Exc/pilonidal cyst/sinus/simple 11770 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$5,580.90
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.
$8,586.00
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.
$0.01 with UNITED vs $8,586.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $112.84 | ↓ -98% |
| Summacare | Preferred | $113.78 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $113.78 | ↓ -98% |
| Caresource | Managed Medicaid | $116.23 | ↓ -98% |
| Oscar | All Products | $118.41 | ↓ -98% |
| Buckeye | Managed Medicaid | $118.48 | ↓ -98% |
| Molina | Managed Medicaid | $124.12 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $124.12 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $131.72 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $148.78 | ↓ -97% |
| Summacare | Medicare Advantage MD | $166.29 | ↓ -97% |
| Aultcare | PPO/HMO | $166.83 | ↓ -97% |
| United | Medicare Advantage | $175.62 | ↓ -97% |
| Anthem | Medicare Advantage | $175.62 | ↓ -97% |
| Aetna | Medicare Advantage | $175.62 | ↓ -97% |
| Cigna | Medicare Advantage | $175.62 | ↓ -97% |
| Humana | Medicare Advantage HMO | $175.62 | ↓ -97% |
| The Health Plan | Medicare Advantage | $175.62 | ↓ -97% |
| MMO | Medicare HMO & PPO | $180.89 | ↓ -97% |
| OHCP | All Products | $181.27 | ↓ -97% |
| Summacare | Premier | $184.40 | ↓ -97% |
| CommuniCare | Medicare Advantage | $184.40 | ↓ -97% |
| Perennial Health | Medicare Advantage | $189.67 | ↓ -97% |
| The Health Plan | All Products PCP | $193.18 | ↓ -97% |
| The Health Plan | All Products Specialty Physicians | $201.96 | ↓ -96% |
| The Health Plan | All Products Radiation Oncology Physicians | $228.31 | ↓ -96% |
| OMAS | All Products | $233.00 | ↓ -96% |
| PHPHI | All Products | $279.60 | ↓ -95% |
| MMO | Traditional | $326.20 | ↓ -94% |
| GMS | All Products | $326.20 | ↓ -94% |
| Immergrun | All Products | $349.50 | ↓ -94% |
| Aetna | All Products First Health | $349.50 | ↓ -94% |
| Aetna | Asa | $372.80 | ↓ -93% |
| Aetna | Acop | $388.39 | ↓ -93% |
| Multiplan | All Products | $419.40 | ↓ -92% |
| Cigna | All Products Mid-Level | $435.35 | ↓ -92% |
| Anthem | All Products Mid-Level Non-Facility | $465.60 | ↓ -92% |
| Aetna | Qhp/Ifp | $466.00 | ↓ -92% |
| Cigna | All Products Physician | $514.41 | ↓ -91% |
| United | All Products - Mid-Level | $766.25 | ↓ -86% |
| The Health Plan | PPO | $803.25 | ↓ -86% |
| United | All Products | $851.39 | ↓ -85% |
| United | HMO & PPO | $851.39 | ↓ -85% |
| UNITED | Managed Medicaid | $864.73 | ↓ -85% |
| CARESOURCE | Managed Medicaid | $890.67 | ↓ -84% |
| MOLINA | Managed Medicaid | $907.97 | ↓ -84% |
| ANTHEM | Managed Medicaid | $907.97 | ↓ -84% |
| AMERIHEALTH | Managed Medicaid | $951.20 | ↓ -83% |
| The Health Plan | MEDICARE ADVANTAGE | $2,380.03 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $2,428.12 | ↓ -56% |
| HUMANA | Medicare Advantage HMO | $2,644.48 | ↓ -53% |
| UNITED | MEDICARE ADVANTAGE | $2,644.48 | ↓ -53% |
| PHPHI | ALL PRODUCTS | $2,747.52 | ↓ -51% |
| PHP | ALL PRODUCTS | $2,747.52 | ↓ -51% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↓ -51% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↓ -51% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↓ -49% |
| Perennial Health | MEDICARE ADVANTAGE | $2,856.04 | ↓ -49% |
| CommuniCare | MEDICARE ADVANTAGE | $2,885.49 | ↓ -48% |
| ANTHEM | HPN | $2,892.00 | ↓ -48% |
| CC EHP | ALL PRODUCTS | $2,902.07 | ↓ -48% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↓ -47% |
| ANTHEM | Exchange | $3,062.00 | ↓ -45% |
| Summacare | PREMIER | $3,279.85 | ↓ -41% |
| ANTHEM | PPO/HMO | $3,402.00 | ↓ -39% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,863.70 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $4,052.59 | ↓ -27% |
| OHCP | ALL PRODUCTS | $4,172.80 | ↓ -25% |
| OMAS | ALL PRODUCTS | $4,293.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $4,293.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $4,636.44 | ↓ -17% |
| ANTHEM | TRADITIONAL | $4,748.06 | ↓ -15% |
| MMO | SuperMed | $4,850.94 | ↓ -13% |
| MMO | ALL PRODUCTS | $5,673.16 | ↑ +2% |
| GMS | ALL PRODUCTS | $6,010.20 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $6,010.20 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↑ +12% |
| AETNA | ALL PRODUCTS | $6,439.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $6,439.50 | ↑ +15% |
| AETNA | International | $6,561.00 | ↑ +18% |
| The Health Plan | Self-Funded ASO | $7,212.24 | ↑ +29% |
| FrontPath | TRANSPLANT | $7,727.40 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $7,727.40 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $7,727.40 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $7,727.40 | ↑ +38% |
| AETNA | Qhp/Ipf | $8,586.00 | ↑ +54% |
| The Health Plan | POS | $8,586.00 | ↑ +54% |
| The Health Plan | HMO | $8,586.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Exc/pilonidal cyst/sinus/simple 11770 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $16,811.10 | $2,830.70 – $2,887.32 |
| Anderson Hospital | Cincinnati | $6,231.60 | not published |
| Clermont Hospital | Batavia | $13,112.52 | $2,830.70 – $2,887.32 |
| Kings Mills Hospital | Mason | $6,231.60 | not published |
| Mercy West Hospital | Cincinnati | $11,185.98 | $2,879.85 – $2,937.44 |
| St Ritas Medical Center | Lima | $19,961.94 | $2,879.85 – $2,937.44 |
| cleveland clinic main campus | Cleveland | $5,580.90 | $0.01 – $7,727.40 |
| akron general | Akron | $760.50 | $1.10 – $2,856.04 |