healthcosts.net
Mastectomy partial at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,633.80
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.
$4,052.00
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 | $306.19 | ↓ -88% |
| United | Managed Medicaid | $341.57 | ↓ -87% |
| Caresource | Managed Medicaid | $351.82 | ↓ -87% |
| Buckeye | Managed Medicaid | $358.65 | ↓ -86% |
| Molina | Managed Medicaid | $375.73 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $375.73 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $408.67 | ↓ -84% |
| Summacare | Preferred | $408.67 | ↓ -84% |
| Aultcare | PPO/HMO | $431.39 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $463.06 | ↓ -82% |
| OHCP | All Products | $468.75 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $534.41 | ↓ -80% |
| Summacare | Medicare Advantage MD | $597.28 | ↓ -77% |
| OMAS | All Products | $602.50 | ↓ -77% |
| United | Medicare Advantage | $617.41 | ↓ -77% |
| The Health Plan | Medicare Advantage | $617.41 | ↓ -77% |
| Cigna | Medicare Advantage | $617.41 | ↓ -77% |
| Aetna | Medicare Advantage | $617.41 | ↓ -77% |
| Humana | Medicare Advantage HMO | $617.41 | ↓ -77% |
| Anthem | Medicare Advantage | $617.41 | ↓ -77% |
| MMO | Medicare HMO & PPO | $635.93 | ↓ -76% |
| CommuniCare | Medicare Advantage | $648.28 | ↓ -75% |
| Summacare | Premier | $648.28 | ↓ -75% |
| The Health Plan | PPO | $660.63 | ↓ -75% |
| Perennial Health | Medicare Advantage | $666.80 | ↓ -75% |
| The Health Plan | All Products PCP | $679.15 | ↓ -74% |
| The Health Plan | All Products Specialty Physicians | $710.02 | ↓ -73% |
| PHPHI | All Products | $723.00 | ↓ -73% |
| The Health Plan | All Products Radiation Oncology Physicians | $802.63 | ↓ -70% |
| GMS | All Products | $843.50 | ↓ -68% |
| MMO | Traditional | $843.50 | ↓ -68% |
| Anthem | All Products Mid-Level Non-Facility | $890.40 | ↓ -66% |
| Aetna | All Products First Health | $903.75 | ↓ -66% |
| Immergrun | All Products | $903.75 | ↓ -66% |
| Aetna | Asa | $964.00 | ↓ -63% |
| Multiplan | All Products | $1,084.50 | ↓ -59% |
| Aetna | Qhp/Ifp | $1,205.00 | ↓ -54% |
| United | All Products - Mid-Level | $1,479.77 | ↓ -44% |
| United | All Products | $1,644.19 | ↓ -38% |
| United | HMO & PPO | $1,644.19 | ↓ -38% |
| UNITED | Managed Medicaid | $2,510.62 | ↓ -5% |
| CARESOURCE | Managed Medicaid | $2,585.94 | ↓ -2% |
| MOLINA | Managed Medicaid | $2,636.15 | ↑ +0% |
| ANTHEM | Managed Medicaid | $2,636.15 | ↑ +0% |
| AMERIHEALTH | Managed Medicaid | $2,761.68 | ↑ +5% |
| The Health Plan | MEDICARE ADVANTAGE | $3,184.36 | ↑ +21% |
| ANTHEM | PPO/HMO | $3,402.00 | ↑ +29% |
| HUMANA | Medicare Advantage HMO | $3,538.18 | ↑ +34% |
| UNITED | MEDICARE ADVANTAGE | $3,538.18 | ↑ +34% |
| AETNA | MEDICARE ADVANTAGE | $3,704.30 | ↑ +41% |
| Summacare | MEDICARE ADVANTAGE | $3,704.30 | ↑ +41% |
| ANTHEM | MEDICARE ADVANTAGE | $3,704.30 | ↑ +41% |
| CIGNA | MEDICARE ADVANTAGE | $3,815.43 | ↑ +45% |
| Perennial Health | MEDICARE ADVANTAGE | $3,821.23 | ↑ +45% |
| CommuniCare | MEDICARE ADVANTAGE | $3,889.52 | ↑ +48% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $4,000.65 | ↑ +52% |
| UNITED | ALL PRODUCTS | $5,553.00 | ↑ +111% |
| MMO | ALL PRODUCTS | $5,768.37 | ↑ +119% |
| MMO | SuperMed | $6,508.54 | ↑ +147% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +48364% |
| The Health Plan | POS | $4,036,081.00 | ↑ +153142% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Mastectomy partial at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,633.80 | $1.10 – $3,704.30 |
| akron general | Akron | $2,633.80 | $1.10 – $3,821.23 |
| avon hospital | Avon | not published | $2,621.26 – $4,074.73 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,279.58 – $4,955.30 |
| euclid hospital | Euclid | not published | $2,685.56 – $4,074.73 |
| fairview hospital | Cleveland | not published | $2,522.94 – $4,074.73 |
| lutheran hospital | Cleveland | not published | $2,401.92 – $4,074.73 |
| hillcrest hospital | Mayfield Heights | not published | $2,628.51 – $4,074.73 |