healthcosts.net
Ultrasound breast unilateral limited (both sides) at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$589.55
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.
$907.00
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.
$0.87 with AETNA vs $608.00 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 |
|---|---|---|---|
| AETNA | Acop | $0.87 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $19.96 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $23.15 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $26.10 | ↓ -96% |
| Summacare | Medicare Advantage MD | $29.17 | ↓ -95% |
| Aetna | Medicare Advantage | $30.86 | ↓ -95% |
| Optum | Medicare Advantage Transplant | $30.86 | ↓ -95% |
| United | Medicare Advantage | $30.86 | ↓ -95% |
| The Health Plan | All Products | $30.86 | ↓ -95% |
| Anthem | Medicare Advantage | $30.86 | ↓ -95% |
| Valor | All Products | $30.86 | ↓ -95% |
| The Health Plan | Medicare Advantage | $30.86 | ↓ -95% |
| Humana | Medicare Advantage HMO | $30.86 | ↓ -95% |
| CommuniCare | Medicare Advantage | $32.40 | ↓ -95% |
| PPHP | All Products | $33.16 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $43.82 | ↓ -93% |
| Anthem | All Products Mid-Level Facility | $43.82 | ↓ -93% |
| MMO | Medicare HMO & PPO | $55.53 | ↓ -91% |
| United | HMO & PPO | $61.64 | ↓ -90% |
| Summacare | Premier | $62.63 | ↓ -89% |
| Summacare | Preferred | $62.95 | ↓ -89% |
| Optum | Managed Medicaid Transplant | $63.36 | ↓ -89% |
| Buckeye | Managed Medicaid | $66.69 | ↓ -89% |
| United | Managed Medicaid | $70.02 | ↓ -88% |
| Caresource | Managed Medicaid | $70.02 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $73.36 | ↓ -88% |
| Molina | Managed Medicaid | $73.36 | ↓ -88% |
| Oscar | All Products | $75.98 | ↓ -87% |
| OPTUM | Managed Medicaid Transplant | $77.56 | ↓ -87% |
| United | All Products - Mid-Level | $81.13 | ↓ -86% |
| OPTUM | All Products VA | $81.36 | ↓ -86% |
| HUMANA | Medicare Advantage HMO | $81.36 | ↓ -86% |
| MMO | Medicare Advantage HMO & PPO | $81.36 | ↓ -86% |
| UNITED | MEDICARE ADVANTAGE | $81.36 | ↓ -86% |
| CARESOURCE | Managed Medicaid | $81.64 | ↓ -86% |
| UPMC | MEDICARE ADVANTAGE | $82.33 | ↓ -86% |
| Valor | HMO & PPO | $82.33 | ↓ -86% |
| ANTHEM | MEDICARE ADVANTAGE | $82.33 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $82.33 | ↓ -86% |
| Summacare | MEDICARE ADVANTAGE | $82.33 | ↓ -86% |
| The Health Plan | MEDICARE ADVANTAGE | $84.20 | ↓ -86% |
| CIGNA | MEDICARE ADVANTAGE | $84.80 | ↓ -86% |
| ANTHEM | Managed Medicaid | $85.72 | ↓ -85% |
| MOLINA | Managed Medicaid | $85.72 | ↓ -85% |
| UNITED | Managed Medicaid | $85.72 | ↓ -85% |
| United BH | Managed Medicaid | $86.54 | ↓ -85% |
| Perennial Health | MEDICARE ADVANTAGE | $87.86 | ↓ -85% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $88.92 | ↓ -85% |
| United | All Products | $89.18 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $89.80 | ↓ -85% |
