Surgical pathology level 5 gross & microscopic examination at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,613.30
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.
$2,482.00
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 $2,482.00 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 | Medicare Advantage Lower Level | $48.44 | ↓ -97% |
| Summacare | Preferred | $48.44 | ↓ -97% |
| UNITED | Managed Medicaid | $55.85 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $56.10 | ↓ -97% |
| CARESOURCE | Managed Medicaid | $57.53 | ↓ -96% |
| Buckeye | Managed Medicaid | $57.53 | ↓ -96% |
| ANTHEM | Managed Medicaid | $58.64 | ↓ -96% |
| MOLINA | Managed Medicaid | $58.64 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $61.44 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $63.35 | ↓ -96% |
| Summacare | Medicare Advantage MD | $70.80 | ↓ -96% |
| Cigna | Medicare Advantage | $74.80 | ↓ -95% |
| The Health Plan | Medicare Advantage | $74.80 | ↓ -95% |
| Aetna | Medicare Advantage | $74.80 | ↓ -95% |
| United | Medicare Advantage | $74.80 | ↓ -95% |
| Anthem | Medicare Advantage | $74.80 | ↓ -95% |
| Humana | Medicare Advantage HMO | $74.80 | ↓ -95% |
| MMO | Medicare HMO & PPO | $77.04 | ↓ -95% |
| CommuniCare | Medicare Advantage | $78.54 | ↓ -95% |
| Summacare | Premier | $78.54 | ↓ -95% |
| Perennial Health | Medicare Advantage | $80.78 | ↓ -95% |
| The Health Plan | All Products PCP | $82.28 | ↓ -95% |
| United | All Products | $83.60 | ↓ -95% |
| United | HMO & PPO | $83.60 | ↓ -95% |
| United | All Products - Mid-Level | $83.60 | ↓ -95% |
| The Health Plan | All Products Specialty Physicians | $86.02 | ↓ -95% |
| The Health Plan | All Products Radiation Oncology Physicians | $97.24 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $107.21 | ↓ -93% |
| CC EHP | ALL PRODUCTS | $176.55 | ↓ -89% |
| Oscar | All Products | $177.87 | ↓ -89% |
| Aultcare | PPO/HMO | $250.60 | ↓ -84% |
| OHCP | All Products | $272.30 | ↓ -83% |
| The Health Plan | MEDICARE ADVANTAGE | $299.14 | ↓ -81% |
| UNITED | MEDICARE ADVANTAGE | $332.37 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $332.37 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $339.12 | ↓ -79% |
| Summacare | MEDICARE ADVANTAGE | $339.12 | ↓ -79% |
| ANTHEM | MEDICARE ADVANTAGE | $339.12 | ↓ -79% |
| CIGNA | MEDICARE ADVANTAGE | $349.29 | ↓ -78% |
| OMAS | All Products | $350.00 | ↓ -78% |
| CommuniCare | MEDICARE ADVANTAGE | $356.07 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $358.96 | ↓ -78% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $366.25 | ↓ -77% |
| MMO | SuperMed | $378.00 | ↓ -77% |
| PHPHI | All Products | $420.00 | ↓ -74% |
| CIGNA | ALL PRODUCTS | $486.72 | ↓ -70% |
| GMS | All Products | $490.00 | ↓ -70% |
| MMO | Traditional | $490.00 | ↓ -70% |
| Immergrun | All Products | $525.00 | ↓ -67% |
| Aetna | All Products First Health | $525.00 | ↓ -67% |
| Aetna | Asa | $560.00 | ↓ -65% |
| AETNA | International | $614.07 | ↓ -62% |
| Multiplan | All Products | $630.00 | ↓ -61% |
| UNITED | ALL PRODUCTS | $655.34 | ↓ -59% |
| Aetna | Qhp/Ifp | $700.00 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $701.91 | ↓ -56% |
| MMO | ALL PRODUCTS | $717.66 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $794.24 | ↓ -51% |
| PHP | ALL PRODUCTS | $794.24 | ↓ -51% |
| Summacare | PREMIER | $948.12 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,116.90 | ↓ -31% |
| ANTHEM | HPN | $1,137.50 | ↓ -29% |
| ANTHEM | Exchange | $1,204.51 | ↓ -25% |
| OHCP | ALL PRODUCTS | $1,206.25 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,241.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $1,241.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $1,338.29 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $1,340.28 | ↓ -17% |
| ANTHEM | TRADITIONAL | $1,372.55 | ↓ -15% |
| The Health Plan | PPO | $1,584.51 | ↓ -2% |
| GMS | ALL PRODUCTS | $1,737.40 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,737.40 | ↑ +8% |
| AETNA | ALL PRODUCTS | $1,861.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,861.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $2,084.88 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $2,233.80 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $2,233.80 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,233.80 | ↑ +38% |
| FrontPath | TRANSPLANT | $2,233.80 | ↑ +38% |
| AETNA | Qhp/Ipf | $2,482.00 | ↑ +54% |
| The Health Plan | HMO | $2,482.00 | ↑ +54% |
| The Health Plan | POS | $2,482.00 | ↑ +54% |
| 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 | — |
| United | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 5 gross & microscopic examination at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $507.00 | not published |
| Anderson Hospital | Cincinnati | $507.00 | not published |
| Clermont Hospital | Batavia | $507.00 | not published |
| Kings Mills Hospital | Mason | $507.00 | not published |
| Mercy West Hospital | Cincinnati | $507.00 | not published |
| St Ritas Medical Center | Lima | $597.00 | not published |
| Trinity Medical Center East | Steubenville | $197.39 | $72.86 – $306.46 |
| cleveland clinic main campus | Cleveland | $1,613.30 | $1.10 – $2,233.80 |