healthcosts.net
Anoscopy remove lesions w/cautery/snare 46612 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,410.85
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.
$3,709.00
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 $4,793.60 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $59.16 | ↓ -98% |
| Summacare | Preferred | $59.16 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $66.42 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $77.37 | ↓ -97% |
| Summacare | Medicare Advantage MD | $86.47 | ↓ -96% |
| United | Medicare Advantage | $88.56 | ↓ -96% |
| Aetna | Medicare Advantage | $88.56 | ↓ -96% |
| Anthem | Medicare Advantage | $88.56 | ↓ -96% |
| Humana | Medicare Advantage HMO | $88.56 | ↓ -96% |
| Cigna | Medicare Advantage | $88.56 | ↓ -96% |
| The Health Plan | Medicare Advantage | $88.56 | ↓ -96% |
| MMO | Medicare HMO & PPO | $91.22 | ↓ -96% |
| Summacare | Premier | $92.99 | ↓ -96% |
| CommuniCare | Medicare Advantage | $92.99 | ↓ -96% |
| Perennial Health | Medicare Advantage | $95.64 | ↓ -96% |
| The Health Plan | All Products PCP | $97.42 | ↓ -96% |
| United | Managed Medicaid | $97.94 | ↓ -96% |
| Caresource | Managed Medicaid | $100.88 | ↓ -96% |
| The Health Plan | All Products Specialty Physicians | $101.84 | ↓ -96% |
| Buckeye | Managed Medicaid | $102.84 | ↓ -96% |
| Molina | Managed Medicaid | $107.73 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $107.73 | ↓ -96% |
| The Health Plan | All Products Radiation Oncology Physicians | $115.13 | ↓ -95% |
| Oscar | All Products | $152.46 | ↓ -94% |
| Aultcare | PPO/HMO | $214.80 | ↓ -91% |
| OHCP | All Products | $233.40 | ↓ -90% |
| OMAS | All Products | $300.00 | ↓ -88% |
| PHPHI | All Products | $360.00 | ↓ -85% |
| Aetna | Acop | $396.10 | ↓ -84% |
| Cigna | All Products Mid-Level | $405.93 | ↓ -83% |
| MMO | Traditional | $420.00 | ↓ -83% |
| GMS | All Products | $420.00 | ↓ -83% |
| Anthem | All Products Mid-Level Non-Facility | $434.15 | ↓ -82% |
| Aetna | All Products First Health | $450.00 | ↓ -81% |
| Immergrun | All Products | $450.00 | ↓ -81% |
| Cigna | All Products Physician | $479.65 | ↓ -80% |
| Aetna | Asa | $480.00 | ↓ -80% |
| Multiplan | All Products | $540.00 | ↓ -78% |
| Aetna | Qhp/Ifp | $600.00 | ↓ -75% |
| United | All Products - Mid-Level | $704.22 | ↓ -71% |
| United | All Products | $782.47 | ↓ -68% |
| United | HMO & PPO | $782.47 | ↓ -68% |
| The Health Plan | MEDICARE ADVANTAGE | $2,280.52 | ↓ -5% |
| HUMANA | Medicare Advantage HMO | $2,533.91 | ↑ +5% |
| UNITED | MEDICARE ADVANTAGE | $2,533.91 | ↑ +5% |
| ANTHEM | MEDICARE ADVANTAGE | $2,625.99 | ↑ +9% |
| Summacare | MEDICARE ADVANTAGE | $2,625.99 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $2,625.99 | ↑ +9% |
| CIGNA | MEDICARE ADVANTAGE | $2,704.77 | ↑ +12% |
| Perennial Health | MEDICARE ADVANTAGE | $2,736.63 | ↑ +14% |
| CommuniCare | MEDICARE ADVANTAGE | $2,757.29 | ↑ +14% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,836.07 | ↑ +18% |
| MMO | ALL PRODUCTS | $4,249.08 | ↑ +76% |
| MMO | SuperMed | $4,793.60 | ↑ +99% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Anoscopy remove lesions w/cautery/snare 46612 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $390.00 | $1.10 – $2,625.99 |
| akron general | Akron | $2,410.85 | $1.10 – $2,736.63 |
| avon hospital | Avon | not published | $2,542.31 – $2,888.59 |
| euclid hospital | Euclid | not published | $2,435.91 – $2,888.59 |
| fairview hospital | Cleveland | not published | $2,435.91 – $2,888.59 |
| lutheran hospital | Cleveland | not published | $2,542.31 – $2,888.59 |
| hillcrest hospital | Mayfield Heights | not published | $2,435.91 – $2,888.59 |
| lodi hospital | Lodi | not published | $2,742.39 – $2,835.78 |