healthcosts.net
Bronchoscopy w/tumor excise at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,281.80
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.
$1,972.00
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 $6,393.86 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% |
| Summacare | Medicare Advantage Lower Level | $149.13 | ↓ -88% |
| Summacare | Preferred | $149.13 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $161.69 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $195.02 | ↓ -85% |
| Humana | Medicare Advantage HMO | $215.58 | ↓ -83% |
| United | Medicare Advantage | $215.58 | ↓ -83% |
| Aetna | Medicare Advantage | $215.58 | ↓ -83% |
| The Health Plan | Medicare Advantage | $215.58 | ↓ -83% |
| Anthem | Medicare Advantage | $215.58 | ↓ -83% |
| Cigna | Medicare Advantage | $215.58 | ↓ -83% |
| Summacare | Medicare Advantage MD | $217.96 | ↓ -83% |
| MMO | Medicare HMO & PPO | $222.05 | ↓ -83% |
| CommuniCare | Medicare Advantage | $226.36 | ↓ -82% |
| Summacare | Premier | $226.36 | ↓ -82% |
| United | Managed Medicaid | $230.48 | ↓ -82% |
| Perennial Health | Medicare Advantage | $232.83 | ↓ -82% |
| The Health Plan | All Products PCP | $237.14 | ↓ -81% |
| Caresource | Managed Medicaid | $237.39 | ↓ -81% |
| Buckeye | Managed Medicaid | $242.00 | ↓ -81% |
| The Health Plan | All Products Specialty Physicians | $247.92 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $253.53 | ↓ -80% |
| Molina | Managed Medicaid | $253.53 | ↓ -80% |
| The Health Plan | All Products Radiation Oncology Physicians | $280.25 | ↓ -78% |
| Anthem | All Products Mid-Level Non-Facility | $328.37 | ↓ -74% |
| Oscar | All Products | $501.09 | ↓ -61% |
| United | All Products - Mid-Level | $542.06 | ↓ -58% |
| United | HMO & PPO | $602.28 | ↓ -53% |
| United | All Products | $602.28 | ↓ -53% |
| Aultcare | PPO/HMO | $705.98 | ↓ -45% |
| OHCP | All Products | $767.11 | ↓ -40% |
| OMAS | All Products | $986.00 | ↓ -23% |
| PHPHI | All Products | $1,183.20 | ↓ -8% |
| GMS | All Products | $1,380.40 | ↑ +8% |
| MMO | Traditional | $1,380.40 | ↑ +8% |
| Immergrun | All Products | $1,479.00 | ↑ +15% |
| Aetna | All Products First Health | $1,479.00 | ↑ +15% |
| Aetna | Asa | $1,577.60 | ↑ +23% |
| Multiplan | All Products | $1,774.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,972.00 | ↑ +54% |
| UNITED | Managed Medicaid | $2,136.16 | ↑ +67% |
| CARESOURCE | Managed Medicaid | $2,200.24 | ↑ +72% |
| MOLINA | Managed Medicaid | $2,242.97 | ↑ +75% |
| ANTHEM | Managed Medicaid | $2,242.97 | ↑ +75% |
| AMERIHEALTH | Managed Medicaid | $2,349.78 | ↑ +83% |
| The Health Plan | MEDICARE ADVANTAGE | $3,066.00 | ↑ +139% |
| UNITED | MEDICARE ADVANTAGE | $3,406.67 | ↑ +166% |
| HUMANA | Medicare Advantage HMO | $3,406.67 | ↑ +166% |
| Summacare | MEDICARE ADVANTAGE | $3,527.30 | ↑ +175% |
| ANTHEM | MEDICARE ADVANTAGE | $3,527.30 | ↑ +175% |
| AETNA | MEDICARE ADVANTAGE | $3,527.30 | ↑ +175% |
| CIGNA | MEDICARE ADVANTAGE | $3,633.12 | ↑ +183% |
| Perennial Health | MEDICARE ADVANTAGE | $3,679.20 | ↑ +187% |
| CommuniCare | MEDICARE ADVANTAGE | $3,703.67 | ↑ +189% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,809.49 | ↑ +197% |
| MMO | ALL PRODUCTS | $5,667.13 | ↑ +342% |
| MMO | SuperMed | $6,393.86 | ↑ +399% |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Bronchoscopy w/tumor excise at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $11,024.00 | $0.01 – $15,264.00 |
| akron general | Akron | $1,281.80 | $1.10 – $3,679.20 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,691.50 | $900.00 – $6,349.15 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,691.50 | $900.00 – $8,933.66 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,549.75 | not published |
| University Hospitals Elyria Medical Center | Elyria | $3,691.50 | $3,527.30 – $6,349.15 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,691.50 | $3,527.30 – $6,349.15 |
| University Hospitals Geneva Medical Center | Geneva | $3,549.75 | not published |