Bronchoscopy/lung bx addl 31632 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$769.60
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.
$1,184.00
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 $4,001.00 with AETNA — 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% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $29.33 | ↓ -96% |
| Summacare | Medicare Advantage Lower Level | $29.33 | ↓ -96% |
| United | Managed Medicaid | $29.86 | ↓ -96% |
| Caresource | Managed Medicaid | $30.76 | ↓ -96% |
| Buckeye | Managed Medicaid | $31.35 | ↓ -96% |
| Summacare | Medicare Advantage Psych | $32.03 | ↓ -96% |
| Molina | Managed Medicaid | $32.85 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $32.85 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $38.35 | ↓ -95% |
| Aetna | Medicare Advantage | $42.71 | ↓ -94% |
| United | Medicare Advantage | $42.71 | ↓ -94% |
| Humana | Medicare Advantage HMO | $42.71 | ↓ -94% |
| Anthem | Medicare Advantage | $42.71 | ↓ -94% |
| The Health Plan | Medicare Advantage | $42.71 | ↓ -94% |
| Cigna | Medicare Advantage | $42.71 | ↓ -94% |
| Summacare | Medicare Advantage MD | $42.86 | ↓ -94% |
| MMO | Medicare HMO & PPO | $43.99 | ↓ -94% |
| Summacare | Premier | $44.85 | ↓ -94% |
| CommuniCare | Medicare Advantage | $44.85 | ↓ -94% |
| Perennial Health | Medicare Advantage | $46.13 | ↓ -94% |
| The Health Plan | All Products PCP | $46.98 | ↓ -94% |
| The Health Plan | All Products Specialty Physicians | $49.12 | ↓ -94% |
| The Health Plan | All Products Radiation Oncology Physicians | $55.52 | ↓ -93% |
| Cigna | All Products Mid-Level | $80.04 | ↓ -90% |
| Anthem | All Products Mid-Level Non-Facility | $85.60 | ↓ -89% |
| Aetna | Acop | $88.41 | ↓ -89% |
| Cigna | All Products Physician | $94.57 | ↓ -88% |
| Oscar | All Products | $104.69 | ↓ -86% |
| United | All Products - Mid-Level | $142.15 | ↓ -82% |
| Aultcare | PPO/HMO | $147.50 | ↓ -81% |
| United | All Products | $157.95 | ↓ -79% |
| United | HMO & PPO | $157.95 | ↓ -79% |
| OHCP | All Products | $160.27 | ↓ -79% |
| OMAS | All Products | $206.00 | ↓ -73% |
| MMO | SuperMed | $222.48 | ↓ -71% |
| PHPHI | All Products | $247.20 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $258.11 | ↓ -66% |
| MMO | Traditional | $288.40 | ↓ -63% |
| GMS | All Products | $288.40 | ↓ -63% |
| Immergrun | All Products | $309.00 | ↓ -60% |
| Aetna | All Products First Health | $309.00 | ↓ -60% |
| Aetna | Asa | $329.60 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $334.84 | ↓ -56% |
| Multiplan | All Products | $370.80 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $378.88 | ↓ -51% |
| PHP | ALL PRODUCTS | $378.88 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $400.19 | ↓ -48% |
| Aetna | Qhp/Ifp | $412.00 | ↓ -46% |
| Summacare | PREMIER | $452.29 | ↓ -41% |
| MMO | ALL PRODUCTS | $530.43 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $532.80 | ↓ -31% |
| ANTHEM | HPN | $570.33 | ↓ -26% |
| OHCP | ALL PRODUCTS | $575.42 | ↓ -25% |
| OMAS | ALL PRODUCTS | $592.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $592.00 | ↓ -23% |
| ANTHEM | Exchange | $603.84 | ↓ -22% |
| Ohio Healthy | TRANSPLANT | $639.36 | ↓ -17% |
| ANTHEM | TRADITIONAL | $654.75 | ↓ -15% |
| ANTHEM | PPO/HMO | $670.97 | ↓ -13% |
| The Health Plan | PPO | $755.87 | ↓ -2% |
| GMS | ALL PRODUCTS | $828.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $828.80 | ↑ +8% |
| AETNA | ALL PRODUCTS | $888.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $888.00 | ↑ +15% |
| UNITED | Managed Medicaid | $908.54 | ↑ +18% |
| CARESOURCE | Managed Medicaid | $935.80 | ↑ +22% |
| ANTHEM | Managed Medicaid | $953.97 | ↑ +24% |
| MOLINA | Managed Medicaid | $953.97 | ↑ +24% |
| The Health Plan | Self-Funded ASO | $994.56 | ↑ +29% |
| AMERIHEALTH | Managed Medicaid | $999.39 | ↑ +30% |
| MULTIPLAN | ALL PRODUCTS | $1,065.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $1,065.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,065.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,065.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,184.00 | ↑ +54% |
| The Health Plan | HMO | $1,184.00 | ↑ +54% |
| The Health Plan | POS | $1,184.00 | ↑ +54% |
| CIGNA | ALL PRODUCTS | $3,465.00 | ↑ +350% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↑ +395% |
| AETNA | International | $4,001.00 | ↑ +420% |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bronchoscopy/lung bx addl 31632 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $769.60 | $0.01 – $1,290.20 |
| akron general | Akron | $769.60 | $0.01 – $1,065.60 |
| avon hospital | Avon | $769.60 | $0.01 – $3,465.00 |
| euclid hospital | Euclid | $769.60 | $0.01 – $3,465.00 |
| fairview hospital | Cleveland | $769.60 | $0.01 – $1,065.60 |
| lutheran hospital | Cleveland | $769.60 | $0.01 – $3,465.00 |
| hillcrest hospital | Mayfield Heights | $769.60 | $0.01 – $1,101.40 |
| lodi hospital | Lodi | $769.60 | $334.84 – $1,718.28 |