healthcosts.net
Chorion biopsy at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$572.00
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.
$880.00
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 | $71.00 | ↓ -88% |
| Caresource | Managed Medicaid | $73.13 | ↓ -87% |
| Buckeye | Managed Medicaid | $74.55 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $78.10 | ↓ -86% |
| Molina | Managed Medicaid | $78.10 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $81.28 | ↓ -86% |
| Summacare | Preferred | $81.28 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $87.25 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $106.28 | ↓ -81% |
| Humana | Medicare Advantage HMO | $116.33 | ↓ -80% |
| The Health Plan | Medicare Advantage | $116.33 | ↓ -80% |
| Aetna | Medicare Advantage | $116.33 | ↓ -80% |
| Cigna | Medicare Advantage | $116.33 | ↓ -80% |
| United | Medicare Advantage | $116.33 | ↓ -80% |
| Anthem | Medicare Advantage | $116.33 | ↓ -80% |
| Summacare | Medicare Advantage MD | $118.79 | ↓ -79% |
| MMO | Medicare HMO & PPO | $119.82 | ↓ -79% |
| CommuniCare | Medicare Advantage | $122.15 | ↓ -79% |
| Summacare | Premier | $122.15 | ↓ -79% |
| The Health Plan | PPO | $124.47 | ↓ -78% |
| Perennial Health | Medicare Advantage | $125.64 | ↓ -78% |
| The Health Plan | All Products PCP | $127.96 | ↓ -78% |
| The Health Plan | All Products Specialty Physicians | $133.78 | ↓ -77% |
| The Health Plan | All Products Radiation Oncology Physicians | $151.23 | ↓ -74% |
| Cigna | All Products Mid-Level | $198.58 | ↓ -65% |
| Anthem | All Products Mid-Level Non-Facility | $212.39 | ↓ -63% |
| Aetna | Acop | $218.51 | ↓ -62% |
| Oscar | All Products | $223.61 | ↓ -61% |
| Cigna | All Products Physician | $234.65 | ↓ -59% |
| Aultcare | PPO/HMO | $315.04 | ↓ -45% |
| OHCP | All Products | $342.32 | ↓ -40% |
| United | All Products - Mid-Level | $353.96 | ↓ -38% |
| United | All Products | $393.29 | ↓ -31% |
| United | HMO & PPO | $393.29 | ↓ -31% |
| OMAS | All Products | $440.00 | ↓ -23% |
| PHPHI | All Products | $528.00 | ↓ -8% |
| UNITED | Managed Medicaid | $538.53 | ↓ -6% |
| CARESOURCE | Managed Medicaid | $554.69 | ↓ -3% |
| ANTHEM | Managed Medicaid | $565.46 | ↓ -1% |
| MOLINA | Managed Medicaid | $565.46 | ↓ -1% |
| AMERIHEALTH | Managed Medicaid | $592.38 | ↑ +4% |
| MMO | Traditional | $616.00 | ↑ +8% |
| GMS | All Products | $616.00 | ↑ +8% |
| Aetna | All Products First Health | $660.00 | ↑ +15% |
| Immergrun | All Products | $660.00 | ↑ +15% |
| Aetna | Asa | $704.00 | ↑ +23% |
| The Health Plan | MEDICARE ADVANTAGE | $724.09 | ↑ +27% |
| Multiplan | All Products | $792.00 | ↑ +38% |
| HUMANA | Medicare Advantage HMO | $804.55 | ↑ +41% |
| UNITED | MEDICARE ADVANTAGE | $804.55 | ↑ +41% |
| Perennial Health | MEDICARE ADVANTAGE | $868.91 | ↑ +52% |
| AETNA | MEDICARE ADVANTAGE | $871.38 | ↑ +52% |
| Summacare | MEDICARE ADVANTAGE | $871.38 | ↑ +52% |
| ANTHEM | MEDICARE ADVANTAGE | $871.38 | ↑ +52% |
| Aetna | Qhp/Ifp | $880.00 | ↑ +54% |
| CIGNA | MEDICARE ADVANTAGE | $897.53 | ↑ +57% |
| CommuniCare | MEDICARE ADVANTAGE | $914.95 | ↑ +60% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $941.10 | ↑ +65% |
| MMO | ALL PRODUCTS | $1,216.57 | ↑ +113% |
| MMO | SuperMed | $1,372.67 | ↑ +140% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +223055% |
| The Health Plan | POS | $4,036,081.00 | ↑ +705509% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Chorion biopsy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,263.95 | $0.01 – $3,134.70 |
| akron general | Akron | $2,263.95 | $0.01 – $3,134.70 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $874.50 | $871.38 – $1,568.49 |
| avon hospital | Avon | not published | $562.25 – $958.52 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $917.97 – $1,062.91 |
| euclid hospital | Euclid | not published | $576.05 – $958.52 |
| fairview hospital | Cleveland | not published | $541.17 – $958.52 |
| lutheran hospital | Cleveland | not published | $515.21 – $958.52 |