healthcosts.net
Tongue biopsy; posterior one-third 41105 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$382.20
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.
$588.00
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 $4,036,081.00 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% |
| Summacare | Preferred | $67.38 | ↓ -82% |
| Summacare | Medicare Advantage Lower Level | $67.38 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $72.80 | ↓ -81% |
| United | Managed Medicaid | $75.25 | ↓ -80% |
| Caresource | Managed Medicaid | $77.51 | ↓ -80% |
| Buckeye | Managed Medicaid | $79.01 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $82.78 | ↓ -78% |
| Molina | Managed Medicaid | $82.78 | ↓ -78% |
| Summacare | Medicare Advantage CNA | $88.11 | ↓ -77% |
| United | Medicare Advantage | $97.06 | ↓ -75% |
| Aetna | Medicare Advantage | $97.06 | ↓ -75% |
| The Health Plan | Medicare Advantage | $97.06 | ↓ -75% |
| Cigna | Medicare Advantage | $97.06 | ↓ -75% |
| Anthem | Medicare Advantage | $97.06 | ↓ -75% |
| Humana | Medicare Advantage HMO | $97.06 | ↓ -75% |
| Summacare | Medicare Advantage MD | $98.48 | ↓ -74% |
| MMO | Medicare HMO & PPO | $99.97 | ↓ -74% |
| CommuniCare | Medicare Advantage | $101.91 | ↓ -73% |
| Summacare | Premier | $101.91 | ↓ -73% |
| The Health Plan | PPO | $103.85 | ↓ -73% |
| Perennial Health | Medicare Advantage | $104.82 | ↓ -73% |
| The Health Plan | All Products PCP | $106.77 | ↓ -72% |
| The Health Plan | All Products Specialty Physicians | $111.62 | ↓ -71% |
| The Health Plan | All Products Radiation Oncology Physicians | $126.18 | ↓ -67% |
| Oscar | All Products | $149.41 | ↓ -61% |
| Aultcare | PPO/HMO | $210.50 | ↓ -45% |
| OHCP | All Products | $228.73 | ↓ -40% |
| Cigna | All Products Mid-Level | $229.31 | ↓ -40% |
| Aetna | Acop | $239.44 | ↓ -37% |
| Anthem | All Products Mid-Level Non-Facility | $245.25 | ↓ -36% |
| Cigna | All Products Physician | $270.96 | ↓ -29% |
| OMAS | All Products | $294.00 | ↓ -23% |
| PHPHI | All Products | $352.80 | ↓ -8% |
| United | All Products - Mid-Level | $406.38 | ↑ +6% |
| GMS | All Products | $411.60 | ↑ +8% |
| MMO | Traditional | $411.60 | ↑ +8% |
| Aetna | All Products First Health | $441.00 | ↑ +15% |
| Immergrun | All Products | $441.00 | ↑ +15% |
| United | HMO & PPO | $451.53 | ↑ +18% |
| United | All Products | $451.53 | ↑ +18% |
| Aetna | Asa | $470.40 | ↑ +23% |
| Multiplan | All Products | $529.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $588.00 | ↑ +54% |
| UNITED | Managed Medicaid | $766.14 | ↑ +100% |
| CARESOURCE | Managed Medicaid | $789.12 | ↑ +106% |
| ANTHEM | Managed Medicaid | $804.45 | ↑ +110% |
| MOLINA | Managed Medicaid | $804.45 | ↑ +110% |
| AMERIHEALTH | Managed Medicaid | $842.75 | ↑ +120% |
| The Health Plan | MEDICARE ADVANTAGE | $2,696.88 | ↑ +606% |
| UNITED | MEDICARE ADVANTAGE | $2,996.53 | ↑ +684% |
| HUMANA | Medicare Advantage HMO | $2,996.53 | ↑ +684% |
| ANTHEM | MEDICARE ADVANTAGE | $3,136.68 | ↑ +721% |
| AETNA | MEDICARE ADVANTAGE | $3,136.68 | ↑ +721% |
| Summacare | MEDICARE ADVANTAGE | $3,136.68 | ↑ +721% |
| CIGNA | MEDICARE ADVANTAGE | $3,230.78 | ↑ +745% |
| Perennial Health | MEDICARE ADVANTAGE | $3,236.25 | ↑ +747% |
| CommuniCare | MEDICARE ADVANTAGE | $3,293.51 | ↑ +762% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,387.61 | ↑ +786% |
| MMO | ALL PRODUCTS | $4,872.30 | ↑ +1175% |
| MMO | SuperMed | $5,497.86 | ↑ +1338% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +333874% |
| The Health Plan | POS | $4,036,081.00 | ↑ +1055913% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Tongue biopsy; posterior one-third 41105 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $9,696.70 | $0.01 – $13,426.20 |
| akron general | Akron | $382.20 | $1.10 – $3,236.25 |
| University Hospitals Ahuja Medical Center | Beachwood | $2,845.50 | $838.47 – $5,646.02 |
| University Hospitals Beachwood Medical Center | Beachwood | $2,845.50 | $900.00 – $7,944.33 |
| University Hospitals Elyria Medical Center | Elyria | $2,845.50 | $3,136.68 – $5,646.02 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $2,845.50 | $3,136.68 – $5,646.02 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $2,845.50 | $3,136.68 – $5,646.02 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $2,845.50 | $3,136.68 – $5,646.02 |