healthcosts.net
Removal of fallopian tube 58700 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,367.00
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.
$5,180.00
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 $10,320.00 with AETNA — 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 | $441.27 | ↓ -87% |
| Caresource | Managed Medicaid | $454.51 | ↓ -87% |
| Buckeye | Managed Medicaid | $463.33 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $485.40 | ↓ -86% |
| Molina | Managed Medicaid | $485.40 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $494.10 | ↓ -85% |
| Summacare | Preferred | $494.10 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $536.31 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $646.14 | ↓ -81% |
| Anthem | Medicare Advantage | $715.08 | ↓ -79% |
| United | Medicare Advantage | $715.08 | ↓ -79% |
| Aetna | Medicare Advantage | $715.08 | ↓ -79% |
| Humana | Medicare Advantage HMO | $715.08 | ↓ -79% |
| Cigna | Medicare Advantage | $715.08 | ↓ -79% |
| The Health Plan | Medicare Advantage | $715.08 | ↓ -79% |
| Summacare | Medicare Advantage MD | $722.15 | ↓ -79% |
| MMO | Medicare HMO & PPO | $736.53 | ↓ -78% |
| CommuniCare | Medicare Advantage | $750.83 | ↓ -78% |
| Summacare | Premier | $750.83 | ↓ -78% |
| Perennial Health | Medicare Advantage | $772.29 | ↓ -77% |
| The Health Plan | All Products PCP | $786.59 | ↓ -77% |
| The Health Plan | All Products Specialty Physicians | $822.34 | ↓ -76% |
| AETNA | MEDICARE ADVANTAGE | $876.14 | ↓ -74% |
| The Health Plan | All Products Radiation Oncology Physicians | $929.60 | ↓ -72% |
| Anthem | All Products Mid-Level Non-Facility | $1,079.28 | ↓ -68% |
| OSCAR | ALL PRODUCTS | $1,136.57 | ↓ -66% |
| PHP | ALL PRODUCTS | $1,286.08 | ↓ -62% |
| PHPHI | ALL PRODUCTS | $1,286.08 | ↓ -62% |
| Oscar | All Products | $1,316.24 | ↓ -61% |
| CC EHP | ALL PRODUCTS | $1,358.42 | ↓ -60% |
| MMO | SuperMed | $1,378.05 | ↓ -59% |
| Aultcare | PPO/HMO | $1,438.80 | ↓ -57% |
| Summacare | PREMIER | $1,535.26 | ↓ -54% |
| United | All Products - Mid-Level | $1,793.34 | ↓ -47% |
| MMO | ALL PRODUCTS | $1,800.51 | ↓ -47% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,808.55 | ↓ -46% |
| CIGNA | ALL PRODUCTS | $1,896.97 | ↓ -44% |
| OHCP | ALL PRODUCTS | $1,953.23 | ↓ -42% |
| United | HMO & PPO | $1,992.60 | ↓ -41% |
| United | All Products | $1,992.60 | ↓ -41% |
| OMAS | ALL PRODUCTS | $2,009.50 | ↓ -40% |
| Immergrun | ALL PRODUCTS | $2,009.50 | ↓ -40% |
| OHCP | All Products | $2,015.02 | ↓ -40% |
| Ohio Healthy | TRANSPLANT | $2,170.26 | ↓ -36% |
| ANTHEM | TRADITIONAL | $2,222.51 | ↓ -34% |
| UNITED | Managed Medicaid | $2,271.34 | ↓ -33% |
| ANTHEM | HPN | $2,281.99 | ↓ -32% |
| CARESOURCE | Managed Medicaid | $2,339.48 | ↓ -31% |
| ANTHEM | Managed Medicaid | $2,384.91 | ↓ -29% |
| MOLINA | Managed Medicaid | $2,384.91 | ↓ -29% |
| AMERIHEALTH | Managed Medicaid | $2,498.47 | ↓ -26% |
| The Health Plan | PPO | $2,565.73 | ↓ -24% |
| OMAS | All Products | $2,590.00 | ↓ -23% |
| ANTHEM | Exchange | $2,674.00 | ↓ -21% |
| Medical Benefit Corp | Transplant SMCP | $2,813.30 | ↓ -16% |
| GMS | ALL PRODUCTS | $2,813.30 | ↓ -16% |
| ANTHEM | PPO/HMO | $2,971.00 | ↓ -12% |
| Consociate Health | ALL PRODUCTS | $3,014.25 | ↓ -10% |
| AETNA | ALL PRODUCTS | $3,014.25 | ↓ -10% |
| PHPHI | All Products | $3,108.00 | ↓ -8% |
| The Health Plan | Self-Funded ASO | $3,375.96 | ↑ +0% |
| Managed Care Services | TRANSPLANT | $3,617.10 | ↑ +7% |
| MULTIPLAN | ALL PRODUCTS | $3,617.10 | ↑ +7% |
| FrontPath | TRANSPLANT | $3,617.10 | ↑ +7% |
| Tertiary Care Network | TRANSPLANT | $3,617.10 | ↑ +7% |
| GMS | All Products | $3,626.00 | ↑ +8% |
| MMO | Traditional | $3,626.00 | ↑ +8% |
| Immergrun | All Products | $3,885.00 | ↑ +15% |
| Aetna | All Products First Health | $3,885.00 | ↑ +15% |
| The Health Plan | HMO | $4,019.00 | ↑ +19% |
| AETNA | Qhp/Ipf | $4,019.00 | ↑ +19% |
| The Health Plan | POS | $4,019.00 | ↑ +19% |
| Aetna | Asa | $4,144.00 | ↑ +23% |
| Multiplan | All Products | $4,662.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $5,180.00 | ↑ +54% |
| UNITED | ALL PRODUCTS | $6,757.00 | ↑ +101% |
| AETNA | Asa_Whirlpool_Peia | $9,828.00 | ↑ +192% |
| AETNA | International | $10,320.00 | ↑ +207% |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Removal of fallopian tube 58700 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,367.00 | $1.10 – $4,662.00 |
| akron general | Akron | $3,367.00 | $1.10 – $4,662.00 |
| avon hospital | Avon | $2,612.35 | $876.14 – $3,617.10 |
| euclid hospital | Euclid | $2,612.35 | $876.14 – $3,617.10 |
| fairview hospital | Cleveland | $2,612.35 | $876.14 – $3,617.10 |
| lutheran hospital | Cleveland | $2,612.35 | $876.14 – $3,617.10 |
| hillcrest hospital | Mayfield Heights | $2,612.35 | $876.14 – $3,617.10 |
| marymount hospital | Garfield Heights | $2,612.35 | $876.14 – $3,617.10 |