healthcosts.net
Neurolysis trigeminal nerve at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$907.40
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.
$1,396.00
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 $1,555.46 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% |
| United | Managed Medicaid | $128.40 | ↓ -86% |
| Caresource | Managed Medicaid | $132.25 | ↓ -85% |
| Buckeye | Managed Medicaid | $134.82 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $141.24 | ↓ -84% |
| Molina | Managed Medicaid | $141.24 | ↓ -84% |
| Summacare | Preferred | $148.32 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $148.32 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $165.95 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $193.95 | ↓ -79% |
| Summacare | Medicare Advantage MD | $216.77 | ↓ -76% |
| United | Medicare Advantage | $221.26 | ↓ -76% |
| Anthem | Medicare Advantage | $221.26 | ↓ -76% |
| Aetna | Medicare Advantage | $221.26 | ↓ -76% |
| The Health Plan | Medicare Advantage | $221.26 | ↓ -76% |
| Humana | Medicare Advantage HMO | $221.26 | ↓ -76% |
| Cigna | Medicare Advantage | $221.26 | ↓ -76% |
| MMO | Medicare HMO & PPO | $227.90 | ↓ -75% |
| Summacare | Premier | $232.32 | ↓ -74% |
| CommuniCare | Medicare Advantage | $232.32 | ↓ -74% |
| Perennial Health | Medicare Advantage | $238.96 | ↓ -74% |
| The Health Plan | All Products PCP | $243.39 | ↓ -73% |
| The Health Plan | All Products Specialty Physicians | $254.45 | ↓ -72% |
| The Health Plan | All Products Radiation Oncology Physicians | $287.64 | ↓ -68% |
| Oscar | All Products | $354.72 | ↓ -61% |
| Aultcare | PPO/HMO | $499.77 | ↓ -45% |
| OHCP | All Products | $543.04 | ↓ -40% |
| Cigna | All Products Mid-Level | $567.10 | ↓ -38% |
| UNITED | Managed Medicaid | $573.83 | ↓ -37% |
| Aetna | Acop | $589.30 | ↓ -35% |
| CARESOURCE | Managed Medicaid | $591.04 | ↓ -35% |
| ANTHEM | Managed Medicaid | $602.52 | ↓ -34% |
| MOLINA | Managed Medicaid | $602.52 | ↓ -34% |
| Anthem | All Products Mid-Level Non-Facility | $606.53 | ↓ -33% |
| AMERIHEALTH | Managed Medicaid | $631.21 | ↓ -30% |
| Cigna | All Products Physician | $670.09 | ↓ -26% |
| OMAS | All Products | $698.00 | ↓ -23% |
| The Health Plan | MEDICARE ADVANTAGE | $740.35 | ↓ -18% |
| UNITED | MEDICARE ADVANTAGE | $822.61 | ↓ -9% |
| HUMANA | Medicare Advantage HMO | $822.61 | ↓ -9% |
| AETNA | MEDICARE ADVANTAGE | $836.78 | ↓ -8% |
| ANTHEM | MEDICARE ADVANTAGE | $836.78 | ↓ -8% |
| Summacare | MEDICARE ADVANTAGE | $836.78 | ↓ -8% |
| PHPHI | All Products | $837.60 | ↓ -8% |
| CIGNA | MEDICARE ADVANTAGE | $861.88 | ↓ -5% |
| CommuniCare | MEDICARE ADVANTAGE | $878.62 | ↓ -3% |
| Perennial Health | MEDICARE ADVANTAGE | $888.42 | ↓ -2% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $903.72 | ↓ -0% |
| GMS | All Products | $977.20 | ↑ +8% |
| MMO | Traditional | $977.20 | ↑ +8% |
| United | All Products - Mid-Level | $1,032.06 | ↑ +14% |
| Aetna | All Products First Health | $1,047.00 | ↑ +15% |
| Immergrun | All Products | $1,047.00 | ↑ +15% |
| Aetna | Asa | $1,116.80 | ↑ +23% |
| United | All Products | $1,146.74 | ↑ +26% |
| United | HMO & PPO | $1,146.74 | ↑ +26% |
| Multiplan | All Products | $1,256.40 | ↑ +38% |
| MMO | ALL PRODUCTS | $1,379.36 | ↑ +52% |
| Aetna | Qhp/Ifp | $1,396.00 | ↑ +54% |
| MMO | SuperMed | $1,555.46 | ↑ +71% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Neurolysis trigeminal nerve at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,992.95 | $0.01 – $5,528.70 |
| akron general | Akron | $3,992.95 | $0.01 – $5,528.70 |
| University Hospitals Ahuja Medical Center | Beachwood | $1,056.75 | $311.39 – $1,506.20 |
| University Hospitals Beachwood Medical Center | Beachwood | $1,056.75 | $648.14 – $2,119.32 |
| University Hospitals Conneaut Medical Center | Conneaut | $846.75 | not published |
| University Hospitals Elyria Medical Center | Elyria | $1,056.75 | $836.78 – $1,506.20 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $1,056.75 | $836.78 – $1,506.20 |
| University Hospitals Geneva Medical Center | Geneva | $846.75 | not published |