Reopening of recent laparotomy 49002 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$4,583.80
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.
$7,052.00
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 $7,052.00 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 | $537.44 | ↓ -88% |
| Caresource | Managed Medicaid | $553.56 | ↓ -88% |
| Buckeye | Managed Medicaid | $564.31 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $591.18 | ↓ -87% |
| Molina | Managed Medicaid | $591.18 | ↓ -87% |
| Summacare | Preferred | $645.58 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $645.58 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $718.34 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $844.22 | ↓ -82% |
| Summacare | Medicare Advantage MD | $943.54 | ↓ -79% |
| Humana | Medicare Advantage HMO | $957.79 | ↓ -79% |
| United | Medicare Advantage | $957.79 | ↓ -79% |
| The Health Plan | Medicare Advantage | $957.79 | ↓ -79% |
| Aetna | Medicare Advantage | $957.79 | ↓ -79% |
| Anthem | Medicare Advantage | $957.79 | ↓ -79% |
| Cigna | Medicare Advantage | $957.79 | ↓ -79% |
| MMO | Medicare HMO & PPO | $986.52 | ↓ -78% |
| CommuniCare | Medicare Advantage | $1,005.68 | ↓ -78% |
| Summacare | Premier | $1,005.68 | ↓ -78% |
| Perennial Health | Medicare Advantage | $1,034.41 | ↓ -77% |
| The Health Plan | All Products PCP | $1,053.57 | ↓ -77% |
| The Health Plan | All Products Specialty Physicians | $1,101.46 | ↓ -76% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,245.13 | ↓ -73% |
| AETNA | MEDICARE ADVANTAGE | $1,391.49 | ↓ -70% |
| Anthem | All Products Mid-Level Non-Facility | $1,407.01 | ↓ -69% |
| UNITED | Managed Medicaid | $1,655.18 | ↓ -64% |
| CARESOURCE | Managed Medicaid | $1,704.84 | ↓ -63% |
| MOLINA | Managed Medicaid | $1,737.94 | ↓ -62% |
| ANTHEM | Managed Medicaid | $1,737.94 | ↓ -62% |
| Oscar | All Products | $1,791.91 | ↓ -61% |
| MMO | SuperMed | $1,792.00 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $1,805.11 | ↓ -61% |
| AMERIHEALTH | Managed Medicaid | $1,820.70 | ↓ -60% |
| PHPHI | ALL PRODUCTS | $2,042.56 | ↓ -55% |
| PHP | ALL PRODUCTS | $2,042.56 | ↓ -55% |
| CC EHP | ALL PRODUCTS | $2,157.45 | ↓ -53% |
| Aultcare | PPO/HMO | $2,285.11 | ↓ -50% |
| United | All Products - Mid-Level | $2,333.56 | ↓ -49% |
| Summacare | PREMIER | $2,438.31 | ↓ -47% |
| United | HMO & PPO | $2,592.84 | ↓ -43% |
| United | All Products | $2,592.84 | ↓ -43% |
| OHCP | All Products | $2,743.23 | ↓ -40% |
| MMO | ALL PRODUCTS | $2,859.58 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,872.35 | ↓ -37% |
| ANTHEM | HPN | $2,892.00 | ↓ -37% |
| CIGNA | ALL PRODUCTS | $3,012.78 | ↓ -34% |
| ANTHEM | Exchange | $3,062.00 | ↓ -33% |
| OHCP | ALL PRODUCTS | $3,102.14 | ↓ -32% |
| OMAS | ALL PRODUCTS | $3,191.50 | ↓ -30% |
| Immergrun | ALL PRODUCTS | $3,191.50 | ↓ -30% |
| ANTHEM | PPO/HMO | $3,402.00 | ↓ -26% |
| Ohio Healthy | TRANSPLANT | $3,446.82 | ↓ -25% |
| OMAS | All Products | $3,526.00 | ↓ -23% |
| ANTHEM | TRADITIONAL | $3,529.80 | ↓ -23% |
| The Health Plan | PPO | $4,074.91 | ↓ -11% |
| PHPHI | All Products | $4,231.20 | ↓ -8% |
| UNITED | ALL PRODUCTS | $4,338.00 | ↓ -5% |
| GMS | ALL PRODUCTS | $4,468.10 | ↓ -3% |
| Medical Benefit Corp | Transplant SMCP | $4,468.10 | ↓ -3% |
| AETNA | Asa_Whirlpool_Peia | $4,468.10 | ↓ -3% |
| AETNA | International | $4,468.10 | ↓ -3% |
| AETNA | ALL PRODUCTS | $4,787.25 | ↑ +4% |
| Consociate Health | ALL PRODUCTS | $4,787.25 | ↑ +4% |
| MMO | Traditional | $4,936.40 | ↑ +8% |
| GMS | All Products | $4,936.40 | ↑ +8% |
| Aetna | All Products First Health | $5,289.00 | ↑ +15% |
| Immergrun | All Products | $5,289.00 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $5,361.72 | ↑ +17% |
| Aetna | Asa | $5,641.60 | ↑ +23% |
| Managed Care Services | TRANSPLANT | $5,744.70 | ↑ +25% |
| MULTIPLAN | ALL PRODUCTS | $5,744.70 | ↑ +25% |
| FrontPath | TRANSPLANT | $5,744.70 | ↑ +25% |
| Tertiary Care Network | TRANSPLANT | $5,744.70 | ↑ +25% |
| Multiplan | All Products | $6,346.80 | ↑ +38% |
| AETNA | Qhp/Ipf | $6,383.00 | ↑ +39% |
| The Health Plan | HMO | $6,383.00 | ↑ +39% |
| The Health Plan | POS | $6,383.00 | ↑ +39% |
| Aetna | Qhp/Ifp | $7,052.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Reopening of recent laparotomy 49002 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,583.80 | $1.10 – $6,346.80 |
| akron general | Akron | $4,583.80 | $1.10 – $6,346.80 |
| avon hospital | Avon | $4,148.95 | $1,391.49 – $5,744.70 |
| euclid hospital | Euclid | $4,148.95 | $1,391.49 – $5,744.70 |
| fairview hospital | Cleveland | $4,148.95 | $1,391.49 – $5,744.70 |
| lutheran hospital | Cleveland | $4,148.95 | $1,391.49 – $5,744.70 |
| hillcrest hospital | Mayfield Heights | $4,148.95 | $1,391.49 – $5,744.70 |
| marymount hospital | Garfield Heights | $4,148.95 | $1,391.49 – $5,744.70 |