Egd/remov tum/polyp/hot bx forcep 43250 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$5,671.90
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.
$8,726.00
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 $8,726.00 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 | Preferred | $103.60 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $103.60 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $112.40 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $135.48 | ↓ -98% |
| The Health Plan | Medicare Advantage | $149.87 | ↓ -97% |
| Anthem | Medicare Advantage | $149.87 | ↓ -97% |
| Humana | Medicare Advantage HMO | $149.87 | ↓ -97% |
| Cigna | Medicare Advantage | $149.87 | ↓ -97% |
| Aetna | Medicare Advantage | $149.87 | ↓ -97% |
| United | Medicare Advantage | $149.87 | ↓ -97% |
| Summacare | Medicare Advantage MD | $151.42 | ↓ -97% |
| MMO | Medicare HMO & PPO | $154.37 | ↓ -97% |
| CommuniCare | Medicare Advantage | $157.36 | ↓ -97% |
| Summacare | Premier | $157.36 | ↓ -97% |
| United | Managed Medicaid | $161.21 | ↓ -97% |
| Perennial Health | Medicare Advantage | $161.86 | ↓ -97% |
| The Health Plan | All Products PCP | $164.86 | ↓ -97% |
| Caresource | Managed Medicaid | $166.05 | ↓ -97% |
| Buckeye | Managed Medicaid | $169.27 | ↓ -97% |
| The Health Plan | All Products Specialty Physicians | $172.35 | ↓ -97% |
| Molina | Managed Medicaid | $177.33 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $177.33 | ↓ -97% |
| The Health Plan | All Products Radiation Oncology Physicians | $194.83 | ↓ -97% |
| Oscar | All Products | $332.11 | ↓ -94% |
| Aultcare | PPO/HMO | $467.91 | ↓ -92% |
| OHCP | All Products | $508.42 | ↓ -91% |
| Cigna | All Products Mid-Level | $548.31 | ↓ -90% |
| Aetna | Acop | $560.43 | ↓ -90% |
| Anthem | All Products Mid-Level Non-Facility | $586.42 | ↓ -90% |
| UNITED | Managed Medicaid | $636.22 | ↓ -89% |
| Cigna | All Products Physician | $647.88 | ↓ -89% |
| OMAS | All Products | $653.50 | ↓ -88% |
| CARESOURCE | Managed Medicaid | $655.31 | ↓ -88% |
| MOLINA | Managed Medicaid | $668.03 | ↓ -88% |
| ANTHEM | Managed Medicaid | $668.03 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $699.84 | ↓ -88% |
| The Health Plan | PPO | $702.45 | ↓ -88% |
| PHPHI | All Products | $784.20 | ↓ -86% |
| MMO | Traditional | $914.90 | ↓ -84% |
| GMS | All Products | $914.90 | ↓ -84% |
| United | All Products - Mid-Level | $960.27 | ↓ -83% |
| Immergrun | All Products | $980.25 | ↓ -83% |
| Aetna | All Products First Health | $980.25 | ↓ -83% |
| Aetna | Asa | $1,045.60 | ↓ -82% |
| United | All Products | $1,066.97 | ↓ -81% |
| United | HMO & PPO | $1,066.97 | ↓ -81% |
| Multiplan | All Products | $1,176.30 | ↓ -79% |
| Aetna | Qhp/Ifp | $1,307.00 | ↓ -77% |
| The Health Plan | MEDICARE ADVANTAGE | $1,577.50 | ↓ -72% |
| UNITED | MEDICARE ADVANTAGE | $1,752.78 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $1,752.78 | ↓ -69% |
| ANTHEM | HPN | $1,789.00 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $1,815.43 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $1,815.43 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $1,815.43 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $1,869.90 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $1,893.00 | ↓ -67% |
| ANTHEM | Exchange | $1,894.00 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $1,906.21 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,960.67 | ↓ -65% |
| ANTHEM | PPO/HMO | $2,104.00 | ↓ -63% |
| OSCAR | ALL PRODUCTS | $2,467.71 | ↓ -56% |
| PHP | ALL PRODUCTS | $2,792.32 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $2,792.32 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $2,949.39 | ↓ -48% |
| MMO | SuperMed | $3,248.90 | ↓ -43% |
| Summacare | PREMIER | $3,333.33 | ↓ -41% |
| CIGNA | ALL PRODUCTS | $3,465.00 | ↓ -39% |
| MMO | ALL PRODUCTS | $3,799.06 | ↓ -33% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,926.70 | ↓ -31% |
| AETNA | International | $4,001.00 | ↓ -29% |
| OHCP | ALL PRODUCTS | $4,240.84 | ↓ -25% |
| UNITED | ALL PRODUCTS | $4,338.00 | ↓ -24% |
| OMAS | ALL PRODUCTS | $4,363.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $4,363.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $4,712.04 | ↓ -17% |
| ANTHEM | TRADITIONAL | $4,825.48 | ↓ -15% |
| Medical Benefit Corp | Transplant SMCP | $6,108.20 | ↑ +8% |
| GMS | ALL PRODUCTS | $6,108.20 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $6,544.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $6,544.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $7,329.84 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $7,853.40 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $7,853.40 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $7,853.40 | ↑ +38% |
| FrontPath | TRANSPLANT | $7,853.40 | ↑ +38% |
| The Health Plan | POS | $8,726.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $8,726.00 | ↑ +54% |
| The Health Plan | HMO | $8,726.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
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Egd/remov tum/polyp/hot bx forcep 43250 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,671.90 | $1.10 – $7,853.40 |
| akron general | Akron | $849.55 | $1.10 – $1,893.00 |
| avon hospital | Avon | $5,671.90 | $315.02 – $7,853.40 |
| euclid hospital | Euclid | $5,671.90 | $315.02 – $7,853.40 |
| fairview hospital | Cleveland | $5,671.90 | $269.08 – $7,853.40 |
| lutheran hospital | Cleveland | $5,671.90 | $315.02 – $7,853.40 |
| hillcrest hospital | Mayfield Heights | $5,671.90 | $269.08 – $7,853.40 |
| marymount hospital | Garfield Heights | $5,671.90 | $315.02 – $7,853.40 |