healthcosts.net
Destruction mal lsn t/a/l 3.1-4cm at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$569.40
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.
$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 $4,036,081.00 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 Psych | $79.87 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $80.11 | ↓ -86% |
| Summacare | Preferred | $80.11 | ↓ -86% |
| Oscar | All Products | $87.16 | ↓ -85% |
| United | Managed Medicaid | $93.95 | ↓ -84% |
| Caresource | Managed Medicaid | $96.77 | ↓ -83% |
| Buckeye | Managed Medicaid | $98.65 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $103.35 | ↓ -82% |
| Molina | Managed Medicaid | $103.35 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $104.76 | ↓ -82% |
| Anthem | Medicare Advantage | $106.49 | ↓ -81% |
| The Health Plan | Medicare Advantage | $106.49 | ↓ -81% |
| Cigna | Medicare Advantage | $106.49 | ↓ -81% |
| Aetna | Medicare Advantage | $106.49 | ↓ -81% |
| United | Medicare Advantage | $106.49 | ↓ -81% |
| Humana | Medicare Advantage HMO | $106.49 | ↓ -81% |
| MMO | Medicare HMO & PPO | $109.68 | ↓ -81% |
| Summacare | Premier | $111.81 | ↓ -80% |
| CommuniCare | Medicare Advantage | $111.81 | ↓ -80% |
| The Health Plan | PPO | $113.94 | ↓ -80% |
| Perennial Health | Medicare Advantage | $115.01 | ↓ -80% |
| Summacare | Medicare Advantage MD | $117.09 | ↓ -79% |
| The Health Plan | All Products PCP | $117.14 | ↓ -79% |
| The Health Plan | All Products Specialty Physicians | $122.46 | ↓ -78% |
| Aultcare | PPO/HMO | $122.79 | ↓ -78% |
| OHCP | All Products | $133.43 | ↓ -77% |
| UNITED | Managed Medicaid | $137.62 | ↓ -76% |
| The Health Plan | All Products Radiation Oncology Physicians | $138.44 | ↓ -76% |
| CARESOURCE | Managed Medicaid | $141.75 | ↓ -75% |
| MOLINA | Managed Medicaid | $144.50 | ↓ -75% |
| ANTHEM | Managed Medicaid | $144.50 | ↓ -75% |
| AMERIHEALTH | Managed Medicaid | $151.38 | ↓ -73% |
| OMAS | All Products | $171.50 | ↓ -70% |
| PHPHI | All Products | $205.80 | ↓ -64% |
| GMS | All Products | $240.10 | ↓ -58% |
| MMO | Traditional | $240.10 | ↓ -58% |
| Cigna | All Products Mid-Level | $252.58 | ↓ -56% |
| Aetna | All Products First Health | $257.25 | ↓ -55% |
| Immergrun | All Products | $257.25 | ↓ -55% |
| Anthem | All Products Mid-Level Non-Facility | $270.14 | ↓ -53% |
| Aetna | Asa | $274.40 | ↓ -52% |
| Aetna | Acop | $280.20 | ↓ -51% |
| Cigna | All Products Physician | $298.45 | ↓ -48% |
| Multiplan | All Products | $308.70 | ↓ -46% |
| The Health Plan | MEDICARE ADVANTAGE | $332.24 | ↓ -42% |
| Aetna | Qhp/Ifp | $343.00 | ↓ -40% |
| HUMANA | Medicare Advantage HMO | $369.16 | ↓ -35% |
| UNITED | MEDICARE ADVANTAGE | $369.16 | ↓ -35% |
| ANTHEM | MEDICARE ADVANTAGE | $384.59 | ↓ -32% |
| Summacare | MEDICARE ADVANTAGE | $384.59 | ↓ -32% |
| AETNA | MEDICARE ADVANTAGE | $384.59 | ↓ -32% |
| CIGNA | MEDICARE ADVANTAGE | $396.13 | ↓ -30% |
| Perennial Health | MEDICARE ADVANTAGE | $398.69 | ↓ -30% |
| CommuniCare | MEDICARE ADVANTAGE | $403.82 | ↓ -29% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $415.36 | ↓ -27% |
| United | All Products - Mid-Level | $449.77 | ↓ -21% |
| United | All Products | $499.75 | ↓ -12% |
| United | HMO & PPO | $499.75 | ↓ -12% |
| MMO | ALL PRODUCTS | $603.43 | ↑ +6% |
| MMO | SuperMed | $680.96 | ↑ +20% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +224074% |
| The Health Plan | POS | $4,036,081.00 | ↑ +708731% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Destruction mal lsn t/a/l 3.1-4cm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $779.35 | $0.01 – $1,079.10 |
| akron general | Akron | $569.40 | $1.10 – $398.69 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $481.50 | $384.59 – $692.27 |
| avon hospital | Avon | not published | $143.69 – $423.05 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $234.59 – $271.63 |
| euclid hospital | Euclid | not published | $147.21 – $423.05 |
| fairview hospital | Cleveland | not published | $138.30 – $423.05 |
| lutheran hospital | Cleveland | not published | $131.66 – $423.05 |