healthcosts.net
Bx/exc lymph node/open/superfic 38500 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$985.40
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.
$1,516.00
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 $6,508.54 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% |
| Oscar | All Products | $116.89 | ↓ -88% |
| United | Managed Medicaid | $131.68 | ↓ -87% |
| Caresource | Managed Medicaid | $135.63 | ↓ -86% |
| Buckeye | Managed Medicaid | $138.26 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $144.85 | ↓ -85% |
| Molina | Managed Medicaid | $144.85 | ↓ -85% |
| Summacare | Preferred | $157.41 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $157.41 | ↓ -84% |
| Aultcare | PPO/HMO | $164.68 | ↓ -83% |
| OHCP | All Products | $178.94 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $179.20 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $205.84 | ↓ -79% |
| OMAS | All Products | $230.00 | ↓ -77% |
| Summacare | Medicare Advantage MD | $230.06 | ↓ -77% |
| Humana | Medicare Advantage HMO | $238.93 | ↓ -76% |
| Anthem | Medicare Advantage | $238.93 | ↓ -76% |
| United | Medicare Advantage | $238.93 | ↓ -76% |
| The Health Plan | Medicare Advantage | $238.93 | ↓ -76% |
| Cigna | Medicare Advantage | $238.93 | ↓ -76% |
| Aetna | Medicare Advantage | $238.93 | ↓ -76% |
| MMO | Medicare HMO & PPO | $246.10 | ↓ -75% |
| Summacare | Premier | $250.88 | ↓ -75% |
| CommuniCare | Medicare Advantage | $250.88 | ↓ -75% |
| Perennial Health | Medicare Advantage | $258.04 | ↓ -74% |
| The Health Plan | All Products PCP | $262.82 | ↓ -73% |
| The Health Plan | All Products Specialty Physicians | $274.77 | ↓ -72% |
| PHPHI | All Products | $276.00 | ↓ -72% |
| The Health Plan | All Products Radiation Oncology Physicians | $310.61 | ↓ -68% |
| GMS | All Products | $322.00 | ↓ -67% |
| MMO | Traditional | $322.00 | ↓ -67% |
| Immergrun | All Products | $345.00 | ↓ -65% |
| Aetna | All Products First Health | $345.00 | ↓ -65% |
| Aetna | Asa | $368.00 | ↓ -63% |
| Multiplan | All Products | $414.00 | ↓ -58% |
| Cigna | All Products Mid-Level | $418.79 | ↓ -58% |
| Anthem | All Products Mid-Level Non-Facility | $447.89 | ↓ -55% |
| Aetna | Qhp/Ifp | $460.00 | ↓ -53% |
| Aetna | Acop | $462.97 | ↓ -53% |
| Cigna | All Products Physician | $494.84 | ↓ -50% |
| United | All Products - Mid-Level | $740.55 | ↓ -25% |
| United | HMO & PPO | $822.83 | ↓ -16% |
| United | All Products | $822.83 | ↓ -16% |
| UNITED | Managed Medicaid | $1,844.85 | ↑ +87% |
| CARESOURCE | Managed Medicaid | $1,900.20 | ↑ +93% |
| ANTHEM | Managed Medicaid | $1,937.09 | ↑ +97% |
| MOLINA | Managed Medicaid | $1,937.09 | ↑ +97% |
| AMERIHEALTH | Managed Medicaid | $2,029.34 | ↑ +106% |
| The Health Plan | MEDICARE ADVANTAGE | $3,184.36 | ↑ +223% |
| HUMANA | Medicare Advantage HMO | $3,538.18 | ↑ +259% |
| UNITED | MEDICARE ADVANTAGE | $3,538.18 | ↑ +259% |
| Summacare | MEDICARE ADVANTAGE | $3,704.30 | ↑ +276% |
| AETNA | MEDICARE ADVANTAGE | $3,704.30 | ↑ +276% |
| ANTHEM | MEDICARE ADVANTAGE | $3,704.30 | ↑ +276% |
| CIGNA | MEDICARE ADVANTAGE | $3,815.43 | ↑ +287% |
| Perennial Health | MEDICARE ADVANTAGE | $3,821.23 | ↑ +288% |
| CommuniCare | MEDICARE ADVANTAGE | $3,889.52 | ↑ +295% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $4,000.65 | ↑ +306% |
| MMO | ALL PRODUCTS | $5,768.37 | ↑ +485% |
| MMO | SuperMed | $6,508.54 | ↑ +560% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bx/exc lymph node/open/superfic 38500 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $9,956.05 | $0.01 – $13,785.30 |
| akron general | Akron | $985.40 | $1.10 – $3,821.23 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $4,419.75 | $3,704.30 – $6,667.74 |
| avon hospital | Avon | not published | $1,926.16 – $4,074.73 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,144.72 – $3,641.25 |
| euclid hospital | Euclid | not published | $1,973.40 – $4,074.73 |
| fairview hospital | Cleveland | not published | $1,853.91 – $4,074.73 |
| lutheran hospital | Cleveland | not published | $1,764.99 – $4,074.73 |