healthcosts.net
Bx shoulder tissues supf 23065 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$598.00
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.
$920.00
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% |
| United | Managed Medicaid | $82.02 | ↓ -86% |
| Caresource | Managed Medicaid | $84.48 | ↓ -86% |
| Buckeye | Managed Medicaid | $86.12 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $90.22 | ↓ -85% |
| Molina | Managed Medicaid | $90.22 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $97.71 | ↓ -84% |
| Summacare | Preferred | $97.71 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $106.65 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $127.78 | ↓ -79% |
| Humana | Medicare Advantage HMO | $142.20 | ↓ -76% |
| The Health Plan | Medicare Advantage | $142.20 | ↓ -76% |
| Aetna | Medicare Advantage | $142.20 | ↓ -76% |
| United | Medicare Advantage | $142.20 | ↓ -76% |
| Cigna | Medicare Advantage | $142.20 | ↓ -76% |
| Anthem | Medicare Advantage | $142.20 | ↓ -76% |
| Summacare | Medicare Advantage MD | $142.81 | ↓ -76% |
| MMO | Medicare HMO & PPO | $146.47 | ↓ -76% |
| CommuniCare | Medicare Advantage | $149.31 | ↓ -75% |
| Summacare | Premier | $149.31 | ↓ -75% |
| The Health Plan | PPO | $152.15 | ↓ -75% |
| Perennial Health | Medicare Advantage | $153.58 | ↓ -74% |
| The Health Plan | All Products PCP | $156.42 | ↓ -74% |
| The Health Plan | All Products Specialty Physicians | $163.53 | ↓ -73% |
| The Health Plan | All Products Radiation Oncology Physicians | $184.86 | ↓ -69% |
| Oscar | All Products | $233.77 | ↓ -61% |
| Cigna | All Products Mid-Level | $276.68 | ↓ -54% |
| Anthem | All Products Mid-Level Non-Facility | $295.93 | ↓ -51% |
| Aetna | Acop | $304.56 | ↓ -49% |
| Cigna | All Products Physician | $326.93 | ↓ -45% |
| Aultcare | PPO/HMO | $329.36 | ↓ -45% |
| OHCP | All Products | $357.88 | ↓ -40% |
| OMAS | All Products | $460.00 | ↓ -23% |
| United | All Products - Mid-Level | $492.85 | ↓ -18% |
| United | All Products | $547.61 | ↓ -8% |
| United | HMO & PPO | $547.61 | ↓ -8% |
| PHPHI | All Products | $552.00 | ↓ -8% |
| GMS | All Products | $644.00 | ↑ +8% |
| MMO | Traditional | $644.00 | ↑ +8% |
| Immergrun | All Products | $690.00 | ↑ +15% |
| Aetna | All Products First Health | $690.00 | ↑ +15% |
| Aetna | Asa | $736.00 | ↑ +23% |
| Multiplan | All Products | $828.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $920.00 | ↑ +54% |
| UNITED | Managed Medicaid | $1,101.77 | ↑ +84% |
| CARESOURCE | Managed Medicaid | $1,134.82 | ↑ +90% |
| MOLINA | Managed Medicaid | $1,156.86 | ↑ +93% |
| ANTHEM | Managed Medicaid | $1,156.86 | ↑ +93% |
| AMERIHEALTH | Managed Medicaid | $1,211.95 | ↑ +103% |
| The Health Plan | MEDICARE ADVANTAGE | $1,347.36 | ↑ +125% |
| HUMANA | Medicare Advantage HMO | $1,497.07 | ↑ +150% |
| UNITED | MEDICARE ADVANTAGE | $1,497.07 | ↑ +150% |
| Summacare | MEDICARE ADVANTAGE | $1,562.54 | ↑ +161% |
| ANTHEM | MEDICARE ADVANTAGE | $1,562.54 | ↑ +161% |
| AETNA | MEDICARE ADVANTAGE | $1,562.54 | ↑ +161% |
| CIGNA | MEDICARE ADVANTAGE | $1,609.41 | ↑ +169% |
| Perennial Health | MEDICARE ADVANTAGE | $1,616.83 | ↑ +170% |
| CommuniCare | MEDICARE ADVANTAGE | $1,640.67 | ↑ +174% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,687.54 | ↑ +182% |
| MMO | ALL PRODUCTS | $2,453.53 | ↑ +310% |
| MMO | SuperMed | $2,768.64 | ↑ +363% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +213353% |
| The Health Plan | POS | $4,036,081.00 | ↑ +674830% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bx shoulder tissues supf 23065 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,844.45 | $0.01 – $6,707.70 |
| akron general | Akron | $598.00 | $1.10 – $1,616.83 |
| avon hospital | Avon | not published | $1,150.32 – $1,718.79 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,878.06 – $2,174.60 |
| euclid hospital | Euclid | not published | $1,178.53 – $1,718.79 |
| fairview hospital | Cleveland | not published | $1,107.18 – $1,718.79 |
| lutheran hospital | Cleveland | not published | $1,054.06 – $1,718.79 |
| hillcrest hospital | Mayfield Heights | not published | $1,153.50 – $1,718.79 |