Biliary endoscopy thru skin at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$10,552.10
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.
$16,234.00
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 UNITED vs $16,234.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| The Health Plan | PPO | $803.25 | ↓ -92% |
| UNITED | Managed Medicaid | $2,334.47 | ↓ -78% |
| CARESOURCE | Managed Medicaid | $2,404.50 | ↓ -77% |
| Buckeye | Managed Medicaid | $2,404.50 | ↓ -77% |
| MOLINA | Managed Medicaid | $2,451.19 | ↓ -77% |
| ANTHEM | Managed Medicaid | $2,451.19 | ↓ -77% |
| AMERIHEALTH | Managed Medicaid | $2,567.92 | ↓ -76% |
| ANTHEM | HPN | $2,892.00 | ↓ -73% |
| The Health Plan | MEDICARE ADVANTAGE | $2,934.70 | ↓ -72% |
| ANTHEM | Exchange | $3,062.00 | ↓ -71% |
| UNITED | MEDICARE ADVANTAGE | $3,260.78 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $3,260.78 | ↓ -69% |
| ANTHEM | PPO/HMO | $3,402.00 | ↓ -68% |
| MMO | Medicare HMO & PPO | $3,423.82 | ↓ -68% |
| Perennial Health | MEDICARE ADVANTAGE | $3,521.64 | ↓ -67% |
| OSCAR | ALL PRODUCTS | $4,590.98 | ↓ -56% |
| PHP | ALL PRODUCTS | $5,194.88 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $5,194.88 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $5,487.09 | ↓ -48% |
| CIGNA | ALL PRODUCTS | $5,520.00 | ↓ -48% |
| Summacare | Preferred | $5,698.13 | ↓ -46% |
| Aultcare | PPO/HMO | $5,811.77 | ↓ -45% |
| ANTHEM | MEDICARE ADVANTAGE | $6,124.73 | ↓ -42% |
| Summacare | MEDICARE ADVANTAGE | $6,124.73 | ↓ -42% |
| AETNA | MEDICARE ADVANTAGE | $6,124.73 | ↓ -42% |
| Summacare | PREMIER | $6,201.39 | ↓ -41% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↓ -41% |
| CIGNA | MEDICARE ADVANTAGE | $6,308.48 | ↓ -40% |
| CommuniCare | MEDICARE ADVANTAGE | $6,430.97 | ↓ -39% |
| AETNA | International | $6,561.00 | ↓ -38% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,614.71 | ↓ -37% |
| Zing Health | Medicare Advantage | $6,737.21 | ↓ -36% |
| MMO | ALL PRODUCTS | $6,907.37 | ↓ -35% |
| Amish Community Aid Plan | ALL PRODUCTS | $7,305.30 | ↓ -31% |
| OHCP | ALL PRODUCTS | $7,889.72 | ↓ -25% |
| OMAS | ALL PRODUCTS | $8,117.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $8,117.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $8,766.36 | ↓ -17% |
| ANTHEM | TRADITIONAL | $8,977.40 | ↓ -15% |
| Medical Benefit Corp | Transplant SMCP | $11,363.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $11,363.80 | ↑ +8% |
| AETNA | ALL PRODUCTS | $12,175.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $12,175.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $13,636.56 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $14,610.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $14,610.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $14,610.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $14,610.60 | ↑ +38% |
| The Health Plan | HMO | $16,234.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $16,234.00 | ↑ +54% |
| The Health Plan | POS | $16,234.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $2,598.00 | not published |
| Anderson Hospital | Cincinnati | $2,598.00 | not published |
| Clermont Hospital | Batavia | $2,598.00 | not published |
| Kings Mills Hospital | Mason | $2,598.00 | not published |
| Mercy West Hospital | Cincinnati | $2,598.00 | not published |
| cleveland clinic main campus | Cleveland | $10,552.10 | $0.01 – $14,610.60 |
| akron general | Akron | $10,552.10 | $0.01 – $14,610.60 |
| avon hospital | Avon | $10,552.10 | $0.01 – $14,610.60 |