healthcosts.net
Cystourethro w/implant at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,144.00
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.
?
What you pay up front if you don't use insurance.
$1,760.00
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.
?
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
?
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 →
?
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 | Preferred | $128.29 | ↓ -89% |
| Summacare | Medicare Advantage Lower Level | $128.29 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $136.34 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $167.76 | ↓ -85% |
| Anthem | Medicare Advantage | $181.79 | ↓ -84% |
| United | Medicare Advantage | $181.79 | ↓ -84% |
| Aetna | Medicare Advantage | $181.79 | ↓ -84% |
| The Health Plan | Medicare Advantage | $181.79 | ↓ -84% |
| Humana | Medicare Advantage HMO | $181.79 | ↓ -84% |
| Cigna | Medicare Advantage | $181.79 | ↓ -84% |
| MMO | Medicare HMO & PPO | $187.24 | ↓ -84% |
| Summacare | Medicare Advantage MD | $187.50 | ↓ -84% |
| United | Managed Medicaid | $189.33 | ↓ -83% |
| Summacare | Premier | $190.88 | ↓ -83% |
| CommuniCare | Medicare Advantage | $190.88 | ↓ -83% |
| The Health Plan | PPO | $194.52 | ↓ -83% |
| Caresource | Managed Medicaid | $195.01 | ↓ -83% |
| Perennial Health | Medicare Advantage | $196.33 | ↓ -83% |
| Buckeye | Managed Medicaid | $198.80 | ↓ -83% |
| The Health Plan | All Products PCP | $199.97 | ↓ -83% |
| Molina | Managed Medicaid | $208.26 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $208.26 | ↓ -82% |
| The Health Plan | All Products Specialty Physicians | $209.06 | ↓ -82% |
| The Health Plan | All Products Radiation Oncology Physicians | $236.33 | ↓ -79% |
| MMO | SuperMed | $354.82 | ↓ -69% |
| Oscar | All Products | $447.22 | ↓ -61% |
| Aultcare | PPO/HMO | $630.08 | ↓ -45% |
| OHCP | All Products | $684.64 | ↓ -40% |
| OMAS | All Products | $880.00 | ↓ -23% |
| UNITED | Managed Medicaid | $919.68 | ↓ -20% |
| CARESOURCE | Managed Medicaid | $947.27 | ↓ -17% |
| ANTHEM | Managed Medicaid | $965.66 | ↓ -16% |
| MOLINA | Managed Medicaid | $965.66 | ↓ -16% |
| AMERIHEALTH | Managed Medicaid | $1,011.65 | ↓ -12% |
| PHPHI | All Products | $1,056.00 | ↓ -8% |
| MMO | Traditional | $1,232.00 | ↑ +8% |
| GMS | All Products | $1,232.00 | ↑ +8% |
| Immergrun | All Products | $1,320.00 | ↑ +15% |
| Aetna | All Products First Health | $1,320.00 | ↑ +15% |
| Aetna | Asa | $1,408.00 | ↑ +23% |
| Cigna | All Products Mid-Level | $1,519.92 | ↑ +33% |
| Multiplan | All Products | $1,584.00 | ↑ +38% |
| Anthem | All Products Mid-Level Non-Facility | $1,625.57 | ↑ +42% |
| Aetna | Acop | $1,694.50 | ↑ +48% |
| Aetna | Qhp/Ifp | $1,760.00 | ↑ +54% |
| Cigna | All Products Physician | $1,795.95 | ↑ +57% |
| United | All Products - Mid-Level | $2,656.12 | ↑ +132% |
| United | HMO & PPO | $2,951.24 | ↑ +158% |
| United | All Products | $2,951.24 | ↑ +158% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +111478% |
| The Health Plan | POS | $4,036,081.00 | ↑ +352704% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Cystourethro w/implant at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,850.25 | $0.01 – $3,946.50 |
| akron general | Akron | $1,144.00 | $1.10 – $1,584.00 |
| avon hospital | Avon | not published | $960.21 – $978.50 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,567.68 – $1,815.21 |
| euclid hospital | Euclid | not published | $983.76 – $1,139.09 |
| fairview hospital | Cleveland | not published | $924.19 – $1,070.11 |
| lutheran hospital | Cleveland | not published | $879.86 – $1,018.79 |
| hillcrest hospital | Mayfield Heights | not published | $962.86 – $1,114.89 |