healthcosts.net
Incision of anal sphincter at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$655.20
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.
$1,008.00
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 $4,793.60 with MMO — 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 | $97.94 | ↓ -85% |
| Summacare | Preferred | $97.94 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $109.76 | ↓ -83% |
| United | Managed Medicaid | $127.75 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $128.07 | ↓ -80% |
| Caresource | Managed Medicaid | $131.58 | ↓ -80% |
| Buckeye | Managed Medicaid | $134.14 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $140.53 | ↓ -79% |
| Molina | Managed Medicaid | $140.53 | ↓ -79% |
| Summacare | Medicare Advantage MD | $143.14 | ↓ -78% |
| Humana | Medicare Advantage HMO | $146.35 | ↓ -78% |
| Aetna | Medicare Advantage | $146.35 | ↓ -78% |
| Anthem | Medicare Advantage | $146.35 | ↓ -78% |
| Cigna | Medicare Advantage | $146.35 | ↓ -78% |
| The Health Plan | Medicare Advantage | $146.35 | ↓ -78% |
| United | Medicare Advantage | $146.35 | ↓ -78% |
| MMO | Medicare HMO & PPO | $150.74 | ↓ -77% |
| Summacare | Premier | $153.67 | ↓ -77% |
| CommuniCare | Medicare Advantage | $153.67 | ↓ -77% |
| Perennial Health | Medicare Advantage | $158.06 | ↓ -76% |
| The Health Plan | All Products PCP | $160.99 | ↓ -75% |
| The Health Plan | All Products Specialty Physicians | $168.30 | ↓ -74% |
| The Health Plan | All Products Radiation Oncology Physicians | $190.26 | ↓ -71% |
| Oscar | All Products | $256.13 | ↓ -61% |
| Cigna | All Products Mid-Level | $354.82 | ↓ -46% |
| Aetna | Acop | $355.66 | ↓ -46% |
| Aultcare | PPO/HMO | $360.86 | ↓ -45% |
| Anthem | All Products Mid-Level Non-Facility | $379.49 | ↓ -42% |
| OHCP | All Products | $392.11 | ↓ -40% |
| Cigna | All Products Physician | $419.26 | ↓ -36% |
| OMAS | All Products | $504.00 | ↓ -23% |
| PHPHI | All Products | $604.80 | ↓ -8% |
| United | All Products - Mid-Level | $623.71 | ↓ -5% |
| United | HMO & PPO | $693.01 | ↑ +6% |
| United | All Products | $693.01 | ↑ +6% |
| MMO | Traditional | $705.60 | ↑ +8% |
| GMS | All Products | $705.60 | ↑ +8% |
| Aetna | All Products First Health | $756.00 | ↑ +15% |
| Immergrun | All Products | $756.00 | ↑ +15% |
| Aetna | Asa | $806.40 | ↑ +23% |
| UNITED | Managed Medicaid | $886.67 | ↑ +35% |
| Multiplan | All Products | $907.20 | ↑ +38% |
| CARESOURCE | Managed Medicaid | $913.27 | ↑ +39% |
| ANTHEM | Managed Medicaid | $931.00 | ↑ +42% |
| MOLINA | Managed Medicaid | $931.00 | ↑ +42% |
| AMERIHEALTH | Managed Medicaid | $975.34 | ↑ +49% |
| Aetna | Qhp/Ifp | $1,008.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $2,280.52 | ↑ +248% |
| UNITED | MEDICARE ADVANTAGE | $2,533.91 | ↑ +287% |
| HUMANA | Medicare Advantage HMO | $2,533.91 | ↑ +287% |
| AETNA | MEDICARE ADVANTAGE | $2,625.99 | ↑ +301% |
| Summacare | MEDICARE ADVANTAGE | $2,625.99 | ↑ +301% |
| ANTHEM | MEDICARE ADVANTAGE | $2,625.99 | ↑ +301% |
| CIGNA | MEDICARE ADVANTAGE | $2,704.77 | ↑ +313% |
| Perennial Health | MEDICARE ADVANTAGE | $2,736.63 | ↑ +318% |
| CommuniCare | MEDICARE ADVANTAGE | $2,757.29 | ↑ +321% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,836.07 | ↑ +333% |
| MMO | ALL PRODUCTS | $4,249.08 | ↑ +549% |
| UNITED | ALL PRODUCTS | $4,338.00 | ↑ +562% |
| MMO | SuperMed | $4,793.60 | ↑ +632% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Incision of anal sphincter at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $655.20 | $1.10 – $2,625.99 |
| akron general | Akron | $655.20 | $1.10 – $2,736.63 |
| avon hospital | Avon | not published | $925.74 – $2,888.59 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,511.41 – $1,750.06 |
| euclid hospital | Euclid | not published | $948.45 – $2,888.59 |
| fairview hospital | Cleveland | not published | $891.02 – $2,888.59 |
| lutheran hospital | Cleveland | not published | $848.28 – $2,888.59 |
| hillcrest hospital | Mayfield Heights | not published | $928.31 – $2,888.59 |