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Repair rectum-vagina fistula at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,264.60
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.
$3,484.00
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 $5,338.37 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 | Preferred | $373.81 | ↓ -83% |
| Summacare | Medicare Advantage Lower Level | $373.81 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $410.67 | ↓ -82% |
| United | Managed Medicaid | $438.15 | ↓ -81% |
| Caresource | Managed Medicaid | $451.29 | ↓ -80% |
| Buckeye | Managed Medicaid | $460.06 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $481.97 | ↓ -79% |
| Molina | Managed Medicaid | $481.97 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $488.83 | ↓ -78% |
| Summacare | Medicare Advantage MD | $546.34 | ↓ -76% |
| United | Medicare Advantage | $547.56 | ↓ -76% |
| Humana | Medicare Advantage HMO | $547.56 | ↓ -76% |
| The Health Plan | Medicare Advantage | $547.56 | ↓ -76% |
| Aetna | Medicare Advantage | $547.56 | ↓ -76% |
| Cigna | Medicare Advantage | $547.56 | ↓ -76% |
| Anthem | Medicare Advantage | $547.56 | ↓ -76% |
| MMO | Medicare HMO & PPO | $563.99 | ↓ -75% |
| Summacare | Premier | $574.94 | ↓ -75% |
| CommuniCare | Medicare Advantage | $574.94 | ↓ -75% |
| Perennial Health | Medicare Advantage | $591.36 | ↓ -74% |
| The Health Plan | All Products PCP | $602.32 | ↓ -73% |
| The Health Plan | All Products Specialty Physicians | $629.69 | ↓ -72% |
| The Health Plan | All Products Radiation Oncology Physicians | $711.83 | ↓ -69% |
| Anthem | All Products Mid-Level Non-Facility | $818.83 | ↓ -64% |
| Oscar | All Products | $885.28 | ↓ -61% |
| Aultcare | PPO/HMO | $1,247.27 | ↓ -45% |
| OHCP | All Products | $1,355.28 | ↓ -40% |
| United | All Products - Mid-Level | $1,364.38 | ↓ -40% |
| United | All Products | $1,515.98 | ↓ -33% |
| United | HMO & PPO | $1,515.98 | ↓ -33% |
| OMAS | All Products | $1,742.00 | ↓ -23% |
| PHPHI | All Products | $2,090.40 | ↓ -8% |
| GMS | All Products | $2,438.80 | ↑ +8% |
| MMO | Traditional | $2,438.80 | ↑ +8% |
| Aetna | All Products First Health | $2,613.00 | ↑ +15% |
| Immergrun | All Products | $2,613.00 | ↑ +15% |
| The Health Plan | MEDICARE ADVANTAGE | $2,644.04 | ↑ +17% |
| Aetna | Asa | $2,787.20 | ↑ +23% |
| HUMANA | Medicare Advantage HMO | $2,937.82 | ↑ +30% |
| UNITED | MEDICARE ADVANTAGE | $2,937.82 | ↑ +30% |
| Summacare | MEDICARE ADVANTAGE | $3,062.57 | ↑ +35% |
| ANTHEM | MEDICARE ADVANTAGE | $3,062.57 | ↑ +35% |
| AETNA | MEDICARE ADVANTAGE | $3,062.57 | ↑ +35% |
| Multiplan | All Products | $3,135.60 | ↑ +38% |
| CIGNA | MEDICARE ADVANTAGE | $3,154.45 | ↑ +39% |
| Perennial Health | MEDICARE ADVANTAGE | $3,172.85 | ↑ +40% |
| CommuniCare | MEDICARE ADVANTAGE | $3,215.70 | ↑ +42% |
| UNITED | Managed Medicaid | $3,284.33 | ↑ +45% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,307.58 | ↑ +46% |
| CARESOURCE | Managed Medicaid | $3,382.86 | ↑ +49% |
| MOLINA | Managed Medicaid | $3,448.55 | ↑ +52% |
| ANTHEM | Managed Medicaid | $3,448.55 | ↑ +52% |
| Aetna | Qhp/Ifp | $3,484.00 | ↑ +54% |
| AMERIHEALTH | Managed Medicaid | $3,612.76 | ↑ +60% |
| MMO | ALL PRODUCTS | $4,731.18 | ↑ +109% |
| MMO | SuperMed | $5,338.37 | ↑ +136% |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Repair rectum-vagina fistula at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,264.60 | $1.10 – $4,664.01 |
| akron general | Akron | $2,264.60 | $1.10 – $3,702.17 |
| avon hospital | Avon | not published | $2,947.55 – $3,494.38 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $5,598.44 – $6,482.40 |
| euclid hospital | Euclid | not published | $2,712.29 – $4,067.89 |
| fairview hospital | Cleveland | not published | $2,712.29 – $3,821.58 |
| lutheran hospital | Cleveland | not published | $2,947.55 – $3,638.26 |
| hillcrest hospital | Mayfield Heights | not published | $2,712.29 – $3,981.48 |