Screening Colonoscopy (average risk) at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,370.55
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.
$3,647.00
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 $4,001.00 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% |
| Summacare | Medicare Advantage Lower Level | $112.39 | ↓ -95% |
| Summacare | Preferred | $112.39 | ↓ -95% |
| Summacare | Medicare Advantage Psych | $121.52 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $146.97 | ↓ -94% |
| The Health Plan | Medicare Advantage | $162.02 | ↓ -93% |
| Aetna | Medicare Advantage | $162.02 | ↓ -93% |
| United | Medicare Advantage | $162.02 | ↓ -93% |
| Humana | Medicare Advantage HMO | $162.02 | ↓ -93% |
| Anthem | Medicare Advantage | $162.02 | ↓ -93% |
| Cigna | Medicare Advantage | $162.02 | ↓ -93% |
| Summacare | Medicare Advantage MD | $164.26 | ↓ -93% |
| MMO | Medicare HMO & PPO | $166.88 | ↓ -93% |
| Oscar | All Products | $166.94 | ↓ -93% |
| CommuniCare | Medicare Advantage | $170.12 | ↓ -93% |
| Summacare | Premier | $170.12 | ↓ -93% |
| Perennial Health | Medicare Advantage | $174.98 | ↓ -93% |
| The Health Plan | All Products PCP | $178.22 | ↓ -92% |
| The Health Plan | All Products Specialty Physicians | $186.32 | ↓ -92% |
| The Health Plan | All Products Radiation Oncology Physicians | $210.63 | ↓ -91% |
| Aultcare | PPO/HMO | $235.21 | ↓ -90% |
| OHCP | All Products | $255.57 | ↓ -89% |
| OMAS | All Products | $328.50 | ↓ -86% |
| PHPHI | All Products | $394.20 | ↓ -83% |
| Aetna | Acop | $440.43 | ↓ -81% |
| Anthem | All Products Mid-Level Non-Facility | $445.06 | ↓ -81% |
| GMS | All Products | $459.90 | ↓ -81% |
| MMO | Traditional | $459.90 | ↓ -81% |
| Immergrun | All Products | $492.75 | ↓ -79% |
| Aetna | All Products First Health | $492.75 | ↓ -79% |
| Aetna | Asa | $525.60 | ↓ -78% |
| Multiplan | All Products | $591.30 | ↓ -75% |
| Aetna | Qhp/Ifp | $657.00 | ↓ -72% |
| The Health Plan | PPO | $702.45 | ↓ -70% |
| UNITED | Managed Medicaid | $725.86 | ↓ -69% |
| United | All Products - Mid-Level | $736.05 | ↓ -69% |
| CARESOURCE | Managed Medicaid | $747.64 | ↓ -68% |
| Buckeye | Managed Medicaid | $747.64 | ↓ -68% |
| The Health Plan | MEDICARE ADVANTAGE | $758.16 | ↓ -68% |
| MOLINA | Managed Medicaid | $762.15 | ↓ -68% |
| ANTHEM | Managed Medicaid | $762.15 | ↓ -68% |
| AMERIHEALTH | Managed Medicaid | $798.45 | ↓ -66% |
| United | All Products | $817.84 | ↓ -65% |
| United | HMO & PPO | $817.84 | ↓ -65% |
| HUMANA | Medicare Advantage HMO | $842.40 | ↓ -64% |
| UNITED | MEDICARE ADVANTAGE | $842.40 | ↓ -64% |
| Summacare | MEDICARE ADVANTAGE | $879.81 | ↓ -63% |
| ANTHEM | MEDICARE ADVANTAGE | $879.81 | ↓ -63% |
| AETNA | MEDICARE ADVANTAGE | $879.81 | ↓ -63% |
| CIGNA | MEDICARE ADVANTAGE | $906.21 | ↓ -62% |
| Perennial Health | MEDICARE ADVANTAGE | $909.79 | ↓ -62% |
| CommuniCare | MEDICARE ADVANTAGE | $923.80 | ↓ -61% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $950.20 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $1,031.37 | ↓ -56% |
| PHP | ALL PRODUCTS | $1,167.04 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,167.04 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $1,232.69 | ↓ -48% |
| ANTHEM | HPN | $1,379.00 | ↓ -42% |
| Summacare | PREMIER | $1,393.15 | ↓ -41% |
| ANTHEM | Exchange | $1,459.00 | ↓ -38% |
| MMO | SuperMed | $1,560.83 | ↓ -34% |
| ANTHEM | PPO/HMO | $1,622.00 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,641.15 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $1,721.38 | ↓ -27% |
| OHCP | ALL PRODUCTS | $1,772.44 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,823.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $1,823.50 | ↓ -23% |
| MMO | ALL PRODUCTS | $1,824.75 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $1,969.38 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,016.79 | ↓ -15% |
| GMS | ALL PRODUCTS | $2,552.90 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $2,552.90 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $2,735.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $2,735.25 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $3,063.48 | ↑ +29% |
| UNITED | ALL PRODUCTS | $3,107.00 | ↑ +31% |
| Managed Care Services | TRANSPLANT | $3,282.30 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $3,282.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $3,282.30 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $3,282.30 | ↑ +38% |
| The Health Plan | HMO | $3,647.00 | ↑ +54% |
| The Health Plan | POS | $3,647.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $3,647.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↑ +61% |
| AETNA | International | $4,001.00 | ↑ +69% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Screening Colonoscopy (average risk) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $5,192.88 | $906.26 – $924.39 |
| Anderson Hospital | Cincinnati | $4,703.34 | $906.26 – $924.39 |
| Clermont Hospital | Batavia | $4,720.26 | $906.26 – $924.39 |
| Kings Mills Hospital | Mason | $5,250.90 | $906.26 – $924.39 |
| Mercy West Hospital | Cincinnati | $6,131.58 | $922.00 – $940.44 |
| St Ritas Medical Center | Lima | $4,166.28 | $922.00 – $940.44 |
| cleveland clinic main campus | Cleveland | $2,370.55 | $1.10 – $3,282.30 |
| akron general | Akron | $932.10 | $1.10 – $909.79 |