healthcosts.net
Flexible Sigmoidoscopy at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,726.10
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.
$4,194.00
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 $4,194.00 with AETNA — 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 | $34.66 | ↓ -99% |
| Summacare | Preferred | $34.66 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $39.09 | ↓ -99% |
| Oscar | All Products | $43.71 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $45.32 | ↓ -98% |
| Summacare | Medicare Advantage MD | $50.65 | ↓ -98% |
| United | Medicare Advantage | $52.12 | ↓ -98% |
| Anthem | Medicare Advantage | $52.12 | ↓ -98% |
| Cigna | Medicare Advantage | $52.12 | ↓ -98% |
| Humana | Medicare Advantage HMO | $52.12 | ↓ -98% |
| Aetna | Medicare Advantage | $52.12 | ↓ -98% |
| The Health Plan | Medicare Advantage | $52.12 | ↓ -98% |
| United | Managed Medicaid | $52.42 | ↓ -98% |
| MMO | Medicare HMO & PPO | $53.68 | ↓ -98% |
| Caresource | Managed Medicaid | $53.99 | ↓ -98% |
| Summacare | Premier | $54.73 | ↓ -98% |
| CommuniCare | Medicare Advantage | $54.73 | ↓ -98% |
| Buckeye | Managed Medicaid | $55.04 | ↓ -98% |
| Perennial Health | Medicare Advantage | $56.29 | ↓ -98% |
| The Health Plan | All Products PCP | $57.33 | ↓ -98% |
| Molina | Managed Medicaid | $57.66 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $57.66 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $59.94 | ↓ -98% |
| Aultcare | PPO/HMO | $61.58 | ↓ -98% |
| OHCP | All Products | $66.91 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $67.76 | ↓ -98% |
| OMAS | All Products | $86.00 | ↓ -97% |
| PHPHI | All Products | $103.20 | ↓ -96% |
| MMO | Traditional | $120.40 | ↓ -96% |
| GMS | All Products | $120.40 | ↓ -96% |
| Aetna | All Products First Health | $129.00 | ↓ -95% |
| Immergrun | All Products | $129.00 | ↓ -95% |
| Aetna | Asa | $137.60 | ↓ -95% |
| Multiplan | All Products | $154.80 | ↓ -94% |
| Aetna | Qhp/Ifp | $172.00 | ↓ -94% |
| Cigna | All Products Mid-Level | $224.11 | ↓ -92% |
| Aetna | Acop | $229.84 | ↓ -92% |
| Anthem | All Products Mid-Level Non-Facility | $239.69 | ↓ -91% |
| Cigna | All Products Physician | $264.81 | ↓ -90% |
| United | All Products - Mid-Level | $395.86 | ↓ -85% |
| United | All Products | $439.85 | ↓ -84% |
| United | HMO & PPO | $439.85 | ↓ -84% |
| UNITED | Managed Medicaid | $725.86 | ↓ -73% |
| CARESOURCE | Managed Medicaid | $747.64 | ↓ -73% |
| The Health Plan | MEDICARE ADVANTAGE | $758.16 | ↓ -72% |
| ANTHEM | Managed Medicaid | $762.15 | ↓ -72% |
| MOLINA | Managed Medicaid | $762.15 | ↓ -72% |
| AMERIHEALTH | Managed Medicaid | $798.45 | ↓ -71% |
| UNITED | MEDICARE ADVANTAGE | $842.40 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $842.40 | ↓ -69% |
| Summacare | MEDICARE ADVANTAGE | $879.81 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $879.81 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $879.81 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $906.21 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $909.79 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $923.80 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $950.20 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $1,186.06 | ↓ -56% |
| PHP | ALL PRODUCTS | $1,342.08 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,342.08 | ↓ -51% |
| ANTHEM | HPN | $1,379.00 | ↓ -49% |
| CC EHP | ALL PRODUCTS | $1,417.57 | ↓ -48% |
| ANTHEM | Exchange | $1,459.00 | ↓ -46% |
| MMO | SuperMed | $1,560.83 | ↓ -43% |
| Summacare | PREMIER | $1,602.11 | ↓ -41% |
| ANTHEM | PPO/HMO | $1,622.00 | ↓ -41% |
| MMO | ALL PRODUCTS | $1,824.75 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,887.30 | ↓ -31% |
| OHCP | ALL PRODUCTS | $2,038.28 | ↓ -25% |
| Immergrun | ALL PRODUCTS | $2,097.00 | ↓ -23% |
| OMAS | ALL PRODUCTS | $2,097.00 | ↓ -23% |
| CIGNA | ALL PRODUCTS | $2,123.00 | ↓ -22% |
| Ohio Healthy | TRANSPLANT | $2,264.76 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,319.28 | ↓ -15% |
| The Health Plan | PPO | $2,677.45 | ↓ -2% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +5% |
| Medical Benefit Corp | Transplant SMCP | $2,935.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $2,935.80 | ↑ +8% |
| AETNA | International | $3,004.00 | ↑ +10% |
| UNITED | ALL PRODUCTS | $3,107.00 | ↑ +14% |
| AETNA | ALL PRODUCTS | $3,145.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $3,145.50 | ↑ +15% |
| Managed Care Services | TRANSPLANT | $3,355.20 | ↑ +23% |
| The Health Plan | Self-Funded ASO | $3,522.96 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $3,774.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $3,774.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $3,774.60 | ↑ +38% |
| The Health Plan | POS | $4,194.00 | ↑ +54% |
| The Health Plan | HMO | $4,194.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $4,194.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Flexible Sigmoidoscopy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,726.10 | $0.01 – $3,774.60 |
| akron general | Akron | $240.50 | $1.10 – $909.79 |
| avon hospital | Avon | $2,726.10 | $107.06 – $3,774.60 |
| euclid hospital | Euclid | $2,726.10 | $107.06 – $3,774.60 |
| fairview hospital | Cleveland | $2,726.10 | $91.45 – $3,774.60 |
| lutheran hospital | Cleveland | $2,726.10 | $107.06 – $3,774.60 |
| hillcrest hospital | Mayfield Heights | $2,726.10 | $91.45 – $3,774.60 |
| marymount hospital | Garfield Heights | $2,726.10 | $107.06 – $3,774.60 |