Cystostomy cystotomy w/drainage 51040 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$6,124.95
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.
$9,423.00
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 $9,423.00 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 | $179.52 | ↓ -97% |
| Summacare | Preferred | $179.52 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $198.72 | ↓ -97% |
| Oscar | All Products | $203.79 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $234.75 | ↓ -96% |
| United | Managed Medicaid | $248.73 | ↓ -96% |
| Caresource | Managed Medicaid | $256.19 | ↓ -96% |
| Buckeye | Managed Medicaid | $261.17 | ↓ -96% |
| Summacare | Medicare Advantage MD | $262.37 | ↓ -96% |
| The Health Plan | Medicare Advantage | $264.96 | ↓ -96% |
| United | Medicare Advantage | $264.96 | ↓ -96% |
| Cigna | Medicare Advantage | $264.96 | ↓ -96% |
| Anthem | Medicare Advantage | $264.96 | ↓ -96% |
| Aetna | Medicare Advantage | $264.96 | ↓ -96% |
| Humana | Medicare Advantage HMO | $264.96 | ↓ -96% |
| MMO | Medicare HMO & PPO | $272.91 | ↓ -96% |
| Molina | Managed Medicaid | $273.60 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $273.60 | ↓ -96% |
| Summacare | Premier | $278.21 | ↓ -95% |
| CommuniCare | Medicare Advantage | $278.21 | ↓ -95% |
| Perennial Health | Medicare Advantage | $286.16 | ↓ -95% |
| Aultcare | PPO/HMO | $287.12 | ↓ -95% |
| The Health Plan | All Products PCP | $291.46 | ↓ -95% |
| The Health Plan | All Products Specialty Physicians | $304.70 | ↓ -95% |
| OHCP | All Products | $311.98 | ↓ -95% |
| The Health Plan | All Products Radiation Oncology Physicians | $344.45 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $385.23 | ↓ -94% |
| OMAS | All Products | $401.00 | ↓ -93% |
| PHPHI | All Products | $481.20 | ↓ -92% |
| MMO | Traditional | $561.40 | ↓ -91% |
| GMS | All Products | $561.40 | ↓ -91% |
| Aetna | All Products First Health | $601.50 | ↓ -90% |
| Immergrun | All Products | $601.50 | ↓ -90% |
| Aetna | Asa | $641.60 | ↓ -90% |
| United | All Products - Mid-Level | $648.09 | ↓ -89% |
| United | All Products | $720.09 | ↓ -88% |
| United | HMO & PPO | $720.09 | ↓ -88% |
| Multiplan | All Products | $721.80 | ↓ -88% |
| Aetna | Qhp/Ifp | $802.00 | ↓ -87% |
| UNITED | Managed Medicaid | $869.55 | ↓ -86% |
| CARESOURCE | Managed Medicaid | $895.64 | ↓ -85% |
| ANTHEM | Managed Medicaid | $913.03 | ↓ -85% |
| MOLINA | Managed Medicaid | $913.03 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $956.51 | ↓ -84% |
| The Health Plan | PPO | $992.25 | ↓ -84% |
| The Health Plan | MEDICARE ADVANTAGE | $1,703.50 | ↓ -72% |
| ANTHEM | HPN | $1,789.00 | ↓ -71% |
| HUMANA | Medicare Advantage HMO | $1,892.78 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $1,892.78 | ↓ -69% |
| ANTHEM | Exchange | $1,894.00 | ↓ -69% |
| ANTHEM | MEDICARE ADVANTAGE | $1,977.66 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $1,977.66 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $1,977.66 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $2,036.99 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $2,044.20 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $2,076.55 | ↓ -66% |
| ANTHEM | PPO/HMO | $2,104.00 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,135.88 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $2,664.82 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $3,015.36 | ↓ -51% |
| PHP | ALL PRODUCTS | $3,015.36 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $3,184.97 | ↓ -48% |
| MMO | SuperMed | $3,478.27 | ↓ -43% |
| Summacare | PREMIER | $3,599.59 | ↓ -41% |
| MMO | ALL PRODUCTS | $4,066.59 | ↓ -34% |
| Amish Community Aid Plan | ALL PRODUCTS | $4,240.35 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $4,447.66 | ↓ -27% |
| OHCP | ALL PRODUCTS | $4,579.58 | ↓ -25% |
| OMAS | ALL PRODUCTS | $4,711.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $4,711.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $5,088.42 | ↓ -17% |
| ANTHEM | TRADITIONAL | $5,210.92 | ↓ -15% |
| UNITED | ALL PRODUCTS | $5,553.00 | ↓ -9% |
| GMS | ALL PRODUCTS | $6,596.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $6,596.10 | ↑ +8% |
| AETNA | ALL PRODUCTS | $7,067.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $7,067.25 | ↑ +15% |
| AETNA | Asa_Whirlpool_Peia | $7,090.00 | ↑ +16% |
| AETNA | International | $7,445.00 | ↑ +22% |
| The Health Plan | Self-Funded ASO | $7,915.32 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $8,480.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $8,480.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $8,480.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $8,480.70 | ↑ +38% |
| The Health Plan | POS | $9,423.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $9,423.00 | ↑ +54% |
| The Health Plan | HMO | $9,423.00 | ↑ +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
Cystostomy cystotomy w/drainage 51040 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $17,313.46 | $2,037.12 – $2,077.86 |
| Clermont Hospital | Batavia | $12,601.44 | $2,037.12 – $2,077.86 |
| St Ritas Medical Center | Lima | $17,470.25 | $2,072.49 – $2,113.94 |
| cleveland clinic main campus | Cleveland | $6,124.95 | $1.10 – $8,480.70 |
| akron general | Akron | $1,167.40 | $1.10 – $2,044.20 |
| avon hospital | Avon | $6,124.95 | $549.75 – $8,480.70 |
| euclid hospital | Euclid | $6,124.95 | $549.75 – $8,480.70 |
| fairview hospital | Cleveland | $6,124.95 | $469.59 – $8,480.70 |