Bronchoscopy w/biopsy(s) 31625 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$5,156.45
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.
$7,933.00
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 $7,933.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $79.08 | ↓ -98% |
| Caresource | Managed Medicaid | $81.45 | ↓ -98% |
| Buckeye | Managed Medicaid | $83.03 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $86.99 | ↓ -98% |
| Molina | Managed Medicaid | $86.99 | ↓ -98% |
| Summacare | Preferred | $94.29 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $94.29 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $104.12 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $123.30 | ↓ -98% |
| Summacare | Medicare Advantage MD | $137.81 | ↓ -97% |
| Aetna | Medicare Advantage | $138.83 | ↓ -97% |
| United | Medicare Advantage | $138.83 | ↓ -97% |
| Anthem | Medicare Advantage | $138.83 | ↓ -97% |
| Humana | Medicare Advantage HMO | $138.83 | ↓ -97% |
| The Health Plan | Medicare Advantage | $138.83 | ↓ -97% |
| Cigna | Medicare Advantage | $138.83 | ↓ -97% |
| MMO | Medicare HMO & PPO | $142.99 | ↓ -97% |
| CommuniCare | Medicare Advantage | $145.77 | ↓ -97% |
| Summacare | Premier | $145.77 | ↓ -97% |
| Perennial Health | Medicare Advantage | $149.94 | ↓ -97% |
| The Health Plan | All Products PCP | $152.71 | ↓ -97% |
| The Health Plan | All Products Specialty Physicians | $159.65 | ↓ -97% |
| The Health Plan | All Products Radiation Oncology Physicians | $180.48 | ↓ -96% |
| Oscar | All Products | $347.61 | ↓ -93% |
| Cigna | All Products Mid-Level | $422.92 | ↓ -92% |
| Anthem | All Products Mid-Level Non-Facility | $452.31 | ↓ -91% |
| Aetna | Acop | $457.93 | ↓ -91% |
| Aultcare | PPO/HMO | $489.74 | ↓ -91% |
| Cigna | All Products Physician | $499.72 | ↓ -90% |
| OHCP | All Products | $532.15 | ↓ -90% |
| OMAS | All Products | $684.00 | ↓ -87% |
| The Health Plan | PPO | $702.45 | ↓ -86% |
| United | All Products - Mid-Level | $749.82 | ↓ -85% |
| PHPHI | All Products | $820.80 | ↓ -84% |
| United | All Products | $833.14 | ↓ -84% |
| United | HMO & PPO | $833.14 | ↓ -84% |
| UNITED | Managed Medicaid | $908.54 | ↓ -82% |
| CARESOURCE | Managed Medicaid | $935.80 | ↓ -82% |
| ANTHEM | Managed Medicaid | $953.97 | ↓ -81% |
| MOLINA | Managed Medicaid | $953.97 | ↓ -81% |
| MMO | Traditional | $957.60 | ↓ -81% |
| GMS | All Products | $957.60 | ↓ -81% |
| AMERIHEALTH | Managed Medicaid | $999.39 | ↓ -81% |
| Immergrun | All Products | $1,026.00 | ↓ -80% |
| Aetna | All Products First Health | $1,026.00 | ↓ -80% |
| Aetna | Asa | $1,094.40 | ↓ -79% |
| Multiplan | All Products | $1,231.20 | ↓ -76% |
| Aetna | Qhp/Ifp | $1,368.00 | ↓ -73% |
| The Health Plan | MEDICARE ADVANTAGE | $1,434.04 | ↓ -72% |
| HUMANA | Medicare Advantage HMO | $1,593.38 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $1,593.38 | ↓ -69% |
| ANTHEM | MEDICARE ADVANTAGE | $1,683.92 | ↓ -67% |
| Summacare | MEDICARE ADVANTAGE | $1,683.92 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $1,683.92 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $1,720.85 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $1,734.44 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $1,768.12 | ↓ -66% |
| ANTHEM | HPN | $1,789.00 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,818.63 | ↓ -65% |
| ANTHEM | Exchange | $1,894.00 | ↓ -63% |
| ANTHEM | PPO/HMO | $2,104.00 | ↓ -59% |
| OSCAR | ALL PRODUCTS | $2,243.45 | ↓ -56% |
| PHP | ALL PRODUCTS | $2,538.56 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $2,538.56 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $2,681.35 | ↓ -48% |
| MMO | SuperMed | $2,897.66 | ↓ -44% |
| Summacare | PREMIER | $3,030.41 | ↓ -41% |
| MMO | ALL PRODUCTS | $3,388.66 | ↓ -34% |
| CIGNA | ALL PRODUCTS | $3,465.00 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,569.85 | ↓ -31% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -26% |
| OHCP | ALL PRODUCTS | $3,855.44 | ↓ -25% |
| OMAS | ALL PRODUCTS | $3,966.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $3,966.50 | ↓ -23% |
| AETNA | International | $4,001.00 | ↓ -22% |
| Ohio Healthy | TRANSPLANT | $4,283.82 | ↓ -17% |
| ANTHEM | TRADITIONAL | $4,386.95 | ↓ -15% |
| GMS | ALL PRODUCTS | $5,553.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $5,553.10 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $5,949.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $5,949.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $6,663.72 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $7,139.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $7,139.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $7,139.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $7,139.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $7,933.00 | ↑ +54% |
| The Health Plan | POS | $7,933.00 | ↑ +54% |
| The Health Plan | HMO | $7,933.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bronchoscopy w/biopsy(s) 31625 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $18,242.06 | $3,633.35 – $3,706.02 |
| Mercy West Hospital | Cincinnati | $14,302.26 | $3,696.43 – $3,770.36 |
| St Ritas Medical Center | Lima | $19,122.42 | $3,696.43 – $3,696.43 |
| cleveland clinic main campus | Cleveland | $5,156.45 | $0.01 – $7,139.70 |
| akron general | Akron | $5,156.45 | $0.01 – $7,139.70 |
| avon hospital | Avon | $5,156.45 | $0.01 – $7,139.70 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $5,156.45 | $1,548.69 – $7,139.70 |
| euclid hospital | Euclid | $5,156.45 | $0.01 – $7,139.70 |