healthcosts.net
Treatment of anal fissure w/dilat 46940 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$611.00
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.
$940.00
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 | Medicare Advantage Lower Level | $89.17 | ↓ -85% |
| Summacare | Preferred | $89.17 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $99.86 | ↓ -84% |
| United | Managed Medicaid | $104.46 | ↓ -83% |
| Caresource | Managed Medicaid | $107.59 | ↓ -82% |
| Buckeye | Managed Medicaid | $109.68 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $114.91 | ↓ -81% |
| Molina | Managed Medicaid | $114.91 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $116.60 | ↓ -81% |
| Summacare | Medicare Advantage MD | $130.32 | ↓ -79% |
| Anthem | Medicare Advantage | $133.15 | ↓ -78% |
| United | Medicare Advantage | $133.15 | ↓ -78% |
| Aetna | Medicare Advantage | $133.15 | ↓ -78% |
| The Health Plan | Medicare Advantage | $133.15 | ↓ -78% |
| Humana | Medicare Advantage HMO | $133.15 | ↓ -78% |
| Cigna | Medicare Advantage | $133.15 | ↓ -78% |
| MMO | Medicare HMO & PPO | $137.14 | ↓ -78% |
| CommuniCare | Medicare Advantage | $139.81 | ↓ -77% |
| Summacare | Premier | $139.81 | ↓ -77% |
| The Health Plan | PPO | $142.47 | ↓ -77% |
| Perennial Health | Medicare Advantage | $143.80 | ↓ -76% |
| The Health Plan | All Products PCP | $146.47 | ↓ -76% |
| The Health Plan | All Products Specialty Physicians | $153.12 | ↓ -75% |
| The Health Plan | All Products Radiation Oncology Physicians | $173.10 | ↓ -72% |
| Oscar | All Products | $238.85 | ↓ -61% |
| Aetna | Acop | $325.60 | ↓ -47% |
| Cigna | All Products Mid-Level | $327.26 | ↓ -46% |
| Aultcare | PPO/HMO | $336.52 | ↓ -45% |
| Anthem | All Products Mid-Level Non-Facility | $350.00 | ↓ -43% |
| OHCP | All Products | $365.66 | ↓ -40% |
| Cigna | All Products Physician | $386.69 | ↓ -37% |
| OMAS | All Products | $470.00 | ↓ -23% |
| PHPHI | All Products | $564.00 | ↓ -8% |
| United | All Products - Mid-Level | $578.71 | ↓ -5% |
| United | All Products | $643.01 | ↑ +5% |
| United | HMO & PPO | $643.01 | ↑ +5% |
| GMS | All Products | $658.00 | ↑ +8% |
| MMO | Traditional | $658.00 | ↑ +8% |
| Aetna | All Products First Health | $705.00 | ↑ +15% |
| Immergrun | All Products | $705.00 | ↑ +15% |
| Aetna | Asa | $752.00 | ↑ +23% |
| Multiplan | All Products | $846.00 | ↑ +38% |
| UNITED | Managed Medicaid | $886.67 | ↑ +45% |
| CARESOURCE | Managed Medicaid | $913.27 | ↑ +49% |
| ANTHEM | Managed Medicaid | $931.00 | ↑ +52% |
| MOLINA | Managed Medicaid | $931.00 | ↑ +52% |
| Aetna | Qhp/Ifp | $940.00 | ↑ +54% |
| AMERIHEALTH | Managed Medicaid | $975.34 | ↑ +60% |
| The Health Plan | MEDICARE ADVANTAGE | $2,280.52 | ↑ +273% |
| HUMANA | Medicare Advantage HMO | $2,533.91 | ↑ +315% |
| UNITED | MEDICARE ADVANTAGE | $2,533.91 | ↑ +315% |
| AETNA | MEDICARE ADVANTAGE | $2,625.99 | ↑ +330% |
| Summacare | MEDICARE ADVANTAGE | $2,625.99 | ↑ +330% |
| ANTHEM | MEDICARE ADVANTAGE | $2,625.99 | ↑ +330% |
| CIGNA | MEDICARE ADVANTAGE | $2,704.77 | ↑ +343% |
| Perennial Health | MEDICARE ADVANTAGE | $2,736.63 | ↑ +348% |
| CommuniCare | MEDICARE ADVANTAGE | $2,757.29 | ↑ +351% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,836.07 | ↑ +364% |
| MMO | ALL PRODUCTS | $4,249.08 | ↑ +595% |
| MMO | SuperMed | $4,793.60 | ↑ +685% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +208811% |
| The Health Plan | POS | $4,036,081.00 | ↑ +660470% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Treatment of anal fissure w/dilat 46940 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $611.00 | $1.10 – $2,625.99 |
| akron general | Akron | $611.00 | $1.10 – $2,736.63 |
| avon hospital | Avon | not published | $925.74 – $2,888.59 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,511.41 – $1,750.06 |
| euclid hospital | Euclid | not published | $948.45 – $2,888.59 |
| fairview hospital | Cleveland | not published | $891.02 – $2,888.59 |
| lutheran hospital | Cleveland | not published | $848.28 – $2,888.59 |
| hillcrest hospital | Mayfield Heights | not published | $928.31 – $2,888.59 |