healthcosts.net
Complex repair trunk 2.6-7.5cm 13101 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$910.00
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.
$1,400.00
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 $1,400.00 with Aetna — 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 | $125.45 | ↓ -86% |
| Caresource | Managed Medicaid | $129.21 | ↓ -86% |
| Buckeye | Managed Medicaid | $131.72 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $138.00 | ↓ -85% |
| Molina | Managed Medicaid | $138.00 | ↓ -85% |
| Summacare | Preferred | $149.39 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $149.39 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $153.00 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $195.36 | ↓ -79% |
| United | Medicare Advantage | $204.00 | ↓ -78% |
| Cigna | Medicare Advantage | $204.00 | ↓ -78% |
| The Health Plan | Medicare Advantage | $204.00 | ↓ -78% |
| Humana | Medicare Advantage HMO | $204.00 | ↓ -78% |
| Aetna | Medicare Advantage | $204.00 | ↓ -78% |
| Anthem | Medicare Advantage | $204.00 | ↓ -78% |
| MMO | Medicare HMO & PPO | $210.12 | ↓ -77% |
| Summacare | Premier | $214.20 | ↓ -76% |
| CommuniCare | Medicare Advantage | $214.20 | ↓ -76% |
| Summacare | Medicare Advantage MD | $218.34 | ↓ -76% |
| Perennial Health | Medicare Advantage | $220.32 | ↓ -76% |
| The Health Plan | All Products PCP | $224.40 | ↓ -75% |
| The Health Plan | All Products Specialty Physicians | $234.60 | ↓ -74% |
| The Health Plan | All Products Radiation Oncology Physicians | $265.20 | ↓ -71% |
| UNITED | Managed Medicaid | $317.47 | ↓ -65% |
| CARESOURCE | Managed Medicaid | $326.99 | ↓ -64% |
| ANTHEM | Managed Medicaid | $333.34 | ↓ -63% |
| MOLINA | Managed Medicaid | $333.34 | ↓ -63% |
| AMERIHEALTH | Managed Medicaid | $349.22 | ↓ -62% |
| Oscar | All Products | $355.74 | ↓ -61% |
| Cigna | All Products Mid-Level | $485.72 | ↓ -47% |
| Aultcare | PPO/HMO | $501.20 | ↓ -45% |
| The Health Plan | MEDICARE ADVANTAGE | $509.04 | ↓ -44% |
| Anthem | All Products Mid-Level Non-Facility | $519.48 | ↓ -43% |
| Aetna | Acop | $543.94 | ↓ -40% |
| OHCP | All Products | $544.60 | ↓ -40% |
| UNITED | MEDICARE ADVANTAGE | $565.60 | ↓ -38% |
| HUMANA | Medicare Advantage HMO | $565.60 | ↓ -38% |
| Cigna | All Products Physician | $573.92 | ↓ -37% |
| Perennial Health | MEDICARE ADVANTAGE | $610.84 | ↓ -33% |
| AETNA | MEDICARE ADVANTAGE | $699.22 | ↓ -23% |
| ANTHEM | MEDICARE ADVANTAGE | $699.22 | ↓ -23% |
| Summacare | MEDICARE ADVANTAGE | $699.22 | ↓ -23% |
| OMAS | All Products | $700.00 | ↓ -23% |
| CIGNA | MEDICARE ADVANTAGE | $720.20 | ↓ -21% |
| CommuniCare | MEDICARE ADVANTAGE | $734.18 | ↓ -19% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $755.16 | ↓ -17% |
| PHPHI | All Products | $840.00 | ↓ -8% |
| United | All Products - Mid-Level | $856.59 | ↓ -6% |
| MMO | ALL PRODUCTS | $950.44 | ↑ +4% |
| United | HMO & PPO | $951.76 | ↑ +5% |
| United | All Products | $951.76 | ↑ +5% |
| GMS | All Products | $980.00 | ↑ +8% |
| MMO | Traditional | $980.00 | ↑ +8% |
| Aetna | All Products First Health | $1,050.00 | ↑ +15% |
| Immergrun | All Products | $1,050.00 | ↑ +15% |
| MMO | SuperMed | $1,071.62 | ↑ +18% |
| Aetna | Asa | $1,120.00 | ↑ +23% |
| Multiplan | All Products | $1,260.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,400.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Complex repair trunk 2.6-7.5cm 13101 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,193.40 | $0.01 – $1,652.40 |
| akron general | Akron | $1,193.40 | $0.01 – $1,652.40 |
| University Hospitals Ahuja Medical Center | Beachwood | $2,143.50 | $494.85 – $2,572.20 |
| University Hospitals Beachwood Medical Center | Beachwood | $2,143.50 | $699.22 – $2,572.20 |
| University Hospitals Elyria Medical Center | Elyria | $2,143.50 | $699.22 – $1,258.59 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $2,143.50 | $699.22 – $1,258.59 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $2,143.50 | $699.22 – $1,258.59 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $2,143.50 | $699.22 – $1,258.59 |