healthcosts.net
Proctosigmoidoscopy w/bx 45305 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$299.00
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.
$460.00
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 | $44.80 | ↓ -85% |
| Summacare | Preferred | $44.80 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $50.51 | ↓ -83% |
| United | Managed Medicaid | $56.54 | ↓ -81% |
| Caresource | Managed Medicaid | $58.24 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $58.59 | ↓ -80% |
| Buckeye | Managed Medicaid | $59.37 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $62.19 | ↓ -79% |
| Molina | Managed Medicaid | $62.19 | ↓ -79% |
| Summacare | Medicare Advantage MD | $65.48 | ↓ -78% |
| Cigna | Medicare Advantage | $67.35 | ↓ -77% |
| Aetna | Medicare Advantage | $67.35 | ↓ -77% |
| The Health Plan | Medicare Advantage | $67.35 | ↓ -77% |
| Humana | Medicare Advantage HMO | $67.35 | ↓ -77% |
| Anthem | Medicare Advantage | $67.35 | ↓ -77% |
| United | Medicare Advantage | $67.35 | ↓ -77% |
| MMO | Medicare HMO & PPO | $69.37 | ↓ -77% |
| CommuniCare | Medicare Advantage | $70.72 | ↓ -76% |
| Summacare | Premier | $70.72 | ↓ -76% |
| Perennial Health | Medicare Advantage | $72.74 | ↓ -76% |
| The Health Plan | All Products PCP | $74.09 | ↓ -75% |
| The Health Plan | All Products Specialty Physicians | $77.45 | ↓ -74% |
| The Health Plan | All Products Radiation Oncology Physicians | $87.56 | ↓ -71% |
| Oscar | All Products | $116.89 | ↓ -61% |
| Aultcare | PPO/HMO | $164.68 | ↓ -45% |
| OHCP | All Products | $178.94 | ↓ -40% |
| Aetna | Acop | $208.40 | ↓ -30% |
| Cigna | All Products Mid-Level | $221.02 | ↓ -26% |
| OMAS | All Products | $230.00 | ↓ -23% |
| Anthem | All Products Mid-Level Non-Facility | $236.39 | ↓ -21% |
| Cigna | All Products Physician | $261.16 | ↓ -13% |
| PHPHI | All Products | $276.00 | ↓ -8% |
| MMO | Traditional | $322.00 | ↑ +8% |
| GMS | All Products | $322.00 | ↑ +8% |
| Aetna | All Products First Health | $345.00 | ↑ +15% |
| Immergrun | All Products | $345.00 | ↑ +15% |
| Aetna | Asa | $368.00 | ↑ +23% |
| United | All Products - Mid-Level | $388.29 | ↑ +30% |
| Multiplan | All Products | $414.00 | ↑ +38% |
| United | All Products | $431.43 | ↑ +44% |
| United | HMO & PPO | $431.43 | ↑ +44% |
| Aetna | Qhp/Ifp | $460.00 | ↑ +54% |
| UNITED | Managed Medicaid | $725.86 | ↑ +143% |
| CARESOURCE | Managed Medicaid | $747.64 | ↑ +150% |
| ANTHEM | Managed Medicaid | $762.15 | ↑ +155% |
| MOLINA | Managed Medicaid | $762.15 | ↑ +155% |
| AMERIHEALTH | Managed Medicaid | $798.45 | ↑ +167% |
| The Health Plan | MEDICARE ADVANTAGE | $980.50 | ↑ +228% |
| HUMANA | Medicare Advantage HMO | $1,089.45 | ↑ +264% |
| UNITED | MEDICARE ADVANTAGE | $1,089.45 | ↑ +264% |
| AETNA | MEDICARE ADVANTAGE | $1,132.12 | ↑ +279% |
| Summacare | MEDICARE ADVANTAGE | $1,132.12 | ↑ +279% |
| ANTHEM | MEDICARE ADVANTAGE | $1,132.12 | ↑ +279% |
| CIGNA | MEDICARE ADVANTAGE | $1,166.08 | ↑ +290% |
| Perennial Health | MEDICARE ADVANTAGE | $1,176.60 | ↑ +294% |
| CommuniCare | MEDICARE ADVANTAGE | $1,188.72 | ↑ +298% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,222.68 | ↑ +309% |
| MMO | ALL PRODUCTS | $1,785.82 | ↑ +497% |
| MMO | SuperMed | $2,014.21 | ↑ +574% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Proctosigmoidoscopy w/bx 45305 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 | $299.00 | $1.10 – $1,176.60 |
| University Hospitals Ahuja Medical Center | Beachwood | $2,566.50 | $756.26 – $3,079.80 |
| University Hospitals Beachwood Medical Center | Beachwood | $2,566.50 | $900.00 – $3,079.80 |
| University Hospitals Elyria Medical Center | Elyria | $2,566.50 | $1,132.12 – $2,037.81 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $2,566.50 | $1,132.12 – $2,037.81 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $2,566.50 | $1,132.12 – $2,037.81 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $2,566.50 | $1,132.12 – $2,037.81 |