healthcosts.net
Laparoscopy fundoplasty at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$4,706.00
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.
$7,240.00
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 $4,036,081.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Oscar | All Products | $590.78 | ↓ -87% |
| Summacare | Preferred | $667.73 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $667.73 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $746.12 | ↓ -84% |
| Aultcare | PPO/HMO | $832.35 | ↓ -82% |
| United | Managed Medicaid | $837.49 | ↓ -82% |
| Caresource | Managed Medicaid | $862.61 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $873.18 | ↓ -81% |
| Buckeye | Managed Medicaid | $879.36 | ↓ -81% |
| OHCP | All Products | $904.43 | ↓ -81% |
| Molina | Managed Medicaid | $921.24 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $921.24 | ↓ -80% |
| Summacare | Medicare Advantage MD | $975.91 | ↓ -79% |
| Humana | Medicare Advantage HMO | $994.82 | ↓ -79% |
| Anthem | Medicare Advantage | $994.82 | ↓ -79% |
| United | Medicare Advantage | $994.82 | ↓ -79% |
| Aetna | Medicare Advantage | $994.82 | ↓ -79% |
| Cigna | Medicare Advantage | $994.82 | ↓ -79% |
| The Health Plan | Medicare Advantage | $994.82 | ↓ -79% |
| MMO | Medicare HMO & PPO | $1,024.66 | ↓ -78% |
| CommuniCare | Medicare Advantage | $1,044.56 | ↓ -78% |
| Summacare | Premier | $1,044.56 | ↓ -78% |
| The Health Plan | PPO | $1,064.46 | ↓ -77% |
| Perennial Health | Medicare Advantage | $1,074.41 | ↓ -77% |
| The Health Plan | All Products PCP | $1,094.30 | ↓ -77% |
| The Health Plan | All Products Specialty Physicians | $1,144.04 | ↓ -76% |
| OMAS | All Products | $1,162.50 | ↓ -75% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,293.27 | ↓ -73% |
| PHPHI | All Products | $1,395.00 | ↓ -70% |
| Anthem | All Products Mid-Level Non-Facility | $1,456.40 | ↓ -69% |
| MMO | Traditional | $1,627.50 | ↓ -65% |
| GMS | All Products | $1,627.50 | ↓ -65% |
| Immergrun | All Products | $1,743.75 | ↓ -63% |
| Aetna | All Products First Health | $1,743.75 | ↓ -63% |
| Aetna | Asa | $1,860.00 | ↓ -60% |
| Multiplan | All Products | $2,092.50 | ↓ -56% |
| Aetna | Qhp/Ifp | $2,325.00 | ↓ -51% |
| United | All Products - Mid-Level | $2,414.80 | ↓ -49% |
| United | All Products | $2,683.11 | ↓ -43% |
| United | HMO & PPO | $2,683.11 | ↓ -43% |
| UNITED | Managed Medicaid | $3,891.79 | ↓ -17% |
| CARESOURCE | Managed Medicaid | $4,008.54 | ↓ -15% |
| ANTHEM | Managed Medicaid | $4,086.38 | ↓ -13% |
| MOLINA | Managed Medicaid | $4,086.38 | ↓ -13% |
| AMERIHEALTH | Managed Medicaid | $4,280.97 | ↓ -9% |
| The Health Plan | MEDICARE ADVANTAGE | $8,657.78 | ↑ +84% |
| UNITED | MEDICARE ADVANTAGE | $9,619.76 | ↑ +104% |
| HUMANA | Medicare Advantage HMO | $9,619.76 | ↑ +104% |
| ANTHEM | MEDICARE ADVANTAGE | $10,056.64 | ↑ +114% |
| Summacare | MEDICARE ADVANTAGE | $10,056.64 | ↑ +114% |
| AETNA | MEDICARE ADVANTAGE | $10,056.64 | ↑ +114% |
| CIGNA | MEDICARE ADVANTAGE | $10,358.34 | ↑ +120% |
| Perennial Health | MEDICARE ADVANTAGE | $10,389.34 | ↑ +121% |
| CommuniCare | MEDICARE ADVANTAGE | $10,559.47 | ↑ +124% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $10,861.17 | ↑ +131% |
| MMO | ALL PRODUCTS | $15,577.67 | ↑ +231% |
| MMO | SuperMed | $17,575.94 | ↑ +273% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +27024% |
| The Health Plan | POS | $4,036,081.00 | ↑ +85665% |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Laparoscopy fundoplasty at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,706.00 | $1.10 – $10,056.64 |
| akron general | Akron | $4,706.00 | $1.10 – $10,389.34 |
| avon hospital | Avon | not published | $4,063.30 – $11,062.31 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $6,633.90 – $7,681.36 |
| euclid hospital | Euclid | not published | $4,162.96 – $11,062.31 |
| fairview hospital | Cleveland | not published | $3,910.89 – $11,062.31 |
| lutheran hospital | Cleveland | not published | $3,723.30 – $11,062.31 |
| hillcrest hospital | Mayfield Heights | not published | $4,074.53 – $11,062.31 |