G-tube reposition at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$727.35
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.
$1,119.00
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 $3,004.00 with AETNA — 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 | Medicare Advantage Lower Level | $63.63 | ↓ -91% |
| Summacare | Preferred | $63.63 | ↓ -91% |
| Summacare | Medicare Advantage Psych | $65.87 | ↓ -91% |
| United | Managed Medicaid | $82.44 | ↓ -89% |
| Summacare | Medicare Advantage CNA | $83.21 | ↓ -89% |
| Caresource | Managed Medicaid | $84.91 | ↓ -88% |
| Buckeye | Managed Medicaid | $86.56 | ↓ -88% |
| Cigna | Medicare Advantage | $87.83 | ↓ -88% |
| Anthem | Medicare Advantage | $87.83 | ↓ -88% |
| Aetna | Medicare Advantage | $87.83 | ↓ -88% |
| United | Medicare Advantage | $87.83 | ↓ -88% |
| Humana | Medicare Advantage HMO | $87.83 | ↓ -88% |
| The Health Plan | Medicare Advantage | $87.83 | ↓ -88% |
| MMO | Medicare HMO & PPO | $90.46 | ↓ -88% |
| Molina | Managed Medicaid | $90.68 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $90.68 | ↓ -88% |
| CommuniCare | Medicare Advantage | $92.22 | ↓ -87% |
| Summacare | Premier | $92.22 | ↓ -87% |
| Summacare | Medicare Advantage MD | $93.00 | ↓ -87% |
| Perennial Health | Medicare Advantage | $94.86 | ↓ -87% |
| The Health Plan | All Products PCP | $96.61 | ↓ -87% |
| The Health Plan | All Products Specialty Physicians | $101.00 | ↓ -86% |
| The Health Plan | All Products Radiation Oncology Physicians | $114.18 | ↓ -84% |
| Cigna | All Products Mid-Level | $155.75 | ↓ -79% |
| Anthem | All Products Mid-Level Non-Facility | $166.57 | ↓ -77% |
| Aetna | Acop | $168.22 | ↓ -77% |
| Cigna | All Products Physician | $184.03 | ↓ -75% |
| The Health Plan | MEDICARE ADVANTAGE | $202.25 | ↓ -72% |
| Oscar | All Products | $224.62 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $224.72 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $224.72 | ↓ -69% |
| Summacare | MEDICARE ADVANTAGE | $236.38 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $236.38 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $236.38 | ↓ -68% |
| Perennial Health | MEDICARE ADVANTAGE | $242.70 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $243.47 | ↓ -67% |
| UNITED | Managed Medicaid | $244.13 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $248.19 | ↓ -66% |
| CARESOURCE | Managed Medicaid | $251.45 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $255.29 | ↓ -65% |
| ANTHEM | Managed Medicaid | $256.34 | ↓ -65% |
| MOLINA | Managed Medicaid | $256.34 | ↓ -65% |
| AMERIHEALTH | Managed Medicaid | $268.54 | ↓ -63% |
| United | All Products - Mid-Level | $274.53 | ↓ -62% |
| United | HMO & PPO | $305.03 | ↓ -58% |
| United | All Products | $305.03 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $316.45 | ↓ -56% |
| Aultcare | PPO/HMO | $316.47 | ↓ -56% |
| OHCP | All Products | $343.88 | ↓ -53% |
| PHP | ALL PRODUCTS | $358.08 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $358.08 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $378.22 | ↓ -48% |
| MMO | SuperMed | $421.12 | ↓ -42% |
| Summacare | PREMIER | $427.46 | ↓ -41% |
| OMAS | All Products | $442.00 | ↓ -39% |
| MMO | ALL PRODUCTS | $493.44 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $503.55 | ↓ -31% |
| PHPHI | All Products | $530.40 | ↓ -27% |
| OHCP | ALL PRODUCTS | $543.83 | ↓ -25% |
| OMAS | ALL PRODUCTS | $559.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $559.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $604.26 | ↓ -17% |
| GMS | All Products | $618.80 | ↓ -15% |
| MMO | Traditional | $618.80 | ↓ -15% |
| ANTHEM | TRADITIONAL | $618.81 | ↓ -15% |
| ANTHEM | HPN | $635.37 | ↓ -13% |
| Aetna | All Products First Health | $663.00 | ↓ -9% |
| Immergrun | All Products | $663.00 | ↓ -9% |
| Aetna | Asa | $707.20 | ↓ -3% |
| The Health Plan | PPO | $714.37 | ↓ -2% |
| GMS | ALL PRODUCTS | $783.30 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $783.30 | ↑ +8% |
| Multiplan | All Products | $795.60 | ↑ +9% |
| AETNA | ALL PRODUCTS | $839.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $839.25 | ↑ +15% |
| Aetna | Qhp/Ifp | $884.00 | ↑ +22% |
| The Health Plan | Self-Funded ASO | $939.96 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $1,007.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,007.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,007.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $1,007.10 | ↑ +38% |
| AETNA | Qhp/Ipf | $1,119.00 | ↑ +54% |
| The Health Plan | HMO | $1,119.00 | ↑ +54% |
| The Health Plan | POS | $1,119.00 | ↑ +54% |
| ANTHEM | Exchange | $1,459.00 | ↑ +101% |
| ANTHEM | PPO/HMO | $1,622.00 | ↑ +123% |
| CIGNA | ALL PRODUCTS | $2,123.00 | ↑ +192% |
| UNITED | ALL PRODUCTS | $2,833.00 | ↑ +289% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +293% |
| AETNA | International | $3,004.00 | ↑ +313% |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
G-tube reposition at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $459.00 | not published |
| Anderson Hospital | Cincinnati | $964.20 | not published |
| Clermont Hospital | Batavia | $459.00 | not published |
| Kings Mills Hospital | Mason | $964.20 | not published |
| Mercy West Hospital | Cincinnati | $964.20 | not published |
| St Ritas Medical Center | Lima | $2,193.60 | not published |
| Trinity Medical Center East | Steubenville | $165.65 | $200.40 – $267.20 |
| cleveland clinic main campus | Cleveland | $727.35 | $1.10 – $1,007.10 |