healthcosts.net
Excision aural polyp at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$325.00
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.
$500.00
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 $4,036,081.00 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% |
| United | Managed Medicaid | $66.97 | ↓ -79% |
| Caresource | Managed Medicaid | $68.98 | ↓ -79% |
| Buckeye | Managed Medicaid | $70.32 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $73.67 | ↓ -77% |
| Molina | Managed Medicaid | $73.67 | ↓ -77% |
| Summacare | Medicare Advantage Lower Level | $77.69 | ↓ -76% |
| Summacare | Preferred | $77.69 | ↓ -76% |
| Summacare | Medicare Advantage Psych | $85.85 | ↓ -74% |
| Summacare | Medicare Advantage CNA | $101.60 | ↓ -69% |
| Summacare | Medicare Advantage MD | $113.55 | ↓ -65% |
| Humana | Medicare Advantage HMO | $114.47 | ↓ -65% |
| Cigna | Medicare Advantage | $114.47 | ↓ -65% |
| Anthem | Medicare Advantage | $114.47 | ↓ -65% |
| The Health Plan | Medicare Advantage | $114.47 | ↓ -65% |
| Aetna | Medicare Advantage | $114.47 | ↓ -65% |
| United | Medicare Advantage | $114.47 | ↓ -65% |
| MMO | Medicare HMO & PPO | $117.90 | ↓ -64% |
| Summacare | Premier | $120.19 | ↓ -63% |
| CommuniCare | Medicare Advantage | $120.19 | ↓ -63% |
| The Health Plan | PPO | $122.48 | ↓ -62% |
| Perennial Health | Medicare Advantage | $123.63 | ↓ -62% |
| The Health Plan | All Products PCP | $125.92 | ↓ -61% |
| Oscar | All Products | $127.05 | ↓ -61% |
| The Health Plan | All Products Specialty Physicians | $131.64 | ↓ -59% |
| The Health Plan | All Products Radiation Oncology Physicians | $148.81 | ↓ -54% |
| Aultcare | PPO/HMO | $179.00 | ↓ -45% |
| OHCP | All Products | $194.50 | ↓ -40% |
| OMAS | All Products | $250.00 | ↓ -23% |
| Cigna | All Products Mid-Level | $258.36 | ↓ -21% |
| Anthem | All Products Mid-Level Non-Facility | $276.31 | ↓ -15% |
| Aetna | Acop | $277.62 | ↓ -15% |
| PHPHI | All Products | $300.00 | ↓ -8% |
| Cigna | All Products Physician | $305.28 | ↓ -6% |
| MMO | Traditional | $350.00 | ↑ +8% |
| GMS | All Products | $350.00 | ↑ +8% |
| Aetna | All Products First Health | $375.00 | ↑ +15% |
| Immergrun | All Products | $375.00 | ↑ +15% |
| Aetna | Asa | $400.00 | ↑ +23% |
| Multiplan | All Products | $450.00 | ↑ +38% |
| United | All Products - Mid-Level | $454.30 | ↑ +40% |
| Aetna | Qhp/Ifp | $500.00 | ↑ +54% |
| United | All Products | $504.77 | ↑ +55% |
| United | HMO & PPO | $504.77 | ↑ +55% |
| UNITED | Managed Medicaid | $766.14 | ↑ +136% |
| CARESOURCE | Managed Medicaid | $789.12 | ↑ +143% |
| MOLINA | Managed Medicaid | $804.45 | ↑ +148% |
| ANTHEM | Managed Medicaid | $804.45 | ↑ +148% |
| AMERIHEALTH | Managed Medicaid | $842.75 | ↑ +159% |
| The Health Plan | MEDICARE ADVANTAGE | $1,231.81 | ↑ +279% |
| HUMANA | Medicare Advantage HMO | $1,368.67 | ↑ +321% |
| UNITED | MEDICARE ADVANTAGE | $1,368.67 | ↑ +321% |
| ANTHEM | MEDICARE ADVANTAGE | $1,467.92 | ↑ +352% |
| Summacare | MEDICARE ADVANTAGE | $1,467.92 | ↑ +352% |
| AETNA | MEDICARE ADVANTAGE | $1,467.92 | ↑ +352% |
| Perennial Health | MEDICARE ADVANTAGE | $1,478.17 | ↑ +355% |
| CIGNA | MEDICARE ADVANTAGE | $1,511.96 | ↑ +365% |
| CommuniCare | MEDICARE ADVANTAGE | $1,541.31 | ↑ +374% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,585.35 | ↑ +388% |
| MMO | ALL PRODUCTS | $2,307.88 | ↑ +610% |
| MMO | SuperMed | $2,603.78 | ↑ +701% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +392653% |
| The Health Plan | POS | $4,036,081.00 | ↑ +1241771% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Excision aural polyp at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,851.25 | $0.01 – $5,332.50 |
| akron general | Akron | $325.00 | $1.10 – $1,511.96 |
| avon hospital | Avon | not published | $799.91 – $1,614.71 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,305.97 – $1,512.17 |
| euclid hospital | Euclid | not published | $819.53 – $1,614.71 |
| fairview hospital | Cleveland | not published | $769.90 – $1,614.71 |
| lutheran hospital | Cleveland | not published | $732.97 – $1,614.71 |
| hillcrest hospital | Mayfield Heights | not published | $802.12 – $1,614.71 |