healthcosts.net
Colonoscopy with biopsy at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$863.85
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.
$1,329.00
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 $2,014.21 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% |
| Summacare | Medicare Advantage Lower Level | $104.42 | ↓ -88% |
| Summacare | Preferred | $104.42 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $113.13 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $136.54 | ↓ -84% |
| Humana | Medicare Advantage HMO | $150.84 | ↓ -83% |
| United | Medicare Advantage | $150.84 | ↓ -83% |
| Aetna | Medicare Advantage | $150.84 | ↓ -83% |
| The Health Plan | Medicare Advantage | $150.84 | ↓ -83% |
| Anthem | Medicare Advantage | $150.84 | ↓ -83% |
| Cigna | Medicare Advantage | $150.84 | ↓ -83% |
| Summacare | Medicare Advantage MD | $152.61 | ↓ -82% |
| MMO | Medicare HMO & PPO | $155.37 | ↓ -82% |
| CommuniCare | Medicare Advantage | $158.38 | ↓ -82% |
| Summacare | Premier | $158.38 | ↓ -82% |
| United | Managed Medicaid | $158.44 | ↓ -82% |
| Perennial Health | Medicare Advantage | $162.91 | ↓ -81% |
| Caresource | Managed Medicaid | $163.19 | ↓ -81% |
| The Health Plan | All Products PCP | $165.92 | ↓ -81% |
| Buckeye | Managed Medicaid | $166.36 | ↓ -81% |
| The Health Plan | All Products Specialty Physicians | $173.47 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $174.28 | ↓ -80% |
| Molina | Managed Medicaid | $174.28 | ↓ -80% |
| The Health Plan | All Products Radiation Oncology Physicians | $196.09 | ↓ -77% |
| Oscar | All Products | $337.70 | ↓ -61% |
| Aultcare | PPO/HMO | $475.78 | ↓ -45% |
| Cigna | All Products Mid-Level | $501.58 | ↓ -42% |
| OHCP | All Products | $516.98 | ↓ -40% |
| Aetna | Acop | $527.20 | ↓ -39% |
| Anthem | All Products Mid-Level Non-Facility | $536.45 | ↓ -38% |
| Cigna | All Products Physician | $592.67 | ↓ -31% |
| OMAS | All Products | $664.50 | ↓ -23% |
| UNITED | Managed Medicaid | $725.86 | ↓ -16% |
| CARESOURCE | Managed Medicaid | $747.64 | ↓ -13% |
| MOLINA | Managed Medicaid | $762.15 | ↓ -12% |
| ANTHEM | Managed Medicaid | $762.15 | ↓ -12% |
| PHPHI | All Products | $797.40 | ↓ -8% |
| AMERIHEALTH | Managed Medicaid | $798.45 | ↓ -8% |
| United | All Products - Mid-Level | $882.38 | ↑ +2% |
| GMS | All Products | $930.30 | ↑ +8% |
| MMO | Traditional | $930.30 | ↑ +8% |
| United | HMO & PPO | $980.42 | ↑ +13% |
| United | All Products | $980.42 | ↑ +13% |
| The Health Plan | MEDICARE ADVANTAGE | $980.50 | ↑ +14% |
| Aetna | All Products First Health | $996.75 | ↑ +15% |
| Immergrun | All Products | $996.75 | ↑ +15% |
| Aetna | Asa | $1,063.20 | ↑ +23% |
| UNITED | MEDICARE ADVANTAGE | $1,089.45 | ↑ +26% |
| HUMANA | Medicare Advantage HMO | $1,089.45 | ↑ +26% |
| AETNA | MEDICARE ADVANTAGE | $1,132.12 | ↑ +31% |
| ANTHEM | MEDICARE ADVANTAGE | $1,132.12 | ↑ +31% |
| Summacare | MEDICARE ADVANTAGE | $1,132.12 | ↑ +31% |
| CIGNA | MEDICARE ADVANTAGE | $1,166.08 | ↑ +35% |
| Perennial Health | MEDICARE ADVANTAGE | $1,176.60 | ↑ +36% |
| CommuniCare | MEDICARE ADVANTAGE | $1,188.72 | ↑ +38% |
| Multiplan | All Products | $1,196.10 | ↑ +38% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,222.68 | ↑ +42% |
| Aetna | Qhp/Ifp | $1,329.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $1,785.82 | ↑ +107% |
| MMO | SuperMed | $2,014.21 | ↑ +133% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Colonoscopy with biopsy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,525.60 | $1.10 – $4,881.60 |
| akron general | Akron | $863.85 | $1.10 – $1,196.10 |
| University Hospitals Ahuja Medical Center | Beachwood | $1,368.00 | $403.10 – $2,037.81 |
| University Hospitals Beachwood Medical Center | Beachwood | $1,368.00 | $839.04 – $2,867.32 |
| University Hospitals Elyria Medical Center | Elyria | $1,368.00 | $1,132.12 – $2,037.81 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $1,368.00 | $1,132.12 – $2,037.81 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $1,368.00 | $1,132.12 – $2,037.81 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $1,368.00 | $1,132.12 – $2,037.81 |