| PPHP | ALL PRODUCTS | $90.57 | ↓ -85% |
| Anthem | All Products Physician Non-Facility | $111.29 | ↓ -81% |
| Anthem | All Products Physician | $111.29 | ↓ -81% |
| Anthem | All Products Physician Facility | $111.29 | ↓ -81% |
| OHCP | All Products | $116.31 | ↓ -80% |
| ANTHEM | HPN | $147.25 | ↓ -75% |
| Aultcare | PPO/HMO | $147.71 | ↓ -75% |
| OMAS | All Products | $149.50 | ↓ -75% |
| MMO | NASCO | $155.90 | ↓ -74% |
| MMO | SuperMed | $155.90 | ↓ -74% |
| OSCAR | ALL PRODUCTS | $171.94 | ↓ -71% |
| Optum | All Products Transplant | $174.32 | ↓ -70% |
| PHPHI | All Products | $179.40 | ↓ -70% |
| PHPHI | ALL PRODUCTS | $194.56 | ↓ -67% |
| PHP | ALL PRODUCTS | $194.56 | ↓ -67% |
| AETNA | International | $205.96 | ↓ -65% |
| GMS | All Products | $209.30 | ↓ -64% |
| MMO | Traditional | $209.30 | ↓ -64% |
| MMO | ALL PRODUCTS | $211.92 | ↓ -64% |
| Summacare | PREMIER | $218.27 | ↓ -63% |
| Aetna | All Products First Health | $224.25 | ↓ -62% |
| Consociate Health | All Products | $224.25 | ↓ -62% |
| Aetna | Asa | $239.20 | ↓ -59% |
| ANTHEM | PPO/HMO | $243.92 | ↓ -59% |
| CC EHP | ALL PRODUCTS | $246.24 | ↓ -58% |
| Multiplan | All Products | $269.10 | ↓ -54% |
| Amish Community Aid Plan | ALL PRODUCTS | $273.60 | ↓ -54% |
| OHCP | ALL PRODUCTS | $295.49 | ↓ -50% |
| Aetna | Qhp/Ifp | $299.00 | ↓ -49% |
| OMAS | ALL PRODUCTS | $304.00 | ↓ -48% |
| MMO | TRADITIONAL | $316.77 | ↓ -46% |
| Ohio Healthy | TRANSPLANT | $328.32 | ↓ -44% |
| ANTHEM | TRADITIONAL | $336.22 | ↓ -43% |
| OPTUM | All Products Transplant | $344.13 | ↓ -42% |
| UPMC | ALL PRODUCTS | $364.80 | ↓ -38% |
| The Health Plan | HMO | $364.80 | ↓ -38% |
| UNITED | ALL PRODUCTS | $409.57 | ↓ -31% |
| The Health Plan | ASO Self-Funded | $419.52 | ↓ -29% |
| Medical Benefit Corp | Transplant SMCP | $425.60 | ↓ -28% |
| GMS | ALL PRODUCTS | $425.60 | ↓ -28% |
| Consociate Health | ALL PRODUCTS | $456.00 | ↓ -23% |
| AETNA | ALL PRODUCTS | $456.00 | ↓ -23% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $486.40 | ↓ -17% |
| Managed Care Services | TRANSPLANT | $547.20 | ↓ -7% |
| FrontPath | TRANSPLANT | $547.20 | ↓ -7% |
| MULTIPLAN | ALL PRODUCTS | $547.20 | ↓ -7% |
| Tertiary Care Network | TRANSPLANT | $547.20 | ↓ -7% |
| AETNA | Qhp/Ipf | $608.00 | ↑ +3% |
| United BH | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound breast unilateral limited (both sides) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $589.55 | $1.10 – $547.20 |
| avon hospital | Avon | $395.20 | $0.87 – $547.20 |
| euclid hospital | Euclid | $395.20 | $0.87 – $547.20 |
| fairview hospital | Cleveland | $395.20 | $0.87 – $547.20 |
| lutheran hospital | Cleveland | $395.20 | $0.87 – $547.20 |
| hillcrest hospital | Mayfield Heights | $395.20 | $0.87 – $547.20 |
| lodi hospital | Lodi | $395.20 | $88.05 – $547.20 |
| marymount hospital | Garfield Heights | $395.20 | $0.87 – $547.20 |