healthcosts.net
Vaccine pneumococcal conjugate 13 valent (pcv13) im at akron general
1 Akron General Avenue, Akron, OH · Cleveland Clinic · · NPI 1821035940
$1,089.31
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.
$1,675.86
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 $814.00 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 | $13.37 | ↓ -99% |
| CARESOURCE | Managed Medicaid | $14.07 | ↓ -99% |
| Buckeye | Managed Medicaid | $14.07 | ↓ -99% |
| ANTHEM | Managed Medicaid | $14.77 | ↓ -99% |
| UNITED | Managed Medicaid | $14.77 | ↓ -99% |
| MOLINA | Managed Medicaid | $14.77 | ↓ -99% |
| United BH | Managed Medicaid | $14.91 | ↓ -99% |
| AMERIHEALTH | Managed Medicaid | $15.48 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $177.45 | ↓ -84% |
| MMO | ALL PRODUCTS | $179.89 | ↓ -83% |
| Oscar | All Products | $206.84 | ↓ -81% |
| MMO | Medicare HMO & PPO | $222.87 | ↓ -80% |
| OSCAR | ALL PRODUCTS | $230.20 | ↓ -79% |
| Summacare | Medicare Advantage MD | $257.99 | ↓ -76% |
| PHPHI | ALL PRODUCTS | $260.48 | ↓ -76% |
| PHP | ALL PRODUCTS | $260.48 | ↓ -76% |
| Summacare | Preferred | $268.62 | ↓ -75% |
| Summacare | PREMIER | $292.23 | ↓ -73% |
| United | All Products - Mid-Level | $297.72 | ↓ -73% |
| OHCP | All Products | $316.65 | ↓ -71% |
| Aetna | Acop | $323.16 | ↓ -70% |
| CC EHP | ALL PRODUCTS | $324.79 | ↓ -70% |
| United | HMO & PPO | $337.97 | ↓ -69% |
| Amish Community Aid Plan | ALL PRODUCTS | $366.30 | ↓ -66% |
| United | All Products | $366.35 | ↓ -66% |
| Aetna | ALL PRODUCTS | $385.49 | ↓ -65% |
| OHCP | ALL PRODUCTS | $395.60 | ↓ -64% |
| Aultcare | PPO/HMO | $402.12 | ↓ -63% |
| ANTHEM | HPN | $406.10 | ↓ -63% |
| OMAS | ALL PRODUCTS | $407.00 | ↓ -63% |
| OMAS | All Products | $407.00 | ↓ -63% |
| MMO | TRADITIONAL | $424.09 | ↓ -61% |
| Ohio Healthy | TRANSPLANT | $439.56 | ↓ -60% |
| ANTHEM | TRADITIONAL | $450.14 | ↓ -59% |
| Summacare | Premier | $451.48 | ↓ -59% |
| OPTUM | All Products Transplant | $460.72 | ↓ -58% |
| MMO | SuperMed | $462.34 | ↓ -58% |
| MMO | NASCO | $462.34 | ↓ -58% |
| Optum | All Products Transplant | $474.56 | ↓ -56% |
| ANTHEM | PPO/HMO | $477.77 | ↓ -56% |
| AETNA | Acop | $488.40 | ↓ -55% |
| UPMC | ALL PRODUCTS | $488.40 | ↓ -55% |
| PHPHI | All Products | $488.40 | ↓ -55% |
| The Health Plan | HMO | $488.40 | ↓ -55% |
| UNITED | ALL PRODUCTS | $554.68 | ↓ -49% |
| The Health Plan | ASO Self-Funded | $561.66 | ↓ -48% |
| GMS | All Products | $569.80 | ↓ -48% |
| Medical Benefit Corp | Transplant SMCP | $569.80 | ↓ -48% |
| Summacare | Medicare Advantage CNA | $569.80 | ↓ -48% |
| Summacare | Medicare Advantage Lower Level | $569.80 | ↓ -48% |
| Summacare | Medicare Advantage Psych | $569.80 | ↓ -48% |
| AETNA | International | $569.80 | ↓ -48% |
| AETNA | Asa_Whirlpool_Peia | $569.80 | ↓ -48% |
| MMO | Traditional | $569.80 | ↓ -48% |
| GMS | ALL PRODUCTS | $569.80 | ↓ -48% |
| Consociate Health | All Products | $610.50 | ↓ -44% |
| AETNA | ALL PRODUCTS | $610.50 | ↓ -44% |
| Consociate Health | ALL PRODUCTS | $610.50 | ↓ -44% |
| Aetna | All Products First Health | $610.50 | ↓ -44% |
| Aetna | Asa | $651.20 | ↓ -40% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $651.20 | ↓ -40% |
| FrontPath | TRANSPLANT | $732.60 | ↓ -33% |
| Tertiary Care Network | TRANSPLANT | $732.60 | ↓ -33% |
| Managed Care Services | TRANSPLANT | $732.60 | ↓ -33% |
| MULTIPLAN | ALL PRODUCTS | $732.60 | ↓ -33% |
| Multiplan | All Products | $732.60 | ↓ -33% |
| AETNA | Qhp/Ipf | $814.00 | ↓ -25% |
| Aetna | Qhp/Ifp | $814.00 | ↓ -25% |
| United BH | ALL PRODUCTS | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| UPMC | MEDICARE ADVANTAGE | not published by hospital | — |
| Valor | All Products | not published by hospital | — |
| Valor | HMO & PPO | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare Advantage HMO & PPO | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| Anthem | All Products Physician Non-Facility | not published by hospital | — |
| Anthem | All Products Physician Facility | not published by hospital | — |
| Optum | Managed Medicaid Transplant | not published by hospital | — |
| Optum | Medicare Advantage Transplant | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
| Anthem | All Products Physician | not published by hospital | — |
| Anthem | All Products Mid-Level Non-Facility | not published by hospital | — |
| Anthem | All Products Mid-Level Facility | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| PPHP | All Products | not published by hospital | — |
| PPHP | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | All Products | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $529.10 | $1.10 – $732.60 |
| avon hospital | Avon | $1,089.31 | $14.34 – $732.60 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1,089.31 | $23.42 – $1,462.40 |
| euclid hospital | Euclid | $1,089.31 | $14.70 – $732.60 |
| fairview hospital | Cleveland | $1,089.31 | $13.80 – $732.60 |
| lutheran hospital | Cleveland | $1,089.31 | $13.14 – $732.60 |
| hillcrest hospital | Mayfield Heights | $1,089.31 | $14.38 – $732.60 |
| lodi hospital | Lodi | $1,089.31 | $22.44 – $1,462.40 |