healthcosts.net
Bx soft tissue back/flank supf 21920 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$548.60
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.
?
What you pay up front if you don't use insurance.
$844.00
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.
?
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
?
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 →
?
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 | $87.44 | ↓ -84% |
| Caresource | Managed Medicaid | $90.06 | ↓ -84% |
| Buckeye | Managed Medicaid | $91.81 | ↓ -83% |
| Summacare | Preferred | $94.84 | ↓ -83% |
| Summacare | Medicare Advantage Lower Level | $94.84 | ↓ -83% |
| Molina | Managed Medicaid | $96.18 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $96.18 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $103.15 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $124.02 | ↓ -77% |
| Cigna | Medicare Advantage | $137.53 | ↓ -75% |
| United | Medicare Advantage | $137.53 | ↓ -75% |
| The Health Plan | Medicare Advantage | $137.53 | ↓ -75% |
| Aetna | Medicare Advantage | $137.53 | ↓ -75% |
| Anthem | Medicare Advantage | $137.53 | ↓ -75% |
| Humana | Medicare Advantage HMO | $137.53 | ↓ -75% |
| Summacare | Medicare Advantage MD | $138.61 | ↓ -75% |
| MMO | Medicare HMO & PPO | $141.66 | ↓ -74% |
| Summacare | Premier | $144.41 | ↓ -74% |
| CommuniCare | Medicare Advantage | $144.41 | ↓ -74% |
| The Health Plan | PPO | $147.16 | ↓ -73% |
| Perennial Health | Medicare Advantage | $148.53 | ↓ -73% |
| The Health Plan | All Products PCP | $151.28 | ↓ -72% |
| The Health Plan | All Products Specialty Physicians | $158.16 | ↓ -71% |
| The Health Plan | All Products Radiation Oncology Physicians | $178.79 | ↓ -67% |
| Oscar | All Products | $214.46 | ↓ -61% |
| Aultcare | PPO/HMO | $302.15 | ↓ -45% |
| Cigna | All Products Mid-Level | $313.44 | ↓ -43% |
| OHCP | All Products | $328.32 | ↓ -40% |
| Anthem | All Products Mid-Level Non-Facility | $335.21 | ↓ -39% |
| Aetna | Acop | $348.01 | ↓ -37% |
| Cigna | All Products Physician | $370.36 | ↓ -32% |
| OMAS | All Products | $422.00 | ↓ -23% |
| PHPHI | All Products | $506.40 | ↓ -8% |
| United | All Products - Mid-Level | $556.10 | ↑ +1% |
| MMO | Traditional | $590.80 | ↑ +8% |
| GMS | All Products | $590.80 | ↑ +8% |
| United | HMO & PPO | $617.89 | ↑ +13% |
| United | All Products | $617.89 | ↑ +13% |
| Immergrun | All Products | $633.00 | ↑ +15% |
| Aetna | All Products First Health | $633.00 | ↑ +15% |
| Aetna | Asa | $675.20 | ↑ +23% |
| Multiplan | All Products | $759.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $844.00 | ↑ +54% |
| UNITED | Managed Medicaid | $1,101.77 | ↑ +101% |
| CARESOURCE | Managed Medicaid | $1,134.82 | ↑ +107% |
| ANTHEM | Managed Medicaid | $1,156.86 | ↑ +111% |
| MOLINA | Managed Medicaid | $1,156.86 | ↑ +111% |
| AMERIHEALTH | Managed Medicaid | $1,211.95 | ↑ +121% |
| The Health Plan | MEDICARE ADVANTAGE | $1,347.36 | ↑ +146% |
| HUMANA | Medicare Advantage HMO | $1,497.07 | ↑ +173% |
| UNITED | MEDICARE ADVANTAGE | $1,497.07 | ↑ +173% |
| ANTHEM | MEDICARE ADVANTAGE | $1,562.54 | ↑ +185% |
| AETNA | MEDICARE ADVANTAGE | $1,562.54 | ↑ +185% |
| Summacare | MEDICARE ADVANTAGE | $1,562.54 | ↑ +185% |
| CIGNA | MEDICARE ADVANTAGE | $1,609.41 | ↑ +193% |
| Perennial Health | MEDICARE ADVANTAGE | $1,616.83 | ↑ +195% |
| CommuniCare | MEDICARE ADVANTAGE | $1,640.67 | ↑ +199% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,687.54 | ↑ +208% |
| MMO | ALL PRODUCTS | $2,453.53 | ↑ +347% |
| MMO | SuperMed | $2,768.64 | ↑ +405% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +232574% |
| The Health Plan | POS | $4,036,081.00 | ↑ +735606% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bx soft tissue back/flank supf 21920 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 | $4,844.45 | $0.01 – $6,707.70 |
| 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 |