healthcosts.net
Frenotomy 40806 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$80.60
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.
$124.00
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 | ↓ -99% |
| Summacare | Preferred | $18.12 | ↓ -78% |
| Summacare | Medicare Advantage Lower Level | $18.12 | ↓ -78% |
| Summacare | Medicare Advantage Psych | $20.57 | ↓ -74% |
| United | Managed Medicaid | $21.12 | ↓ -74% |
| Caresource | Managed Medicaid | $21.75 | ↓ -73% |
| Buckeye | Managed Medicaid | $22.18 | ↓ -72% |
| Molina | Managed Medicaid | $23.23 | ↓ -71% |
| AmeriHealth | Managed Medicaid | $23.23 | ↓ -71% |
| Summacare | Medicare Advantage CNA | $23.69 | ↓ -71% |
| Summacare | Medicare Advantage MD | $26.48 | ↓ -67% |
| Humana | Medicare Advantage HMO | $27.42 | ↓ -66% |
| Aetna | Medicare Advantage | $27.42 | ↓ -66% |
| Cigna | Medicare Advantage | $27.42 | ↓ -66% |
| The Health Plan | Medicare Advantage | $27.42 | ↓ -66% |
| United | Medicare Advantage | $27.42 | ↓ -66% |
| Anthem | Medicare Advantage | $27.42 | ↓ -66% |
| MMO | Medicare HMO & PPO | $28.24 | ↓ -65% |
| CommuniCare | Medicare Advantage | $28.79 | ↓ -64% |
| Summacare | Premier | $28.79 | ↓ -64% |
| The Health Plan | PPO | $29.34 | ↓ -64% |
| Perennial Health | Medicare Advantage | $29.61 | ↓ -63% |
| The Health Plan | All Products PCP | $30.16 | ↓ -63% |
| Oscar | All Products | $31.51 | ↓ -61% |
| The Health Plan | All Products Specialty Physicians | $31.53 | ↓ -61% |
| The Health Plan | All Products Radiation Oncology Physicians | $35.65 | ↓ -56% |
| Aultcare | PPO/HMO | $44.39 | ↓ -45% |
| OHCP | All Products | $48.24 | ↓ -40% |
| OMAS | All Products | $62.00 | ↓ -23% |
| PHPHI | All Products | $74.40 | ↓ -8% |
| MMO | Traditional | $86.80 | ↑ +8% |
| GMS | All Products | $86.80 | ↑ +8% |
| Aetna | All Products First Health | $93.00 | ↑ +15% |
| Immergrun | All Products | $93.00 | ↑ +15% |
| Aetna | Asa | $99.20 | ↑ +23% |
| Multiplan | All Products | $111.60 | ↑ +38% |
| Cigna | All Products Mid-Level | $118.98 | ↑ +48% |
| Aetna | Qhp/Ifp | $124.00 | ↑ +54% |
| Anthem | All Products Mid-Level Non-Facility | $127.25 | ↑ +58% |
| Aetna | Acop | $136.25 | ↑ +69% |
| Cigna | All Products Physician | $140.58 | ↑ +74% |
| United | All Products - Mid-Level | $211.37 | ↑ +162% |
| United | All Products | $234.86 | ↑ +191% |
| United | HMO & PPO | $234.86 | ↑ +191% |
| The Health Plan | MEDICARE ADVANTAGE | $423.48 | ↑ +425% |
| UNITED | MEDICARE ADVANTAGE | $470.54 | ↑ +484% |
| HUMANA | Medicare Advantage HMO | $470.54 | ↑ +484% |
| Perennial Health | MEDICARE ADVANTAGE | $508.18 | ↑ +530% |
| ANTHEM | MEDICARE ADVANTAGE | $510.25 | ↑ +533% |
| Summacare | MEDICARE ADVANTAGE | $510.25 | ↑ +533% |
| AETNA | MEDICARE ADVANTAGE | $510.25 | ↑ +533% |
| CIGNA | MEDICARE ADVANTAGE | $525.55 | ↑ +552% |
| CommuniCare | MEDICARE ADVANTAGE | $535.76 | ↑ +565% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $551.07 | ↑ +584% |
| UNITED | Managed Medicaid | $766.14 | ↑ +851% |
| CARESOURCE | Managed Medicaid | $789.12 | ↑ +879% |
| MOLINA | Managed Medicaid | $804.45 | ↑ +898% |
| ANTHEM | Managed Medicaid | $804.45 | ↑ +898% |
| MMO | ALL PRODUCTS | $832.63 | ↑ +933% |
| AMERIHEALTH | Managed Medicaid | $842.75 | ↑ +946% |
| MMO | SuperMed | $939.01 | ↑ +1065% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +1583582% |
| The Health Plan | POS | $4,036,081.00 | ↑ +5007445% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Frenotomy 40806 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,522.95 | $0.01 – $2,108.70 |
| akron general | Akron | $1,522.95 | $0.01 – $2,108.70 |
| avon hospital | Avon | not published | $472.10 – $815.15 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,305.97 – $1,512.17 |
| euclid hospital | Euclid | not published | $472.10 – $948.93 |
| fairview hospital | Cleveland | not published | $472.10 – $891.46 |
| lutheran hospital | Cleveland | not published | $472.10 – $848.71 |
| hillcrest hospital | Mayfield Heights | not published | $472.10 – $928.77 |