healthcosts.net
Laparoscopy biopsy at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,414.40
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.
$2,176.00
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 $9,852.42 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% |
| Oscar | All Products | $141.53 | ↓ -90% |
| Aultcare | PPO/HMO | $199.41 | ↓ -86% |
| Summacare | Preferred | $213.44 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $213.44 | ↓ -85% |
| OHCP | All Products | $216.67 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $241.26 | ↓ -83% |
| United | Managed Medicaid | $272.11 | ↓ -81% |
| OMAS | All Products | $278.50 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $279.11 | ↓ -80% |
| Caresource | Managed Medicaid | $280.27 | ↓ -80% |
| Buckeye | Managed Medicaid | $285.72 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $299.32 | ↓ -79% |
| Molina | Managed Medicaid | $299.32 | ↓ -79% |
| Summacare | Medicare Advantage MD | $311.95 | ↓ -78% |
| Anthem | Medicare Advantage | $321.68 | ↓ -77% |
| United | Medicare Advantage | $321.68 | ↓ -77% |
| Humana | Medicare Advantage HMO | $321.68 | ↓ -77% |
| Cigna | Medicare Advantage | $321.68 | ↓ -77% |
| The Health Plan | Medicare Advantage | $321.68 | ↓ -77% |
| Aetna | Medicare Advantage | $321.68 | ↓ -77% |
| MMO | Medicare HMO & PPO | $331.33 | ↓ -77% |
| PHPHI | All Products | $334.20 | ↓ -76% |
| CommuniCare | Medicare Advantage | $337.76 | ↓ -76% |
| Summacare | Premier | $337.76 | ↓ -76% |
| Perennial Health | Medicare Advantage | $347.41 | ↓ -75% |
| The Health Plan | All Products PCP | $353.85 | ↓ -75% |
| The Health Plan | All Products Specialty Physicians | $369.93 | ↓ -74% |
| MMO | Traditional | $389.90 | ↓ -72% |
| GMS | All Products | $389.90 | ↓ -72% |
| Aetna | All Products First Health | $417.75 | ↓ -70% |
| Immergrun | All Products | $417.75 | ↓ -70% |
| The Health Plan | All Products Radiation Oncology Physicians | $418.18 | ↓ -70% |
| Aetna | Asa | $445.60 | ↓ -68% |
| Anthem | All Products Mid-Level Non-Facility | $463.90 | ↓ -67% |
| Multiplan | All Products | $501.30 | ↓ -65% |
| Aetna | Qhp/Ifp | $557.00 | ↓ -61% |
| United | All Products - Mid-Level | $771.46 | ↓ -45% |
| United | HMO & PPO | $857.18 | ↓ -39% |
| United | All Products | $857.18 | ↓ -39% |
| UNITED | Managed Medicaid | $1,655.18 | ↑ +17% |
| CARESOURCE | Managed Medicaid | $1,704.84 | ↑ +21% |
| ANTHEM | Managed Medicaid | $1,737.94 | ↑ +23% |
| MOLINA | Managed Medicaid | $1,737.94 | ↑ +23% |
| AMERIHEALTH | Managed Medicaid | $1,820.70 | ↑ +29% |
| The Health Plan | MEDICARE ADVANTAGE | $4,851.75 | ↑ +243% |
| UNITED | MEDICARE ADVANTAGE | $5,390.83 | ↑ +281% |
| HUMANA | Medicare Advantage HMO | $5,390.83 | ↑ +281% |
| Summacare | MEDICARE ADVANTAGE | $5,719.53 | ↑ +304% |
| AETNA | MEDICARE ADVANTAGE | $5,719.53 | ↑ +304% |
| ANTHEM | MEDICARE ADVANTAGE | $5,719.53 | ↑ +304% |
| Perennial Health | MEDICARE ADVANTAGE | $5,822.10 | ↑ +312% |
| CIGNA | MEDICARE ADVANTAGE | $5,891.12 | ↑ +317% |
| CommuniCare | MEDICARE ADVANTAGE | $6,005.51 | ↑ +325% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,177.10 | ↑ +337% |
| MMO | ALL PRODUCTS | $8,731.82 | ↑ +517% |
| MMO | SuperMed | $9,852.42 | ↑ +597% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Laparoscopy biopsy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,414.40 | $1.10 – $5,719.53 |
| akron general | Akron | $1,414.40 | $1.10 – $5,891.12 |
| avon hospital | Avon | not published | $1,728.12 – $6,291.49 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,821.41 – $3,266.89 |
| euclid hospital | Euclid | not published | $1,770.51 – $6,291.49 |
| fairview hospital | Cleveland | not published | $1,663.31 – $6,291.49 |
| lutheran hospital | Cleveland | not published | $1,583.52 – $6,291.49 |
| hillcrest hospital | Mayfield Heights | not published | $1,732.90 – $6,291.49 |