healthcosts.net
Sigmoidoscopy and biopsy at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$326.30
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.
$502.00
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 $1,560.83 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 | Medicare Advantage Lower Level | $44.11 | ↓ -86% |
| Summacare | Preferred | $44.11 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $48.74 | ↓ -85% |
| Oscar | All Products | $54.89 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $57.68 | ↓ -82% |
| United | Managed Medicaid | $63.50 | ↓ -81% |
| Summacare | Medicare Advantage MD | $64.47 | ↓ -80% |
| Cigna | Medicare Advantage | $64.98 | ↓ -80% |
| United | Medicare Advantage | $64.98 | ↓ -80% |
| Aetna | Medicare Advantage | $64.98 | ↓ -80% |
| The Health Plan | Medicare Advantage | $64.98 | ↓ -80% |
| Anthem | Medicare Advantage | $64.98 | ↓ -80% |
| Humana | Medicare Advantage HMO | $64.98 | ↓ -80% |
| Caresource | Managed Medicaid | $65.41 | ↓ -80% |
| Buckeye | Managed Medicaid | $66.68 | ↓ -80% |
| MMO | Medicare HMO & PPO | $66.93 | ↓ -79% |
| CommuniCare | Medicare Advantage | $68.23 | ↓ -79% |
| Summacare | Premier | $68.23 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $69.85 | ↓ -79% |
| Molina | Managed Medicaid | $69.85 | ↓ -79% |
| Perennial Health | Medicare Advantage | $70.18 | ↓ -78% |
| The Health Plan | All Products PCP | $71.48 | ↓ -78% |
| The Health Plan | All Products Specialty Physicians | $74.73 | ↓ -77% |
| Aultcare | PPO/HMO | $77.33 | ↓ -76% |
| OHCP | All Products | $84.02 | ↓ -74% |
| The Health Plan | All Products Radiation Oncology Physicians | $84.47 | ↓ -74% |
| OMAS | All Products | $108.00 | ↓ -67% |
| PHPHI | All Products | $129.60 | ↓ -60% |
| MMO | Traditional | $151.20 | ↓ -54% |
| GMS | All Products | $151.20 | ↓ -54% |
| Immergrun | All Products | $162.00 | ↓ -50% |
| Aetna | All Products First Health | $162.00 | ↓ -50% |
| Aetna | Asa | $172.80 | ↓ -47% |
| Multiplan | All Products | $194.40 | ↓ -40% |
| Aetna | Qhp/Ifp | $216.00 | ↓ -34% |
| Cigna | All Products Mid-Level | $344.49 | ↑ +6% |
| Aetna | Acop | $357.07 | ↑ +9% |
| Anthem | All Products Mid-Level Non-Facility | $368.44 | ↑ +13% |
| Cigna | All Products Physician | $407.05 | ↑ +25% |
| United | All Products - Mid-Level | $606.27 | ↑ +86% |
| United | HMO & PPO | $673.63 | ↑ +106% |
| United | All Products | $673.63 | ↑ +106% |
| UNITED | Managed Medicaid | $725.86 | ↑ +122% |
| CARESOURCE | Managed Medicaid | $747.64 | ↑ +129% |
| The Health Plan | MEDICARE ADVANTAGE | $758.16 | ↑ +132% |
| ANTHEM | Managed Medicaid | $762.15 | ↑ +134% |
| MOLINA | Managed Medicaid | $762.15 | ↑ +134% |
| AMERIHEALTH | Managed Medicaid | $798.45 | ↑ +145% |
| UNITED | MEDICARE ADVANTAGE | $842.40 | ↑ +158% |
| HUMANA | Medicare Advantage HMO | $842.40 | ↑ +158% |
| Summacare | MEDICARE ADVANTAGE | $879.81 | ↑ +170% |
| ANTHEM | MEDICARE ADVANTAGE | $879.81 | ↑ +170% |
| AETNA | MEDICARE ADVANTAGE | $879.81 | ↑ +170% |
| CIGNA | MEDICARE ADVANTAGE | $906.21 | ↑ +178% |
| Perennial Health | MEDICARE ADVANTAGE | $909.79 | ↑ +179% |
| CommuniCare | MEDICARE ADVANTAGE | $923.80 | ↑ +183% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $950.20 | ↑ +191% |
| MMO | ALL PRODUCTS | $1,383.11 | ↑ +324% |
| MMO | SuperMed | $1,560.83 | ↑ +378% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Sigmoidoscopy and biopsy at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,726.10 | $1.10 – $3,774.60 |
| akron general | Akron | $326.30 | $1.10 – $909.79 |
| University Hospitals Ahuja Medical Center | Beachwood | $1,942.50 | $572.39 – $2,331.00 |
| University Hospitals Beachwood Medical Center | Beachwood | $1,942.50 | $879.81 – $2,331.00 |
| University Hospitals Conneaut Medical Center | Conneaut | $1,831.50 | not published |
| University Hospitals Elyria Medical Center | Elyria | $1,942.50 | $879.81 – $1,583.66 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $1,942.50 | $879.81 – $1,583.66 |
| University Hospitals Geneva Medical Center | Geneva | $1,831.50 | not published |