healthcosts.net
Fitting of diaphragm/cap 57170 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$236.60
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.
$364.00
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 | $28.92 | ↓ -88% |
| Summacare | Preferred | $29.32 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $29.32 | ↓ -88% |
| Caresource | Managed Medicaid | $29.79 | ↓ -87% |
| Buckeye | Managed Medicaid | $30.37 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $30.83 | ↓ -87% |
| Molina | Managed Medicaid | $31.81 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $31.81 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $38.34 | ↓ -84% |
| Anthem | Medicare Advantage | $41.11 | ↓ -83% |
| United | Medicare Advantage | $41.11 | ↓ -83% |
| Aetna | Medicare Advantage | $41.11 | ↓ -83% |
| The Health Plan | Medicare Advantage | $41.11 | ↓ -83% |
| Humana | Medicare Advantage HMO | $41.11 | ↓ -83% |
| Cigna | Medicare Advantage | $41.11 | ↓ -83% |
| MMO | Medicare HMO & PPO | $42.34 | ↓ -82% |
| Summacare | Medicare Advantage MD | $42.85 | ↓ -82% |
| Summacare | Premier | $43.17 | ↓ -82% |
| CommuniCare | Medicare Advantage | $43.17 | ↓ -82% |
| The Health Plan | PPO | $43.99 | ↓ -81% |
| Perennial Health | Medicare Advantage | $44.40 | ↓ -81% |
| The Health Plan | All Products PCP | $45.22 | ↓ -81% |
| The Health Plan | All Products Specialty Physicians | $47.28 | ↓ -80% |
| The Health Plan | All Products Radiation Oncology Physicians | $53.44 | ↓ -77% |
| UNITED | Managed Medicaid | $55.93 | ↓ -76% |
| CARESOURCE | Managed Medicaid | $57.61 | ↓ -76% |
| MOLINA | Managed Medicaid | $58.73 | ↓ -75% |
| ANTHEM | Managed Medicaid | $58.73 | ↓ -75% |
| AMERIHEALTH | Managed Medicaid | $61.52 | ↓ -74% |
| Aetna | Acop | $89.89 | ↓ -62% |
| Oscar | All Products | $92.49 | ↓ -61% |
| Cigna | All Products Mid-Level | $97.33 | ↓ -59% |
| Anthem | All Products Mid-Level Non-Facility | $104.10 | ↓ -56% |
| Cigna | All Products Physician | $115.01 | ↓ -51% |
| Aultcare | PPO/HMO | $130.31 | ↓ -45% |
| OHCP | All Products | $141.60 | ↓ -40% |
| The Health Plan | MEDICARE ADVANTAGE | $167.29 | ↓ -29% |
| United | All Products - Mid-Level | $170.45 | ↓ -28% |
| OMAS | All Products | $182.00 | ↓ -23% |
| HUMANA | Medicare Advantage HMO | $185.88 | ↓ -21% |
| UNITED | MEDICARE ADVANTAGE | $185.88 | ↓ -21% |
| United | HMO & PPO | $189.39 | ↓ -20% |
| United | All Products | $189.39 | ↓ -20% |
| ANTHEM | MEDICARE ADVANTAGE | $191.27 | ↓ -19% |
| AETNA | MEDICARE ADVANTAGE | $191.27 | ↓ -19% |
| Summacare | MEDICARE ADVANTAGE | $191.27 | ↓ -19% |
| CIGNA | MEDICARE ADVANTAGE | $197.01 | ↓ -17% |
| Perennial Health | MEDICARE ADVANTAGE | $200.75 | ↓ -15% |
| CommuniCare | MEDICARE ADVANTAGE | $200.83 | ↓ -15% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $206.57 | ↓ -13% |
| PHPHI | All Products | $218.40 | ↓ -8% |
| MMO | Traditional | $254.80 | ↑ +8% |
| GMS | All Products | $254.80 | ↑ +8% |
| Aetna | All Products First Health | $273.00 | ↑ +15% |
| Immergrun | All Products | $273.00 | ↑ +15% |
| Aetna | Asa | $291.20 | ↑ +23% |
| MMO | ALL PRODUCTS | $301.55 | ↑ +27% |
| Multiplan | All Products | $327.60 | ↑ +38% |
| MMO | SuperMed | $340.48 | ↑ +44% |
| Aetna | Qhp/Ifp | $364.00 | ↑ +54% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +539396% |
| The Health Plan | POS | $4,036,081.00 | ↑ +1705767% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Fitting of diaphragm/cap 57170 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $601.25 | $0.01 – $832.50 |
| akron general | Akron | $236.60 | $1.10 – $327.60 |
| avon hospital | Avon | not published | $58.39 – $210.40 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $95.34 – $110.40 |
| euclid hospital | Euclid | not published | $59.83 – $210.40 |
| fairview hospital | Cleveland | not published | $56.20 – $210.40 |
| lutheran hospital | Cleveland | not published | $53.50 – $210.40 |
| hillcrest hospital | Mayfield Heights | not published | $58.56 – $210.40 |