healthcosts.net
Cysto rx balo cath urtl strx at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$886.60
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.
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What you pay up front if you don't use insurance.
$1,364.00
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 | Medicare Advantage Lower Level | $100.85 | ↓ -89% |
| Summacare | Preferred | $100.85 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $107.99 | ↓ -88% |
| United | Managed Medicaid | $124.42 | ↓ -86% |
| Caresource | Managed Medicaid | $128.15 | ↓ -86% |
| Buckeye | Managed Medicaid | $130.64 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $131.88 | ↓ -85% |
| Molina | Managed Medicaid | $136.86 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $136.86 | ↓ -85% |
| Cigna | Medicare Advantage | $143.99 | ↓ -84% |
| United | Medicare Advantage | $143.99 | ↓ -84% |
| The Health Plan | Medicare Advantage | $143.99 | ↓ -84% |
| Aetna | Medicare Advantage | $143.99 | ↓ -84% |
| Anthem | Medicare Advantage | $143.99 | ↓ -84% |
| Humana | Medicare Advantage HMO | $143.99 | ↓ -84% |
| Summacare | Medicare Advantage MD | $147.39 | ↓ -83% |
| MMO | Medicare HMO & PPO | $148.31 | ↓ -83% |
| Summacare | Premier | $151.19 | ↓ -83% |
| CommuniCare | Medicare Advantage | $151.19 | ↓ -83% |
| The Health Plan | PPO | $154.07 | ↓ -83% |
| Perennial Health | Medicare Advantage | $155.51 | ↓ -82% |
| The Health Plan | All Products PCP | $158.39 | ↓ -82% |
| The Health Plan | All Products Specialty Physicians | $165.59 | ↓ -81% |
| The Health Plan | All Products Radiation Oncology Physicians | $187.19 | ↓ -79% |
| Oscar | All Products | $346.59 | ↓ -61% |
| Aultcare | PPO/HMO | $488.31 | ↓ -45% |
| OHCP | All Products | $530.60 | ↓ -40% |
| OMAS | All Products | $682.00 | ↓ -23% |
| PHPHI | All Products | $818.40 | ↓ -8% |
| GMS | All Products | $954.80 | ↑ +8% |
| MMO | Traditional | $954.80 | ↑ +8% |
| Aetna | All Products First Health | $1,023.00 | ↑ +15% |
| Immergrun | All Products | $1,023.00 | ↑ +15% |
| Aetna | Asa | $1,091.20 | ↑ +23% |
| Multiplan | All Products | $1,227.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,364.00 | ↑ +54% |
| UNITED | Managed Medicaid | $1,721.98 | ↑ +94% |
| CARESOURCE | Managed Medicaid | $1,773.64 | ↑ +100% |
| ANTHEM | Managed Medicaid | $1,808.08 | ↑ +104% |
| MOLINA | Managed Medicaid | $1,808.08 | ↑ +104% |
| AMERIHEALTH | Managed Medicaid | $1,894.18 | ↑ +114% |
| Cigna | All Products Mid-Level | $3,169.75 | ↑ +258% |
| Anthem | All Products Mid-Level Non-Facility | $3,271.81 | ↑ +269% |
| Cigna | All Products Physician | $3,745.39 | ↑ +322% |
| The Health Plan | MEDICARE ADVANTAGE | $4,227.45 | ↑ +377% |
| HUMANA | Medicare Advantage HMO | $4,697.16 | ↑ +430% |
| UNITED | MEDICARE ADVANTAGE | $4,697.16 | ↑ +430% |
| ANTHEM | MEDICARE ADVANTAGE | $5,072.67 | ↑ +472% |
| AETNA | MEDICARE ADVANTAGE | $5,072.67 | ↑ +472% |
| Summacare | MEDICARE ADVANTAGE | $5,072.67 | ↑ +472% |
| Perennial Health | MEDICARE ADVANTAGE | $5,072.94 | ↑ +472% |
| CIGNA | MEDICARE ADVANTAGE | $5,224.85 | ↑ +489% |
| CommuniCare | MEDICARE ADVANTAGE | $5,326.31 | ↑ +501% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $5,478.49 | ↑ +518% |
| United | All Products - Mid-Level | $5,611.07 | ↑ +533% |
| United | All Products | $6,234.52 | ↑ +603% |
| United | HMO & PPO | $6,234.52 | ↑ +603% |
| MMO | ALL PRODUCTS | $7,830.45 | ↑ +783% |
| MMO | SuperMed | $8,834.56 | ↑ +896% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +143871% |
| The Health Plan | POS | $4,036,081.00 | ↑ +455131% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Cysto rx balo cath urtl strx at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $886.60 | $1.10 – $5,072.67 |
| akron general | Akron | $886.60 | $1.10 – $5,224.85 |
| avon hospital | Avon | not published | $1,797.86 – $5,579.94 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,935.26 – $3,398.73 |
| euclid hospital | Euclid | not published | $1,841.96 – $5,579.94 |
| fairview hospital | Cleveland | not published | $1,730.43 – $5,579.94 |
| lutheran hospital | Cleveland | not published | $1,647.42 – $5,579.94 |
| hillcrest hospital | Mayfield Heights | not published | $1,802.83 – $5,579.94 |