healthcosts.net
Endo cholangiopancreatograph at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,599.00
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.
$2,460.00
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 $6,539.01 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% |
| Summacare | Medicare Advantage Lower Level | $204.32 | ↓ -87% |
| Summacare | Preferred | $204.32 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $218.17 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $267.19 | ↓ -83% |
| Anthem | Medicare Advantage | $290.89 | ↓ -82% |
| Cigna | Medicare Advantage | $290.89 | ↓ -82% |
| Humana | Medicare Advantage HMO | $290.89 | ↓ -82% |
| United | Medicare Advantage | $290.89 | ↓ -82% |
| Aetna | Medicare Advantage | $290.89 | ↓ -82% |
| The Health Plan | Medicare Advantage | $290.89 | ↓ -82% |
| Summacare | Medicare Advantage MD | $298.62 | ↓ -81% |
| MMO | Medicare HMO & PPO | $299.62 | ↓ -81% |
| United | Managed Medicaid | $303.36 | ↓ -81% |
| Summacare | Premier | $305.43 | ↓ -81% |
| CommuniCare | Medicare Advantage | $305.43 | ↓ -81% |
| Caresource | Managed Medicaid | $312.46 | ↓ -80% |
| Perennial Health | Medicare Advantage | $314.16 | ↓ -80% |
| Buckeye | Managed Medicaid | $318.53 | ↓ -80% |
| The Health Plan | All Products PCP | $319.98 | ↓ -80% |
| Molina | Managed Medicaid | $333.70 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $333.70 | ↓ -79% |
| The Health Plan | All Products Specialty Physicians | $334.52 | ↓ -79% |
| The Health Plan | All Products Radiation Oncology Physicians | $378.16 | ↓ -76% |
| Anthem | All Products Mid-Level Non-Facility | $446.62 | ↓ -72% |
| Oscar | All Products | $625.09 | ↓ -61% |
| United | All Products - Mid-Level | $742.57 | ↓ -54% |
| United | All Products | $825.08 | ↓ -48% |
| United | HMO & PPO | $825.08 | ↓ -48% |
| Aultcare | PPO/HMO | $880.68 | ↓ -45% |
| OHCP | All Products | $956.94 | ↓ -40% |
| OMAS | All Products | $1,230.00 | ↓ -23% |
| PHPHI | All Products | $1,476.00 | ↓ -8% |
| MMO | Traditional | $1,722.00 | ↑ +8% |
| GMS | All Products | $1,722.00 | ↑ +8% |
| Immergrun | All Products | $1,845.00 | ↑ +15% |
| Aetna | All Products First Health | $1,845.00 | ↑ +15% |
| Aetna | Asa | $1,968.00 | ↑ +23% |
| Multiplan | All Products | $2,214.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,460.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $3,163.78 | ↑ +98% |
| HUMANA | Medicare Advantage HMO | $3,515.31 | ↑ +120% |
| UNITED | MEDICARE ADVANTAGE | $3,515.31 | ↑ +120% |
| Summacare | MEDICARE ADVANTAGE | $3,647.57 | ↑ +128% |
| ANTHEM | MEDICARE ADVANTAGE | $3,647.57 | ↑ +128% |
| AETNA | MEDICARE ADVANTAGE | $3,647.57 | ↑ +128% |
| CIGNA | MEDICARE ADVANTAGE | $3,757.00 | ↑ +135% |
| Perennial Health | MEDICARE ADVANTAGE | $3,796.53 | ↑ +137% |
| CommuniCare | MEDICARE ADVANTAGE | $3,829.95 | ↑ +140% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,939.38 | ↑ +146% |
| MMO | ALL PRODUCTS | $5,795.64 | ↑ +262% |
| MMO | SuperMed | $6,539.01 | ↑ +309% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Endo cholangiopancreatograph at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $11,375.65 | $1.10 – $15,750.90 |
| akron general | Akron | $1,599.00 | $1.10 – $3,796.53 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,543.00 | $900.00 – $6,565.63 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,543.00 | $900.00 – $9,238.28 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,275.25 | not published |
| University Hospitals Elyria Medical Center | Elyria | $3,543.00 | $3,647.57 – $6,565.63 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,543.00 | $3,647.57 – $6,565.63 |
| University Hospitals Geneva Medical Center | Geneva | $3,275.25 | not published |