healthcosts.net
Proctosigmoidoscopy tumor removal 45315 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$442.00
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.
$680.00
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 | $65.79 | ↓ -85% |
| Summacare | Preferred | $65.79 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $73.62 | ↓ -83% |
| United | Managed Medicaid | $79.65 | ↓ -82% |
| Caresource | Managed Medicaid | $82.04 | ↓ -81% |
| Buckeye | Managed Medicaid | $83.63 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $86.04 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $87.62 | ↓ -80% |
| Molina | Managed Medicaid | $87.62 | ↓ -80% |
| Summacare | Medicare Advantage MD | $96.16 | ↓ -78% |
| The Health Plan | Medicare Advantage | $98.16 | ↓ -78% |
| Aetna | Medicare Advantage | $98.16 | ↓ -78% |
| United | Medicare Advantage | $98.16 | ↓ -78% |
| Humana | Medicare Advantage HMO | $98.16 | ↓ -78% |
| Cigna | Medicare Advantage | $98.16 | ↓ -78% |
| Anthem | Medicare Advantage | $98.16 | ↓ -78% |
| MMO | Medicare HMO & PPO | $101.10 | ↓ -77% |
| Summacare | Premier | $103.07 | ↓ -77% |
| CommuniCare | Medicare Advantage | $103.07 | ↓ -77% |
| Perennial Health | Medicare Advantage | $106.01 | ↓ -76% |
| The Health Plan | All Products PCP | $107.98 | ↓ -76% |
| The Health Plan | All Products Specialty Physicians | $112.88 | ↓ -74% |
| The Health Plan | All Products Radiation Oncology Physicians | $127.61 | ↓ -71% |
| Oscar | All Products | $172.79 | ↓ -61% |
| Aultcare | PPO/HMO | $243.44 | ↓ -45% |
| OHCP | All Products | $264.52 | ↓ -40% |
| Aetna | Acop | $268.55 | ↓ -39% |
| Cigna | All Products Mid-Level | $280.10 | ↓ -37% |
| Anthem | All Products Mid-Level Non-Facility | $299.57 | ↓ -32% |
| Cigna | All Products Physician | $330.97 | ↓ -25% |
| OMAS | All Products | $340.00 | ↓ -23% |
| PHPHI | All Products | $408.00 | ↓ -8% |
| MMO | Traditional | $476.00 | ↑ +8% |
| GMS | All Products | $476.00 | ↑ +8% |
| United | All Products - Mid-Level | $490.90 | ↑ +11% |
| Aetna | All Products First Health | $510.00 | ↑ +15% |
| Immergrun | All Products | $510.00 | ↑ +15% |
| Aetna | Asa | $544.00 | ↑ +23% |
| United | All Products | $545.45 | ↑ +23% |
| United | HMO & PPO | $545.45 | ↑ +23% |
| Multiplan | All Products | $612.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $680.00 | ↑ +54% |
| UNITED | Managed Medicaid | $725.86 | ↑ +64% |
| CARESOURCE | Managed Medicaid | $747.64 | ↑ +69% |
| ANTHEM | Managed Medicaid | $762.15 | ↑ +72% |
| MOLINA | Managed Medicaid | $762.15 | ↑ +72% |
| AMERIHEALTH | Managed Medicaid | $798.45 | ↑ +81% |
| The Health Plan | MEDICARE ADVANTAGE | $980.50 | ↑ +122% |
| HUMANA | Medicare Advantage HMO | $1,089.45 | ↑ +146% |
| UNITED | MEDICARE ADVANTAGE | $1,089.45 | ↑ +146% |
| AETNA | MEDICARE ADVANTAGE | $1,132.12 | ↑ +156% |
| Summacare | MEDICARE ADVANTAGE | $1,132.12 | ↑ +156% |
| ANTHEM | MEDICARE ADVANTAGE | $1,132.12 | ↑ +156% |
| CIGNA | MEDICARE ADVANTAGE | $1,166.08 | ↑ +164% |
| Perennial Health | MEDICARE ADVANTAGE | $1,176.60 | ↑ +166% |
| CommuniCare | MEDICARE ADVANTAGE | $1,188.72 | ↑ +169% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,222.68 | ↑ +177% |
| MMO | ALL PRODUCTS | $1,785.82 | ↑ +304% |
| MMO | SuperMed | $2,014.21 | ↑ +356% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Proctosigmoidoscopy tumor removal 45315 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 | $442.00 | $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 |