healthcosts.net
Ercp ea duct/ampulla dilate at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,794.00
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.
?
What you pay up front if you don't use insurance.
$2,760.00
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% |
| Summacare | Preferred | $228.55 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $228.55 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $243.63 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $298.88 | ↓ -83% |
| United | Managed Medicaid | $309.61 | ↓ -83% |
| Caresource | Managed Medicaid | $318.90 | ↓ -82% |
| Humana | Medicare Advantage HMO | $324.84 | ↓ -82% |
| The Health Plan | Medicare Advantage | $324.84 | ↓ -82% |
| United | Medicare Advantage | $324.84 | ↓ -82% |
| Aetna | Medicare Advantage | $324.84 | ↓ -82% |
| Cigna | Medicare Advantage | $324.84 | ↓ -82% |
| Anthem | Medicare Advantage | $324.84 | ↓ -82% |
| Buckeye | Managed Medicaid | $325.09 | ↓ -82% |
| Summacare | Medicare Advantage MD | $334.04 | ↓ -81% |
| MMO | Medicare HMO & PPO | $334.59 | ↓ -81% |
| Molina | Managed Medicaid | $340.57 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $340.57 | ↓ -81% |
| Summacare | Premier | $341.08 | ↓ -81% |
| CommuniCare | Medicare Advantage | $341.08 | ↓ -81% |
| The Health Plan | PPO | $347.58 | ↓ -81% |
| Perennial Health | Medicare Advantage | $350.83 | ↓ -80% |
| The Health Plan | All Products PCP | $357.32 | ↓ -80% |
| The Health Plan | All Products Specialty Physicians | $373.57 | ↓ -79% |
| The Health Plan | All Products Radiation Oncology Physicians | $422.29 | ↓ -76% |
| Anthem | All Products Mid-Level Non-Facility | $498.93 | ↓ -72% |
| Oscar | All Products | $701.32 | ↓ -61% |
| United | All Products - Mid-Level | $829.07 | ↓ -54% |
| United | HMO & PPO | $921.19 | ↓ -49% |
| United | All Products | $921.19 | ↓ -49% |
| Aultcare | PPO/HMO | $988.08 | ↓ -45% |
| OHCP | All Products | $1,073.64 | ↓ -40% |
| OMAS | All Products | $1,380.00 | ↓ -23% |
| PHPHI | All Products | $1,656.00 | ↓ -8% |
| MMO | Traditional | $1,932.00 | ↑ +8% |
| GMS | All Products | $1,932.00 | ↑ +8% |
| Immergrun | All Products | $2,070.00 | ↑ +15% |
| Aetna | All Products First Health | $2,070.00 | ↑ +15% |
| Aetna | Asa | $2,208.00 | ↑ +23% |
| UNITED | Managed Medicaid | $2,334.47 | ↑ +30% |
| CARESOURCE | Managed Medicaid | $2,404.50 | ↑ +34% |
| ANTHEM | Managed Medicaid | $2,451.19 | ↑ +37% |
| MOLINA | Managed Medicaid | $2,451.19 | ↑ +37% |
| Multiplan | All Products | $2,484.00 | ↑ +38% |
| AMERIHEALTH | Managed Medicaid | $2,567.92 | ↑ +43% |
| Aetna | Qhp/Ifp | $2,760.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $3,163.78 | ↑ +76% |
| UNITED | MEDICARE ADVANTAGE | $3,515.31 | ↑ +96% |
| HUMANA | Medicare Advantage HMO | $3,515.31 | ↑ +96% |
| ANTHEM | MEDICARE ADVANTAGE | $3,647.57 | ↑ +103% |
| Summacare | MEDICARE ADVANTAGE | $3,647.57 | ↑ +103% |
| AETNA | MEDICARE ADVANTAGE | $3,647.57 | ↑ +103% |
| CIGNA | MEDICARE ADVANTAGE | $3,757.00 | ↑ +109% |
| Perennial Health | MEDICARE ADVANTAGE | $3,796.53 | ↑ +112% |
| CommuniCare | MEDICARE ADVANTAGE | $3,829.95 | ↑ +113% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,939.38 | ↑ +120% |
| MMO | ALL PRODUCTS | $5,795.64 | ↑ +223% |
| MMO | SuperMed | $6,539.01 | ↑ +264% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +71051% |
| The Health Plan | POS | $4,036,081.00 | ↑ +224877% |
| 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
Ercp ea duct/ampulla dilate 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 | $1,794.00 | $1.10 – $3,796.53 |
| University Hospitals Ahuja Medical Center | Beachwood | $4,199.25 | $900.00 – $6,565.63 |
| University Hospitals Beachwood Medical Center | Beachwood | $4,199.25 | $900.00 – $9,238.28 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,882.75 | not published |
| University Hospitals Elyria Medical Center | Elyria | $4,199.25 | $3,647.57 – $6,565.63 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $4,199.25 | $3,647.57 – $6,565.63 |
| University Hospitals Geneva Medical Center | Geneva | $3,882.75 | not published |