healthcosts.net
Nasal sinus therapy at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$293.80
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.
$452.00
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% |
| United | Managed Medicaid | $52.60 | ↓ -82% |
| Caresource | Managed Medicaid | $54.18 | ↓ -82% |
| Buckeye | Managed Medicaid | $55.23 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $57.86 | ↓ -80% |
| Molina | Managed Medicaid | $57.86 | ↓ -80% |
| Summacare | Medicare Advantage Lower Level | $62.67 | ↓ -79% |
| Summacare | Preferred | $62.67 | ↓ -79% |
| Summacare | Medicare Advantage Psych | $69.20 | ↓ -76% |
| Summacare | Medicare Advantage CNA | $81.95 | ↓ -72% |
| UNITED | Managed Medicaid | $87.77 | ↓ -70% |
| CARESOURCE | Managed Medicaid | $90.40 | ↓ -69% |
| Summacare | Medicare Advantage MD | $91.59 | ↓ -69% |
| ANTHEM | Managed Medicaid | $92.16 | ↓ -69% |
| MOLINA | Managed Medicaid | $92.16 | ↓ -69% |
| Humana | Medicare Advantage HMO | $92.26 | ↓ -69% |
| United | Medicare Advantage | $92.26 | ↓ -69% |
| Aetna | Medicare Advantage | $92.26 | ↓ -69% |
| The Health Plan | Medicare Advantage | $92.26 | ↓ -69% |
| Anthem | Medicare Advantage | $92.26 | ↓ -69% |
| Cigna | Medicare Advantage | $92.26 | ↓ -69% |
| MMO | Medicare HMO & PPO | $95.03 | ↓ -68% |
| AMERIHEALTH | Managed Medicaid | $96.55 | ↓ -67% |
| Summacare | Premier | $96.87 | ↓ -67% |
| CommuniCare | Medicare Advantage | $96.87 | ↓ -67% |
| The Health Plan | PPO | $98.72 | ↓ -66% |
| Perennial Health | Medicare Advantage | $99.64 | ↓ -66% |
| The Health Plan | All Products PCP | $101.49 | ↓ -65% |
| The Health Plan | All Products Specialty Physicians | $106.10 | ↓ -64% |
| Oscar | All Products | $114.85 | ↓ -61% |
| The Health Plan | All Products Radiation Oncology Physicians | $119.94 | ↓ -59% |
| Aultcare | PPO/HMO | $161.82 | ↓ -45% |
| OHCP | All Products | $175.83 | ↓ -40% |
| Cigna | All Products Mid-Level | $184.65 | ↓ -37% |
| Anthem | All Products Mid-Level Non-Facility | $197.49 | ↓ -33% |
| Aetna | Acop | $202.08 | ↓ -31% |
| Cigna | All Products Physician | $218.19 | ↓ -26% |
| OMAS | All Products | $226.00 | ↓ -23% |
| PHPHI | All Products | $271.20 | ↓ -8% |
| GMS | All Products | $316.40 | ↑ +8% |
| MMO | Traditional | $316.40 | ↑ +8% |
| United | All Products - Mid-Level | $327.13 | ↑ +11% |
| Aetna | All Products First Health | $339.00 | ↑ +15% |
| Immergrun | All Products | $339.00 | ↑ +15% |
| Aetna | Asa | $361.60 | ↑ +23% |
| United | All Products | $363.48 | ↑ +24% |
| United | HMO & PPO | $363.48 | ↑ +24% |
| Multiplan | All Products | $406.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $452.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $1,231.81 | ↑ +319% |
| UNITED | MEDICARE ADVANTAGE | $1,368.67 | ↑ +366% |
| HUMANA | Medicare Advantage HMO | $1,368.67 | ↑ +366% |
| Summacare | MEDICARE ADVANTAGE | $1,467.92 | ↑ +400% |
| ANTHEM | MEDICARE ADVANTAGE | $1,467.92 | ↑ +400% |
| AETNA | MEDICARE ADVANTAGE | $1,467.92 | ↑ +400% |
| Perennial Health | MEDICARE ADVANTAGE | $1,478.17 | ↑ +403% |
| CIGNA | MEDICARE ADVANTAGE | $1,511.96 | ↑ +415% |
| CommuniCare | MEDICARE ADVANTAGE | $1,541.31 | ↑ +425% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,585.35 | ↑ +440% |
| MMO | ALL PRODUCTS | $2,307.88 | ↑ +686% |
| MMO | SuperMed | $2,603.78 | ↑ +786% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +434362% |
| The Health Plan | POS | $4,036,081.00 | ↑ +1373651% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Nasal sinus therapy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $293.80 | $1.10 – $1,511.96 |
| cleveland clinic main campus | Cleveland | not published | $107.64 – $1,614.71 |
| avon hospital | Avon | not published | $91.63 – $1,614.71 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $149.62 – $173.24 |
| euclid hospital | Euclid | not published | $93.89 – $1,614.71 |
| fairview hospital | Cleveland | not published | $88.20 – $1,614.71 |
| lutheran hospital | Cleveland | not published | $83.97 – $1,614.71 |
| hillcrest hospital | Mayfield Heights | not published | $91.89 – $1,614.71 |