healthcosts.net
Debride/rmv fb/open fx/skin/sq/musc11011 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,413.10
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.
$2,174.00
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 $1,208.06 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 | $151.06 | ↓ -89% |
| Caresource | Managed Medicaid | $155.59 | ↓ -89% |
| Buckeye | Managed Medicaid | $158.61 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $166.17 | ↓ -88% |
| Molina | Managed Medicaid | $166.17 | ↓ -88% |
| Summacare | Preferred | $183.54 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $183.54 | ↓ -87% |
| UNITED | Managed Medicaid | $194.98 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $195.11 | ↓ -86% |
| CARESOURCE | Managed Medicaid | $200.83 | ↓ -86% |
| ANTHEM | Managed Medicaid | $204.73 | ↓ -86% |
| MOLINA | Managed Medicaid | $204.73 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $214.48 | ↓ -85% |
| Oscar | All Products | $225.39 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $240.01 | ↓ -83% |
| The Health Plan | Medicare Advantage | $260.14 | ↓ -82% |
| Anthem | Medicare Advantage | $260.14 | ↓ -82% |
| Aetna | Medicare Advantage | $260.14 | ↓ -82% |
| Cigna | Medicare Advantage | $260.14 | ↓ -82% |
| United | Medicare Advantage | $260.14 | ↓ -82% |
| Humana | Medicare Advantage HMO | $260.14 | ↓ -82% |
| MMO | Medicare HMO & PPO | $267.94 | ↓ -81% |
| Summacare | Medicare Advantage MD | $268.25 | ↓ -81% |
| Summacare | Premier | $273.15 | ↓ -81% |
| CommuniCare | Medicare Advantage | $273.15 | ↓ -81% |
| Perennial Health | Medicare Advantage | $280.95 | ↓ -80% |
| The Health Plan | All Products PCP | $286.15 | ↓ -80% |
| The Health Plan | All Products Specialty Physicians | $299.16 | ↓ -79% |
| Aultcare | PPO/HMO | $317.55 | ↓ -78% |
| The Health Plan | All Products Radiation Oncology Physicians | $338.18 | ↓ -76% |
| OHCP | All Products | $345.04 | ↓ -76% |
| OMAS | All Products | $443.50 | ↓ -69% |
| PHPHI | All Products | $532.20 | ↓ -62% |
| The Health Plan | MEDICARE ADVANTAGE | $585.09 | ↓ -59% |
| Cigna | All Products Mid-Level | $611.84 | ↓ -57% |
| MMO | Traditional | $620.90 | ↓ -56% |
| GMS | All Products | $620.90 | ↓ -56% |
| HUMANA | Medicare Advantage HMO | $650.10 | ↓ -54% |
| UNITED | MEDICARE ADVANTAGE | $650.10 | ↓ -54% |
| Anthem | All Products Mid-Level Non-Facility | $654.37 | ↓ -54% |
| Aetna | All Products First Health | $665.25 | ↓ -53% |
| Immergrun | All Products | $665.25 | ↓ -53% |
| AETNA | MEDICARE ADVANTAGE | $669.95 | ↓ -53% |
| ANTHEM | MEDICARE ADVANTAGE | $669.95 | ↓ -53% |
| Summacare | MEDICARE ADVANTAGE | $669.95 | ↓ -53% |
| CIGNA | MEDICARE ADVANTAGE | $690.05 | ↓ -51% |
| Perennial Health | MEDICARE ADVANTAGE | $702.11 | ↓ -50% |
| CommuniCare | MEDICARE ADVANTAGE | $703.45 | ↓ -50% |
| Aetna | Asa | $709.60 | ↓ -50% |
| Cigna | All Products Physician | $722.95 | ↓ -49% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $723.54 | ↓ -49% |
| Aetna | Acop | $731.02 | ↓ -48% |
| Multiplan | All Products | $798.30 | ↓ -44% |
| Aetna | Qhp/Ifp | $887.00 | ↓ -37% |
| MMO | ALL PRODUCTS | $1,064.73 | ↓ -25% |
| United | All Products - Mid-Level | $1,087.26 | ↓ -23% |
| MMO | SuperMed | $1,200.64 | ↓ -15% |
| United | HMO & PPO | $1,208.06 | ↓ -15% |
| United | All Products | $1,208.06 | ↓ -15% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
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Debride/rmv fb/open fx/skin/sq/musc11011 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,413.10 | $1.10 – $1,956.60 |
| akron general | Akron | $1,413.10 | $1.10 – $1,899.90 |
| avon hospital | Avon | not published | $203.57 – $736.94 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $332.37 – $384.85 |
| euclid hospital | Euclid | not published | $208.56 – $736.94 |
| fairview hospital | Cleveland | not published | $195.94 – $736.94 |
| lutheran hospital | Cleveland | not published | $186.54 – $736.94 |
| hillcrest hospital | Mayfield Heights | not published | $204.14 – $736.94 |