Tracheostoma stent/stud/bttn at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$333.29
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.
$512.76
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.
$25.84 with UNITED vs $239.42 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 |
|---|---|---|---|
| UNITED | Managed Medicaid | $25.84 | ↓ -92% |
| Buckeye | Managed Medicaid | $26.62 | ↓ -92% |
| CARESOURCE | Managed Medicaid | $26.62 | ↓ -92% |
| ANTHEM | Managed Medicaid | $27.13 | ↓ -92% |
| MOLINA | Managed Medicaid | $27.13 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $28.42 | ↓ -91% |
| AETNA | MEDICARE ADVANTAGE | $52.19 | ↓ -84% |
| OSCAR | ALL PRODUCTS | $67.71 | ↓ -80% |
| Zing Health | Medicare Advantage | $71.83 | ↓ -78% |
| PHP | ALL PRODUCTS | $76.61 | ↓ -77% |
| PHPHI | ALL PRODUCTS | $76.61 | ↓ -77% |
| CC EHP | ALL PRODUCTS | $80.92 | ↓ -76% |
| Summacare | Preferred | $84.04 | ↓ -75% |
| Aultcare | PPO/HMO | $85.71 | ↓ -74% |
| Summacare | PREMIER | $91.46 | ↓ -73% |
| MMO | ALL PRODUCTS | $107.26 | ↓ -68% |
| Amish Community Aid Plan | ALL PRODUCTS | $107.74 | ↓ -68% |
| ANTHEM | HPN | $109.73 | ↓ -67% |
| CIGNA | ALL PRODUCTS | $113.01 | ↓ -66% |
| ANTHEM | Exchange | $116.19 | ↓ -65% |
| OHCP | ALL PRODUCTS | $116.36 | ↓ -65% |
| Immergrun | ALL PRODUCTS | $119.71 | ↓ -64% |
| OMAS | ALL PRODUCTS | $119.71 | ↓ -64% |
| ANTHEM | PPO/HMO | $129.10 | ↓ -61% |
| Ohio Healthy | TRANSPLANT | $129.29 | ↓ -61% |
| ANTHEM | TRADITIONAL | $132.40 | ↓ -60% |
| The Health Plan | POS | $148.32 | ↓ -55% |
| The Health Plan | HMO | $148.32 | ↓ -55% |
| The Health Plan | PPO | $152.85 | ↓ -54% |
| GMS | ALL PRODUCTS | $167.59 | ↓ -50% |
| AETNA | Asa_Whirlpool_Peia | $167.59 | ↓ -50% |
| Medical Benefit Corp | Transplant SMCP | $167.59 | ↓ -50% |
| AETNA | International | $167.59 | ↓ -50% |
| Consociate Health | ALL PRODUCTS | $179.57 | ↓ -46% |
| AETNA | ALL PRODUCTS | $179.57 | ↓ -46% |
| The Health Plan | Self-Funded ASO | $201.11 | ↓ -40% |
| Tertiary Care Network | TRANSPLANT | $215.48 | ↓ -35% |
| FrontPath | TRANSPLANT | $215.48 | ↓ -35% |
| MULTIPLAN | ALL PRODUCTS | $215.48 | ↓ -35% |
| Managed Care Services | TRANSPLANT | $215.48 | ↓ -35% |
| AETNA | Qhp/Ipf | $239.42 | ↓ -28% |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Tracheostoma stent/stud/bttn at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $333.29 | $1.10 – $207.90 |
| avon hospital | Avon | $333.29 | $26.97 – $215.48 |
| euclid hospital | Euclid | $333.29 | $27.64 – $215.48 |
| fairview hospital | Cleveland | $333.29 | $25.96 – $215.48 |
| lutheran hospital | Cleveland | $333.29 | $24.72 – $215.48 |
| hillcrest hospital | Mayfield Heights | $333.29 | $27.05 – $215.48 |
| marymount hospital | Garfield Heights | $333.29 | $24.41 – $215.48 |
| medina hospital | Medina | $333.29 | $25.32 – $215.48 |