Hysteroscopy biopsy at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$9,506.90
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.
$14,626.00
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 $14,626.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $117.66 | ↓ -99% |
| Caresource | Managed Medicaid | $121.19 | ↓ -99% |
| Buckeye | Managed Medicaid | $123.54 | ↓ -99% |
| Molina | Managed Medicaid | $129.43 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $129.43 | ↓ -99% |
| Summacare | Preferred | $142.55 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $142.55 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $151.31 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $186.41 | ↓ -98% |
| Cigna | Medicare Advantage | $201.74 | ↓ -98% |
| The Health Plan | Medicare Advantage | $201.74 | ↓ -98% |
| Aetna | Medicare Advantage | $201.74 | ↓ -98% |
| Humana | Medicare Advantage HMO | $201.74 | ↓ -98% |
| Anthem | Medicare Advantage | $201.74 | ↓ -98% |
| United | Medicare Advantage | $201.74 | ↓ -98% |
| MMO | Medicare HMO & PPO | $207.79 | ↓ -98% |
| Summacare | Medicare Advantage MD | $208.34 | ↓ -98% |
| Summacare | Premier | $211.83 | ↓ -98% |
| CommuniCare | Medicare Advantage | $211.83 | ↓ -98% |
| Perennial Health | Medicare Advantage | $217.88 | ↓ -98% |
| The Health Plan | All Products PCP | $221.91 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $232.00 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $262.26 | ↓ -97% |
| Oscar | All Products | $466.27 | ↓ -95% |
| Aultcare | PPO/HMO | $656.93 | ↓ -93% |
| OHCP | All Products | $713.82 | ↓ -92% |
| The Health Plan | PPO | $803.25 | ↓ -92% |
| OMAS | All Products | $917.50 | ↓ -90% |
| PHPHI | All Products | $1,101.00 | ↓ -88% |
| GMS | All Products | $1,284.50 | ↓ -86% |
| MMO | Traditional | $1,284.50 | ↓ -86% |
| Aetna | All Products First Health | $1,376.25 | ↓ -86% |
| Immergrun | All Products | $1,376.25 | ↓ -86% |
| UNITED | Managed Medicaid | $1,389.30 | ↓ -85% |
| CARESOURCE | Managed Medicaid | $1,430.98 | ↓ -85% |
| ANTHEM | Managed Medicaid | $1,458.77 | ↓ -85% |
| MOLINA | Managed Medicaid | $1,458.77 | ↓ -85% |
| Aetna | Asa | $1,468.00 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $1,528.23 | ↓ -84% |
| Cigna | All Products Mid-Level | $1,612.42 | ↓ -83% |
| Multiplan | All Products | $1,651.50 | ↓ -83% |
| Anthem | All Products Mid-Level Non-Facility | $1,724.50 | ↓ -82% |
| Aetna | Acop | $1,818.12 | ↓ -81% |
| Aetna | Qhp/Ifp | $1,835.00 | ↓ -81% |
| Cigna | All Products Physician | $1,905.24 | ↓ -80% |
| The Health Plan | MEDICARE ADVANTAGE | $2,644.04 | ↓ -72% |
| United | All Products - Mid-Level | $2,787.48 | ↓ -71% |
| HUMANA | Medicare Advantage HMO | $2,937.82 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $2,937.82 | ↓ -69% |
| Summacare | MEDICARE ADVANTAGE | $3,062.57 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $3,062.57 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $3,062.57 | ↓ -68% |
| United | All Products | $3,097.20 | ↓ -67% |
| United | HMO & PPO | $3,097.20 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $3,154.45 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $3,172.85 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $3,215.70 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,307.58 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $4,136.23 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $4,680.32 | ↓ -51% |
| PHP | ALL PRODUCTS | $4,680.32 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $4,943.59 | ↓ -48% |
| MMO | SuperMed | $5,338.37 | ↓ -44% |
| CIGNA | ALL PRODUCTS | $5,520.00 | ↓ -42% |
| Summacare | PREMIER | $5,587.13 | ↓ -41% |
| MMO | ALL PRODUCTS | $6,241.91 | ↓ -34% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↓ -34% |
| AETNA | International | $6,561.00 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $6,581.70 | ↓ -31% |
| ANTHEM | HPN | $7,045.34 | ↓ -26% |
| OHCP | ALL PRODUCTS | $7,108.24 | ↓ -25% |
| OMAS | ALL PRODUCTS | $7,313.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $7,313.00 | ↓ -23% |
| ANTHEM | Exchange | $7,459.26 | ↓ -22% |
| Ohio Healthy | TRANSPLANT | $7,898.04 | ↓ -17% |
| ANTHEM | TRADITIONAL | $8,088.18 | ↓ -15% |
| ANTHEM | PPO/HMO | $8,288.55 | ↓ -13% |
| GMS | ALL PRODUCTS | $10,238.20 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $10,238.20 | ↑ +8% |
| AETNA | ALL PRODUCTS | $10,969.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $10,969.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $12,285.84 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $13,163.40 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $13,163.40 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $13,163.40 | ↑ +38% |
| FrontPath | TRANSPLANT | $13,163.40 | ↑ +38% |
| The Health Plan | POS | $14,626.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $14,626.00 | ↑ +54% |
| The Health Plan | HMO | $14,626.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Hysteroscopy biopsy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $14,908.08 | $3,154.64 – $3,217.74 |
| Anderson Hospital | Cincinnati | $15,765.74 | $3,154.64 – $3,217.74 |
| Clermont Hospital | Batavia | $15,953.09 | $3,154.64 – $3,217.74 |
| Mercy West Hospital | Cincinnati | $16,372.80 | $3,209.41 – $3,273.60 |
| St Ritas Medical Center | Lima | $17,499.84 | $3,209.41 – $3,209.41 |
| cleveland clinic main campus | Cleveland | $9,506.90 | $0.01 – $13,163.40 |
| akron general | Akron | $1,192.75 | $1.10 – $3,172.85 |
| avon hospital | Avon | $9,506.90 | $0.01 – $13,163.40 |