Tx open dstl phlngl fx f/t internal fixation ea at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$9,701.25
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.
$14,925.00
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 $14,925.00 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% |
| Optum | Managed Medicaid Transplant | $246.24 | ↓ -97% |
| Buckeye | Managed Medicaid | $259.20 | ↓ -97% |
| United | Managed Medicaid | $272.16 | ↓ -97% |
| Caresource | Managed Medicaid | $272.16 | ↓ -97% |
| Molina | Managed Medicaid | $285.12 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $285.12 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $313.00 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $350.09 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $409.31 | ↓ -96% |
| Summacare | Medicare Advantage MD | $457.46 | ↓ -95% |
| Humana | Medicare Advantage HMO | $466.78 | ↓ -95% |
| Valor | All Products | $466.78 | ↓ -95% |
| United | Medicare Advantage | $466.78 | ↓ -95% |
| Aetna | Medicare Advantage | $466.78 | ↓ -95% |
| The Health Plan | Medicare Advantage | $466.78 | ↓ -95% |
| The Health Plan | All Products | $466.78 | ↓ -95% |
| Anthem | Medicare Advantage | $466.78 | ↓ -95% |
| Optum | Medicare Advantage Transplant | $466.78 | ↓ -95% |
| CommuniCare | Medicare Advantage | $490.12 | ↓ -95% |
| PPHP | All Products | $513.46 | ↓ -95% |
| Oscar | All Products | $595.61 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $673.85 | ↓ -93% |
| Anthem | All Products Mid-Level Facility | $673.85 | ↓ -93% |
| MMO | Medicare HMO & PPO | $824.83 | ↓ -91% |
| ANTHEM | HPN | $850.28 | ↓ -91% |
| OHCP | All Products | $911.82 | ↓ -91% |
| Summacare | Preferred | $952.23 | ↓ -90% |
| Summacare | Premier | $982.34 | ↓ -90% |
| Aultcare | PPO/HMO | $1,157.94 | ↓ -88% |
| OMAS | All Products | $1,172.00 | ↓ -88% |
| United | HMO & PPO | $1,253.02 | ↓ -87% |
| Optum | All Products Transplant | $1,366.55 | ↓ -86% |
| United | All Products - Mid-Level | $1,376.85 | ↓ -86% |
| PHPHI | All Products | $1,406.40 | ↓ -86% |
| United | All Products | $1,483.97 | ↓ -85% |
| GMS | All Products | $1,640.80 | ↓ -83% |
| MMO | Traditional | $1,640.80 | ↓ -83% |
| Anthem | All Products Physician Facility | $1,711.45 | ↓ -82% |
| Anthem | All Products Physician Non-Facility | $1,711.45 | ↓ -82% |
| Anthem | All Products Physician | $1,711.45 | ↓ -82% |
| Consociate Health | All Products | $1,758.00 | ↓ -82% |
| Aetna | All Products First Health | $1,758.00 | ↓ -82% |
| Aetna | Asa | $1,875.20 | ↓ -81% |
| Multiplan | All Products | $2,109.60 | ↓ -78% |
| Aetna | Qhp/Ifp | $2,344.00 | ↓ -76% |
| UNITED | ALL PRODUCTS | $2,453.00 | ↓ -75% |
| OPTUM | Managed Medicaid Transplant | $2,860.13 | ↓ -71% |
| MMO | Medicare Advantage HMO & PPO | $2,997.95 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $2,997.95 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $2,997.95 | ↓ -69% |
| OPTUM | All Products VA | $2,997.95 | ↓ -69% |
| CARESOURCE | Managed Medicaid | $3,010.66 | ↓ -69% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $3,095.56 | ↓ -68% |
| Valor | HMO & PPO | $3,095.56 | ↓ -68% |
| The Health Plan | MEDICARE ADVANTAGE | $3,102.88 | ↓ -68% |
| UNITED | Managed Medicaid | $3,161.19 | ↓ -67% |
| ANTHEM | Managed Medicaid | $3,161.19 | ↓ -67% |
| MOLINA | Managed Medicaid | $3,161.19 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↓ -67% |
| United BH | Managed Medicaid | $3,191.30 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $3,237.79 | ↓ -67% |
| AMERIHEALTH | Managed Medicaid | $3,311.73 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↓ -66% |
| PPHP | ALL PRODUCTS | $3,405.12 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $4,220.79 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $4,776.00 | ↓ -51% |
| PHP | ALL PRODUCTS | $4,776.00 | ↓ -51% |
| Summacare | PREMIER | $5,358.08 | ↓ -45% |
| MMO | SuperMed | $5,526.53 | ↓ -43% |
| MMO | NASCO | $5,526.53 | ↓ -43% |
| CC EHP | ALL PRODUCTS | $6,044.63 | ↓ -38% |
| AETNA | Acop | $6,075.00 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $6,716.25 | ↓ -31% |
| AETNA | Asa_Whirlpool_Peia | $7,090.00 | ↓ -27% |
| OHCP | ALL PRODUCTS | $7,253.55 | ↓ -25% |
| AETNA | International | $7,445.00 | ↓ -23% |
| OMAS | ALL PRODUCTS | $7,462.50 | ↓ -23% |
| MMO | TRADITIONAL | $7,775.93 | ↓ -20% |
| MMO | ALL PRODUCTS | $7,967.98 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $8,059.50 | ↓ -17% |
| ANTHEM | TRADITIONAL | $8,253.53 | ↓ -15% |
| OPTUM | All Products Transplant | $8,447.55 | ↓ -13% |
| The Health Plan | HMO | $8,955.00 | ↓ -8% |
| UPMC | ALL PRODUCTS | $8,955.00 | ↓ -8% |
| ANTHEM | PPO/HMO | $9,170.92 | ↓ -5% |
| The Health Plan | ASO Self-Funded | $10,298.25 | ↑ +6% |
| GMS | ALL PRODUCTS | $10,447.50 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $10,447.50 | ↑ +8% |
| AETNA | ALL PRODUCTS | $11,193.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $11,193.75 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $11,940.00 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $13,432.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $13,432.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $13,432.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $13,432.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $14,925.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Tx open dstl phlngl fx f/t internal fixation ea at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy West Hospital | Cincinnati | $13,935.12 | $3,243.99 – $3,243.99 |
| cleveland clinic main campus | Cleveland | $9,701.25 | $1.10 – $13,432.50 |
| mercy hospital | Canton | $1,523.60 | $1.10 – $3,231.75 |
| Fairfield Hospital | Fairfield | $12,134.27 | $3,243.99 – $3,308.87 |
| Lorain Hospital | Lorain | $8,109.12 | $3,095.56 – $3,157.48 |
| St Anne Hospital | Toledo | $24,884.40 | $3,178.60 – $3,242.17 |
| Barnesville Hospital | Barnesville | $580.50 | not published |
| avon hospital | Avon | not published | $3,007.88 – $3,405.12 |