healthcosts.net
Drng peritoneal abscess open 49020 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$6,934.20
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.
$10,668.00
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 $4,036,081.00 with The Health Plan — 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% |
| Oscar | All Products | $632.45 | ↓ -91% |
| United | Managed Medicaid | $858.78 | ↓ -88% |
| Caresource | Managed Medicaid | $884.54 | ↓ -87% |
| Aultcare | PPO/HMO | $891.06 | ↓ -87% |
| Buckeye | Managed Medicaid | $901.72 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $944.66 | ↓ -86% |
| Molina | Managed Medicaid | $944.66 | ↓ -86% |
| OHCP | All Products | $968.22 | ↓ -86% |
| Summacare | Preferred | $985.39 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $985.39 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $1,096.11 | ↓ -84% |
| OMAS | All Products | $1,244.50 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $1,288.59 | ↓ -81% |
| Summacare | Medicare Advantage MD | $1,440.19 | ↓ -79% |
| Anthem | Medicare Advantage | $1,461.48 | ↓ -79% |
| The Health Plan | Medicare Advantage | $1,461.48 | ↓ -79% |
| Cigna | Medicare Advantage | $1,461.48 | ↓ -79% |
| Aetna | Medicare Advantage | $1,461.48 | ↓ -79% |
| United | Medicare Advantage | $1,461.48 | ↓ -79% |
| Humana | Medicare Advantage HMO | $1,461.48 | ↓ -79% |
| PHPHI | All Products | $1,493.40 | ↓ -78% |
| MMO | Medicare HMO & PPO | $1,505.32 | ↓ -78% |
| Summacare | Premier | $1,534.55 | ↓ -78% |
| CommuniCare | Medicare Advantage | $1,534.55 | ↓ -78% |
| The Health Plan | PPO | $1,563.78 | ↓ -77% |
| Perennial Health | Medicare Advantage | $1,578.40 | ↓ -77% |
| The Health Plan | All Products PCP | $1,607.63 | ↓ -77% |
| UNITED | Managed Medicaid | $1,655.18 | ↓ -76% |
| The Health Plan | All Products Specialty Physicians | $1,680.70 | ↓ -76% |
| CARESOURCE | Managed Medicaid | $1,704.84 | ↓ -75% |
| ANTHEM | Managed Medicaid | $1,737.94 | ↓ -75% |
| MOLINA | Managed Medicaid | $1,737.94 | ↓ -75% |
| GMS | All Products | $1,742.30 | ↓ -75% |
| MMO | Traditional | $1,742.30 | ↓ -75% |
| AMERIHEALTH | Managed Medicaid | $1,820.70 | ↓ -74% |
| Aetna | All Products First Health | $1,866.75 | ↓ -73% |
| Immergrun | All Products | $1,866.75 | ↓ -73% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,899.92 | ↓ -73% |
| Aetna | Asa | $1,991.20 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $2,146.91 | ↓ -69% |
| Multiplan | All Products | $2,240.10 | ↓ -68% |
| Aetna | Qhp/Ifp | $2,489.00 | ↓ -64% |
| MMO | SuperMed | $2,738.18 | ↓ -61% |
| United | All Products - Mid-Level | $3,566.02 | ↓ -49% |
| United | HMO & PPO | $3,962.24 | ↓ -43% |
| United | All Products | $3,962.24 | ↓ -43% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +18308% |
| The Health Plan | POS | $4,036,081.00 | ↑ +58105% |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Drng peritoneal abscess open 49020 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $6,934.20 | $0.01 – $9,601.20 |
| akron general | Akron | $6,934.20 | $1.10 – $2,240.10 |
| avon hospital | Avon | not published | $1,728.12 – $1,761.04 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,821.41 – $3,266.89 |
| euclid hospital | Euclid | not published | $1,770.51 – $2,050.06 |
| fairview hospital | Cleveland | not published | $1,663.31 – $1,925.94 |
| lutheran hospital | Cleveland | not published | $1,583.52 – $1,833.55 |
| hillcrest hospital | Mayfield Heights | not published | $1,732.90 – $2,006.52 |