healthcosts.net
Egd flx trnsorl dplmnt balo at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$808.60
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.
$1,244.00
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 $4,036,081.00 with The Health Plan — 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 | Medicare Advantage Lower Level | $108.86 | ↓ -87% |
| Summacare | Preferred | $108.86 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $115.76 | ↓ -86% |
| United | Managed Medicaid | $138.96 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $142.36 | ↓ -82% |
| Caresource | Managed Medicaid | $143.13 | ↓ -82% |
| Buckeye | Managed Medicaid | $145.91 | ↓ -82% |
| Molina | Managed Medicaid | $152.86 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $152.86 | ↓ -81% |
| Anthem | Medicare Advantage | $154.34 | ↓ -81% |
| The Health Plan | Medicare Advantage | $154.34 | ↓ -81% |
| Cigna | Medicare Advantage | $154.34 | ↓ -81% |
| Aetna | Medicare Advantage | $154.34 | ↓ -81% |
| United | Medicare Advantage | $154.34 | ↓ -81% |
| Humana | Medicare Advantage HMO | $154.34 | ↓ -81% |
| MMO | Medicare HMO & PPO | $158.97 | ↓ -80% |
| Summacare | Medicare Advantage MD | $159.11 | ↓ -80% |
| Summacare | Premier | $162.06 | ↓ -80% |
| CommuniCare | Medicare Advantage | $162.06 | ↓ -80% |
| The Health Plan | PPO | $165.14 | ↓ -80% |
| Perennial Health | Medicare Advantage | $166.69 | ↓ -79% |
| The Health Plan | All Products PCP | $169.77 | ↓ -79% |
| The Health Plan | All Products Specialty Physicians | $177.49 | ↓ -78% |
| The Health Plan | All Products Radiation Oncology Physicians | $200.64 | ↓ -75% |
| Oscar | All Products | $316.10 | ↓ -61% |
| Aultcare | PPO/HMO | $445.35 | ↓ -45% |
| OHCP | All Products | $483.92 | ↓ -40% |
| OMAS | All Products | $622.00 | ↓ -23% |
| UNITED | Managed Medicaid | $636.22 | ↓ -21% |
| CARESOURCE | Managed Medicaid | $655.31 | ↓ -19% |
| MOLINA | Managed Medicaid | $668.03 | ↓ -17% |
| ANTHEM | Managed Medicaid | $668.03 | ↓ -17% |
| AMERIHEALTH | Managed Medicaid | $699.84 | ↓ -13% |
| PHPHI | All Products | $746.40 | ↓ -8% |
| GMS | All Products | $870.80 | ↑ +8% |
| MMO | Traditional | $870.80 | ↑ +8% |
| Immergrun | All Products | $933.00 | ↑ +15% |
| Aetna | All Products First Health | $933.00 | ↑ +15% |
| Aetna | Asa | $995.20 | ↑ +23% |
| Multiplan | All Products | $1,119.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,244.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $1,577.50 | ↑ +95% |
| HUMANA | Medicare Advantage HMO | $1,752.78 | ↑ +117% |
| UNITED | MEDICARE ADVANTAGE | $1,752.78 | ↑ +117% |
| Summacare | MEDICARE ADVANTAGE | $1,815.43 | ↑ +125% |
| ANTHEM | MEDICARE ADVANTAGE | $1,815.43 | ↑ +125% |
| AETNA | MEDICARE ADVANTAGE | $1,815.43 | ↑ +125% |
| CIGNA | MEDICARE ADVANTAGE | $1,869.90 | ↑ +131% |
| Perennial Health | MEDICARE ADVANTAGE | $1,893.00 | ↑ +134% |
| CommuniCare | MEDICARE ADVANTAGE | $1,906.21 | ↑ +136% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,960.67 | ↑ +142% |
| MMO | ALL PRODUCTS | $2,879.57 | ↑ +256% |
| Cigna | All Products Mid-Level | $3,192.91 | ↑ +295% |
| MMO | SuperMed | $3,248.90 | ↑ +302% |
| Anthem | All Products Mid-Level Non-Facility | $3,414.86 | ↑ +322% |
| Cigna | All Products Physician | $3,772.75 | ↑ +367% |
| United | All Products - Mid-Level | $5,456.04 | ↑ +575% |
| United | HMO & PPO | $6,062.27 | ↑ +650% |
| United | All Products | $6,062.27 | ↑ +650% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +157759% |
| The Health Plan | POS | $4,036,081.00 | ↑ +499044% |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Egd flx trnsorl dplmnt balo at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $808.60 | $1.10 – $1,815.43 |
| akron general | Akron | $808.60 | $1.10 – $3,192.91 |
| avon hospital | Avon | not published | $664.26 – $1,996.98 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,084.50 – $1,255.74 |
| euclid hospital | Euclid | not published | $680.55 – $1,996.98 |
| fairview hospital | Cleveland | not published | $639.34 – $1,996.98 |
| lutheran hospital | Cleveland | not published | $608.67 – $1,996.98 |
| hillcrest hospital | Mayfield Heights | not published | $666.10 – $1,996.98 |