healthcosts.net
Destruction rectal tumor 45190 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,709.20
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.
$4,168.00
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 $4,793.60 with MMO — 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% |
| United | Managed Medicaid | $382.71 | ↓ -86% |
| Caresource | Managed Medicaid | $394.19 | ↓ -85% |
| Buckeye | Managed Medicaid | $401.85 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $420.98 | ↓ -84% |
| Molina | Managed Medicaid | $420.98 | ↓ -84% |
| Summacare | Preferred | $426.95 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $426.95 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $488.42 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $558.31 | ↓ -79% |
| Summacare | Medicare Advantage MD | $624.00 | ↓ -77% |
| Humana | Medicare Advantage HMO | $651.22 | ↓ -76% |
| Anthem | Medicare Advantage | $651.22 | ↓ -76% |
| United | Medicare Advantage | $651.22 | ↓ -76% |
| Aetna | Medicare Advantage | $651.22 | ↓ -76% |
| The Health Plan | Medicare Advantage | $651.22 | ↓ -76% |
| Cigna | Medicare Advantage | $651.22 | ↓ -76% |
| MMO | Medicare HMO & PPO | $670.76 | ↓ -75% |
| CommuniCare | Medicare Advantage | $683.78 | ↓ -75% |
| Summacare | Premier | $683.78 | ↓ -75% |
| Perennial Health | Medicare Advantage | $703.32 | ↓ -74% |
| The Health Plan | All Products PCP | $716.34 | ↓ -74% |
| The Health Plan | All Products Specialty Physicians | $748.90 | ↓ -72% |
| The Health Plan | All Products Radiation Oncology Physicians | $846.59 | ↓ -69% |
| Anthem | All Products Mid-Level Non-Facility | $929.34 | ↓ -66% |
| Oscar | All Products | $1,059.09 | ↓ -61% |
| Aultcare | PPO/HMO | $1,492.14 | ↓ -45% |
| UNITED | Managed Medicaid | $1,497.55 | ↓ -45% |
| CARESOURCE | Managed Medicaid | $1,542.48 | ↓ -43% |
| United | All Products - Mid-Level | $1,544.99 | ↓ -43% |
| ANTHEM | Managed Medicaid | $1,572.43 | ↓ -42% |
| MOLINA | Managed Medicaid | $1,572.43 | ↓ -42% |
| OHCP | All Products | $1,621.35 | ↓ -40% |
| AMERIHEALTH | Managed Medicaid | $1,647.31 | ↓ -39% |
| United | HMO & PPO | $1,716.66 | ↓ -37% |
| United | All Products | $1,716.66 | ↓ -37% |
| OMAS | All Products | $2,084.00 | ↓ -23% |
| The Health Plan | MEDICARE ADVANTAGE | $2,280.52 | ↓ -16% |
| PHPHI | All Products | $2,500.80 | ↓ -8% |
| UNITED | MEDICARE ADVANTAGE | $2,533.91 | ↓ -6% |
| HUMANA | Medicare Advantage HMO | $2,533.91 | ↓ -6% |
| AETNA | MEDICARE ADVANTAGE | $2,625.99 | ↓ -3% |
| Summacare | MEDICARE ADVANTAGE | $2,625.99 | ↓ -3% |
| ANTHEM | MEDICARE ADVANTAGE | $2,625.99 | ↓ -3% |
| CIGNA | MEDICARE ADVANTAGE | $2,704.77 | ↓ -0% |
| Perennial Health | MEDICARE ADVANTAGE | $2,736.63 | ↑ +1% |
| CommuniCare | MEDICARE ADVANTAGE | $2,757.29 | ↑ +2% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,836.07 | ↑ +5% |
| GMS | All Products | $2,917.60 | ↑ +8% |
| MMO | Traditional | $2,917.60 | ↑ +8% |
| Aetna | All Products First Health | $3,126.00 | ↑ +15% |
| Immergrun | All Products | $3,126.00 | ↑ +15% |
| Aetna | Asa | $3,334.40 | ↑ +23% |
| Multiplan | All Products | $3,751.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $4,168.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $4,249.08 | ↑ +57% |
| MMO | SuperMed | $4,793.60 | ↑ +77% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Destruction rectal tumor 45190 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,709.20 | $1.10 – $3,751.20 |
| akron general | Akron | $2,709.20 | $1.10 – $3,751.20 |
| avon hospital | Avon | not published | $1,563.54 – $2,888.59 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,552.71 – $2,955.77 |
| euclid hospital | Euclid | not published | $1,601.90 – $2,888.59 |
| fairview hospital | Cleveland | not published | $1,504.90 – $2,888.59 |
| lutheran hospital | Cleveland | not published | $1,432.71 – $2,888.59 |
| hillcrest hospital | Mayfield Heights | not published | $1,567.87 – $2,888.59 |