Navigational bronchoscopy 31627 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,055.60
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.
$1,624.00
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 $3,004.00 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 | $48.80 | ↓ -95% |
| Caresource | Managed Medicaid | $50.26 | ↓ -95% |
| Buckeye | Managed Medicaid | $51.24 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $53.68 | ↓ -95% |
| Molina | Managed Medicaid | $53.68 | ↓ -95% |
| Summacare | Preferred | $58.27 | ↓ -94% |
| Summacare | Medicare Advantage Lower Level | $58.27 | ↓ -94% |
| Summacare | Medicare Advantage Psych | $63.36 | ↓ -94% |
| Summacare | Medicare Advantage CNA | $76.20 | ↓ -93% |
| Humana | Medicare Advantage HMO | $84.48 | ↓ -92% |
| Anthem | Medicare Advantage | $84.48 | ↓ -92% |
| United | Medicare Advantage | $84.48 | ↓ -92% |
| Cigna | Medicare Advantage | $84.48 | ↓ -92% |
| The Health Plan | Medicare Advantage | $84.48 | ↓ -92% |
| Aetna | Medicare Advantage | $84.48 | ↓ -92% |
| Summacare | Medicare Advantage MD | $85.17 | ↓ -92% |
| MMO | Medicare HMO & PPO | $87.01 | ↓ -92% |
| Summacare | Premier | $88.70 | ↓ -92% |
| CommuniCare | Medicare Advantage | $88.70 | ↓ -92% |
| Perennial Health | Medicare Advantage | $91.24 | ↓ -91% |
| The Health Plan | All Products PCP | $92.93 | ↓ -91% |
| The Health Plan | All Products Specialty Physicians | $97.15 | ↓ -91% |
| The Health Plan | All Products Radiation Oncology Physicians | $109.82 | ↓ -90% |
| Oscar | All Products | $203.28 | ↓ -81% |
| Aultcare | PPO/HMO | $286.40 | ↓ -73% |
| OHCP | All Products | $311.20 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $354.03 | ↓ -66% |
| OMAS | All Products | $400.00 | ↓ -62% |
| MMO | SuperMed | $432.00 | ↓ -59% |
| OSCAR | ALL PRODUCTS | $459.27 | ↓ -56% |
| PHPHI | All Products | $480.00 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $519.68 | ↓ -51% |
| PHP | ALL PRODUCTS | $519.68 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $548.91 | ↓ -48% |
| UNITED | Managed Medicaid | $549.07 | ↓ -48% |
| GMS | All Products | $560.00 | ↓ -47% |
| MMO | Traditional | $560.00 | ↓ -47% |
| CARESOURCE | Managed Medicaid | $565.54 | ↓ -46% |
| ANTHEM | Managed Medicaid | $576.52 | ↓ -45% |
| MOLINA | Managed Medicaid | $576.52 | ↓ -45% |
| Aetna | All Products First Health | $600.00 | ↓ -43% |
| Immergrun | All Products | $600.00 | ↓ -43% |
| AMERIHEALTH | Managed Medicaid | $603.98 | ↓ -43% |
| Summacare | PREMIER | $620.37 | ↓ -41% |
| Aetna | Asa | $640.00 | ↓ -39% |
| Multiplan | All Products | $720.00 | ↓ -32% |
| MMO | ALL PRODUCTS | $727.55 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $730.80 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $766.53 | ↓ -27% |
| ANTHEM | HPN | $782.28 | ↓ -26% |
| OHCP | ALL PRODUCTS | $789.26 | ↓ -25% |
| Aetna | Qhp/Ifp | $800.00 | ↓ -24% |
| OMAS | ALL PRODUCTS | $812.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $812.00 | ↓ -23% |
| ANTHEM | Exchange | $828.24 | ↓ -22% |
| Ohio Healthy | TRANSPLANT | $876.96 | ↓ -17% |
| ANTHEM | TRADITIONAL | $898.07 | ↓ -15% |
| ANTHEM | PPO/HMO | $920.32 | ↓ -13% |
| The Health Plan | PPO | $1,036.76 | ↓ -2% |
| GMS | ALL PRODUCTS | $1,136.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,136.80 | ↑ +8% |
| AETNA | ALL PRODUCTS | $1,218.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,218.00 | ↑ +15% |
| Cigna | All Products Mid-Level | $1,289.26 | ↑ +22% |
| The Health Plan | Self-Funded ASO | $1,364.16 | ↑ +29% |
| Anthem | All Products Mid-Level Non-Facility | $1,378.88 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $1,461.60 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,461.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,461.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,461.60 | ↑ +38% |
| Cigna | All Products Physician | $1,523.39 | ↑ +44% |
| The Health Plan | HMO | $1,624.00 | ↑ +54% |
| The Health Plan | POS | $1,624.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $1,624.00 | ↑ +54% |
| Aetna | Acop | $1,759.09 | ↑ +67% |
| United | All Products - Mid-Level | $2,229.39 | ↑ +111% |
| United | All Products | $2,477.10 | ↑ +135% |
| United | HMO & PPO | $2,477.10 | ↑ +135% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +171% |
| AETNA | International | $3,004.00 | ↑ +185% |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Navigational bronchoscopy 31627 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,055.60 | $0.01 – $1,461.60 |
| akron general | Akron | $1,055.60 | $0.01 – $1,461.60 |
| avon hospital | Avon | $1,055.60 | $0.01 – $1,461.60 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1,055.60 | $459.27 – $1,461.60 |
| euclid hospital | Euclid | $1,055.60 | $0.01 – $1,461.60 |
| fairview hospital | Cleveland | $1,055.60 | $0.01 – $1,461.60 |
| lutheran hospital | Cleveland | $1,055.60 | $0.01 – $1,461.60 |
| hillcrest hospital | Mayfield Heights | $1,055.60 | $0.01 – $1,461.60 |