Bx breast add lesion strtctc at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,657.50
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.
$2,550.00
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 $3,004.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $49.66 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $49.66 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $51.74 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $64.94 | ↓ -96% |
| United | Managed Medicaid | $67.24 | ↓ -96% |
| Anthem | Medicare Advantage | $68.99 | ↓ -96% |
| United | Medicare Advantage | $68.99 | ↓ -96% |
| The Health Plan | Medicare Advantage | $68.99 | ↓ -96% |
| Humana | Medicare Advantage HMO | $68.99 | ↓ -96% |
| Aetna | Medicare Advantage | $68.99 | ↓ -96% |
| Cigna | Medicare Advantage | $68.99 | ↓ -96% |
| Caresource | Managed Medicaid | $69.26 | ↓ -96% |
| Buckeye | Managed Medicaid | $70.60 | ↓ -96% |
| MMO | Medicare HMO & PPO | $71.06 | ↓ -96% |
| Summacare | Premier | $72.44 | ↓ -96% |
| CommuniCare | Medicare Advantage | $72.44 | ↓ -96% |
| Summacare | Medicare Advantage MD | $72.58 | ↓ -96% |
| Molina | Managed Medicaid | $73.96 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $73.96 | ↓ -96% |
| Perennial Health | Medicare Advantage | $74.51 | ↓ -96% |
| The Health Plan | All Products PCP | $75.89 | ↓ -95% |
| The Health Plan | All Products Specialty Physicians | $79.34 | ↓ -95% |
| The Health Plan | All Products Radiation Oncology Physicians | $89.69 | ↓ -95% |
| Oscar | All Products | $184.48 | ↓ -89% |
| Aultcare | PPO/HMO | $259.91 | ↓ -84% |
| OHCP | All Products | $282.41 | ↓ -83% |
| OMAS | All Products | $363.00 | ↓ -78% |
| MMO | SuperMed | $392.04 | ↓ -76% |
| PHPHI | All Products | $435.60 | ↓ -74% |
| Cigna | All Products Mid-Level | $470.12 | ↓ -72% |
| Anthem | All Products Mid-Level Non-Facility | $502.80 | ↓ -70% |
| MMO | Traditional | $508.20 | ↓ -69% |
| GMS | All Products | $508.20 | ↓ -69% |
| Aetna | All Products First Health | $544.50 | ↓ -67% |
| Immergrun | All Products | $544.50 | ↓ -67% |
| Cigna | All Products Physician | $555.50 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $555.90 | ↓ -66% |
| Aetna | Asa | $580.80 | ↓ -65% |
| Multiplan | All Products | $653.40 | ↓ -61% |
| Aetna | Acop | $703.11 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $721.14 | ↓ -56% |
| Aetna | Qhp/Ifp | $726.00 | ↓ -56% |
| United | All Products - Mid-Level | $806.90 | ↓ -51% |
| PHP | ALL PRODUCTS | $816.00 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $816.00 | ↓ -51% |
| UNITED | Managed Medicaid | $841.30 | ↓ -49% |
| CC EHP | ALL PRODUCTS | $861.90 | ↓ -48% |
| CARESOURCE | Managed Medicaid | $866.54 | ↓ -48% |
| ANTHEM | Managed Medicaid | $883.37 | ↓ -47% |
| MOLINA | Managed Medicaid | $883.37 | ↓ -47% |
| United | All Products | $896.55 | ↓ -46% |
| United | HMO & PPO | $896.55 | ↓ -46% |
| AMERIHEALTH | Managed Medicaid | $925.43 | ↓ -44% |
| Summacare | PREMIER | $974.10 | ↓ -41% |
| MMO | ALL PRODUCTS | $1,142.40 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,147.50 | ↓ -31% |
| ANTHEM | HPN | $1,159.74 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $1,203.60 | ↓ -27% |
| ANTHEM | Exchange | $1,227.83 | ↓ -26% |
| OHCP | ALL PRODUCTS | $1,239.30 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,275.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $1,275.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $1,364.25 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $1,377.00 | ↓ -17% |
| ANTHEM | TRADITIONAL | $1,410.15 | ↓ -15% |
| The Health Plan | PPO | $1,627.92 | ↓ -2% |
| GMS | ALL PRODUCTS | $1,785.00 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,785.00 | ↑ +8% |
| AETNA | ALL PRODUCTS | $1,912.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,912.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $2,142.00 | ↑ +29% |
| FrontPath | TRANSPLANT | $2,295.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $2,295.00 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $2,295.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,295.00 | ↑ +38% |
| The Health Plan | HMO | $2,550.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $2,550.00 | ↑ +54% |
| The Health Plan | POS | $2,550.00 | ↑ +54% |
| UNITED | ALL PRODUCTS | $2,833.00 | ↑ +71% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +73% |
| AETNA | International | $3,004.00 | ↑ +81% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast add lesion strtctc at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $8,807.40 | not published |
| Anderson Hospital | Cincinnati | $8,807.40 | not published |
| Clermont Hospital | Batavia | $8,807.40 | not published |
| Mercy West Hospital | Cincinnati | $8,807.40 | not published |
| St Ritas Medical Center | Lima | $4,855.20 | not published |
| Trinity Medical Center East | Steubenville | $1,473.91 | $1,783.20 – $2,288.44 |
| cleveland clinic main campus | Cleveland | $1,657.50 | $1.10 – $2,295.00 |
| akron general | Akron | $1,657.50 | $1.10 – $2,295.00 |