healthcosts.net
Biopsy eyelid & lid margin at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$337.35
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.
?
What you pay up front if you don't use insurance.
$519.00
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.
?
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
?
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 →
?
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 Psych | $40.71 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $41.59 | ↓ -88% |
| Summacare | Preferred | $41.59 | ↓ -88% |
| United | Managed Medicaid | $53.93 | ↓ -84% |
| United | Medicare Advantage | $54.28 | ↓ -84% |
| Aetna | Medicare Advantage | $54.28 | ↓ -84% |
| Humana | Medicare Advantage HMO | $54.28 | ↓ -84% |
| The Health Plan | Medicare Advantage | $54.28 | ↓ -84% |
| Cigna | Medicare Advantage | $54.28 | ↓ -84% |
| Anthem | Medicare Advantage | $54.28 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $54.38 | ↓ -84% |
| Caresource | Managed Medicaid | $55.55 | ↓ -84% |
| MMO | Medicare HMO & PPO | $55.91 | ↓ -83% |
| Buckeye | Managed Medicaid | $56.63 | ↓ -83% |
| CommuniCare | Medicare Advantage | $56.99 | ↓ -83% |
| Summacare | Premier | $56.99 | ↓ -83% |
| The Health Plan | PPO | $58.08 | ↓ -83% |
| Perennial Health | Medicare Advantage | $58.62 | ↓ -83% |
| Molina | Managed Medicaid | $59.32 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $59.32 | ↓ -82% |
| The Health Plan | All Products PCP | $59.71 | ↓ -82% |
| Summacare | Medicare Advantage MD | $60.78 | ↓ -82% |
| The Health Plan | All Products Specialty Physicians | $62.42 | ↓ -81% |
| The Health Plan | All Products Radiation Oncology Physicians | $70.56 | ↓ -79% |
| Oscar | All Products | $131.88 | ↓ -61% |
| UNITED | Managed Medicaid | $161.61 | ↓ -52% |
| CARESOURCE | Managed Medicaid | $166.46 | ↓ -51% |
| MOLINA | Managed Medicaid | $169.69 | ↓ -50% |
| ANTHEM | Managed Medicaid | $169.69 | ↓ -50% |
| AMERIHEALTH | Managed Medicaid | $177.77 | ↓ -47% |
| Aultcare | PPO/HMO | $185.80 | ↓ -45% |
| OHCP | All Products | $201.89 | ↓ -40% |
| Cigna | All Products Mid-Level | $223.37 | ↓ -34% |
| Aetna | Acop | $236.43 | ↓ -30% |
| Anthem | All Products Mid-Level Non-Facility | $238.90 | ↓ -29% |
| The Health Plan | MEDICARE ADVANTAGE | $248.58 | ↓ -26% |
| OMAS | All Products | $259.50 | ↓ -23% |
| Cigna | All Products Physician | $263.93 | ↓ -22% |
| UNITED | MEDICARE ADVANTAGE | $276.21 | ↓ -18% |
| HUMANA | Medicare Advantage HMO | $276.21 | ↓ -18% |
| Perennial Health | MEDICARE ADVANTAGE | $298.30 | ↓ -12% |
| Summacare | MEDICARE ADVANTAGE | $300.29 | ↓ -11% |
| AETNA | MEDICARE ADVANTAGE | $300.29 | ↓ -11% |
| ANTHEM | MEDICARE ADVANTAGE | $300.29 | ↓ -11% |
| CIGNA | MEDICARE ADVANTAGE | $309.30 | ↓ -8% |
| PHPHI | All Products | $311.40 | ↓ -8% |
| CommuniCare | MEDICARE ADVANTAGE | $315.30 | ↓ -7% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $324.31 | ↓ -4% |
| MMO | Traditional | $363.30 | ↑ +8% |
| GMS | All Products | $363.30 | ↑ +8% |
| Immergrun | All Products | $389.25 | ↑ +15% |
| Aetna | All Products First Health | $389.25 | ↑ +15% |
| United | All Products - Mid-Level | $391.83 | ↑ +16% |
| Aetna | Asa | $415.20 | ↑ +23% |
| United | All Products | $435.36 | ↑ +29% |
| United | HMO & PPO | $435.36 | ↑ +29% |
| MMO | ALL PRODUCTS | $440.85 | ↑ +31% |
| Multiplan | All Products | $467.10 | ↑ +38% |
| MMO | SuperMed | $498.18 | ↑ +48% |
| Aetna | Qhp/Ifp | $519.00 | ↑ +54% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +378275% |
| The Health Plan | POS | $4,036,081.00 | ↑ +1196308% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy eyelid & lid margin at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $893.75 | $0.01 – $1,237.50 |
| akron general | Akron | $893.75 | $0.01 – $1,237.50 |
| University Hospitals Ahuja Medical Center | Beachwood | $576.00 | $169.73 – $691.20 |
| University Hospitals Beachwood Medical Center | Beachwood | $576.00 | $300.29 – $760.54 |
| University Hospitals Elyria Medical Center | Elyria | $576.00 | $300.29 – $540.52 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $576.00 | $300.29 – $540.52 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $576.00 | $300.29 – $540.52 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $576.00 | $300.29 – $540.52 |