healthcosts.net
Appendectomy at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,756.00
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.
$4,240.00
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 $4,036,081.00 with The Health Plan — 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% |
| Oscar | All Products | $275.95 | ↓ -90% |
| United | Managed Medicaid | $370.87 | ↓ -87% |
| Caresource | Managed Medicaid | $382.00 | ↓ -86% |
| Aultcare | PPO/HMO | $388.79 | ↓ -86% |
| Buckeye | Managed Medicaid | $389.41 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $398.40 | ↓ -86% |
| Summacare | Preferred | $398.40 | ↓ -86% |
| Molina | Managed Medicaid | $407.96 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $407.96 | ↓ -85% |
| OHCP | All Products | $422.45 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $445.61 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $520.98 | ↓ -81% |
| OMAS | All Products | $543.00 | ↓ -80% |
| Summacare | Medicare Advantage MD | $582.27 | ↓ -79% |
| Cigna | Medicare Advantage | $594.15 | ↓ -78% |
| United | Medicare Advantage | $594.15 | ↓ -78% |
| Anthem | Medicare Advantage | $594.15 | ↓ -78% |
| The Health Plan | Medicare Advantage | $594.15 | ↓ -78% |
| Humana | Medicare Advantage HMO | $594.15 | ↓ -78% |
| Aetna | Medicare Advantage | $594.15 | ↓ -78% |
| MMO | Medicare HMO & PPO | $611.97 | ↓ -78% |
| CommuniCare | Medicare Advantage | $623.86 | ↓ -77% |
| Summacare | Premier | $623.86 | ↓ -77% |
| The Health Plan | PPO | $635.74 | ↓ -77% |
| Perennial Health | Medicare Advantage | $641.68 | ↓ -77% |
| PHPHI | All Products | $651.60 | ↓ -76% |
| The Health Plan | All Products PCP | $653.57 | ↓ -76% |
| The Health Plan | All Products Specialty Physicians | $683.27 | ↓ -75% |
| GMS | All Products | $760.20 | ↓ -72% |
| MMO | Traditional | $760.20 | ↓ -72% |
| The Health Plan | All Products Radiation Oncology Physicians | $772.40 | ↓ -72% |
| Aetna | All Products First Health | $814.50 | ↓ -70% |
| Immergrun | All Products | $814.50 | ↓ -70% |
| Anthem | All Products Mid-Level Non-Facility | $868.42 | ↓ -68% |
| Aetna | Asa | $868.80 | ↓ -68% |
| Multiplan | All Products | $977.40 | ↓ -65% |
| Aetna | Qhp/Ifp | $1,086.00 | ↓ -61% |
| United | All Products - Mid-Level | $1,440.98 | ↓ -48% |
| United | All Products | $1,601.09 | ↓ -42% |
| United | HMO & PPO | $1,601.09 | ↓ -42% |
| UNITED | Managed Medicaid | $2,826.19 | ↑ +3% |
| CARESOURCE | Managed Medicaid | $2,910.98 | ↑ +6% |
| MOLINA | Managed Medicaid | $2,967.50 | ↑ +8% |
| ANTHEM | Managed Medicaid | $2,967.50 | ↑ +8% |
| AMERIHEALTH | Managed Medicaid | $3,108.81 | ↑ +13% |
| The Health Plan | MEDICARE ADVANTAGE | $5,188.86 | ↑ +88% |
| UNITED | MEDICARE ADVANTAGE | $5,765.40 | ↑ +109% |
| HUMANA | Medicare Advantage HMO | $5,765.40 | ↑ +109% |
| Summacare | MEDICARE ADVANTAGE | $6,124.73 | ↑ +122% |
| ANTHEM | MEDICARE ADVANTAGE | $6,124.73 | ↑ +122% |
| AETNA | MEDICARE ADVANTAGE | $6,124.73 | ↑ +122% |
| Perennial Health | MEDICARE ADVANTAGE | $6,226.64 | ↑ +126% |
| CIGNA | MEDICARE ADVANTAGE | $6,308.48 | ↑ +129% |
| CommuniCare | MEDICARE ADVANTAGE | $6,430.97 | ↑ +133% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,614.71 | ↑ +140% |
| MMO | ALL PRODUCTS | $11,449.12 | ↑ +315% |
| MMO | SuperMed | $12,916.74 | ↑ +369% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +46215% |
| The Health Plan | POS | $4,036,081.00 | ↑ +146347% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Appendectomy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,756.00 | $1.10 – $6,124.73 |
| akron general | Akron | $2,756.00 | $1.10 – $6,308.48 |
| avon hospital | Avon | not published | $2,950.74 – $6,737.21 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,817.50 – $5,578.16 |
| euclid hospital | Euclid | not published | $3,023.11 – $6,737.21 |
| fairview hospital | Cleveland | not published | $2,840.06 – $6,737.21 |
| lutheran hospital | Cleveland | not published | $2,703.83 – $6,737.21 |
| hillcrest hospital | Mayfield Heights | not published | $2,958.90 – $6,737.21 |