healthcosts.net
Lower jaw bone graft at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,179.80
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.
$4,892.00
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 $9,999.36 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 | $487.33 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $487.33 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $525.28 | ↓ -83% |
| United | Managed Medicaid | $624.27 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $637.28 | ↓ -80% |
| Caresource | Managed Medicaid | $643.00 | ↓ -80% |
| Buckeye | Managed Medicaid | $655.48 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $686.70 | ↓ -78% |
| Molina | Managed Medicaid | $686.70 | ↓ -78% |
| United | Medicare Advantage | $700.37 | ↓ -78% |
| Cigna | Medicare Advantage | $700.37 | ↓ -78% |
| Anthem | Medicare Advantage | $700.37 | ↓ -78% |
| The Health Plan | Medicare Advantage | $700.37 | ↓ -78% |
| Aetna | Medicare Advantage | $700.37 | ↓ -78% |
| Humana | Medicare Advantage HMO | $700.37 | ↓ -78% |
| Summacare | Medicare Advantage MD | $712.25 | ↓ -78% |
| MMO | Medicare HMO & PPO | $721.38 | ↓ -77% |
| Summacare | Premier | $735.39 | ↓ -77% |
| CommuniCare | Medicare Advantage | $735.39 | ↓ -77% |
| Perennial Health | Medicare Advantage | $756.40 | ↓ -76% |
| The Health Plan | All Products PCP | $770.41 | ↓ -76% |
| The Health Plan | All Products Specialty Physicians | $805.43 | ↓ -75% |
| The Health Plan | All Products Radiation Oncology Physicians | $910.48 | ↓ -71% |
| Oscar | All Products | $1,243.06 | ↓ -61% |
| Aultcare | PPO/HMO | $1,751.34 | ↓ -45% |
| OHCP | All Products | $1,902.99 | ↓ -40% |
| OMAS | All Products | $2,446.00 | ↓ -23% |
| PHPHI | All Products | $2,935.20 | ↓ -8% |
| GMS | All Products | $3,424.40 | ↑ +8% |
| MMO | Traditional | $3,424.40 | ↑ +8% |
| Immergrun | All Products | $3,669.00 | ↑ +15% |
| Aetna | All Products First Health | $3,669.00 | ↑ +15% |
| UNITED | Managed Medicaid | $3,691.94 | ↑ +16% |
| CARESOURCE | Managed Medicaid | $3,802.70 | ↑ +20% |
| ANTHEM | Managed Medicaid | $3,876.54 | ↑ +22% |
| MOLINA | Managed Medicaid | $3,876.54 | ↑ +22% |
| Aetna | Asa | $3,913.60 | ↑ +23% |
| AMERIHEALTH | Managed Medicaid | $4,061.13 | ↑ +28% |
| Multiplan | All Products | $4,402.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $4,892.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $4,901.49 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $4,919.36 | ↑ +55% |
| Anthem | All Products Mid-Level Non-Facility | $5,242.21 | ↑ +65% |
| Aetna | Acop | $5,367.66 | ↑ +69% |
| HUMANA | Medicare Advantage HMO | $5,465.95 | ↑ +72% |
| UNITED | MEDICARE ADVANTAGE | $5,465.95 | ↑ +72% |
| AETNA | MEDICARE ADVANTAGE | $5,600.62 | ↑ +76% |
| Summacare | MEDICARE ADVANTAGE | $5,600.62 | ↑ +76% |
| ANTHEM | MEDICARE ADVANTAGE | $5,600.62 | ↑ +76% |
| CIGNA | MEDICARE ADVANTAGE | $5,768.63 | ↑ +81% |
| Cigna | All Products Physician | $5,791.61 | ↑ +82% |
| CommuniCare | MEDICARE ADVANTAGE | $5,880.65 | ↑ +85% |
| Perennial Health | MEDICARE ADVANTAGE | $5,903.23 | ↑ +86% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,048.66 | ↑ +90% |
| United | All Products - Mid-Level | $8,555.19 | ↑ +169% |
| MMO | ALL PRODUCTS | $8,862.25 | ↑ +179% |
| United | HMO & PPO | $9,505.76 | ↑ +199% |
| United | All Products | $9,505.76 | ↑ +199% |
| MMO | SuperMed | $9,999.36 | ↑ +214% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Lower jaw bone graft at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $17,687.80 | $0.01 – $24,490.80 |
| akron general | Akron | $3,179.80 | $1.10 – $5,903.23 |
| avon hospital | Avon | not published | $3,854.64 – $6,160.68 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $6,293.24 – $7,286.91 |
| euclid hospital | Euclid | not published | $3,949.19 – $6,160.68 |
| fairview hospital | Cleveland | not published | $3,710.06 – $6,160.68 |
| lutheran hospital | Cleveland | not published | $3,532.10 – $6,160.68 |
| hillcrest hospital | Mayfield Heights | not published | $3,865.30 – $6,160.68 |