Nasal endoscopy dx uni/bi separate proc at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$580.45
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.
$893.00
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.
$0.01 with UNITED vs $4,001.00 with AETNA — 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $32.36 | ↓ -94% |
| Caresource | Managed Medicaid | $33.33 | ↓ -94% |
| Buckeye | Managed Medicaid | $33.98 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $35.60 | ↓ -94% |
| Molina | Managed Medicaid | $35.60 | ↓ -94% |
| Summacare | Preferred | $39.44 | ↓ -93% |
| Summacare | Medicare Advantage Lower Level | $39.44 | ↓ -93% |
| Summacare | Medicare Advantage Psych | $40.43 | ↓ -93% |
| Summacare | Medicare Advantage CNA | $51.57 | ↓ -91% |
| Humana | Medicare Advantage HMO | $53.90 | ↓ -91% |
| The Health Plan | Medicare Advantage | $53.90 | ↓ -91% |
| Cigna | Medicare Advantage | $53.90 | ↓ -91% |
| Anthem | Medicare Advantage | $53.90 | ↓ -91% |
| United | Medicare Advantage | $53.90 | ↓ -91% |
| Aetna | Medicare Advantage | $53.90 | ↓ -91% |
| MMO | Medicare HMO & PPO | $55.52 | ↓ -90% |
| Summacare | Premier | $56.60 | ↓ -90% |
| CommuniCare | Medicare Advantage | $56.60 | ↓ -90% |
| Summacare | Medicare Advantage MD | $57.64 | ↓ -90% |
| Perennial Health | Medicare Advantage | $58.21 | ↓ -90% |
| The Health Plan | All Products PCP | $59.29 | ↓ -90% |
| The Health Plan | All Products Specialty Physicians | $61.99 | ↓ -89% |
| The Health Plan | All Products Radiation Oncology Physicians | $70.07 | ↓ -88% |
| UNITED | Managed Medicaid | $87.77 | ↓ -85% |
| CARESOURCE | Managed Medicaid | $90.40 | ↓ -84% |
| ANTHEM | Managed Medicaid | $92.16 | ↓ -84% |
| MOLINA | Managed Medicaid | $92.16 | ↓ -84% |
| AMERIHEALTH | Managed Medicaid | $96.55 | ↓ -83% |
| Oscar | All Products | $122.98 | ↓ -79% |
| The Health Plan | MEDICARE ADVANTAGE | $161.44 | ↓ -72% |
| Aultcare | PPO/HMO | $173.27 | ↓ -70% |
| HUMANA | Medicare Advantage HMO | $179.38 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $179.38 | ↓ -69% |
| OHCP | All Products | $188.28 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $188.84 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $188.84 | ↓ -67% |
| Summacare | MEDICARE ADVANTAGE | $188.84 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $193.73 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $194.51 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $198.29 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $203.95 | ↓ -65% |
| Cigna | All Products Mid-Level | $229.35 | ↓ -60% |
| OMAS | All Products | $242.00 | ↓ -58% |
| Anthem | All Products Mid-Level Non-Facility | $245.30 | ↓ -58% |
| OSCAR | ALL PRODUCTS | $252.54 | ↓ -56% |
| Aetna | Acop | $268.58 | ↓ -54% |
| Cigna | All Products Physician | $271.01 | ↓ -53% |
| PHPHI | ALL PRODUCTS | $285.76 | ↓ -51% |
| PHP | ALL PRODUCTS | $285.76 | ↓ -51% |
| PHPHI | All Products | $290.40 | ↓ -50% |
| CC EHP | ALL PRODUCTS | $301.83 | ↓ -48% |
| MMO | SuperMed | $338.69 | ↓ -42% |
| GMS | All Products | $338.80 | ↓ -42% |
| MMO | Traditional | $338.80 | ↓ -42% |
| Summacare | PREMIER | $341.13 | ↓ -41% |
| Immergrun | All Products | $363.00 | ↓ -37% |
| Aetna | All Products First Health | $363.00 | ↓ -37% |
| Aetna | Asa | $387.20 | ↓ -33% |
| MMO | ALL PRODUCTS | $395.48 | ↓ -32% |
| United | All Products - Mid-Level | $400.80 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $401.85 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $421.50 | ↓ -27% |
| ANTHEM | HPN | $430.16 | ↓ -26% |
| OHCP | ALL PRODUCTS | $434.00 | ↓ -25% |
| Multiplan | All Products | $435.60 | ↓ -25% |
| United | All Products | $445.33 | ↓ -23% |
| United | HMO & PPO | $445.33 | ↓ -23% |
| OMAS | ALL PRODUCTS | $446.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $446.50 | ↓ -23% |
| ANTHEM | Exchange | $455.43 | ↓ -22% |
| Ohio Healthy | TRANSPLANT | $482.22 | ↓ -17% |
| Aetna | Qhp/Ifp | $484.00 | ↓ -17% |
| ANTHEM | TRADITIONAL | $493.83 | ↓ -15% |
| ANTHEM | PPO/HMO | $506.06 | ↓ -13% |
| The Health Plan | PPO | $570.09 | ↓ -2% |
| GMS | ALL PRODUCTS | $625.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $625.10 | ↑ +8% |
| AETNA | ALL PRODUCTS | $669.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $669.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $750.12 | ↑ +29% |
| FrontPath | TRANSPLANT | $803.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $803.70 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $803.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $803.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $893.00 | ↑ +54% |
| The Health Plan | POS | $893.00 | ↑ +54% |
| The Health Plan | HMO | $893.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↑ +556% |
| AETNA | International | $4,001.00 | ↑ +589% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Nasal endoscopy dx uni/bi separate proc at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $422.40 | not published |
| Trinity Medical Center East | Steubenville | $115.56 | $139.80 – $192.85 |
| cleveland clinic main campus | Cleveland | $580.45 | $0.01 – $803.70 |
| akron general | Akron | $580.45 | $0.01 – $803.70 |
| avon hospital | Avon | $580.45 | $0.01 – $803.70 |
| euclid hospital | Euclid | $580.45 | $0.01 – $803.70 |
| fairview hospital | Cleveland | $580.45 | $0.01 – $803.70 |
| lutheran hospital | Cleveland | $580.45 | $0.01 – $803.70 |