Cysto/uretero w/lithotripsy at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$15,200.25
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.
$23,385.00
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.
$0.01 with UNITED vs $23,385.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $253.44 | ↓ -98% |
| Summacare | Preferred | $253.44 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $270.75 | ↓ -98% |
| United | Managed Medicaid | $317.67 | ↓ -98% |
| Caresource | Managed Medicaid | $327.20 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $331.42 | ↓ -98% |
| Buckeye | Managed Medicaid | $333.55 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $349.44 | ↓ -98% |
| Molina | Managed Medicaid | $349.44 | ↓ -98% |
| The Health Plan | Medicare Advantage | $361.00 | ↓ -98% |
| Aetna | Medicare Advantage | $361.00 | ↓ -98% |
| Anthem | Medicare Advantage | $361.00 | ↓ -98% |
| United | Medicare Advantage | $361.00 | ↓ -98% |
| Cigna | Medicare Advantage | $361.00 | ↓ -98% |
| Humana | Medicare Advantage HMO | $361.00 | ↓ -98% |
| Summacare | Medicare Advantage MD | $370.41 | ↓ -98% |
| MMO | Medicare HMO & PPO | $371.83 | ↓ -98% |
| CommuniCare | Medicare Advantage | $379.05 | ↓ -98% |
| Summacare | Premier | $379.05 | ↓ -98% |
| Perennial Health | Medicare Advantage | $389.88 | ↓ -97% |
| The Health Plan | All Products PCP | $397.10 | ↓ -97% |
| The Health Plan | All Products Specialty Physicians | $415.15 | ↓ -97% |
| The Health Plan | All Products Radiation Oncology Physicians | $469.30 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $548.22 | ↓ -96% |
| Oscar | All Products | $813.12 | ↓ -95% |
| United | All Products - Mid-Level | $915.38 | ↓ -94% |
| United | HMO & PPO | $1,017.09 | ↓ -93% |
| United | All Products | $1,017.09 | ↓ -93% |
| Aultcare | PPO/HMO | $1,145.60 | ↓ -92% |
| OHCP | All Products | $1,244.80 | ↓ -92% |
| OMAS | All Products | $1,600.00 | ↓ -89% |
| PHPHI | All Products | $1,920.00 | ↓ -87% |
| GMS | All Products | $2,240.00 | ↓ -85% |
| MMO | Traditional | $2,240.00 | ↓ -85% |
| UNITED | Managed Medicaid | $2,309.35 | ↓ -85% |
| CARESOURCE | Managed Medicaid | $2,378.63 | ↓ -84% |
| Immergrun | All Products | $2,400.00 | ↓ -84% |
| Aetna | All Products First Health | $2,400.00 | ↓ -84% |
| ANTHEM | Managed Medicaid | $2,424.82 | ↓ -84% |
| MOLINA | Managed Medicaid | $2,424.82 | ↓ -84% |
| AMERIHEALTH | Managed Medicaid | $2,540.29 | ↓ -83% |
| Aetna | Asa | $2,560.00 | ↓ -83% |
| Multiplan | All Products | $2,880.00 | ↓ -81% |
| Aetna | Qhp/Ifp | $3,200.00 | ↓ -79% |
| The Health Plan | MEDICARE ADVANTAGE | $4,227.45 | ↓ -72% |
| HUMANA | Medicare Advantage HMO | $4,697.16 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $4,697.16 | ↓ -69% |
| ANTHEM | MEDICARE ADVANTAGE | $5,072.67 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $5,072.67 | ↓ -67% |
| Summacare | MEDICARE ADVANTAGE | $5,072.67 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $5,072.94 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $5,224.85 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $5,326.31 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $5,478.49 | ↓ -64% |
| OSCAR | ALL PRODUCTS | $6,613.28 | ↓ -56% |
| AETNA | Asa_Whirlpool_Peia | $7,090.00 | ↓ -53% |
| AETNA | International | $7,445.00 | ↓ -51% |
| PHP | ALL PRODUCTS | $7,483.20 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $7,483.20 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $7,904.13 | ↓ -48% |
| MMO | SuperMed | $8,834.56 | ↓ -42% |
| Summacare | PREMIER | $8,933.07 | ↓ -41% |
| CIGNA | ALL PRODUCTS | $10,235.00 | ↓ -33% |
| MMO | ALL PRODUCTS | $10,330.82 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $10,523.25 | ↓ -31% |
| ANTHEM | HPN | $11,264.55 | ↓ -26% |
| OHCP | ALL PRODUCTS | $11,365.11 | ↓ -25% |
| OMAS | ALL PRODUCTS | $11,692.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $11,692.50 | ↓ -23% |
| ANTHEM | Exchange | $11,926.35 | ↓ -22% |
| Ohio Healthy | TRANSPLANT | $12,627.90 | ↓ -17% |
| ANTHEM | TRADITIONAL | $12,931.91 | ↓ -15% |
| ANTHEM | PPO/HMO | $13,252.28 | ↓ -13% |
| The Health Plan | PPO | $14,928.98 | ↓ -2% |
| GMS | ALL PRODUCTS | $16,369.50 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $16,369.50 | ↑ +8% |
| AETNA | ALL PRODUCTS | $17,538.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $17,538.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $19,643.40 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $21,046.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $21,046.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $21,046.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $21,046.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $23,385.00 | ↑ +54% |
| The Health Plan | HMO | $23,385.00 | ↑ +54% |
| The Health Plan | POS | $23,385.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Cysto/uretero w/lithotripsy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $34,254.87 | $5,225.18 – $5,329.68 |
| Anderson Hospital | Cincinnati | $43,616.92 | $5,225.18 – $5,329.68 |
| Clermont Hospital | Batavia | $39,858.48 | $5,225.18 – $5,329.68 |
| Kings Mills Hospital | Mason | $33,202.64 | $5,225.18 – $5,329.68 |
| Mercy West Hospital | Cincinnati | $28,046.45 | $5,315.89 – $5,422.21 |
| St Ritas Medical Center | Lima | $31,601.92 | $5,315.89 – $5,422.21 |
| cleveland clinic main campus | Cleveland | $15,200.25 | $0.01 – $21,046.50 |
| akron general | Akron | $2,080.00 | $1.10 – $5,224.85 |