Debride/subq tissue/ea add 20sq cm 11045 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,123.85
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.
$1,729.00
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.
$0.01 with UNITED vs $3,004.00 with AETNA — 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $13.33 | ↓ -99% |
| Caresource | Managed Medicaid | $13.73 | ↓ -99% |
| Buckeye | Managed Medicaid | $14.00 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $14.66 | ↓ -99% |
| Molina | Managed Medicaid | $14.66 | ↓ -99% |
| Summacare | Preferred | $15.29 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $15.29 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $16.41 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $19.99 | ↓ -98% |
| Aetna | Medicare Advantage | $21.88 | ↓ -98% |
| Cigna | Medicare Advantage | $21.88 | ↓ -98% |
| Humana | Medicare Advantage HMO | $21.88 | ↓ -98% |
| The Health Plan | Medicare Advantage | $21.88 | ↓ -98% |
| Anthem | Medicare Advantage | $21.88 | ↓ -98% |
| United | Medicare Advantage | $21.88 | ↓ -98% |
| Summacare | Medicare Advantage MD | $22.34 | ↓ -98% |
| MMO | Medicare HMO & PPO | $22.54 | ↓ -98% |
| Summacare | Premier | $22.97 | ↓ -98% |
| CommuniCare | Medicare Advantage | $22.97 | ↓ -98% |
| Perennial Health | Medicare Advantage | $23.63 | ↓ -98% |
| The Health Plan | All Products PCP | $24.07 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $25.16 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $28.44 | ↓ -97% |
| Cigna | All Products Mid-Level | $49.20 | ↓ -96% |
| Oscar | All Products | $50.82 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $52.62 | ↓ -95% |
| Aetna | Acop | $57.05 | ↓ -95% |
| Cigna | All Products Physician | $58.13 | ↓ -95% |
| Aultcare | PPO/HMO | $71.60 | ↓ -94% |
| OHCP | All Products | $77.80 | ↓ -93% |
| United | All Products - Mid-Level | $87.67 | ↓ -92% |
| United | HMO & PPO | $97.41 | ↓ -91% |
| United | All Products | $97.41 | ↓ -91% |
| OMAS | All Products | $100.00 | ↓ -91% |
| MMO | SuperMed | $108.00 | ↓ -90% |
| PHPHI | All Products | $120.00 | ↓ -89% |
| GMS | All Products | $140.00 | ↓ -88% |
| MMO | Traditional | $140.00 | ↓ -88% |
| Aetna | All Products First Health | $150.00 | ↓ -87% |
| Immergrun | All Products | $150.00 | ↓ -87% |
| Aetna | Asa | $160.00 | ↓ -86% |
| Multiplan | All Products | $180.00 | ↓ -84% |
| Aetna | Qhp/Ifp | $200.00 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $376.92 | ↓ -66% |
| UNITED | Managed Medicaid | $456.30 | ↓ -59% |
| CARESOURCE | Managed Medicaid | $469.99 | ↓ -58% |
| MOLINA | Managed Medicaid | $479.12 | ↓ -57% |
| ANTHEM | Managed Medicaid | $479.12 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $488.96 | ↓ -56% |
| AMERIHEALTH | Managed Medicaid | $501.93 | ↓ -55% |
| PHP | ALL PRODUCTS | $553.28 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $553.28 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $584.40 | ↓ -48% |
| Summacare | PREMIER | $660.48 | ↓ -41% |
| MMO | ALL PRODUCTS | $774.59 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $778.05 | ↓ -31% |
| ANTHEM | HPN | $786.35 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $816.09 | ↓ -27% |
| ANTHEM | Exchange | $832.51 | ↓ -26% |
| OHCP | ALL PRODUCTS | $840.29 | ↓ -25% |
| OMAS | ALL PRODUCTS | $864.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $864.50 | ↓ -23% |
| ANTHEM | PPO/HMO | $925.02 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $933.66 | ↓ -17% |
| ANTHEM | TRADITIONAL | $956.14 | ↓ -15% |
| The Health Plan | PPO | $1,103.79 | ↓ -2% |
| GMS | ALL PRODUCTS | $1,210.30 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,210.30 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $1,296.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $1,296.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $1,452.36 | ↑ +29% |
| FrontPath | TRANSPLANT | $1,556.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $1,556.10 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,556.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,556.10 | ↑ +38% |
| The Health Plan | HMO | $1,729.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $1,729.00 | ↑ +54% |
| The Health Plan | POS | $1,729.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +154% |
| AETNA | International | $3,004.00 | ↑ +167% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Debride/subq tissue/ea add 20sq cm 11045 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $2,059.20 | not published |
| Anderson Hospital | Cincinnati | $2,059.20 | not published |
| Clermont Hospital | Batavia | $2,059.20 | not published |
| Kings Mills Hospital | Mason | $2,059.20 | not published |
| Trinity Medical Center East | Steubenville | $123.49 | $149.40 – $199.20 |
| cleveland clinic main campus | Cleveland | $1,123.85 | $0.01 – $1,556.10 |
| akron general | Akron | $1,123.85 | $0.01 – $1,556.10 |
| avon hospital | Avon | $1,123.85 | $0.01 – $1,556.10 |