Unlisted px diaphragm at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$28,316.60
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.
$43,564.00
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.
$0.01 with Anthem vs $1,792,000.00 with MMO — 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 |
|---|---|---|---|
| Anthem | All Products Mid-Level Facility | $0.01 | ↓ -100% |
| Anthem | All Products Mid-Level Non-Facility | $0.01 | ↓ -100% |
| Anthem | All Products Physician | $0.01 | ↓ -100% |
| Anthem | All Products Physician Non-Facility | $0.01 | ↓ -100% |
| Anthem | All Products Physician Facility | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Oscar | All Products | $424.35 | ↓ -99% |
| OHCP | All Products | $649.63 | ↓ -98% |
| Aultcare | PPO/HMO | $824.98 | ↓ -97% |
| OMAS | All Products | $835.00 | ↓ -97% |
| Optum | All Products Transplant | $973.61 | ↓ -97% |
| PHPHI | All Products | $1,002.00 | ↓ -96% |
| Summacare | Medicare Advantage Lower Level | $1,169.00 | ↓ -96% |
| GMS | All Products | $1,169.00 | ↓ -96% |
| Summacare | Medicare Advantage Psych | $1,169.00 | ↓ -96% |
| Summacare | Preferred | $1,169.00 | ↓ -96% |
| MMO | Traditional | $1,169.00 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $1,169.00 | ↓ -96% |
| Summacare | Premier | $1,169.00 | ↓ -96% |
| Summacare | Medicare Advantage MD | $1,169.00 | ↓ -96% |
| Aetna | All Products First Health | $1,252.50 | ↓ -96% |
| Consociate Health | All Products | $1,252.50 | ↓ -96% |
| Aetna | Asa | $1,336.00 | ↓ -95% |
| Multiplan | All Products | $1,503.00 | ↓ -95% |
| Aetna | Qhp/Ifp | $1,670.00 | ↓ -94% |
| OPTUM | Managed Medicaid Transplant | $4,428.42 | ↓ -84% |
| Buckeye | Managed Medicaid | $4,661.49 | ↓ -84% |
| CARESOURCE | Managed Medicaid | $4,661.49 | ↓ -84% |
| ANTHEM | Managed Medicaid | $4,894.56 | ↓ -83% |
| MOLINA | Managed Medicaid | $4,894.56 | ↓ -83% |
| UNITED | Managed Medicaid | $4,894.56 | ↓ -83% |
| United BH | Managed Medicaid | $4,941.18 | ↓ -83% |
| AMERIHEALTH | Managed Medicaid | $5,127.64 | ↓ -82% |
| MMO | SuperMed | $1,792,000.00 | ↑ +6228% |
| MMO | NASCO | $1,792,000.00 | ↑ +6228% |
| Caresource | Managed Medicaid | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| United | All Products - Mid-Level | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| The Health Plan | All Products | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| PPHP | All Products | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px diaphragm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $28,316.60 | $0.01 – $6,459.83 |
| mercy hospital | Canton | $28,316.60 | $0.01 – $5,003.81 |
| avon hospital | Avon | not published | $4,749.39 – $4,839.86 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,754.04 – $8,978.37 |
| euclid hospital | Euclid | not published | $4,865.88 – $5,634.18 |
| fairview hospital | Cleveland | not published | $4,571.25 – $5,293.02 |
| lutheran hospital | Cleveland | not published | $4,351.98 – $5,039.13 |
| hillcrest hospital | Mayfield Heights | not published | $4,762.52 – $5,514.50 |