Bx skin punch ea sep/ addl les at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$128.70
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.
$198.00
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 $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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -99% |
| United | Managed Medicaid | $12.98 | ↓ -90% |
| Caresource | Managed Medicaid | $13.37 | ↓ -90% |
| Buckeye | Managed Medicaid | $13.63 | ↓ -89% |
| Molina | Managed Medicaid | $14.28 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $14.28 | ↓ -89% |
| Summacare | Preferred | $15.55 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $15.55 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $15.84 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $20.34 | ↓ -84% |
| United | Medicare Advantage | $21.12 | ↓ -84% |
| Cigna | Medicare Advantage | $21.12 | ↓ -84% |
| Humana | Medicare Advantage HMO | $21.12 | ↓ -84% |
| The Health Plan | Medicare Advantage | $21.12 | ↓ -84% |
| Aetna | Medicare Advantage | $21.12 | ↓ -84% |
| Anthem | Medicare Advantage | $21.12 | ↓ -84% |
| MMO | Medicare HMO & PPO | $21.75 | ↓ -83% |
| CommuniCare | Medicare Advantage | $22.18 | ↓ -83% |
| Summacare | Premier | $22.18 | ↓ -83% |
| Summacare | Medicare Advantage MD | $22.73 | ↓ -82% |
| Perennial Health | Medicare Advantage | $22.81 | ↓ -82% |
| The Health Plan | All Products PCP | $23.23 | ↓ -82% |
| The Health Plan | All Products Specialty Physicians | $24.29 | ↓ -81% |
| The Health Plan | All Products Radiation Oncology Physicians | $27.46 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $40.11 | ↓ -69% |
| Oscar | All Products | $50.31 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $52.04 | ↓ -60% |
| PHPHI | ALL PRODUCTS | $58.88 | ↓ -54% |
| PHP | ALL PRODUCTS | $58.88 | ↓ -54% |
| CC EHP | ALL PRODUCTS | $62.19 | ↓ -52% |
| Aultcare | PPO/HMO | $65.87 | ↓ -49% |
| Summacare | PREMIER | $70.29 | ↓ -45% |
| Cigna | All Products Mid-Level | $72.07 | ↓ -44% |
| OHCP | All Products | $77.02 | ↓ -40% |
| Anthem | All Products Mid-Level Non-Facility | $77.08 | ↓ -40% |
| Aetna | Acop | $82.19 | ↓ -36% |
| MMO | ALL PRODUCTS | $82.43 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $82.80 | ↓ -36% |
| ANTHEM | HPN | $83.68 | ↓ -35% |
| Cigna | All Products Physician | $85.16 | ↓ -34% |
| CIGNA | ALL PRODUCTS | $86.85 | ↓ -33% |
| ANTHEM | Exchange | $88.60 | ↓ -31% |
| OHCP | ALL PRODUCTS | $89.42 | ↓ -31% |
| OMAS | ALL PRODUCTS | $92.00 | ↓ -29% |
| Immergrun | ALL PRODUCTS | $92.00 | ↓ -29% |
| ANTHEM | PPO/HMO | $98.44 | ↓ -24% |
| OMAS | All Products | $99.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $99.36 | ↓ -23% |
| ANTHEM | TRADITIONAL | $101.75 | ↓ -21% |
| MMO | SuperMed | $106.92 | ↓ -17% |
| The Health Plan | PPO | $117.47 | ↓ -9% |
| PHPHI | All Products | $118.80 | ↓ -8% |
| United | All Products - Mid-Level | $128.20 | ↓ -0% |
| Medical Benefit Corp | Transplant SMCP | $128.80 | ↑ +0% |
| GMS | ALL PRODUCTS | $128.80 | ↑ +0% |
| Consociate Health | ALL PRODUCTS | $138.00 | ↑ +7% |
| AETNA | ALL PRODUCTS | $138.00 | ↑ +7% |
| GMS | All Products | $138.60 | ↑ +8% |
| MMO | Traditional | $138.60 | ↑ +8% |
| United | All Products | $142.44 | ↑ +11% |
| United | HMO & PPO | $142.44 | ↑ +11% |
| Aetna | All Products First Health | $148.50 | ↑ +15% |
| Immergrun | All Products | $148.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $154.56 | ↑ +20% |
| Aetna | Asa | $158.40 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $165.60 | ↑ +29% |
| FrontPath | TRANSPLANT | $165.60 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $165.60 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $165.60 | ↑ +29% |
| Multiplan | All Products | $178.20 | ↑ +38% |
| The Health Plan | HMO | $184.00 | ↑ +43% |
| AETNA | Qhp/Ipf | $184.00 | ↑ +43% |
| The Health Plan | POS | $184.00 | ↑ +43% |
| Aetna | Qhp/Ifp | $198.00 | ↑ +54% |
| UNITED | Managed Medicaid | $317.47 | ↑ +147% |
| CARESOURCE | Managed Medicaid | $326.99 | ↑ +154% |
| MOLINA | Managed Medicaid | $333.34 | ↑ +159% |
| ANTHEM | Managed Medicaid | $333.34 | ↑ +159% |
| AMERIHEALTH | Managed Medicaid | $349.22 | ↑ +171% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +2122% |
| AETNA | International | $3,004.00 | ↑ +2234% |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
Visitor-reported prices
Comments
Bx skin punch ea sep/ addl les at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $325.80 | not published |
| Anderson Hospital | Cincinnati | $325.80 | not published |
| Clermont Hospital | Batavia | $325.80 | not published |
| Kings Mills Hospital | Mason | $325.80 | not published |
| Mercy West Hospital | Cincinnati | $325.80 | not published |
| St Ritas Medical Center | Lima | $277.20 | not published |
| Trinity Medical Center East | Steubenville | $152.26 | $184.20 – $245.60 |
| cleveland clinic main campus | Cleveland | $128.70 | $0.01 – $450.84 |