healthcosts.net
Cystoscopy and treatment at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,208.35
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.
$1,859.00
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 $1,894.18 with AMERIHEALTH — 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 | $115.11 | ↓ -90% |
| Caresource | Managed Medicaid | $118.56 | ↓ -90% |
| Summacare | Preferred | $120.45 | ↓ -90% |
| Summacare | Medicare Advantage Lower Level | $120.45 | ↓ -90% |
| Buckeye | Managed Medicaid | $120.87 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $126.62 | ↓ -90% |
| Molina | Managed Medicaid | $126.62 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $128.15 | ↓ -89% |
| Summacare | Medicare Advantage CNA | $157.51 | ↓ -87% |
| Humana | Medicare Advantage HMO | $170.87 | ↓ -86% |
| Aetna | Medicare Advantage | $170.87 | ↓ -86% |
| Cigna | Medicare Advantage | $170.87 | ↓ -86% |
| The Health Plan | Medicare Advantage | $170.87 | ↓ -86% |
| United | Medicare Advantage | $170.87 | ↓ -86% |
| Anthem | Medicare Advantage | $170.87 | ↓ -86% |
| MMO | Medicare HMO & PPO | $176.00 | ↓ -85% |
| Summacare | Medicare Advantage MD | $176.04 | ↓ -85% |
| Summacare | Premier | $179.41 | ↓ -85% |
| CommuniCare | Medicare Advantage | $179.41 | ↓ -85% |
| Perennial Health | Medicare Advantage | $184.54 | ↓ -85% |
| The Health Plan | All Products PCP | $187.96 | ↓ -84% |
| The Health Plan | All Products Specialty Physicians | $196.50 | ↓ -84% |
| The Health Plan | All Products Radiation Oncology Physicians | $222.13 | ↓ -82% |
| Oscar | All Products | $365.90 | ↓ -70% |
| Aetna | Acop | $417.56 | ↓ -65% |
| Cigna | All Products Mid-Level | $429.29 | ↓ -64% |
| Anthem | All Products Mid-Level Non-Facility | $459.13 | ↓ -62% |
| Cigna | All Products Physician | $507.25 | ↓ -58% |
| Aultcare | PPO/HMO | $515.52 | ↓ -57% |
| The Health Plan | MEDICARE ADVANTAGE | $555.06 | ↓ -54% |
| OHCP | All Products | $560.16 | ↓ -54% |
| UNITED | MEDICARE ADVANTAGE | $616.73 | ↓ -49% |
| HUMANA | Medicare Advantage HMO | $616.73 | ↓ -49% |
| Summacare | MEDICARE ADVANTAGE | $659.70 | ↓ -45% |
| AETNA | MEDICARE ADVANTAGE | $659.70 | ↓ -45% |
| ANTHEM | MEDICARE ADVANTAGE | $659.70 | ↓ -45% |
| Perennial Health | MEDICARE ADVANTAGE | $666.07 | ↓ -45% |
| CIGNA | MEDICARE ADVANTAGE | $679.49 | ↓ -44% |
| CommuniCare | MEDICARE ADVANTAGE | $692.68 | ↓ -43% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $712.47 | ↓ -41% |
| OMAS | All Products | $720.00 | ↓ -40% |
| United | All Products - Mid-Level | $760.31 | ↓ -37% |
| United | HMO & PPO | $844.79 | ↓ -30% |
| United | All Products | $844.79 | ↓ -30% |
| PHPHI | All Products | $864.00 | ↓ -28% |
| GMS | All Products | $1,008.00 | ↓ -17% |
| MMO | Traditional | $1,008.00 | ↓ -17% |
| MMO | ALL PRODUCTS | $1,033.76 | ↓ -14% |
| Aetna | All Products First Health | $1,080.00 | ↓ -11% |
| Immergrun | All Products | $1,080.00 | ↓ -11% |
| Aetna | Asa | $1,152.00 | ↓ -5% |
| MMO | SuperMed | $1,166.59 | ↓ -3% |
| Multiplan | All Products | $1,296.00 | ↑ +7% |
| Aetna | Qhp/Ifp | $1,440.00 | ↑ +19% |
| UNITED | Managed Medicaid | $1,721.98 | ↑ +43% |
| CARESOURCE | Managed Medicaid | $1,773.64 | ↑ +47% |
| ANTHEM | Managed Medicaid | $1,808.08 | ↑ +50% |
| MOLINA | Managed Medicaid | $1,808.08 | ↑ +50% |
| AMERIHEALTH | Managed Medicaid | $1,894.18 | ↑ +57% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy and treatment at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $936.00 | $1.10 – $2,445.34 |
| akron general | Akron | $1,995.50 | $0.01 – $2,763.00 |
| avon hospital | Avon | not published | $618.77 – $1,832.11 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,935.26 – $3,398.73 |
| euclid hospital | Euclid | not published | $592.63 – $2,132.79 |
| fairview hospital | Cleveland | not published | $592.63 – $2,003.65 |
| lutheran hospital | Cleveland | not published | $618.77 – $1,907.54 |
| hillcrest hospital | Mayfield Heights | not published | $592.63 – $2,087.49 |