healthcosts.net
Ear cartilage graft at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,950.00
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.
$3,000.00
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 $9,999.36 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% |
| United | Managed Medicaid | $300.07 | ↓ -85% |
| Caresource | Managed Medicaid | $309.07 | ↓ -84% |
| Buckeye | Managed Medicaid | $315.07 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $330.08 | ↓ -83% |
| Molina | Managed Medicaid | $330.08 | ↓ -83% |
| Summacare | Preferred | $348.43 | ↓ -82% |
| Summacare | Medicare Advantage Lower Level | $348.43 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $366.68 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $455.63 | ↓ -77% |
| United | Medicare Advantage | $488.90 | ↓ -75% |
| Humana | Medicare Advantage HMO | $488.90 | ↓ -75% |
| Cigna | Medicare Advantage | $488.90 | ↓ -75% |
| Aetna | Medicare Advantage | $488.90 | ↓ -75% |
| The Health Plan | Medicare Advantage | $488.90 | ↓ -75% |
| Anthem | Medicare Advantage | $488.90 | ↓ -75% |
| MMO | Medicare HMO & PPO | $503.57 | ↓ -74% |
| Summacare | Medicare Advantage MD | $509.24 | ↓ -74% |
| Summacare | Premier | $513.35 | ↓ -74% |
| CommuniCare | Medicare Advantage | $513.35 | ↓ -74% |
| Perennial Health | Medicare Advantage | $528.01 | ↓ -73% |
| The Health Plan | All Products PCP | $537.79 | ↓ -72% |
| The Health Plan | All Products Specialty Physicians | $562.24 | ↓ -71% |
| The Health Plan | All Products Radiation Oncology Physicians | $635.57 | ↓ -67% |
| Oscar | All Products | $762.30 | ↓ -61% |
| Cigna | All Products Mid-Level | $903.08 | ↓ -54% |
| Anthem | All Products Mid-Level Non-Facility | $965.86 | ↓ -50% |
| Aetna | Acop | $997.35 | ↓ -49% |
| Cigna | All Products Physician | $1,067.08 | ↓ -45% |
| Aultcare | PPO/HMO | $1,074.00 | ↓ -45% |
| OHCP | All Products | $1,167.00 | ↓ -40% |
| OMAS | All Products | $1,500.00 | ↓ -23% |
| United | All Products - Mid-Level | $1,609.37 | ↓ -17% |
| UNITED | Managed Medicaid | $1,679.14 | ↓ -14% |
| CARESOURCE | Managed Medicaid | $1,729.51 | ↓ -11% |
| ANTHEM | Managed Medicaid | $1,763.10 | ↓ -10% |
| MOLINA | Managed Medicaid | $1,763.10 | ↓ -10% |
| United | All Products | $1,788.19 | ↓ -8% |
| United | HMO & PPO | $1,788.19 | ↓ -8% |
| PHPHI | All Products | $1,800.00 | ↓ -8% |
| AMERIHEALTH | Managed Medicaid | $1,847.05 | ↓ -5% |
| GMS | All Products | $2,100.00 | ↑ +8% |
| MMO | Traditional | $2,100.00 | ↑ +8% |
| Aetna | All Products First Health | $2,250.00 | ↑ +15% |
| Immergrun | All Products | $2,250.00 | ↑ +15% |
| Aetna | Asa | $2,400.00 | ↑ +23% |
| Multiplan | All Products | $2,700.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $3,000.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $4,919.36 | ↑ +152% |
| HUMANA | Medicare Advantage HMO | $5,465.95 | ↑ +180% |
| UNITED | MEDICARE ADVANTAGE | $5,465.95 | ↑ +180% |
| AETNA | MEDICARE ADVANTAGE | $5,600.62 | ↑ +187% |
| Summacare | MEDICARE ADVANTAGE | $5,600.62 | ↑ +187% |
| ANTHEM | MEDICARE ADVANTAGE | $5,600.62 | ↑ +187% |
| CIGNA | MEDICARE ADVANTAGE | $5,768.63 | ↑ +196% |
| CommuniCare | MEDICARE ADVANTAGE | $5,880.65 | ↑ +202% |
| Perennial Health | MEDICARE ADVANTAGE | $5,903.23 | ↑ +203% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,048.66 | ↑ +210% |
| MMO | ALL PRODUCTS | $8,862.25 | ↑ +354% |
| MMO | SuperMed | $9,999.36 | ↑ +413% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ear cartilage graft at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $17,687.80 | $0.01 – $24,490.80 |
| akron general | Akron | $1,950.00 | $1.10 – $5,903.23 |
| avon hospital | Avon | not published | $1,753.14 – $6,160.68 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,862.26 – $3,314.19 |
| euclid hospital | Euclid | not published | $1,796.15 – $6,160.68 |
| fairview hospital | Cleveland | not published | $1,687.38 – $6,160.68 |
| lutheran hospital | Cleveland | not published | $1,606.45 – $6,160.68 |
| hillcrest hospital | Mayfield Heights | not published | $1,757.99 – $6,160.68 |