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Proctosigmoidoscopy removal at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$364.00
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.
$560.00
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 $2,014.21 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% |
| Summacare | Medicare Advantage Lower Level | $55.64 | ↓ -85% |
| Summacare | Preferred | $55.64 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $63.19 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $72.76 | ↓ -80% |
| Summacare | Medicare Advantage MD | $81.32 | ↓ -78% |
| Humana | Medicare Advantage HMO | $84.25 | ↓ -77% |
| United | Medicare Advantage | $84.25 | ↓ -77% |
| Aetna | Medicare Advantage | $84.25 | ↓ -77% |
| The Health Plan | Medicare Advantage | $84.25 | ↓ -77% |
| Anthem | Medicare Advantage | $84.25 | ↓ -77% |
| Cigna | Medicare Advantage | $84.25 | ↓ -77% |
| MMO | Medicare HMO & PPO | $86.78 | ↓ -76% |
| Summacare | Premier | $88.46 | ↓ -76% |
| CommuniCare | Medicare Advantage | $88.46 | ↓ -76% |
| Perennial Health | Medicare Advantage | $90.99 | ↓ -75% |
| United | Managed Medicaid | $91.36 | ↓ -75% |
| The Health Plan | All Products PCP | $92.68 | ↓ -75% |
| Caresource | Managed Medicaid | $94.10 | ↓ -74% |
| Buckeye | Managed Medicaid | $95.93 | ↓ -74% |
| The Health Plan | All Products Specialty Physicians | $96.89 | ↓ -73% |
| AmeriHealth | Managed Medicaid | $100.50 | ↓ -72% |
| Molina | Managed Medicaid | $100.50 | ↓ -72% |
| The Health Plan | All Products Radiation Oncology Physicians | $109.53 | ↓ -70% |
| Oscar | All Products | $142.30 | ↓ -61% |
| Aultcare | PPO/HMO | $200.48 | ↓ -45% |
| OHCP | All Products | $217.84 | ↓ -40% |
| Aetna | Acop | $243.80 | ↓ -33% |
| Cigna | All Products Mid-Level | $258.39 | ↓ -29% |
| Anthem | All Products Mid-Level Non-Facility | $276.36 | ↓ -24% |
| OMAS | All Products | $280.00 | ↓ -23% |
| Cigna | All Products Physician | $305.32 | ↓ -16% |
| PHPHI | All Products | $336.00 | ↓ -8% |
| GMS | All Products | $392.00 | ↑ +8% |
| MMO | Traditional | $392.00 | ↑ +8% |
| Aetna | All Products First Health | $420.00 | ↑ +15% |
| Immergrun | All Products | $420.00 | ↑ +15% |
| Aetna | Asa | $448.00 | ↑ +23% |
| United | All Products - Mid-Level | $453.42 | ↑ +25% |
| United | All Products | $503.80 | ↑ +38% |
| United | HMO & PPO | $503.80 | ↑ +38% |
| Multiplan | All Products | $504.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $560.00 | ↑ +54% |
| UNITED | Managed Medicaid | $725.86 | ↑ +99% |
| CARESOURCE | Managed Medicaid | $747.64 | ↑ +105% |
| ANTHEM | Managed Medicaid | $762.15 | ↑ +109% |
| MOLINA | Managed Medicaid | $762.15 | ↑ +109% |
| AMERIHEALTH | Managed Medicaid | $798.45 | ↑ +119% |
| The Health Plan | MEDICARE ADVANTAGE | $980.50 | ↑ +169% |
| UNITED | MEDICARE ADVANTAGE | $1,089.45 | ↑ +199% |
| HUMANA | Medicare Advantage HMO | $1,089.45 | ↑ +199% |
| ANTHEM | MEDICARE ADVANTAGE | $1,132.12 | ↑ +211% |
| Summacare | MEDICARE ADVANTAGE | $1,132.12 | ↑ +211% |
| AETNA | MEDICARE ADVANTAGE | $1,132.12 | ↑ +211% |
| CIGNA | MEDICARE ADVANTAGE | $1,166.08 | ↑ +220% |
| Perennial Health | MEDICARE ADVANTAGE | $1,176.60 | ↑ +223% |
| CommuniCare | MEDICARE ADVANTAGE | $1,188.72 | ↑ +227% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,222.68 | ↑ +236% |
| MMO | ALL PRODUCTS | $1,785.82 | ↑ +391% |
| MMO | SuperMed | $2,014.21 | ↑ +453% |
| Aetna | ALL PRODUCTS | 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 | $3,525.60 | $1.10 – $4,881.60 |
| akron general | Akron | $364.00 | $1.10 – $1,176.60 |
| avon hospital | Avon | not published | $757.85 – $1,245.33 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,237.30 – $1,432.66 |
| euclid hospital | Euclid | not published | $776.44 – $1,245.33 |
| fairview hospital | Cleveland | not published | $729.43 – $1,245.33 |
| lutheran hospital | Cleveland | not published | $694.44 – $1,245.33 |
| hillcrest hospital | Mayfield Heights | not published | $759.94 – $1,245.33 |