healthcosts.net
Remove ear canal lesion(s) at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$702.00
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.
$1,080.00
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 $4,850.94 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% |
| United | Managed Medicaid | $132.72 | ↓ -81% |
| Caresource | Managed Medicaid | $136.70 | ↓ -81% |
| Buckeye | Managed Medicaid | $139.36 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $145.99 | ↓ -79% |
| Molina | Managed Medicaid | $145.99 | ↓ -79% |
| Summacare | Preferred | $154.69 | ↓ -78% |
| Summacare | Medicare Advantage Lower Level | $154.69 | ↓ -78% |
| Summacare | Medicare Advantage Psych | $169.89 | ↓ -76% |
| Summacare | Medicare Advantage CNA | $202.28 | ↓ -71% |
| Summacare | Medicare Advantage MD | $226.08 | ↓ -68% |
| The Health Plan | Medicare Advantage | $226.52 | ↓ -68% |
| Anthem | Medicare Advantage | $226.52 | ↓ -68% |
| United | Medicare Advantage | $226.52 | ↓ -68% |
| Cigna | Medicare Advantage | $226.52 | ↓ -68% |
| Aetna | Medicare Advantage | $226.52 | ↓ -68% |
| Humana | Medicare Advantage HMO | $226.52 | ↓ -68% |
| MMO | Medicare HMO & PPO | $233.32 | ↓ -67% |
| CommuniCare | Medicare Advantage | $237.85 | ↓ -66% |
| Summacare | Premier | $237.85 | ↓ -66% |
| Perennial Health | Medicare Advantage | $244.64 | ↓ -65% |
| The Health Plan | All Products PCP | $249.17 | ↓ -65% |
| The Health Plan | All Products Specialty Physicians | $260.50 | ↓ -63% |
| Oscar | All Products | $274.43 | ↓ -61% |
| The Health Plan | All Products Radiation Oncology Physicians | $294.48 | ↓ -58% |
| Aultcare | PPO/HMO | $386.64 | ↓ -45% |
| OHCP | All Products | $420.12 | ↓ -40% |
| Cigna | All Products Mid-Level | $502.93 | ↓ -28% |
| Aetna | Acop | $528.46 | ↓ -25% |
| Anthem | All Products Mid-Level Non-Facility | $537.88 | ↓ -23% |
| OMAS | All Products | $540.00 | ↓ -23% |
| Cigna | All Products Physician | $594.26 | ↓ -15% |
| PHPHI | All Products | $648.00 | ↓ -8% |
| MMO | Traditional | $756.00 | ↑ +8% |
| GMS | All Products | $756.00 | ↑ +8% |
| Immergrun | All Products | $810.00 | ↑ +15% |
| Aetna | All Products First Health | $810.00 | ↑ +15% |
| Aetna | Asa | $864.00 | ↑ +23% |
| United | All Products - Mid-Level | $885.78 | ↑ +26% |
| Multiplan | All Products | $972.00 | ↑ +38% |
| United | HMO & PPO | $984.20 | ↑ +40% |
| United | All Products | $984.20 | ↑ +40% |
| Aetna | Qhp/Ifp | $1,080.00 | ↑ +54% |
| UNITED | Managed Medicaid | $1,270.68 | ↑ +81% |
| CARESOURCE | Managed Medicaid | $1,308.80 | ↑ +86% |
| ANTHEM | Managed Medicaid | $1,334.21 | ↑ +90% |
| MOLINA | Managed Medicaid | $1,334.21 | ↑ +90% |
| AMERIHEALTH | Managed Medicaid | $1,397.75 | ↑ +99% |
| The Health Plan | MEDICARE ADVANTAGE | $2,380.03 | ↑ +239% |
| HUMANA | Medicare Advantage HMO | $2,644.48 | ↑ +277% |
| UNITED | MEDICARE ADVANTAGE | $2,644.48 | ↑ +277% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↑ +291% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↑ +291% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↑ +291% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↑ +303% |
| Perennial Health | MEDICARE ADVANTAGE | $2,856.04 | ↑ +307% |
| CommuniCare | MEDICARE ADVANTAGE | $2,885.49 | ↑ +311% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↑ +323% |
| MMO | ALL PRODUCTS | $4,300.08 | ↑ +513% |
| MMO | SuperMed | $4,850.94 | ↑ +591% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Remove ear canal lesion(s) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $702.00 | $1.10 – $2,748.08 |
| akron general | Akron | $702.00 | $1.10 – $2,856.04 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,293.25 | $900.00 – $4,946.55 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,293.25 | $900.00 – $6,960.13 |
| University Hospitals Elyria Medical Center | Elyria | $3,293.25 | $2,748.08 – $4,946.55 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,293.25 | $2,748.08 – $4,946.55 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $3,293.25 | $2,748.08 – $4,946.55 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $3,293.25 | $2,748.08 – $4,946.55 |