Unlisted procedure colon at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$7,872.15
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.
$12,111.00
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.
$0.01 with Anthem vs $7,200.00 with CIGNA — 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 |
|---|---|---|---|
| Anthem | All Products Mid-Level Non-Facility | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Oscar | All Products | $60.98 | ↓ -99% |
| Aultcare | PPO/HMO | $85.92 | ↓ -99% |
| OHCP | All Products | $93.36 | ↓ -99% |
| OMAS | All Products | $120.00 | ↓ -98% |
| PHPHI | All Products | $144.00 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $168.00 | ↓ -98% |
| Summacare | Preferred | $168.00 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $168.00 | ↓ -98% |
| Summacare | Medicare Advantage MD | $168.00 | ↓ -98% |
| GMS | All Products | $168.00 | ↓ -98% |
| MMO | Traditional | $168.00 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $168.00 | ↓ -98% |
| Summacare | Premier | $168.00 | ↓ -98% |
| Aetna | All Products First Health | $180.00 | ↓ -98% |
| Immergrun | All Products | $180.00 | ↓ -98% |
| Aetna | Asa | $192.00 | ↓ -98% |
| Multiplan | All Products | $216.00 | ↓ -97% |
| Aetna | Qhp/Ifp | $240.00 | ↓ -97% |
| OSCAR | ALL PRODUCTS | $594.16 | ↓ -92% |
| PHPHI | ALL PRODUCTS | $672.32 | ↓ -91% |
| PHP | ALL PRODUCTS | $672.32 | ↓ -91% |
| CC EHP | ALL PRODUCTS | $710.14 | ↓ -91% |
| UNITED | Managed Medicaid | $725.86 | ↓ -91% |
| Buckeye | Managed Medicaid | $747.64 | ↓ -91% |
| CARESOURCE | Managed Medicaid | $747.64 | ↓ -91% |
| The Health Plan | MEDICARE ADVANTAGE | $758.16 | ↓ -90% |
| MOLINA | Managed Medicaid | $762.15 | ↓ -90% |
| ANTHEM | Managed Medicaid | $762.15 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $798.45 | ↓ -90% |
| Summacare | PREMIER | $802.58 | ↓ -90% |
| HUMANA | Medicare Advantage HMO | $842.40 | ↓ -89% |
| UNITED | MEDICARE ADVANTAGE | $842.40 | ↓ -89% |
| Summacare | MEDICARE ADVANTAGE | $879.81 | ↓ -89% |
| ANTHEM | MEDICARE ADVANTAGE | $879.81 | ↓ -89% |
| AETNA | MEDICARE ADVANTAGE | $879.81 | ↓ -89% |
| MMO | Medicare HMO & PPO | $884.52 | ↓ -89% |
| CIGNA | MEDICARE ADVANTAGE | $906.21 | ↓ -88% |
| Perennial Health | MEDICARE ADVANTAGE | $909.79 | ↓ -88% |
| CommuniCare | MEDICARE ADVANTAGE | $923.80 | ↓ -88% |
| Amish Community Aid Plan | ALL PRODUCTS | $945.45 | ↓ -88% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $950.20 | ↓ -88% |
| ANTHEM | HPN | $1,012.05 | ↓ -87% |
| OHCP | ALL PRODUCTS | $1,021.09 | ↓ -87% |
| OMAS | ALL PRODUCTS | $1,050.50 | ↓ -87% |
| Immergrun | ALL PRODUCTS | $1,050.50 | ↓ -87% |
| ANTHEM | Exchange | $1,071.51 | ↓ -86% |
| Ohio Healthy | TRANSPLANT | $1,134.54 | ↓ -86% |
| ANTHEM | TRADITIONAL | $1,161.85 | ↓ -85% |
| ANTHEM | PPO/HMO | $1,190.64 | ↓ -85% |
| The Health Plan | POS | $1,301.57 | ↓ -83% |
| The Health Plan | HMO | $1,301.57 | ↓ -83% |
| The Health Plan | PPO | $1,341.28 | ↓ -83% |
| Medical Benefit Corp | Transplant SMCP | $1,470.70 | ↓ -81% |
| GMS | ALL PRODUCTS | $1,470.70 | ↓ -81% |
| MMO | SuperMed | $1,560.83 | ↓ -80% |
| AETNA | ALL PRODUCTS | $1,575.75 | ↓ -80% |
| Consociate Health | ALL PRODUCTS | $1,575.75 | ↓ -80% |
| The Health Plan | Self-Funded ASO | $1,764.84 | ↓ -78% |
| MMO | ALL PRODUCTS | $1,824.75 | ↓ -77% |
| MULTIPLAN | ALL PRODUCTS | $1,890.90 | ↓ -76% |
| Managed Care Services | TRANSPLANT | $1,890.90 | ↓ -76% |
| Tertiary Care Network | TRANSPLANT | $1,890.90 | ↓ -76% |
| FrontPath | TRANSPLANT | $1,890.90 | ↓ -76% |
| AETNA | Qhp/Ipf | $2,101.00 | ↓ -73% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↓ -64% |
| AETNA | International | $3,004.00 | ↓ -62% |
| CIGNA | ALL PRODUCTS | $7,200.00 | ↓ -9% |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| Cigna | Medicare Advantage | 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 | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | All Products PCP | not published by hospital | — |
| The Health Plan | All Products Radiation Oncology Physicians | not published by hospital | — |
| The Health Plan | All Products Specialty Physicians | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | All Products - Mid-Level | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted procedure colon at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $1,702.20 | not published |
| Kings Mills Hospital | Mason | $1,702.20 | not published |
| Mercy West Hospital | Cincinnati | $1,702.20 | not published |
| cleveland clinic main campus | Cleveland | $8,570.25 | $0.01 – $1,890.90 |
| akron general | Akron | $7,872.15 | $0.01 – $967.79 |
| avon hospital | Avon | $1,365.65 | $0.01 – $1,890.90 |
| euclid hospital | Euclid | $1,365.65 | $0.01 – $1,890.90 |
| fairview hospital | Cleveland | $1,365.65 | $0.01 – $1,890.90 |