Proctosigmoidoscopy removal at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$8,199.75
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.
$12,615.00
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 $12,615.00 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 | $50.01 | ↓ -99% |
| Caresource | Managed Medicaid | $51.51 | ↓ -99% |
| Summacare | Preferred | $52.34 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $52.34 | ↓ -99% |
| Buckeye | Managed Medicaid | $52.51 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $55.01 | ↓ -99% |
| Molina | Managed Medicaid | $55.01 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $59.70 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $68.44 | ↓ -99% |
| Summacare | Medicare Advantage MD | $76.49 | ↓ -99% |
| United | Medicare Advantage | $79.60 | ↓ -99% |
| Aetna | Medicare Advantage | $79.60 | ↓ -99% |
| The Health Plan | Medicare Advantage | $79.60 | ↓ -99% |
| Anthem | Medicare Advantage | $79.60 | ↓ -99% |
| Cigna | Medicare Advantage | $79.60 | ↓ -99% |
| Humana | Medicare Advantage HMO | $79.60 | ↓ -99% |
| MMO | Medicare HMO & PPO | $81.99 | ↓ -99% |
| Summacare | Premier | $83.58 | ↓ -99% |
| CommuniCare | Medicare Advantage | $83.58 | ↓ -99% |
| Perennial Health | Medicare Advantage | $85.97 | ↓ -99% |
| The Health Plan | All Products PCP | $87.56 | ↓ -99% |
| The Health Plan | All Products Specialty Physicians | $91.54 | ↓ -99% |
| The Health Plan | All Products Radiation Oncology Physicians | $103.48 | ↓ -99% |
| Oscar | All Products | $132.13 | ↓ -98% |
| Aultcare | PPO/HMO | $186.16 | ↓ -98% |
| OHCP | All Products | $202.28 | ↓ -98% |
| Aetna | Acop | $234.96 | ↓ -97% |
| Cigna | All Products Mid-Level | $250.87 | ↓ -97% |
| OMAS | All Products | $260.00 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $268.32 | ↓ -97% |
| Cigna | All Products Physician | $296.43 | ↓ -96% |
| PHPHI | All Products | $312.00 | ↓ -96% |
| MMO | Traditional | $364.00 | ↓ -96% |
| GMS | All Products | $364.00 | ↓ -96% |
| Immergrun | All Products | $390.00 | ↓ -95% |
| Aetna | All Products First Health | $390.00 | ↓ -95% |
| Aetna | Asa | $416.00 | ↓ -95% |
| United | All Products - Mid-Level | $439.33 | ↓ -95% |
| Multiplan | All Products | $468.00 | ↓ -94% |
| United | All Products | $488.15 | ↓ -94% |
| United | HMO & PPO | $488.15 | ↓ -94% |
| Aetna | Qhp/Ifp | $520.00 | ↓ -94% |
| The Health Plan | PPO | $525.00 | ↓ -94% |
| ANTHEM | HPN | $1,789.00 | ↓ -78% |
| ANTHEM | Exchange | $1,894.00 | ↓ -77% |
| ANTHEM | PPO/HMO | $2,104.00 | ↓ -74% |
| CIGNA | ALL PRODUCTS | $2,123.00 | ↓ -74% |
| The Health Plan | MEDICARE ADVANTAGE | $2,280.52 | ↓ -72% |
| UNITED | MEDICARE ADVANTAGE | $2,533.91 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $2,533.91 | ↓ -69% |
| Summacare | MEDICARE ADVANTAGE | $2,625.99 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $2,625.99 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $2,625.99 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $2,704.77 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $2,736.63 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $2,757.29 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,836.07 | ↓ -65% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↓ -65% |
| AETNA | International | $3,004.00 | ↓ -63% |
| OSCAR | ALL PRODUCTS | $3,567.52 | ↓ -56% |
| PHP | ALL PRODUCTS | $4,036.80 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $4,036.80 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $4,263.87 | ↓ -48% |
| UNITED | ALL PRODUCTS | $4,338.00 | ↓ -47% |
| MMO | SuperMed | $4,793.60 | ↓ -42% |
| Summacare | PREMIER | $4,818.93 | ↓ -41% |
| MMO | ALL PRODUCTS | $5,605.88 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $5,676.75 | ↓ -31% |
| OHCP | ALL PRODUCTS | $6,130.89 | ↓ -25% |
| OMAS | ALL PRODUCTS | $6,307.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $6,307.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $6,812.10 | ↓ -17% |
| ANTHEM | TRADITIONAL | $6,976.10 | ↓ -15% |
| Medical Benefit Corp | Transplant SMCP | $8,830.50 | ↑ +8% |
| GMS | ALL PRODUCTS | $8,830.50 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $9,461.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $9,461.25 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $10,596.60 | ↑ +29% |
| FrontPath | TRANSPLANT | $11,353.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $11,353.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $11,353.50 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $11,353.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $12,615.00 | ↑ +54% |
| The Health Plan | POS | $12,615.00 | ↑ +54% |
| The Health Plan | HMO | $12,615.00 | ↑ +54% |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | Managed Medicaid | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| CARESOURCE | Managed Medicaid | not published by hospital | — |
| ANTHEM | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Proctosigmoidoscopy removal at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $8,199.75 | $1.10 – $11,353.50 |
| akron general | Akron | $338.00 | $1.10 – $2,736.63 |
| avon hospital | Avon | $8,199.75 | $160.31 – $11,353.50 |
| euclid hospital | Euclid | $8,199.75 | $160.31 – $11,353.50 |
| fairview hospital | Cleveland | $8,199.75 | $136.93 – $11,353.50 |
| lutheran hospital | Cleveland | $8,199.75 | $160.31 – $11,353.50 |
| hillcrest hospital | Mayfield Heights | $8,199.75 | $136.93 – $11,353.50 |
| marymount hospital | Garfield Heights | $8,199.75 | $160.31 – $11,353.50 |