Bone biopsy open superficial at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$8,557.25
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.
$13,165.00
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.
$0.01 with UNITED vs $13,165.00 with AETNA — 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $86.07 | ↓ -99% |
| Summacare | Preferred | $86.07 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $93.40 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $112.56 | ↓ -99% |
| Anthem | Medicare Advantage | $124.53 | ↓ -99% |
| Aetna | Medicare Advantage | $124.53 | ↓ -99% |
| Humana | Medicare Advantage HMO | $124.53 | ↓ -99% |
| The Health Plan | Medicare Advantage | $124.53 | ↓ -99% |
| Cigna | Medicare Advantage | $124.53 | ↓ -99% |
| United | Medicare Advantage | $124.53 | ↓ -99% |
| Summacare | Medicare Advantage MD | $125.80 | ↓ -99% |
| MMO | Medicare HMO & PPO | $128.27 | ↓ -99% |
| Summacare | Premier | $130.76 | ↓ -98% |
| CommuniCare | Medicare Advantage | $130.76 | ↓ -98% |
| Perennial Health | Medicare Advantage | $134.49 | ↓ -98% |
| The Health Plan | All Products PCP | $136.98 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $143.21 | ↓ -98% |
| United | Managed Medicaid | $143.62 | ↓ -98% |
| Caresource | Managed Medicaid | $147.93 | ↓ -98% |
| Buckeye | Managed Medicaid | $150.80 | ↓ -98% |
| Molina | Managed Medicaid | $157.98 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $157.98 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $161.89 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $186.66 | ↓ -98% |
| Oscar | All Products | $291.71 | ↓ -97% |
| United | All Products - Mid-Level | $311.45 | ↓ -96% |
| United | All Products | $346.06 | ↓ -96% |
| United | HMO & PPO | $346.06 | ↓ -96% |
| Aultcare | PPO/HMO | $410.98 | ↓ -95% |
| OHCP | All Products | $446.57 | ↓ -95% |
| OMAS | All Products | $574.00 | ↓ -93% |
| PHPHI | All Products | $688.80 | ↓ -92% |
| The Health Plan | PPO | $702.45 | ↓ -92% |
| GMS | All Products | $803.60 | ↓ -91% |
| MMO | Traditional | $803.60 | ↓ -91% |
| Aetna | All Products First Health | $861.00 | ↓ -90% |
| Immergrun | All Products | $861.00 | ↓ -90% |
| Aetna | Asa | $918.40 | ↓ -89% |
| Multiplan | All Products | $1,033.20 | ↓ -88% |
| UNITED | Managed Medicaid | $1,101.77 | ↓ -87% |
| CARESOURCE | Managed Medicaid | $1,134.82 | ↓ -87% |
| Aetna | Qhp/Ifp | $1,148.00 | ↓ -87% |
| MOLINA | Managed Medicaid | $1,156.86 | ↓ -86% |
| ANTHEM | Managed Medicaid | $1,156.86 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $1,211.95 | ↓ -86% |
| The Health Plan | MEDICARE ADVANTAGE | $2,380.03 | ↓ -72% |
| HUMANA | Medicare Advantage HMO | $2,644.48 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $2,644.48 | ↓ -69% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $2,856.04 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $2,885.49 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↓ -65% |
| CIGNA | ALL PRODUCTS | $3,465.00 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $3,723.06 | ↓ -56% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -55% |
| AETNA | International | $4,001.00 | ↓ -53% |
| PHPHI | ALL PRODUCTS | $4,212.80 | ↓ -51% |
| PHP | ALL PRODUCTS | $4,212.80 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $4,449.77 | ↓ -48% |
| MMO | SuperMed | $4,850.94 | ↓ -43% |
| Summacare | PREMIER | $5,029.03 | ↓ -41% |
| MMO | ALL PRODUCTS | $5,673.16 | ↓ -34% |
| Amish Community Aid Plan | ALL PRODUCTS | $5,924.25 | ↓ -31% |
| ANTHEM | HPN | $6,341.58 | ↓ -26% |
| OHCP | ALL PRODUCTS | $6,398.19 | ↓ -25% |
| OMAS | ALL PRODUCTS | $6,582.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $6,582.50 | ↓ -23% |
| ANTHEM | Exchange | $6,714.15 | ↓ -22% |
| Ohio Healthy | TRANSPLANT | $7,109.10 | ↓ -17% |
| ANTHEM | TRADITIONAL | $7,280.25 | ↓ -15% |
| ANTHEM | PPO/HMO | $7,460.61 | ↓ -13% |
| GMS | ALL PRODUCTS | $9,215.50 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $9,215.50 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $9,873.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $9,873.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $11,058.60 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $11,848.50 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $11,848.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $11,848.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $11,848.50 | ↑ +38% |
| The Health Plan | HMO | $13,165.00 | ↑ +54% |
| The Health Plan | POS | $13,165.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $13,165.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Bone biopsy open superficial at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $7,690.20 | not published |
| Anderson Hospital | Cincinnati | $7,690.20 | not published |
| Clermont Hospital | Batavia | $7,690.20 | not published |
| Kings Mills Hospital | Mason | $7,690.20 | not published |
| cleveland clinic main campus | Cleveland | $8,557.25 | $0.01 – $11,848.50 |
| akron general | Akron | $746.20 | $1.10 – $2,856.04 |
| avon hospital | Avon | $8,557.25 | $0.01 – $11,848.50 |
| euclid hospital | Euclid | $8,557.25 | $0.01 – $11,848.50 |