Drainage of urethra abscess 53060 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$696.80
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.
$1,072.00
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 $4,066.59 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $85.93 | ↓ -88% |
| Caresource | Managed Medicaid | $88.51 | ↓ -87% |
| Buckeye | Managed Medicaid | $90.23 | ↓ -87% |
| Molina | Managed Medicaid | $94.52 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $94.52 | ↓ -86% |
| Summacare | Preferred | $102.78 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $102.78 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $109.31 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $134.41 | ↓ -81% |
| Cigna | Medicare Advantage | $145.74 | ↓ -79% |
| United | Medicare Advantage | $145.74 | ↓ -79% |
| Aetna | Medicare Advantage | $145.74 | ↓ -79% |
| Humana | Medicare Advantage HMO | $145.74 | ↓ -79% |
| The Health Plan | Medicare Advantage | $145.74 | ↓ -79% |
| Anthem | Medicare Advantage | $145.74 | ↓ -79% |
| MMO | Medicare HMO & PPO | $150.11 | ↓ -78% |
| Summacare | Medicare Advantage MD | $150.22 | ↓ -78% |
| CommuniCare | Medicare Advantage | $153.03 | ↓ -78% |
| Summacare | Premier | $153.03 | ↓ -78% |
| Perennial Health | Medicare Advantage | $157.40 | ↓ -77% |
| The Health Plan | All Products PCP | $160.31 | ↓ -77% |
| The Health Plan | All Products Specialty Physicians | $167.60 | ↓ -76% |
| The Health Plan | All Products Radiation Oncology Physicians | $189.46 | ↓ -73% |
| Cigna | All Products Mid-Level | $236.32 | ↓ -66% |
| Anthem | All Products Mid-Level Non-Facility | $252.74 | ↓ -64% |
| Aetna | Acop | $255.54 | ↓ -63% |
| Oscar | All Products | $272.40 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $272.90 | ↓ -61% |
| Cigna | All Products Physician | $279.23 | ↓ -60% |
| PHP | ALL PRODUCTS | $308.80 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $308.80 | ↓ -56% |
| CC EHP | ALL PRODUCTS | $326.17 | ↓ -53% |
| Aultcare | PPO/HMO | $345.47 | ↓ -50% |
| Summacare | PREMIER | $368.63 | ↓ -47% |
| OHCP | All Products | $417.01 | ↓ -40% |
| United | All Products - Mid-Level | $420.51 | ↓ -40% |
| Amish Community Aid Plan | ALL PRODUCTS | $434.25 | ↓ -38% |
| CIGNA | ALL PRODUCTS | $455.48 | ↓ -35% |
| ANTHEM | HPN | $464.84 | ↓ -33% |
| United | All Products | $467.24 | ↓ -33% |
| United | HMO & PPO | $467.24 | ↓ -33% |
| OHCP | ALL PRODUCTS | $468.99 | ↓ -33% |
| OMAS | ALL PRODUCTS | $482.50 | ↓ -31% |
| Immergrun | ALL PRODUCTS | $482.50 | ↓ -31% |
| ANTHEM | Exchange | $492.15 | ↓ -29% |
| Ohio Healthy | TRANSPLANT | $521.10 | ↓ -25% |
| ANTHEM | TRADITIONAL | $533.65 | ↓ -23% |
| OMAS | All Products | $536.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $546.87 | ↓ -22% |
| The Health Plan | PPO | $616.06 | ↓ -12% |
| PHPHI | All Products | $643.20 | ↓ -8% |
| GMS | ALL PRODUCTS | $675.50 | ↓ -3% |
| Medical Benefit Corp | Transplant SMCP | $675.50 | ↓ -3% |
| AETNA | ALL PRODUCTS | $723.75 | ↑ +4% |
| Consociate Health | ALL PRODUCTS | $723.75 | ↑ +4% |
| GMS | All Products | $750.40 | ↑ +8% |
| MMO | Traditional | $750.40 | ↑ +8% |
| Immergrun | All Products | $804.00 | ↑ +15% |
| Aetna | All Products First Health | $804.00 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $810.60 | ↑ +16% |
| Aetna | Asa | $857.60 | ↑ +23% |
| FrontPath | TRANSPLANT | $868.50 | ↑ +25% |
| Tertiary Care Network | TRANSPLANT | $868.50 | ↑ +25% |
| MULTIPLAN | ALL PRODUCTS | $868.50 | ↑ +25% |
| Managed Care Services | TRANSPLANT | $868.50 | ↑ +25% |
| Multiplan | All Products | $964.80 | ↑ +38% |
| AETNA | Qhp/Ipf | $965.00 | ↑ +38% |
| The Health Plan | POS | $965.00 | ↑ +38% |
| The Health Plan | MEDICARE ADVANTAGE | $965.00 | ↑ +38% |
| The Health Plan | HMO | $965.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,072.00 | ↑ +54% |
| UNITED | Managed Medicaid | $1,721.98 | ↑ +147% |
| CARESOURCE | Managed Medicaid | $1,773.64 | ↑ +155% |
| ANTHEM | Managed Medicaid | $1,808.08 | ↑ +159% |
| MOLINA | Managed Medicaid | $1,808.08 | ↑ +159% |
| UNITED | MEDICARE ADVANTAGE | $1,892.78 | ↑ +172% |
| HUMANA | Medicare Advantage HMO | $1,892.78 | ↑ +172% |
| AMERIHEALTH | Managed Medicaid | $1,894.18 | ↑ +172% |
| Summacare | MEDICARE ADVANTAGE | $1,977.66 | ↑ +184% |
| AETNA | MEDICARE ADVANTAGE | $1,977.66 | ↑ +184% |
| ANTHEM | MEDICARE ADVANTAGE | $1,977.66 | ↑ +184% |
| CIGNA | MEDICARE ADVANTAGE | $2,036.99 | ↑ +192% |
| Perennial Health | MEDICARE ADVANTAGE | $2,044.20 | ↑ +193% |
| CommuniCare | MEDICARE ADVANTAGE | $2,076.55 | ↑ +198% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,135.88 | ↑ +207% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +310% |
| AETNA | International | $3,004.00 | ↑ +331% |
| MMO | SuperMed | $3,478.27 | ↑ +399% |
| MMO | ALL PRODUCTS | $4,066.59 | ↑ +484% |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Drainage of urethra abscess 53060 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $6,124.95 | $0.01 – $2,445.34 |
| akron general | Akron | $6,124.95 | $0.01 – $2,044.20 |
| avon hospital | Avon | $627.25 | $0.01 – $2,175.43 |
| euclid hospital | Euclid | $627.25 | $0.01 – $2,175.43 |
| fairview hospital | Cleveland | $627.25 | $0.01 – $2,175.43 |
| lutheran hospital | Cleveland | $627.25 | $0.01 – $2,175.43 |
| hillcrest hospital | Mayfield Heights | $627.25 | $0.01 – $2,175.43 |
| marymount hospital | Garfield Heights | $627.25 | $0.01 – $2,175.43 |