healthcosts.net
Ligation/divis of long saph vein 37700 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$993.20
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.
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What you pay up front if you don't use insurance.
$1,528.00
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 $5,442.30 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 | $112.06 | ↓ -89% |
| Summacare | Medicare Advantage Lower Level | $149.38 | ↓ -85% |
| Summacare | Preferred | $149.38 | ↓ -85% |
| Aultcare | PPO/HMO | $157.88 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $167.18 | ↓ -83% |
| OHCP | All Products | $171.55 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $195.35 | ↓ -80% |
| United | Managed Medicaid | $200.50 | ↓ -80% |
| Caresource | Managed Medicaid | $206.52 | ↓ -79% |
| Buckeye | Managed Medicaid | $210.53 | ↓ -79% |
| Summacare | Medicare Advantage MD | $218.33 | ↓ -78% |
| OMAS | All Products | $220.50 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $220.55 | ↓ -78% |
| Molina | Managed Medicaid | $220.55 | ↓ -78% |
| Anthem | Medicare Advantage | $222.91 | ↓ -78% |
| United | Medicare Advantage | $222.91 | ↓ -78% |
| Humana | Medicare Advantage HMO | $222.91 | ↓ -78% |
| Aetna | Medicare Advantage | $222.91 | ↓ -78% |
| Cigna | Medicare Advantage | $222.91 | ↓ -78% |
| The Health Plan | Medicare Advantage | $222.91 | ↓ -78% |
| MMO | Medicare HMO & PPO | $229.60 | ↓ -77% |
| CommuniCare | Medicare Advantage | $234.06 | ↓ -76% |
| Summacare | Premier | $234.06 | ↓ -76% |
| Perennial Health | Medicare Advantage | $240.74 | ↓ -76% |
| The Health Plan | All Products PCP | $245.20 | ↓ -75% |
| The Health Plan | All Products Specialty Physicians | $256.35 | ↓ -74% |
| PHPHI | All Products | $264.60 | ↓ -73% |
| The Health Plan | All Products Radiation Oncology Physicians | $289.78 | ↓ -71% |
| GMS | All Products | $308.70 | ↓ -69% |
| MMO | Traditional | $308.70 | ↓ -69% |
| Anthem | All Products Mid-Level Non-Facility | $326.22 | ↓ -67% |
| Immergrun | All Products | $330.75 | ↓ -67% |
| Aetna | All Products First Health | $330.75 | ↓ -67% |
| Aetna | Asa | $352.80 | ↓ -64% |
| Multiplan | All Products | $396.90 | ↓ -60% |
| Aetna | Qhp/Ifp | $441.00 | ↓ -56% |
| United | All Products - Mid-Level | $540.08 | ↓ -46% |
| United | HMO & PPO | $600.09 | ↓ -40% |
| United | All Products | $600.09 | ↓ -40% |
| UNITED | Managed Medicaid | $1,745.19 | ↑ +76% |
| CARESOURCE | Managed Medicaid | $1,797.55 | ↑ +81% |
| MOLINA | Managed Medicaid | $1,832.45 | ↑ +84% |
| ANTHEM | Managed Medicaid | $1,832.45 | ↑ +84% |
| AMERIHEALTH | Managed Medicaid | $1,919.71 | ↑ +93% |
| The Health Plan | MEDICARE ADVANTAGE | $2,617.40 | ↑ +164% |
| HUMANA | Medicare Advantage HMO | $2,908.23 | ↑ +193% |
| UNITED | MEDICARE ADVANTAGE | $2,908.23 | ↑ +193% |
| Summacare | MEDICARE ADVANTAGE | $2,987.22 | ↑ +201% |
| AETNA | MEDICARE ADVANTAGE | $2,987.22 | ↑ +201% |
| ANTHEM | MEDICARE ADVANTAGE | $2,987.22 | ↑ +201% |
| CIGNA | MEDICARE ADVANTAGE | $3,076.84 | ↑ +210% |
| CommuniCare | MEDICARE ADVANTAGE | $3,136.58 | ↑ +216% |
| Perennial Health | MEDICARE ADVANTAGE | $3,140.89 | ↑ +216% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,226.20 | ↑ +225% |
| MMO | ALL PRODUCTS | $4,823.68 | ↑ +386% |
| MMO | SuperMed | $5,442.30 | ↑ +448% |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Ligation/divis of long saph vein 37700 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $993.20 | $1.10 – $2,987.22 |
| akron general | Akron | $11,763.70 | $0.01 – $16,288.20 |
| avon hospital | Avon | not published | $1,822.11 – $3,285.94 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,974.84 – $3,444.55 |
| euclid hospital | Euclid | not published | $1,866.80 – $3,285.94 |
| fairview hospital | Cleveland | not published | $1,753.76 – $3,285.94 |
| lutheran hospital | Cleveland | not published | $1,669.63 – $3,285.94 |
| hillcrest hospital | Mayfield Heights | not published | $1,827.14 – $3,285.94 |