healthcosts.net
Insert nasal septal button at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$413.40
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.
$636.00
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 $2,603.78 with MMO — 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 | Preferred | $78.24 | ↓ -81% |
| Summacare | Medicare Advantage Lower Level | $78.24 | ↓ -81% |
| Summacare | Medicare Advantage Psych | $83.68 | ↓ -80% |
| United | Managed Medicaid | $90.21 | ↓ -78% |
| Caresource | Managed Medicaid | $92.92 | ↓ -78% |
| Buckeye | Managed Medicaid | $94.72 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $99.23 | ↓ -76% |
| Molina | Managed Medicaid | $99.23 | ↓ -76% |
| Summacare | Medicare Advantage CNA | $102.31 | ↓ -75% |
| Anthem | Medicare Advantage | $111.57 | ↓ -73% |
| United | Medicare Advantage | $111.57 | ↓ -73% |
| Humana | Medicare Advantage HMO | $111.57 | ↓ -73% |
| The Health Plan | Medicare Advantage | $111.57 | ↓ -73% |
| Cigna | Medicare Advantage | $111.57 | ↓ -73% |
| Aetna | Medicare Advantage | $111.57 | ↓ -73% |
| Summacare | Medicare Advantage MD | $114.35 | ↓ -72% |
| MMO | Medicare HMO & PPO | $114.92 | ↓ -72% |
| CommuniCare | Medicare Advantage | $117.15 | ↓ -72% |
| Summacare | Premier | $117.15 | ↓ -72% |
| Perennial Health | Medicare Advantage | $120.50 | ↓ -71% |
| The Health Plan | All Products PCP | $122.73 | ↓ -70% |
| The Health Plan | All Products Specialty Physicians | $128.31 | ↓ -69% |
| The Health Plan | All Products Radiation Oncology Physicians | $145.04 | ↓ -65% |
| Oscar | All Products | $161.61 | ↓ -61% |
| Aultcare | PPO/HMO | $227.69 | ↓ -45% |
| OHCP | All Products | $247.40 | ↓ -40% |
| OMAS | All Products | $318.00 | ↓ -23% |
| Cigna | All Products Mid-Level | $371.09 | ↓ -10% |
| PHPHI | All Products | $381.60 | ↓ -8% |
| Anthem | All Products Mid-Level Non-Facility | $396.89 | ↓ -4% |
| Aetna | Acop | $405.58 | ↓ -2% |
| Cigna | All Products Physician | $438.48 | ↑ +6% |
| MMO | Traditional | $445.20 | ↑ +8% |
| GMS | All Products | $445.20 | ↑ +8% |
| Aetna | All Products First Health | $477.00 | ↑ +15% |
| Immergrun | All Products | $477.00 | ↑ +15% |
| Aetna | Asa | $508.80 | ↑ +23% |
| Multiplan | All Products | $572.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $636.00 | ↑ +54% |
| United | All Products - Mid-Level | $650.45 | ↑ +57% |
| United | HMO & PPO | $722.72 | ↑ +75% |
| United | All Products | $722.72 | ↑ +75% |
| UNITED | Managed Medicaid | $766.14 | ↑ +85% |
| CARESOURCE | Managed Medicaid | $789.12 | ↑ +91% |
| ANTHEM | Managed Medicaid | $804.45 | ↑ +95% |
| MOLINA | Managed Medicaid | $804.45 | ↑ +95% |
| AMERIHEALTH | Managed Medicaid | $842.75 | ↑ +104% |
| The Health Plan | MEDICARE ADVANTAGE | $1,231.81 | ↑ +198% |
| HUMANA | Medicare Advantage HMO | $1,368.67 | ↑ +231% |
| UNITED | MEDICARE ADVANTAGE | $1,368.67 | ↑ +231% |
| Summacare | MEDICARE ADVANTAGE | $1,467.92 | ↑ +255% |
| AETNA | MEDICARE ADVANTAGE | $1,467.92 | ↑ +255% |
| ANTHEM | MEDICARE ADVANTAGE | $1,467.92 | ↑ +255% |
| Perennial Health | MEDICARE ADVANTAGE | $1,478.17 | ↑ +258% |
| CIGNA | MEDICARE ADVANTAGE | $1,511.96 | ↑ +266% |
| CommuniCare | MEDICARE ADVANTAGE | $1,541.31 | ↑ +273% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,585.35 | ↑ +283% |
| MMO | ALL PRODUCTS | $2,307.88 | ↑ +458% |
| MMO | SuperMed | $2,603.78 | ↑ +530% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Insert nasal septal button at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,429.10 | $0.01 – $6,132.60 |
| akron general | Akron | $413.40 | $1.10 – $1,511.96 |
| avon hospital | Avon | not published | $799.91 – $1,614.71 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,305.97 – $1,512.17 |
| euclid hospital | Euclid | not published | $819.53 – $1,614.71 |
| fairview hospital | Cleveland | not published | $769.90 – $1,614.71 |
| lutheran hospital | Cleveland | not published | $732.97 – $1,614.71 |
| hillcrest hospital | Mayfield Heights | not published | $802.12 – $1,614.71 |