healthcosts.net
Bronchoscopy/needle bx addl 31633 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$343.20
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.
$528.00
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 $4,036,081.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $38.24 | ↓ -89% |
| Summacare | Medicare Advantage Lower Level | $38.24 | ↓ -89% |
| United | Managed Medicaid | $38.57 | ↓ -89% |
| Caresource | Managed Medicaid | $39.73 | ↓ -88% |
| Buckeye | Managed Medicaid | $40.50 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $41.73 | ↓ -88% |
| Molina | Managed Medicaid | $42.43 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $42.43 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $50.01 | ↓ -85% |
| Humana | Medicare Advantage HMO | $55.64 | ↓ -84% |
| Anthem | Medicare Advantage | $55.64 | ↓ -84% |
| The Health Plan | Medicare Advantage | $55.64 | ↓ -84% |
| Cigna | Medicare Advantage | $55.64 | ↓ -84% |
| Aetna | Medicare Advantage | $55.64 | ↓ -84% |
| United | Medicare Advantage | $55.64 | ↓ -84% |
| Summacare | Medicare Advantage MD | $55.89 | ↓ -84% |
| MMO | Medicare HMO & PPO | $57.31 | ↓ -83% |
| CommuniCare | Medicare Advantage | $58.42 | ↓ -83% |
| Summacare | Premier | $58.42 | ↓ -83% |
| The Health Plan | PPO | $59.53 | ↓ -83% |
| Perennial Health | Medicare Advantage | $60.09 | ↓ -82% |
| The Health Plan | All Products PCP | $61.20 | ↓ -82% |
| The Health Plan | All Products Specialty Physicians | $63.99 | ↓ -81% |
| The Health Plan | All Products Radiation Oncology Physicians | $72.33 | ↓ -79% |
| Cigna | All Products Mid-Level | $98.96 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $105.84 | ↓ -69% |
| Aetna | Acop | $111.05 | ↓ -68% |
| Cigna | All Products Physician | $116.93 | ↓ -66% |
| Oscar | All Products | $134.16 | ↓ -61% |
| United | All Products - Mid-Level | $177.22 | ↓ -48% |
| Aultcare | PPO/HMO | $189.02 | ↓ -45% |
| United | All Products | $196.91 | ↓ -43% |
| United | HMO & PPO | $196.91 | ↓ -43% |
| OHCP | All Products | $205.39 | ↓ -40% |
| OMAS | All Products | $264.00 | ↓ -23% |
| MMO | SuperMed | $285.12 | ↓ -17% |
| PHPHI | All Products | $316.80 | ↓ -8% |
| GMS | All Products | $369.60 | ↑ +8% |
| MMO | Traditional | $369.60 | ↑ +8% |
| Aetna | All Products First Health | $396.00 | ↑ +15% |
| Immergrun | All Products | $396.00 | ↑ +15% |
| Aetna | Asa | $422.40 | ↑ +23% |
| Multiplan | All Products | $475.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $528.00 | ↑ +54% |
| UNITED | Managed Medicaid | $908.54 | ↑ +165% |
| CARESOURCE | Managed Medicaid | $935.80 | ↑ +173% |
| ANTHEM | Managed Medicaid | $953.97 | ↑ +178% |
| MOLINA | Managed Medicaid | $953.97 | ↑ +178% |
| AMERIHEALTH | Managed Medicaid | $999.39 | ↑ +191% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +371825% |
| The Health Plan | POS | $4,036,081.00 | ↑ +1175914% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bronchoscopy/needle bx addl 31633 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $919.10 | $0.01 – $1,290.20 |
| akron general | Akron | $343.20 | $1.10 – $1,024.12 |
| University Hospitals Ahuja Medical Center | Beachwood | $1,872.75 | $82.81 – $2,247.30 |
| University Hospitals Beachwood Medical Center | Beachwood | $1,872.75 | $39.08 – $2,247.30 |
| University Hospitals Elyria Medical Center | Elyria | $1,872.75 | $82.81 – $149.05 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $1,872.75 | $82.81 – $149.05 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $1,872.75 | $47.20 – $149.05 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $1,872.75 | $82.81 – $149.05 |