healthcosts.net
Correction eyelid w/implant at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,653.60
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.
?
What you pay up front if you don't use insurance.
$2,544.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $3,988.99 with MMO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $244.15 | ↓ -85% |
| Caresource | Managed Medicaid | $251.47 | ↓ -85% |
| Buckeye | Managed Medicaid | $256.36 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $268.57 | ↓ -84% |
| Molina | Managed Medicaid | $268.57 | ↓ -84% |
| Summacare | Preferred | $290.39 | ↓ -82% |
| Summacare | Medicare Advantage Lower Level | $290.39 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $306.89 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $379.75 | ↓ -77% |
| The Health Plan | Medicare Advantage | $409.19 | ↓ -75% |
| Anthem | Medicare Advantage | $409.19 | ↓ -75% |
| United | Medicare Advantage | $409.19 | ↓ -75% |
| Aetna | Medicare Advantage | $409.19 | ↓ -75% |
| Cigna | Medicare Advantage | $409.19 | ↓ -75% |
| Humana | Medicare Advantage HMO | $409.19 | ↓ -75% |
| MMO | Medicare HMO & PPO | $421.47 | ↓ -75% |
| Summacare | Medicare Advantage MD | $424.42 | ↓ -74% |
| CommuniCare | Medicare Advantage | $429.65 | ↓ -74% |
| Summacare | Premier | $429.65 | ↓ -74% |
| Perennial Health | Medicare Advantage | $441.93 | ↓ -73% |
| The Health Plan | All Products PCP | $450.11 | ↓ -73% |
| The Health Plan | All Products Specialty Physicians | $470.57 | ↓ -72% |
| The Health Plan | All Products Radiation Oncology Physicians | $531.95 | ↓ -68% |
| Oscar | All Products | $646.43 | ↓ -61% |
| Aultcare | PPO/HMO | $910.75 | ↓ -45% |
| UNITED | Managed Medicaid | $940.79 | ↓ -43% |
| CARESOURCE | Managed Medicaid | $969.01 | ↓ -41% |
| MOLINA | Managed Medicaid | $987.83 | ↓ -40% |
| ANTHEM | Managed Medicaid | $987.83 | ↓ -40% |
| OHCP | All Products | $989.62 | ↓ -40% |
| AMERIHEALTH | Managed Medicaid | $1,034.87 | ↓ -37% |
| Cigna | All Products Mid-Level | $1,092.97 | ↓ -34% |
| Anthem | All Products Mid-Level Non-Facility | $1,168.94 | ↓ -29% |
| Aetna | Acop | $1,205.54 | ↓ -27% |
| OMAS | All Products | $1,272.00 | ↓ -23% |
| Cigna | All Products Physician | $1,291.46 | ↓ -22% |
| PHPHI | All Products | $1,526.40 | ↓ -8% |
| GMS | All Products | $1,780.80 | ↑ +8% |
| MMO | Traditional | $1,780.80 | ↑ +8% |
| Aetna | All Products First Health | $1,908.00 | ↑ +15% |
| Immergrun | All Products | $1,908.00 | ↑ +15% |
| United | All Products - Mid-Level | $1,919.70 | ↑ +16% |
| The Health Plan | MEDICARE ADVANTAGE | $1,940.05 | ↑ +17% |
| Aetna | Asa | $2,035.20 | ↑ +23% |
| United | HMO & PPO | $2,133.00 | ↑ +29% |
| United | All Products | $2,133.00 | ↑ +29% |
| HUMANA | Medicare Advantage HMO | $2,155.61 | ↑ +30% |
| UNITED | MEDICARE ADVANTAGE | $2,155.61 | ↑ +30% |
| AETNA | MEDICARE ADVANTAGE | $2,249.28 | ↑ +36% |
| Summacare | MEDICARE ADVANTAGE | $2,249.28 | ↑ +36% |
| ANTHEM | MEDICARE ADVANTAGE | $2,249.28 | ↑ +36% |
| Multiplan | All Products | $2,289.60 | ↑ +38% |
| CIGNA | MEDICARE ADVANTAGE | $2,316.76 | ↑ +40% |
| Perennial Health | MEDICARE ADVANTAGE | $2,328.06 | ↑ +41% |
| CommuniCare | MEDICARE ADVANTAGE | $2,361.75 | ↑ +43% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,429.23 | ↑ +47% |
| Aetna | Qhp/Ifp | $2,544.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $3,536.32 | ↑ +114% |
| MMO | SuperMed | $3,988.99 | ↑ +141% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Correction eyelid w/implant at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $6,975.80 | $0.01 – $9,658.80 |
| akron general | Akron | $1,653.60 | $1.10 – $2,328.06 |
| avon hospital | Avon | not published | $982.25 – $2,474.21 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,603.66 – $1,856.87 |
| euclid hospital | Euclid | not published | $1,006.34 – $2,474.21 |
| fairview hospital | Cleveland | not published | $945.40 – $2,474.21 |
| lutheran hospital | Cleveland | not published | $900.06 – $2,474.21 |
| hillcrest hospital | Mayfield Heights | not published | $984.97 – $2,474.21 |