Ercp stent exchange w/dilate at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$17,798.95
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.
$27,383.00
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 $27,383.00 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 | $290.60 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $290.60 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $309.69 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $380.01 | ↓ -98% |
| United | Managed Medicaid | $388.34 | ↓ -98% |
| Caresource | Managed Medicaid | $399.99 | ↓ -98% |
| Buckeye | Managed Medicaid | $407.76 | ↓ -98% |
| Cigna | Medicare Advantage | $412.92 | ↓ -98% |
| United | Medicare Advantage | $412.92 | ↓ -98% |
| Aetna | Medicare Advantage | $412.92 | ↓ -98% |
| Humana | Medicare Advantage HMO | $412.92 | ↓ -98% |
| Anthem | Medicare Advantage | $412.92 | ↓ -98% |
| The Health Plan | Medicare Advantage | $412.92 | ↓ -98% |
| Summacare | Medicare Advantage MD | $424.72 | ↓ -98% |
| MMO | Medicare HMO & PPO | $425.31 | ↓ -98% |
| Molina | Managed Medicaid | $427.17 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $427.17 | ↓ -98% |
| Summacare | Premier | $433.57 | ↓ -98% |
| CommuniCare | Medicare Advantage | $433.57 | ↓ -98% |
| Perennial Health | Medicare Advantage | $445.95 | ↓ -97% |
| The Health Plan | All Products PCP | $454.21 | ↓ -97% |
| The Health Plan | All Products Specialty Physicians | $474.86 | ↓ -97% |
| The Health Plan | All Products Radiation Oncology Physicians | $536.80 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $635.36 | ↓ -96% |
| Oscar | All Products | $988.45 | ↓ -94% |
| United | All Products - Mid-Level | $1,056.16 | ↓ -94% |
| United | All Products | $1,173.51 | ↓ -93% |
| United | HMO & PPO | $1,173.51 | ↓ -93% |
| Aultcare | PPO/HMO | $1,392.62 | ↓ -92% |
| OHCP | All Products | $1,513.21 | ↓ -91% |
| OMAS | All Products | $1,945.00 | ↓ -89% |
| PHPHI | All Products | $2,334.00 | ↓ -87% |
| UNITED | Managed Medicaid | $2,334.47 | ↓ -87% |
| CARESOURCE | Managed Medicaid | $2,404.50 | ↓ -86% |
| ANTHEM | Managed Medicaid | $2,451.19 | ↓ -86% |
| MOLINA | Managed Medicaid | $2,451.19 | ↓ -86% |
| ANTHEM | HPN | $2,526.00 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $2,567.92 | ↓ -86% |
| ANTHEM | Exchange | $2,674.00 | ↓ -85% |
| MMO | Traditional | $2,723.00 | ↓ -85% |
| GMS | All Products | $2,723.00 | ↓ -85% |
| Aetna | All Products First Health | $2,917.50 | ↓ -84% |
| Immergrun | All Products | $2,917.50 | ↓ -84% |
| ANTHEM | PPO/HMO | $2,971.00 | ↓ -83% |
| Aetna | Asa | $3,112.00 | ↓ -83% |
| Multiplan | All Products | $3,501.00 | ↓ -80% |
| Aetna | Qhp/Ifp | $3,890.00 | ↓ -78% |
| The Health Plan | MEDICARE ADVANTAGE | $4,950.25 | ↓ -72% |
| UNITED | MEDICARE ADVANTAGE | $5,500.28 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $5,500.28 | ↓ -69% |
| UNITED | ALL PRODUCTS | $5,553.00 | ↓ -69% |
| ANTHEM | MEDICARE ADVANTAGE | $5,743.54 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $5,743.54 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $5,743.54 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $5,915.84 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $5,940.30 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $6,030.71 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,203.02 | ↓ -65% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↓ -65% |
| AETNA | International | $6,561.00 | ↓ -63% |
| OSCAR | ALL PRODUCTS | $7,743.91 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $8,762.56 | ↓ -51% |
| PHP | ALL PRODUCTS | $8,762.56 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $9,255.45 | ↓ -48% |
| MMO | SuperMed | $9,730.56 | ↓ -45% |
| CIGNA | ALL PRODUCTS | $10,235.00 | ↓ -42% |
| Summacare | PREMIER | $10,460.31 | ↓ -41% |
| MMO | ALL PRODUCTS | $11,378.78 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $12,322.35 | ↓ -31% |
| OHCP | ALL PRODUCTS | $13,308.14 | ↓ -25% |
| OMAS | ALL PRODUCTS | $13,691.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $13,691.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $14,786.82 | ↓ -17% |
| ANTHEM | TRADITIONAL | $15,142.80 | ↓ -15% |
| The Health Plan | PPO | $17,481.31 | ↓ -2% |
| GMS | ALL PRODUCTS | $19,168.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $19,168.10 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $20,537.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $20,537.25 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $23,001.72 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $24,644.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $24,644.70 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $24,644.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $24,644.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $27,383.00 | ↑ +54% |
| The Health Plan | HMO | $27,383.00 | ↑ +54% |
| The Health Plan | POS | $27,383.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Ercp stent exchange w/dilate at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $16,783.52 | $5,916.21 – $6,034.54 |
| Anderson Hospital | Cincinnati | $16,981.54 | $5,916.21 – $6,034.54 |
| Clermont Hospital | Batavia | $31,120.34 | $5,916.21 – $6,034.54 |
| Kings Mills Hospital | Mason | $20,785.31 | $5,916.21 – $6,034.54 |
| Mercy West Hospital | Cincinnati | $34,342.84 | $6,018.92 – $6,139.30 |
| St Ritas Medical Center | Lima | $27,256.57 | $6,018.92 – $6,139.30 |
| cleveland clinic main campus | Cleveland | $17,798.95 | $1.10 – $24,644.70 |
| akron general | Akron | $2,528.50 | $1.10 – $5,940.30 |