healthcosts.net
Colonoscopy w/band ligation at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,092.00
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.
$1,680.00
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% |
| Summacare | Preferred | $142.98 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $142.98 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $154.53 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $186.97 | ↓ -83% |
| United | Managed Medicaid | $192.75 | ↓ -82% |
| Caresource | Managed Medicaid | $198.53 | ↓ -82% |
| Buckeye | Managed Medicaid | $202.39 | ↓ -81% |
| Humana | Medicare Advantage HMO | $206.04 | ↓ -81% |
| United | Medicare Advantage | $206.04 | ↓ -81% |
| Aetna | Medicare Advantage | $206.04 | ↓ -81% |
| The Health Plan | Medicare Advantage | $206.04 | ↓ -81% |
| Anthem | Medicare Advantage | $206.04 | ↓ -81% |
| Cigna | Medicare Advantage | $206.04 | ↓ -81% |
| Summacare | Medicare Advantage MD | $208.97 | ↓ -81% |
| Molina | Managed Medicaid | $212.03 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $212.03 | ↓ -81% |
| MMO | Medicare HMO & PPO | $212.22 | ↓ -81% |
| Summacare | Premier | $216.34 | ↓ -80% |
| CommuniCare | Medicare Advantage | $216.34 | ↓ -80% |
| The Health Plan | PPO | $220.46 | ↓ -80% |
| Perennial Health | Medicare Advantage | $222.52 | ↓ -80% |
| The Health Plan | All Products PCP | $226.64 | ↓ -79% |
| The Health Plan | All Products Specialty Physicians | $236.95 | ↓ -78% |
| The Health Plan | All Products Radiation Oncology Physicians | $267.85 | ↓ -75% |
| Oscar | All Products | $426.89 | ↓ -61% |
| Aultcare | PPO/HMO | $601.44 | ↓ -45% |
| OHCP | All Products | $653.52 | ↓ -40% |
| UNITED | Managed Medicaid | $725.86 | ↓ -34% |
| CARESOURCE | Managed Medicaid | $747.64 | ↓ -32% |
| MOLINA | Managed Medicaid | $762.15 | ↓ -30% |
| ANTHEM | Managed Medicaid | $762.15 | ↓ -30% |
| AMERIHEALTH | Managed Medicaid | $798.45 | ↓ -27% |
| OMAS | All Products | $840.00 | ↓ -23% |
| The Health Plan | MEDICARE ADVANTAGE | $980.50 | ↓ -10% |
| Aetna | Acop | $986.16 | ↓ -10% |
| Cigna | All Products Mid-Level | $1,000.91 | ↓ -8% |
| PHPHI | All Products | $1,008.00 | ↓ -8% |
| Anthem | All Products Mid-Level Non-Facility | $1,070.49 | ↓ -2% |
| HUMANA | Medicare Advantage HMO | $1,089.45 | ↓ -0% |
| UNITED | MEDICARE ADVANTAGE | $1,089.45 | ↓ -0% |
| Summacare | MEDICARE ADVANTAGE | $1,132.12 | ↑ +4% |
| AETNA | MEDICARE ADVANTAGE | $1,132.12 | ↑ +4% |
| ANTHEM | MEDICARE ADVANTAGE | $1,132.12 | ↑ +4% |
| CIGNA | MEDICARE ADVANTAGE | $1,166.08 | ↑ +7% |
| GMS | All Products | $1,176.00 | ↑ +8% |
| MMO | Traditional | $1,176.00 | ↑ +8% |
| Perennial Health | MEDICARE ADVANTAGE | $1,176.60 | ↑ +8% |
| Cigna | All Products Physician | $1,182.68 | ↑ +8% |
| CommuniCare | MEDICARE ADVANTAGE | $1,188.72 | ↑ +9% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,222.68 | ↑ +12% |
| Immergrun | All Products | $1,260.00 | ↑ +15% |
| Aetna | All Products First Health | $1,260.00 | ↑ +15% |
| Aetna | Asa | $1,344.00 | ↑ +23% |
| Multiplan | All Products | $1,512.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,680.00 | ↑ +54% |
| United | All Products - Mid-Level | $1,740.92 | ↑ +59% |
| MMO | ALL PRODUCTS | $1,785.82 | ↑ +64% |
| United | HMO & PPO | $1,934.35 | ↑ +77% |
| United | All Products | $1,934.35 | ↑ +77% |
| MMO | SuperMed | $2,014.21 | ↑ +84% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +116791% |
| The Health Plan | POS | $4,036,081.00 | ↑ +369504% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy w/band ligation at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,525.60 | $0.01 – $4,881.60 |
| akron general | Akron | $1,092.00 | $1.10 – $1,512.00 |
| University Hospitals Ahuja Medical Center | Beachwood | $2,495.25 | $735.27 – $2,994.30 |
| University Hospitals Beachwood Medical Center | Beachwood | $2,495.25 | $900.00 – $2,994.30 |
| University Hospitals Elyria Medical Center | Elyria | $2,495.25 | $1,132.12 – $2,037.81 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $2,495.25 | $1,132.12 – $2,037.81 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $2,495.25 | $1,132.12 – $2,037.81 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $2,495.25 | $1,132.12 – $2,037.81 |