healthcosts.net
Dilate esophagus at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$366.60
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.
$564.00
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 $3,248.90 with MMO — 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 | Preferred | $52.71 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $52.71 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $56.76 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $68.93 | ↓ -81% |
| United | Managed Medicaid | $75.09 | ↓ -80% |
| Humana | Medicare Advantage HMO | $75.68 | ↓ -79% |
| Aetna | Medicare Advantage | $75.68 | ↓ -79% |
| The Health Plan | Medicare Advantage | $75.68 | ↓ -79% |
| Cigna | Medicare Advantage | $75.68 | ↓ -79% |
| Anthem | Medicare Advantage | $75.68 | ↓ -79% |
| United | Medicare Advantage | $75.68 | ↓ -79% |
| Summacare | Medicare Advantage MD | $77.04 | ↓ -79% |
| Caresource | Managed Medicaid | $77.34 | ↓ -79% |
| MMO | Medicare HMO & PPO | $77.95 | ↓ -79% |
| Buckeye | Managed Medicaid | $78.84 | ↓ -78% |
| Summacare | Premier | $79.46 | ↓ -78% |
| CommuniCare | Medicare Advantage | $79.46 | ↓ -78% |
| Perennial Health | Medicare Advantage | $81.73 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $82.60 | ↓ -77% |
| Molina | Managed Medicaid | $82.60 | ↓ -77% |
| The Health Plan | All Products PCP | $83.25 | ↓ -77% |
| The Health Plan | All Products Specialty Physicians | $87.03 | ↓ -76% |
| The Health Plan | All Products Radiation Oncology Physicians | $98.38 | ↓ -73% |
| Oscar | All Products | $143.31 | ↓ -61% |
| Aultcare | PPO/HMO | $201.91 | ↓ -45% |
| OHCP | All Products | $219.40 | ↓ -40% |
| UNITED | Managed Medicaid | $244.13 | ↓ -33% |
| CARESOURCE | Managed Medicaid | $251.45 | ↓ -31% |
| ANTHEM | Managed Medicaid | $256.34 | ↓ -30% |
| MOLINA | Managed Medicaid | $256.34 | ↓ -30% |
| AMERIHEALTH | Managed Medicaid | $268.54 | ↓ -27% |
| OMAS | All Products | $282.00 | ↓ -23% |
| PHPHI | All Products | $338.40 | ↓ -8% |
| MMO | Traditional | $394.80 | ↑ +8% |
| GMS | All Products | $394.80 | ↑ +8% |
| Immergrun | All Products | $423.00 | ↑ +15% |
| Aetna | All Products First Health | $423.00 | ↑ +15% |
| Aetna | Asa | $451.20 | ↑ +23% |
| Multiplan | All Products | $507.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $564.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $961.46 | ↑ +162% |
| Anthem | All Products Mid-Level Non-Facility | $1,028.29 | ↑ +180% |
| Cigna | All Products Physician | $1,136.06 | ↑ +210% |
| Aetna | Acop | $1,184.25 | ↑ +223% |
| The Health Plan | MEDICARE ADVANTAGE | $1,577.50 | ↑ +330% |
| United | All Products - Mid-Level | $1,662.87 | ↑ +354% |
| HUMANA | Medicare Advantage HMO | $1,752.78 | ↑ +378% |
| UNITED | MEDICARE ADVANTAGE | $1,752.78 | ↑ +378% |
| Summacare | MEDICARE ADVANTAGE | $1,815.43 | ↑ +395% |
| ANTHEM | MEDICARE ADVANTAGE | $1,815.43 | ↑ +395% |
| AETNA | MEDICARE ADVANTAGE | $1,815.43 | ↑ +395% |
| United | HMO & PPO | $1,847.63 | ↑ +404% |
| United | All Products | $1,847.63 | ↑ +404% |
| CIGNA | MEDICARE ADVANTAGE | $1,869.90 | ↑ +410% |
| Perennial Health | MEDICARE ADVANTAGE | $1,893.00 | ↑ +416% |
| CommuniCare | MEDICARE ADVANTAGE | $1,906.21 | ↑ +420% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,960.67 | ↑ +435% |
| MMO | ALL PRODUCTS | $2,879.57 | ↑ +685% |
| MMO | SuperMed | $3,248.90 | ↑ +786% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Dilate esophagus at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $366.60 | $1.10 – $1,815.43 |
| akron general | Akron | $366.60 | $1.10 – $1,893.00 |
| avon hospital | Avon | not published | $254.90 – $1,996.98 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $416.16 – $481.87 |
| euclid hospital | Euclid | not published | $261.15 – $1,996.98 |
| fairview hospital | Cleveland | not published | $245.34 – $1,996.98 |
| lutheran hospital | Cleveland | not published | $233.57 – $1,996.98 |
| hillcrest hospital | Mayfield Heights | not published | $255.60 – $1,996.98 |