healthcosts.net
Closure of eyelid by suture at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$351.00
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.
$540.00
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 | $47.59 | ↓ -86% |
| Caresource | Managed Medicaid | $49.02 | ↓ -86% |
| Buckeye | Managed Medicaid | $49.97 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $52.35 | ↓ -85% |
| Molina | Managed Medicaid | $52.35 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $57.64 | ↓ -84% |
| Summacare | Preferred | $57.64 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $59.01 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $75.38 | ↓ -79% |
| Humana | Medicare Advantage HMO | $78.68 | ↓ -78% |
| United | Medicare Advantage | $78.68 | ↓ -78% |
| Aetna | Medicare Advantage | $78.68 | ↓ -78% |
| Cigna | Medicare Advantage | $78.68 | ↓ -78% |
| The Health Plan | Medicare Advantage | $78.68 | ↓ -78% |
| Anthem | Medicare Advantage | $78.68 | ↓ -78% |
| MMO | Medicare HMO & PPO | $81.04 | ↓ -77% |
| Summacare | Premier | $82.61 | ↓ -76% |
| CommuniCare | Medicare Advantage | $82.61 | ↓ -76% |
| The Health Plan | PPO | $84.19 | ↓ -76% |
| Summacare | Medicare Advantage MD | $84.25 | ↓ -76% |
| Perennial Health | Medicare Advantage | $84.97 | ↓ -76% |
| The Health Plan | All Products PCP | $86.55 | ↓ -75% |
| The Health Plan | All Products Specialty Physicians | $90.48 | ↓ -74% |
| The Health Plan | All Products Radiation Oncology Physicians | $102.28 | ↓ -71% |
| Oscar | All Products | $137.21 | ↓ -61% |
| Aultcare | PPO/HMO | $193.32 | ↓ -45% |
| OHCP | All Products | $210.06 | ↓ -40% |
| Cigna | All Products Mid-Level | $220.15 | ↓ -37% |
| Anthem | All Products Mid-Level Non-Facility | $235.45 | ↓ -33% |
| Aetna | Acop | $235.62 | ↓ -33% |
| Cigna | All Products Physician | $260.13 | ↓ -26% |
| OMAS | All Products | $270.00 | ↓ -23% |
| PHPHI | All Products | $324.00 | ↓ -8% |
| MMO | Traditional | $378.00 | ↑ +8% |
| GMS | All Products | $378.00 | ↑ +8% |
| United | All Products - Mid-Level | $388.89 | ↑ +11% |
| Aetna | All Products First Health | $405.00 | ↑ +15% |
| Immergrun | All Products | $405.00 | ↑ +15% |
| Aetna | Asa | $432.00 | ↑ +23% |
| United | All Products | $432.10 | ↑ +23% |
| United | HMO & PPO | $432.10 | ↑ +23% |
| Multiplan | All Products | $486.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $540.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $805.42 | ↑ +129% |
| HUMANA | Medicare Advantage HMO | $894.91 | ↑ +155% |
| UNITED | MEDICARE ADVANTAGE | $894.91 | ↑ +155% |
| UNITED | Managed Medicaid | $940.79 | ↑ +168% |
| Summacare | MEDICARE ADVANTAGE | $943.12 | ↑ +169% |
| ANTHEM | MEDICARE ADVANTAGE | $943.12 | ↑ +169% |
| AETNA | MEDICARE ADVANTAGE | $943.12 | ↑ +169% |
| Perennial Health | MEDICARE ADVANTAGE | $966.50 | ↑ +175% |
| CARESOURCE | Managed Medicaid | $969.01 | ↑ +176% |
| CIGNA | MEDICARE ADVANTAGE | $971.42 | ↑ +177% |
| ANTHEM | Managed Medicaid | $987.83 | ↑ +181% |
| MOLINA | Managed Medicaid | $987.83 | ↑ +181% |
| CommuniCare | MEDICARE ADVANTAGE | $990.28 | ↑ +182% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,018.57 | ↑ +190% |
| AMERIHEALTH | Managed Medicaid | $1,034.87 | ↑ +195% |
| MMO | ALL PRODUCTS | $1,532.14 | ↑ +337% |
| MMO | SuperMed | $1,729.28 | ↑ +393% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +363560% |
| The Health Plan | POS | $4,036,081.00 | ↑ +1149781% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Closure of eyelid by suture at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,895.75 | $0.01 – $4,009.50 |
| akron general | Akron | $351.00 | $1.10 – $1,060.48 |
| avon hospital | Avon | not published | $897.88 – $1,037.44 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,603.66 – $1,856.87 |
| euclid hospital | Euclid | not published | $878.34 – $1,165.24 |
| fairview hospital | Cleveland | not published | $878.34 – $1,094.68 |
| lutheran hospital | Cleveland | not published | $897.88 – $1,042.17 |
| hillcrest hospital | Mayfield Heights | not published | $878.34 – $1,140.49 |