healthcosts.net
Cltx palatal/max fx wire fix at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,565.20
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.
$2,408.00
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 $5,497.86 with MMO — 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 | $280.49 | ↓ -82% |
| Caresource | Managed Medicaid | $288.90 | ↓ -82% |
| Buckeye | Managed Medicaid | $294.51 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $308.54 | ↓ -80% |
| Molina | Managed Medicaid | $308.54 | ↓ -80% |
| Summacare | Preferred | $330.16 | ↓ -79% |
| Summacare | Medicare Advantage Lower Level | $330.16 | ↓ -79% |
| Summacare | Medicare Advantage Psych | $367.95 | ↓ -76% |
| Summacare | Medicare Advantage CNA | $431.75 | ↓ -72% |
| Summacare | Medicare Advantage MD | $482.54 | ↓ -69% |
| The Health Plan | Medicare Advantage | $490.60 | ↓ -69% |
| Aetna | Medicare Advantage | $490.60 | ↓ -69% |
| Cigna | Medicare Advantage | $490.60 | ↓ -69% |
| Anthem | Medicare Advantage | $490.60 | ↓ -69% |
| United | Medicare Advantage | $490.60 | ↓ -69% |
| Humana | Medicare Advantage HMO | $490.60 | ↓ -69% |
| MMO | Medicare HMO & PPO | $505.32 | ↓ -68% |
| CommuniCare | Medicare Advantage | $515.13 | ↓ -67% |
| Summacare | Premier | $515.13 | ↓ -67% |
| Perennial Health | Medicare Advantage | $529.85 | ↓ -66% |
| The Health Plan | All Products PCP | $539.66 | ↓ -66% |
| The Health Plan | All Products Specialty Physicians | $564.19 | ↓ -64% |
| Oscar | All Products | $611.87 | ↓ -61% |
| The Health Plan | All Products Radiation Oncology Physicians | $637.78 | ↓ -59% |
| Cigna | All Products Mid-Level | $785.58 | ↓ -50% |
| Anthem | All Products Mid-Level Non-Facility | $840.19 | ↓ -46% |
| Aultcare | PPO/HMO | $862.06 | ↓ -45% |
| Cigna | All Products Physician | $928.25 | ↓ -41% |
| OHCP | All Products | $936.71 | ↓ -40% |
| Aetna | Acop | $970.35 | ↓ -38% |
| OMAS | All Products | $1,204.00 | ↓ -23% |
| United | All Products - Mid-Level | $1,393.62 | ↓ -11% |
| PHPHI | All Products | $1,444.80 | ↓ -8% |
| United | HMO & PPO | $1,548.46 | ↓ -1% |
| United | All Products | $1,548.46 | ↓ -1% |
| UNITED | Managed Medicaid | $1,679.14 | ↑ +7% |
| GMS | All Products | $1,685.60 | ↑ +8% |
| MMO | Traditional | $1,685.60 | ↑ +8% |
| CARESOURCE | Managed Medicaid | $1,729.51 | ↑ +10% |
| MOLINA | Managed Medicaid | $1,763.10 | ↑ +13% |
| ANTHEM | Managed Medicaid | $1,763.10 | ↑ +13% |
| Aetna | All Products First Health | $1,806.00 | ↑ +15% |
| Immergrun | All Products | $1,806.00 | ↑ +15% |
| AMERIHEALTH | Managed Medicaid | $1,847.05 | ↑ +18% |
| Aetna | Asa | $1,926.40 | ↑ +23% |
| Multiplan | All Products | $2,167.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,408.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $2,696.88 | ↑ +72% |
| HUMANA | Medicare Advantage HMO | $2,996.53 | ↑ +91% |
| UNITED | MEDICARE ADVANTAGE | $2,996.53 | ↑ +91% |
| AETNA | MEDICARE ADVANTAGE | $3,136.68 | ↑ +100% |
| Summacare | MEDICARE ADVANTAGE | $3,136.68 | ↑ +100% |
| ANTHEM | MEDICARE ADVANTAGE | $3,136.68 | ↑ +100% |
| CIGNA | MEDICARE ADVANTAGE | $3,230.78 | ↑ +106% |
| Perennial Health | MEDICARE ADVANTAGE | $3,236.25 | ↑ +107% |
| CommuniCare | MEDICARE ADVANTAGE | $3,293.51 | ↑ +110% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,387.61 | ↑ +116% |
| MMO | ALL PRODUCTS | $4,872.30 | ↑ +211% |
| MMO | SuperMed | $5,497.86 | ↑ +251% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Cltx palatal/max fx wire fix at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $9,696.70 | $1.10 – $13,426.20 |
| akron general | Akron | $1,565.20 | $1.10 – $3,236.25 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,794.25 | $900.00 – $5,646.02 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,794.25 | $900.00 – $7,944.33 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,162.00 | not published |
| University Hospitals Elyria Medical Center | Elyria | $3,794.25 | $3,136.68 – $5,646.02 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,794.25 | $3,136.68 – $5,646.02 |
| University Hospitals Geneva Medical Center | Geneva | $3,162.00 | not published |