Surgical pathology level 4 gross & microscopic examination at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$239.85
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.
$369.00
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 $369.00 with The Health Plan — 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% |
| AETNA | Asa_Whirlpool_Peia | $1.11 | ↓ -100% |
| Summacare | Preferred | $20.52 | ↓ -91% |
| Summacare | Medicare Advantage Lower Level | $20.52 | ↓ -91% |
| Summacare | Medicare Advantage Psych | $24.16 | ↓ -90% |
| Summacare | Medicare Advantage CNA | $26.83 | ↓ -89% |
| Summacare | Medicare Advantage MD | $29.99 | ↓ -87% |
| UNITED | Managed Medicaid | $30.49 | ↓ -87% |
| Buckeye | Managed Medicaid | $31.40 | ↓ -87% |
| CARESOURCE | Managed Medicaid | $31.40 | ↓ -87% |
| ANTHEM | Managed Medicaid | $32.01 | ↓ -87% |
| MOLINA | Managed Medicaid | $32.01 | ↓ -87% |
| Cigna | Medicare Advantage | $32.21 | ↓ -87% |
| Humana | Medicare Advantage HMO | $32.21 | ↓ -87% |
| The Health Plan | Medicare Advantage | $32.21 | ↓ -87% |
| United | Medicare Advantage | $32.21 | ↓ -87% |
| Aetna | Medicare Advantage | $32.21 | ↓ -87% |
| Anthem | Medicare Advantage | $32.21 | ↓ -87% |
| MMO | Medicare HMO & PPO | $33.18 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $33.54 | ↓ -86% |
| Summacare | Premier | $33.82 | ↓ -86% |
| CommuniCare | Medicare Advantage | $33.82 | ↓ -86% |
| Perennial Health | Medicare Advantage | $34.79 | ↓ -85% |
| United | All Products | $35.41 | ↓ -85% |
| United | All Products - Mid-Level | $35.41 | ↓ -85% |
| United | HMO & PPO | $35.41 | ↓ -85% |
| The Health Plan | All Products PCP | $35.43 | ↓ -85% |
| Aetna | Acop | $36.39 | ↓ -85% |
| The Health Plan | All Products Specialty Physicians | $37.04 | ↓ -85% |
| The Health Plan | All Products Radiation Oncology Physicians | $41.87 | ↓ -83% |
| Aetna | ALL PRODUCTS | $43.40 | ↓ -82% |
| Anthem | All Products Mid-Level Non-Facility | $43.80 | ↓ -82% |
| The Health Plan | MEDICARE ADVANTAGE | $44.43 | ↓ -81% |
| ANTHEM | MEDICARE ADVANTAGE | $49.30 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $49.30 | ↓ -79% |
| Summacare | MEDICARE ADVANTAGE | $49.30 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $49.37 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $49.37 | ↓ -79% |
| CIGNA | MEDICARE ADVANTAGE | $50.78 | ↓ -79% |
| CommuniCare | MEDICARE ADVANTAGE | $51.77 | ↓ -78% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $53.25 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $53.32 | ↓ -78% |
| CC EHP | ALL PRODUCTS | $74.75 | ↓ -69% |
| CIGNA | ALL PRODUCTS | $75.57 | ↓ -68% |
| Oscar | All Products | $83.85 | ↓ -65% |
| MMO | SuperMed | $93.18 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $104.35 | ↓ -56% |
| AETNA | International | $104.91 | ↓ -56% |
| MMO | ALL PRODUCTS | $108.19 | ↓ -55% |
| UNITED | ALL PRODUCTS | $111.96 | ↓ -53% |
| PHPHI | ALL PRODUCTS | $118.08 | ↓ -51% |
| PHP | ALL PRODUCTS | $118.08 | ↓ -51% |
| Aultcare | PPO/HMO | $118.14 | ↓ -51% |
| OHCP | All Products | $128.37 | ↓ -46% |
| Summacare | PREMIER | $140.96 | ↓ -41% |
| OMAS | All Products | $165.00 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $166.05 | ↓ -31% |
| ANTHEM | HPN | $169.11 | ↓ -29% |
| ANTHEM | Exchange | $179.08 | ↓ -25% |
| OHCP | ALL PRODUCTS | $179.33 | ↓ -25% |
| OMAS | ALL PRODUCTS | $184.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $184.50 | ↓ -23% |
| PHPHI | All Products | $198.00 | ↓ -17% |
| ANTHEM | PPO/HMO | $198.96 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $199.26 | ↓ -17% |
| ANTHEM | TRADITIONAL | $204.06 | ↓ -15% |
| GMS | All Products | $231.00 | ↓ -4% |
| MMO | Traditional | $231.00 | ↓ -4% |
| The Health Plan | PPO | $235.57 | ↓ -2% |
| Aetna | All Products First Health | $247.50 | ↑ +3% |
| Immergrun | All Products | $247.50 | ↑ +3% |
| GMS | ALL PRODUCTS | $258.30 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $258.30 | ↑ +8% |
| Aetna | Asa | $264.00 | ↑ +10% |
| AETNA | ALL PRODUCTS | $276.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $276.75 | ↑ +15% |
| Multiplan | All Products | $297.00 | ↑ +24% |
| The Health Plan | Self-Funded ASO | $309.96 | ↑ +29% |
| Aetna | Qhp/Ifp | $330.00 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $332.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $332.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $332.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $332.10 | ↑ +38% |
| The Health Plan | HMO | $369.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $369.00 | ↑ +54% |
| The Health Plan | POS | $369.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $221.40 | not published |
| Anderson Hospital | Cincinnati | $221.40 | not published |
| Clermont Hospital | Batavia | $221.40 | not published |
| Kings Mills Hospital | Mason | $221.40 | not published |
| Mercy West Hospital | Cincinnati | $221.40 | not published |
| St Ritas Medical Center | Lima | $360.00 | not published |
| Trinity Medical Center East | Steubenville | $168.62 | $18.21 – $261.80 |
| cleveland clinic main campus | Cleveland | $239.85 | $1.10 – $332.10 |