Exchange biliary drg cath at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$10,552.10
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.
$16,234.00
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 $16,234.00 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 | Medicare Advantage Lower Level | $79.92 | ↓ -99% |
| Summacare | Preferred | $79.92 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $85.07 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $104.51 | ↓ -99% |
| Cigna | Medicare Advantage | $113.43 | ↓ -99% |
| Anthem | Medicare Advantage | $113.43 | ↓ -99% |
| The Health Plan | Medicare Advantage | $113.43 | ↓ -99% |
| Humana | Medicare Advantage HMO | $113.43 | ↓ -99% |
| United | Medicare Advantage | $113.43 | ↓ -99% |
| Aetna | Medicare Advantage | $113.43 | ↓ -99% |
| Summacare | Medicare Advantage MD | $116.80 | ↓ -99% |
| MMO | Medicare HMO & PPO | $116.83 | ↓ -99% |
| CommuniCare | Medicare Advantage | $119.10 | ↓ -99% |
| Summacare | Premier | $119.10 | ↓ -99% |
| United | Managed Medicaid | $119.94 | ↓ -99% |
| Perennial Health | Medicare Advantage | $122.50 | ↓ -99% |
| Caresource | Managed Medicaid | $123.54 | ↓ -99% |
| The Health Plan | All Products PCP | $124.77 | ↓ -99% |
| Buckeye | Managed Medicaid | $125.94 | ↓ -99% |
| The Health Plan | All Products Specialty Physicians | $130.44 | ↓ -99% |
| Molina | Managed Medicaid | $131.93 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $131.93 | ↓ -99% |
| The Health Plan | All Products Radiation Oncology Physicians | $147.46 | ↓ -99% |
| Oscar | All Products | $291.71 | ↓ -97% |
| Aultcare | PPO/HMO | $410.98 | ↓ -96% |
| OHCP | All Products | $446.57 | ↓ -96% |
| OMAS | All Products | $574.00 | ↓ -95% |
| PHPHI | All Products | $688.80 | ↓ -93% |
| Cigna | All Products Mid-Level | $768.73 | ↓ -93% |
| GMS | All Products | $803.60 | ↓ -92% |
| MMO | Traditional | $803.60 | ↓ -92% |
| Anthem | All Products Mid-Level Non-Facility | $822.17 | ↓ -92% |
| Aetna | All Products First Health | $861.00 | ↓ -92% |
| Immergrun | All Products | $861.00 | ↓ -92% |
| Cigna | All Products Physician | $908.33 | ↓ -91% |
| Aetna | Acop | $918.32 | ↓ -91% |
| Aetna | Asa | $918.40 | ↓ -91% |
| Multiplan | All Products | $1,033.20 | ↓ -90% |
| UNITED | Managed Medicaid | $1,111.87 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $1,145.23 | ↓ -89% |
| Aetna | Qhp/Ifp | $1,148.00 | ↓ -89% |
| ANTHEM | Managed Medicaid | $1,167.46 | ↓ -89% |
| MOLINA | Managed Medicaid | $1,167.46 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $1,223.06 | ↓ -88% |
| United | All Products - Mid-Level | $1,320.31 | ↓ -87% |
| United | HMO & PPO | $1,467.02 | ↓ -86% |
| United | All Products | $1,467.02 | ↓ -86% |
| ANTHEM | HPN | $2,892.00 | ↓ -73% |
| The Health Plan | MEDICARE ADVANTAGE | $2,934.70 | ↓ -72% |
| ANTHEM | Exchange | $3,062.00 | ↓ -71% |
| HUMANA | Medicare Advantage HMO | $3,260.78 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $3,260.78 | ↓ -69% |
| Summacare | MEDICARE ADVANTAGE | $3,387.33 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $3,387.33 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $3,387.33 | ↓ -68% |
| ANTHEM | PPO/HMO | $3,402.00 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $3,488.95 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $3,521.64 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $3,556.70 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,658.32 | ↓ -65% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -64% |
| AETNA | International | $4,001.00 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $4,590.98 | ↓ -56% |
| PHP | ALL PRODUCTS | $5,194.88 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $5,194.88 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $5,487.09 | ↓ -48% |
| MMO | SuperMed | $5,906.43 | ↓ -44% |
| Summacare | PREMIER | $6,201.39 | ↓ -41% |
| UNITED | ALL PRODUCTS | $6,757.00 | ↓ -36% |
| MMO | ALL PRODUCTS | $6,907.37 | ↓ -35% |
| Amish Community Aid Plan | ALL PRODUCTS | $7,305.30 | ↓ -31% |
| OHCP | ALL PRODUCTS | $7,889.72 | ↓ -25% |
| OMAS | ALL PRODUCTS | $8,117.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $8,117.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $8,766.36 | ↓ -17% |
| ANTHEM | TRADITIONAL | $8,977.40 | ↓ -15% |
| CIGNA | ALL PRODUCTS | $10,235.00 | ↓ -3% |
| The Health Plan | PPO | $10,363.79 | ↓ -2% |
| GMS | ALL PRODUCTS | $11,363.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $11,363.80 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $12,175.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $12,175.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $13,636.56 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $14,610.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $14,610.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $14,610.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $14,610.60 | ↑ +38% |
| The Health Plan | POS | $16,234.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $16,234.00 | ↑ +54% |
| The Health Plan | HMO | $16,234.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exchange biliary drg cath at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $2,893.20 | not published |
| Anderson Hospital | Cincinnati | $2,893.20 | not published |
| Clermont Hospital | Batavia | $2,893.20 | not published |
| Kings Mills Hospital | Mason | $2,791.80 | not published |
| Mercy West Hospital | Cincinnati | $2,893.20 | not published |
| St Ritas Medical Center | Lima | $2,857.20 | not published |
| Trinity Medical Center East | Steubenville | $2,183.09 | $2,641.20 – $3,521.60 |
| cleveland clinic main campus | Cleveland | $10,552.10 | $1.10 – $14,610.60 |