healthcosts.net
Excise lip or cheek fold at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$652.60
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.
$1,004.00
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 $2,603.78 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 | Preferred | $122.70 | ↓ -81% |
| Summacare | Medicare Advantage Lower Level | $122.70 | ↓ -81% |
| United | Managed Medicaid | $128.08 | ↓ -80% |
| Caresource | Managed Medicaid | $131.92 | ↓ -80% |
| Buckeye | Managed Medicaid | $134.48 | ↓ -79% |
| Summacare | Medicare Advantage Psych | $135.88 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $140.89 | ↓ -78% |
| Molina | Managed Medicaid | $140.89 | ↓ -78% |
| Summacare | Medicare Advantage CNA | $160.45 | ↓ -75% |
| Summacare | Medicare Advantage MD | $179.33 | ↓ -73% |
| United | Medicare Advantage | $181.17 | ↓ -72% |
| Aetna | Medicare Advantage | $181.17 | ↓ -72% |
| The Health Plan | Medicare Advantage | $181.17 | ↓ -72% |
| Cigna | Medicare Advantage | $181.17 | ↓ -72% |
| Humana | Medicare Advantage HMO | $181.17 | ↓ -72% |
| Anthem | Medicare Advantage | $181.17 | ↓ -72% |
| MMO | Medicare HMO & PPO | $186.61 | ↓ -71% |
| CommuniCare | Medicare Advantage | $190.23 | ↓ -71% |
| Summacare | Premier | $190.23 | ↓ -71% |
| Perennial Health | Medicare Advantage | $195.66 | ↓ -70% |
| The Health Plan | All Products PCP | $199.29 | ↓ -69% |
| The Health Plan | All Products Specialty Physicians | $208.35 | ↓ -68% |
| The Health Plan | All Products Radiation Oncology Physicians | $235.52 | ↓ -64% |
| Oscar | All Products | $255.12 | ↓ -61% |
| Cigna | All Products Mid-Level | $328.26 | ↓ -50% |
| Anthem | All Products Mid-Level Non-Facility | $351.08 | ↓ -46% |
| Aultcare | PPO/HMO | $359.43 | ↓ -45% |
| Cigna | All Products Physician | $387.87 | ↓ -41% |
| OHCP | All Products | $390.56 | ↓ -40% |
| Aetna | Acop | $431.05 | ↓ -34% |
| OMAS | All Products | $502.00 | ↓ -23% |
| United | All Products - Mid-Level | $584.42 | ↓ -10% |
| PHPHI | All Products | $602.40 | ↓ -8% |
| United | HMO & PPO | $649.36 | ↓ -0% |
| United | All Products | $649.36 | ↓ -0% |
| GMS | All Products | $702.80 | ↑ +8% |
| MMO | Traditional | $702.80 | ↑ +8% |
| Immergrun | All Products | $753.00 | ↑ +15% |
| Aetna | All Products First Health | $753.00 | ↑ +15% |
| UNITED | Managed Medicaid | $766.14 | ↑ +17% |
| CARESOURCE | Managed Medicaid | $789.12 | ↑ +21% |
| Aetna | Asa | $803.20 | ↑ +23% |
| ANTHEM | Managed Medicaid | $804.45 | ↑ +23% |
| MOLINA | Managed Medicaid | $804.45 | ↑ +23% |
| AMERIHEALTH | Managed Medicaid | $842.75 | ↑ +29% |
| Multiplan | All Products | $903.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,004.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $1,231.81 | ↑ +89% |
| HUMANA | Medicare Advantage HMO | $1,368.67 | ↑ +110% |
| UNITED | MEDICARE ADVANTAGE | $1,368.67 | ↑ +110% |
| ANTHEM | MEDICARE ADVANTAGE | $1,467.92 | ↑ +125% |
| Summacare | MEDICARE ADVANTAGE | $1,467.92 | ↑ +125% |
| AETNA | MEDICARE ADVANTAGE | $1,467.92 | ↑ +125% |
| Perennial Health | MEDICARE ADVANTAGE | $1,478.17 | ↑ +127% |
| CIGNA | MEDICARE ADVANTAGE | $1,511.96 | ↑ +132% |
| CommuniCare | MEDICARE ADVANTAGE | $1,541.31 | ↑ +136% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,585.35 | ↑ +143% |
| MMO | ALL PRODUCTS | $2,307.88 | ↑ +254% |
| MMO | SuperMed | $2,603.78 | ↑ +299% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Excise lip or cheek fold at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,429.10 | $0.01 – $6,132.60 |
| akron general | Akron | $652.60 | $1.10 – $1,511.96 |
| University Hospitals Ahuja Medical Center | Beachwood | $2,247.75 | $662.34 – $2,697.30 |
| University Hospitals Beachwood Medical Center | Beachwood | $2,247.75 | $900.00 – $3,717.82 |
| University Hospitals Elyria Medical Center | Elyria | $2,247.75 | $1,467.92 – $2,642.25 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $2,247.75 | $1,467.92 – $2,642.25 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $2,247.75 | $1,467.92 – $2,642.25 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $2,247.75 | $1,467.92 – $2,642.25 |