Ghs i and d perirectal abscess 46040 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,525.60
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.
$5,424.00
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.
$0.01 with UNITED vs $6,561.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Oscar | All Products | $165.17 | ↓ -95% |
| United | Managed Medicaid | $220.27 | ↓ -94% |
| Caresource | Managed Medicaid | $226.88 | ↓ -94% |
| Buckeye | Managed Medicaid | $231.28 | ↓ -93% |
| Aultcare | PPO/HMO | $232.70 | ↓ -93% |
| Molina | Managed Medicaid | $242.30 | ↓ -93% |
| AmeriHealth | Managed Medicaid | $242.30 | ↓ -93% |
| OHCP | All Products | $252.85 | ↓ -93% |
| Summacare | Preferred | $263.15 | ↓ -93% |
| Summacare | Medicare Advantage Lower Level | $263.15 | ↓ -93% |
| Summacare | Medicare Advantage Psych | $313.62 | ↓ -91% |
| OMAS | All Products | $325.00 | ↓ -91% |
| Summacare | Medicare Advantage CNA | $344.12 | ↓ -90% |
| Summacare | Medicare Advantage MD | $384.61 | ↓ -89% |
| PHPHI | All Products | $390.00 | ↓ -89% |
| United | Medicare Advantage | $418.16 | ↓ -88% |
| Humana | Medicare Advantage HMO | $418.16 | ↓ -88% |
| The Health Plan | Medicare Advantage | $418.16 | ↓ -88% |
| Aetna | Medicare Advantage | $418.16 | ↓ -88% |
| Cigna | Medicare Advantage | $418.16 | ↓ -88% |
| Anthem | Medicare Advantage | $418.16 | ↓ -88% |
| MMO | Medicare HMO & PPO | $430.70 | ↓ -88% |
| CommuniCare | Medicare Advantage | $439.07 | ↓ -88% |
| Summacare | Premier | $439.07 | ↓ -88% |
| Perennial Health | Medicare Advantage | $451.61 | ↓ -87% |
| MMO | Traditional | $455.00 | ↓ -87% |
| GMS | All Products | $455.00 | ↓ -87% |
| The Health Plan | All Products PCP | $459.98 | ↓ -87% |
| The Health Plan | All Products Specialty Physicians | $480.88 | ↓ -86% |
| Immergrun | All Products | $487.50 | ↓ -86% |
| Aetna | All Products First Health | $487.50 | ↓ -86% |
| Aetna | Asa | $520.00 | ↓ -85% |
| The Health Plan | All Products Radiation Oncology Physicians | $543.61 | ↓ -85% |
| Multiplan | All Products | $585.00 | ↓ -83% |
| Aetna | Qhp/Ifp | $650.00 | ↓ -82% |
| Cigna | All Products Mid-Level | $684.62 | ↓ -81% |
| Anthem | All Products Mid-Level Non-Facility | $732.21 | ↓ -79% |
| Aetna | Acop | $744.60 | ↓ -79% |
| The Health Plan | PPO | $803.25 | ↓ -77% |
| Cigna | All Products Physician | $808.95 | ↓ -77% |
| UNITED | Managed Medicaid | $886.67 | ↓ -75% |
| CARESOURCE | Managed Medicaid | $913.27 | ↓ -74% |
| ANTHEM | Managed Medicaid | $931.00 | ↓ -74% |
| MOLINA | Managed Medicaid | $931.00 | ↓ -74% |
| AMERIHEALTH | Managed Medicaid | $975.34 | ↓ -72% |
| The Health Plan | MEDICARE ADVANTAGE | $980.50 | ↓ -72% |
| HUMANA | Medicare Advantage HMO | $1,089.45 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $1,089.45 | ↓ -69% |
| Summacare | MEDICARE ADVANTAGE | $1,132.12 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $1,132.12 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $1,132.12 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $1,166.08 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $1,176.60 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $1,188.72 | ↓ -66% |
| United | All Products - Mid-Level | $1,213.14 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,222.68 | ↓ -65% |
| United | HMO & PPO | $1,347.93 | ↓ -62% |
| United | All Products | $1,347.93 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $1,533.91 | ↓ -56% |
| PHP | ALL PRODUCTS | $1,735.68 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,735.68 | ↓ -51% |
| ANTHEM | HPN | $1,789.00 | ↓ -49% |
| CC EHP | ALL PRODUCTS | $1,833.31 | ↓ -48% |
| ANTHEM | Exchange | $1,894.00 | ↓ -46% |
| MMO | SuperMed | $2,014.21 | ↓ -43% |
| Summacare | PREMIER | $2,071.97 | ↓ -41% |
| ANTHEM | PPO/HMO | $2,104.00 | ↓ -40% |
| MMO | ALL PRODUCTS | $2,356.06 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,440.80 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $2,560.13 | ↓ -27% |
| OHCP | ALL PRODUCTS | $2,636.06 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,712.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $2,712.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $2,928.96 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,999.47 | ↓ -15% |
| Medical Benefit Corp | Transplant SMCP | $3,796.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $3,796.80 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $4,068.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $4,068.00 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $4,556.16 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $4,881.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $4,881.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $4,881.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $4,881.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $5,424.00 | ↑ +54% |
| The Health Plan | HMO | $5,424.00 | ↑ +54% |
| The Health Plan | POS | $5,424.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↑ +77% |
| AETNA | International | $6,561.00 | ↑ +86% |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs i and d perirectal abscess 46040 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $19,567.80 | $1,166.15 – $1,189.47 |
| Kings Mills Hospital | Mason | $2,548.80 | not published |
| Mercy West Hospital | Cincinnati | $11,384.88 | $1,186.40 – $1,210.12 |
| cleveland clinic main campus | Cleveland | $3,525.60 | $0.01 – $4,881.60 |
| akron general | Akron | $3,525.60 | $1.10 – $4,881.60 |
| avon hospital | Avon | $3,525.60 | $0.01 – $4,881.60 |
| euclid hospital | Euclid | $3,525.60 | $0.01 – $4,881.60 |
| fairview hospital | Cleveland | $3,525.60 | $0.01 – $4,881.60 |