,441.72 | ↑ +337% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,601.70 | ↑ +357% |
| PPHP | ALL PRODUCTS | $3,668.39 | ↑ +366% |
| MMO | SuperMed | $5,953.02 | ↑ +656% |
| MMO | NASCO | $5,953.02 | ↑ +656% |
| ANTHEM | HPN | $8,397.95 | ↑ +966% |
| MMO | ALL PRODUCTS | $8,584.04 | ↑ +990% |
| ANTHEM | PPO/HMO | $9,879.99 | ↑ +1154% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Treatment of urethra lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $787.80 | $1.10 – $3,334.90 |
| mercy hospital | Canton | $787.80 | $1.10 – $3,434.95 |
| avon hospital | Avon | not published | $1,797.86 – $3,668.39 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,935.26 – $3,398.73 |
| euclid hospital | Euclid | not published | $1,841.96 – $3,668.39 |
| fairview hospital | Cleveland | not published | $1,730.43 – $3,668.39 |
| lutheran hospital | Cleveland | not published | $1,647.42 – $3,668.39 |
| hillcrest hospital | Mayfield Heights | not published | $1,802.83 – $3,668.39 |