healthcosts.net
Ercp lithotripsy calculi at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,267.85
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.
$3,489.00
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 $9,730.56 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 | $261.00 | ↓ -88% |
| Summacare | Preferred | $261.00 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $278.29 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $341.31 | ↓ -85% |
| Humana | Medicare Advantage HMO | $371.05 | ↓ -84% |
| United | Medicare Advantage | $371.05 | ↓ -84% |
| Aetna | Medicare Advantage | $371.05 | ↓ -84% |
| The Health Plan | Medicare Advantage | $371.05 | ↓ -84% |
| Anthem | Medicare Advantage | $371.05 | ↓ -84% |
| Cigna | Medicare Advantage | $371.05 | ↓ -84% |
| Summacare | Medicare Advantage MD | $381.46 | ↓ -83% |
| MMO | Medicare HMO & PPO | $382.18 | ↓ -83% |
| CommuniCare | Medicare Advantage | $389.60 | ↓ -83% |
| Summacare | Premier | $389.60 | ↓ -83% |
| United | Managed Medicaid | $395.28 | ↓ -83% |
| Perennial Health | Medicare Advantage | $400.73 | ↓ -82% |
| Caresource | Managed Medicaid | $407.14 | ↓ -82% |
| The Health Plan | All Products PCP | $408.16 | ↓ -82% |
| Buckeye | Managed Medicaid | $415.04 | ↓ -82% |
| The Health Plan | All Products Specialty Physicians | $426.71 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $434.81 | ↓ -81% |
| Molina | Managed Medicaid | $434.81 | ↓ -81% |
| The Health Plan | All Products Radiation Oncology Physicians | $482.37 | ↓ -79% |
| Anthem | All Products Mid-Level Non-Facility | $570.78 | ↓ -75% |
| Oscar | All Products | $886.55 | ↓ -61% |
| United | All Products - Mid-Level | $949.33 | ↓ -58% |
| United | All Products | $1,054.81 | ↓ -53% |
| United | HMO & PPO | $1,054.81 | ↓ -53% |
| Aultcare | PPO/HMO | $1,249.06 | ↓ -45% |
| OHCP | All Products | $1,357.22 | ↓ -40% |
| OMAS | All Products | $1,744.50 | ↓ -23% |
| PHPHI | All Products | $2,093.40 | ↓ -8% |
| UNITED | Managed Medicaid | $2,334.47 | ↑ +3% |
| CARESOURCE | Managed Medicaid | $2,404.50 | ↑ +6% |
| GMS | All Products | $2,442.30 | ↑ +8% |
| MMO | Traditional | $2,442.30 | ↑ +8% |
| MOLINA | Managed Medicaid | $2,451.19 | ↑ +8% |
| ANTHEM | Managed Medicaid | $2,451.19 | ↑ +8% |
| AMERIHEALTH | Managed Medicaid | $2,567.92 | ↑ +13% |
| Immergrun | All Products | $2,616.75 | ↑ +15% |
| Aetna | All Products First Health | $2,616.75 | ↑ +15% |
| Aetna | Asa | $2,791.20 | ↑ +23% |
| Multiplan | All Products | $3,140.10 | ↑ +38% |
| Aetna | Qhp/Ifp | $3,489.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $4,950.25 | ↑ +118% |
| HUMANA | Medicare Advantage HMO | $5,500.28 | ↑ +143% |
| UNITED | MEDICARE ADVANTAGE | $5,500.28 | ↑ +143% |
| AETNA | MEDICARE ADVANTAGE | $5,743.54 | ↑ +153% |
| ANTHEM | MEDICARE ADVANTAGE | $5,743.54 | ↑ +153% |
| Summacare | MEDICARE ADVANTAGE | $5,743.54 | ↑ +153% |
| CIGNA | MEDICARE ADVANTAGE | $5,915.84 | ↑ +161% |
| Perennial Health | MEDICARE ADVANTAGE | $5,940.30 | ↑ +162% |
| CommuniCare | MEDICARE ADVANTAGE | $6,030.71 | ↑ +166% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,203.02 | ↑ +174% |
| MMO | ALL PRODUCTS | $8,624.77 | ↑ +280% |
| MMO | SuperMed | $9,730.56 | ↑ +329% |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Ercp lithotripsy calculi at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $17,798.95 | $1.10 – $24,644.70 |
| akron general | Akron | $2,267.85 | $1.10 – $5,940.30 |
| University Hospitals Ahuja Medical Center | Beachwood | $4,379.25 | $900.00 – $10,338.37 |
| University Hospitals Beachwood Medical Center | Beachwood | $4,379.25 | $900.00 – $14,546.76 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,891.00 | not published |
| University Hospitals Elyria Medical Center | Elyria | $4,379.25 | $5,743.54 – $10,338.37 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $4,379.25 | $5,743.54 – $10,338.37 |
| University Hospitals Geneva Medical Center | Geneva | $3,891.00 | not published |