healthcosts.net
Cystoscopy & revise urethra at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,219.40
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.
$1,876.00
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 $5,553.00 with UNITED — 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 | $124.58 | ↓ -90% |
| Caresource | Managed Medicaid | $128.32 | ↓ -89% |
| Buckeye | Managed Medicaid | $130.81 | ↓ -89% |
| Molina | Managed Medicaid | $137.04 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $137.04 | ↓ -89% |
| Summacare | Medicare Advantage Lower Level | $151.81 | ↓ -88% |
| Summacare | Preferred | $151.81 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $162.18 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $198.53 | ↓ -84% |
| Humana | Medicare Advantage HMO | $216.24 | ↓ -82% |
| Aetna | Medicare Advantage | $216.24 | ↓ -82% |
| Anthem | Medicare Advantage | $216.24 | ↓ -82% |
| Cigna | Medicare Advantage | $216.24 | ↓ -82% |
| The Health Plan | Medicare Advantage | $216.24 | ↓ -82% |
| United | Medicare Advantage | $216.24 | ↓ -82% |
| Summacare | Medicare Advantage MD | $221.88 | ↓ -82% |
| MMO | Medicare HMO & PPO | $222.73 | ↓ -82% |
| CommuniCare | Medicare Advantage | $227.05 | ↓ -81% |
| Summacare | Premier | $227.05 | ↓ -81% |
| Perennial Health | Medicare Advantage | $233.54 | ↓ -81% |
| The Health Plan | All Products PCP | $237.86 | ↓ -80% |
| The Health Plan | All Products Specialty Physicians | $248.68 | ↓ -80% |
| The Health Plan | All Products Radiation Oncology Physicians | $281.11 | ↓ -77% |
| Oscar | All Products | $476.69 | ↓ -61% |
| Cigna | All Products Mid-Level | $657.43 | ↓ -46% |
| Aultcare | PPO/HMO | $671.61 | ↓ -45% |
| Aetna | Acop | $690.93 | ↓ -43% |
| Anthem | All Products Mid-Level Non-Facility | $703.13 | ↓ -42% |
| OHCP | All Products | $729.76 | ↓ -40% |
| Cigna | All Products Physician | $776.82 | ↓ -36% |
| OMAS | All Products | $938.00 | ↓ -23% |
| PHPHI | All Products | $1,125.60 | ↓ -8% |
| United | All Products - Mid-Level | $1,160.37 | ↓ -5% |
| United | HMO & PPO | $1,289.31 | ↑ +6% |
| United | All Products | $1,289.31 | ↑ +6% |
| MMO | Traditional | $1,313.20 | ↑ +8% |
| GMS | All Products | $1,313.20 | ↑ +8% |
| Immergrun | All Products | $1,407.00 | ↑ +15% |
| Aetna | All Products First Health | $1,407.00 | ↑ +15% |
| Aetna | Asa | $1,500.80 | ↑ +23% |
| Multiplan | All Products | $1,688.40 | ↑ +38% |
| The Health Plan | MEDICARE ADVANTAGE | $1,703.50 | ↑ +40% |
| UNITED | Managed Medicaid | $1,721.98 | ↑ +41% |
| CARESOURCE | Managed Medicaid | $1,773.64 | ↑ +45% |
| ANTHEM | Managed Medicaid | $1,808.08 | ↑ +48% |
| MOLINA | Managed Medicaid | $1,808.08 | ↑ +48% |
| Aetna | Qhp/Ifp | $1,876.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $1,892.78 | ↑ +55% |
| HUMANA | Medicare Advantage HMO | $1,892.78 | ↑ +55% |
| AMERIHEALTH | Managed Medicaid | $1,894.18 | ↑ +55% |
| Summacare | MEDICARE ADVANTAGE | $1,977.66 | ↑ +62% |
| ANTHEM | MEDICARE ADVANTAGE | $1,977.66 | ↑ +62% |
| AETNA | MEDICARE ADVANTAGE | $1,977.66 | ↑ +62% |
| CIGNA | MEDICARE ADVANTAGE | $2,036.99 | ↑ +67% |
| Perennial Health | MEDICARE ADVANTAGE | $2,044.20 | ↑ +68% |
| CommuniCare | MEDICARE ADVANTAGE | $2,076.55 | ↑ +70% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,135.88 | ↑ +75% |
| MMO | ALL PRODUCTS | $3,082.35 | ↑ +153% |
| MMO | SuperMed | $3,478.27 | ↑ +185% |
| UNITED | ALL PRODUCTS | $5,553.00 | ↑ +355% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Cystoscopy & revise urethra at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,219.40 | $1.10 – $2,445.34 |
| akron general | Akron | $1,219.40 | $1.10 – $2,044.20 |
| avon hospital | Avon | not published | $1,797.86 – $2,175.43 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,935.26 – $3,398.73 |
| euclid hospital | Euclid | not published | $1,767.05 – $2,175.43 |
| fairview hospital | Cleveland | not published | $1,730.43 – $2,175.43 |
| lutheran hospital | Cleveland | not published | $1,647.42 – $2,175.43 |
| hillcrest hospital | Mayfield Heights | not published | $1,767.05 – $2,175.43 |