Prostate biopsy, any mthd at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$936.00
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.
?
What you pay up front if you don't use insurance.
$1,440.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $4,036,081.00 with The Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $55.85 | ↓ -94% |
| Buckeye | Managed Medicaid | $57.53 | ↓ -94% |
| CARESOURCE | Managed Medicaid | $57.53 | ↓ -94% |
| ANTHEM | Managed Medicaid | $58.64 | ↓ -94% |
| MOLINA | Managed Medicaid | $58.64 | ↓ -94% |
| AMERIHEALTH | Managed Medicaid | $61.44 | ↓ -93% |
| Summacare | Medicare Advantage Lower Level | $105.70 | ↓ -89% |
| Summacare | Preferred | $105.70 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $122.99 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $138.22 | ↓ -85% |
| Summacare | Medicare Advantage MD | $154.48 | ↓ -83% |
| The Health Plan | Medicare Advantage | $163.98 | ↓ -82% |
| Cigna | Medicare Advantage | $163.98 | ↓ -82% |
| Humana | Medicare Advantage HMO | $163.98 | ↓ -82% |
| Anthem | Medicare Advantage | $163.98 | ↓ -82% |
| United | Medicare Advantage | $163.98 | ↓ -82% |
| Aetna | Medicare Advantage | $163.98 | ↓ -82% |
| MMO | Medicare HMO & PPO | $168.90 | ↓ -82% |
| CommuniCare | Medicare Advantage | $172.18 | ↓ -82% |
| Summacare | Premier | $172.18 | ↓ -82% |
| Perennial Health | Medicare Advantage | $177.10 | ↓ -81% |
| The Health Plan | All Products PCP | $180.38 | ↓ -81% |
| United | HMO & PPO | $181.79 | ↓ -81% |
| United | All Products - Mid-Level | $181.79 | ↓ -81% |
| United | All Products | $181.79 | ↓ -81% |
| The Health Plan | All Products Specialty Physicians | $188.58 | ↓ -80% |
| The Health Plan | All Products Radiation Oncology Physicians | $213.17 | ↓ -77% |
| Anthem | All Products Mid-Level Non-Facility | $231.97 | ↓ -75% |
| The Health Plan | MEDICARE ADVANTAGE | $299.14 | ↓ -68% |
| UNITED | MEDICARE ADVANTAGE | $332.37 | ↓ -64% |
| HUMANA | Medicare Advantage HMO | $332.37 | ↓ -64% |
| Summacare | MEDICARE ADVANTAGE | $339.12 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $339.12 | ↓ -64% |
| ANTHEM | MEDICARE ADVANTAGE | $339.12 | ↓ -64% |
| CIGNA | MEDICARE ADVANTAGE | $349.29 | ↓ -63% |
| CommuniCare | MEDICARE ADVANTAGE | $356.07 | ↓ -62% |
| Perennial Health | MEDICARE ADVANTAGE | $358.96 | ↓ -62% |
| The Health Plan | PPO | $361.56 | ↓ -61% |
| Oscar | All Products | $365.90 | ↓ -61% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $366.25 | ↓ -61% |
| Aultcare | PPO/HMO | $515.52 | ↓ -45% |
| MMO | ALL PRODUCTS | $543.96 | ↓ -42% |
| OHCP | All Products | $560.16 | ↓ -40% |
| UNITED | ALL PRODUCTS | $655.34 | ↓ -30% |
| OMAS | All Products | $720.00 | ↓ -23% |
| MMO | SuperMed | $777.60 | ↓ -17% |
| PHPHI | All Products | $864.00 | ↓ -8% |
| MMO | Traditional | $1,008.00 | ↑ +8% |
| GMS | All Products | $1,008.00 | ↑ +8% |
| Aetna | All Products First Health | $1,080.00 | ↑ +15% |
| Immergrun | All Products | $1,080.00 | ↑ +15% |
| Aetna | Asa | $1,152.00 | ↑ +23% |
| Multiplan | All Products | $1,296.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,440.00 | ↑ +54% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +136273% |
| The Health Plan | POS | $4,036,081.00 | ↑ +431105% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $683.89 | $99.07 – $1,061.83 |
| cleveland clinic main campus | Cleveland | $1,871.35 | $1.10 – $1,295.10 |
| akron general | Akron | $936.00 | $1.10 – $1,296.00 |
| University Hospitals Ahuja Medical Center | Beachwood | $711.00 | $50.00 – $853.20 |
| University Hospitals Beachwood Medical Center | Beachwood | $711.00 | $339.12 – $858.89 |
| University Hospitals Conneaut Medical Center | Conneaut | $674.25 | $59.00 – $59.00 |
| University Hospitals Elyria Medical Center | Elyria | $711.00 | $339.12 – $610.41 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $711.00 | $52.00 – $610.41 |