healthcosts.net
Biopsy/removal lymph nodes at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,671.80
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.
$2,572.00
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 $6,508.54 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% |
| Oscar | All Products | $206.08 | ↓ -88% |
| United | Managed Medicaid | $228.92 | ↓ -86% |
| Caresource | Managed Medicaid | $235.79 | ↓ -86% |
| Buckeye | Managed Medicaid | $240.37 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $251.81 | ↓ -85% |
| Molina | Managed Medicaid | $251.81 | ↓ -85% |
| Summacare | Preferred | $273.35 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $273.35 | ↓ -84% |
| Aultcare | PPO/HMO | $290.34 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $313.87 | ↓ -81% |
| OHCP | All Products | $315.48 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $357.46 | ↓ -79% |
| Summacare | Medicare Advantage MD | $399.51 | ↓ -76% |
| OMAS | All Products | $405.50 | ↓ -76% |
| Humana | Medicare Advantage HMO | $418.49 | ↓ -75% |
| Aetna | Medicare Advantage | $418.49 | ↓ -75% |
| Anthem | Medicare Advantage | $418.49 | ↓ -75% |
| Cigna | Medicare Advantage | $418.49 | ↓ -75% |
| The Health Plan | Medicare Advantage | $418.49 | ↓ -75% |
| United | Medicare Advantage | $418.49 | ↓ -75% |
| MMO | Medicare HMO & PPO | $431.04 | ↓ -74% |
| CommuniCare | Medicare Advantage | $439.41 | ↓ -74% |
| Summacare | Premier | $439.41 | ↓ -74% |
| Perennial Health | Medicare Advantage | $451.97 | ↓ -73% |
| The Health Plan | All Products PCP | $460.34 | ↓ -72% |
| The Health Plan | All Products Specialty Physicians | $481.26 | ↓ -71% |
| PHPHI | All Products | $486.60 | ↓ -71% |
| The Health Plan | All Products Radiation Oncology Physicians | $544.04 | ↓ -67% |
| GMS | All Products | $567.70 | ↓ -66% |
| MMO | Traditional | $567.70 | ↓ -66% |
| Anthem | All Products Mid-Level Non-Facility | $592.83 | ↓ -65% |
| Immergrun | All Products | $608.25 | ↓ -64% |
| Aetna | All Products First Health | $608.25 | ↓ -64% |
| Aetna | Asa | $648.80 | ↓ -61% |
| Multiplan | All Products | $729.90 | ↓ -56% |
| Aetna | Qhp/Ifp | $811.00 | ↓ -51% |
| United | All Products - Mid-Level | $987.13 | ↓ -41% |
| United | HMO & PPO | $1,096.81 | ↓ -34% |
| United | All Products | $1,096.81 | ↓ -34% |
| UNITED | Managed Medicaid | $1,844.85 | ↑ +10% |
| CARESOURCE | Managed Medicaid | $1,900.20 | ↑ +14% |
| ANTHEM | Managed Medicaid | $1,937.09 | ↑ +16% |
| MOLINA | Managed Medicaid | $1,937.09 | ↑ +16% |
| AMERIHEALTH | Managed Medicaid | $2,029.34 | ↑ +21% |
| The Health Plan | MEDICARE ADVANTAGE | $3,184.36 | ↑ +90% |
| HUMANA | Medicare Advantage HMO | $3,538.18 | ↑ +112% |
| UNITED | MEDICARE ADVANTAGE | $3,538.18 | ↑ +112% |
| AETNA | MEDICARE ADVANTAGE | $3,704.30 | ↑ +122% |
| Summacare | MEDICARE ADVANTAGE | $3,704.30 | ↑ +122% |
| ANTHEM | MEDICARE ADVANTAGE | $3,704.30 | ↑ +122% |
| CIGNA | MEDICARE ADVANTAGE | $3,815.43 | ↑ +128% |
| Perennial Health | MEDICARE ADVANTAGE | $3,821.23 | ↑ +129% |
| CommuniCare | MEDICARE ADVANTAGE | $3,889.52 | ↑ +133% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $4,000.65 | ↑ +139% |
| UNITED | ALL PRODUCTS | $5,553.00 | ↑ +232% |
| MMO | ALL PRODUCTS | $5,768.37 | ↑ +245% |
| MMO | SuperMed | $6,508.54 | ↑ +289% |
| 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
Biopsy/removal lymph nodes at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,671.80 | $1.10 – $3,704.30 |
| akron general | Akron | $1,671.80 | $1.10 – $3,821.23 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,913.50 | $900.00 – $6,667.74 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,913.50 | $900.00 – $9,381.95 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,998.25 | not published |
| University Hospitals Elyria Medical Center | Elyria | $3,913.50 | $3,704.30 – $6,667.74 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,913.50 | $3,704.30 – $6,667.74 |
| University Hospitals Geneva Medical Center | Geneva | $3,998.25 | not published |