Unlisted procedure eyelids at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,174.90
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.
$3,346.00
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 $2,760.00 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 |
|---|---|---|---|
| Anthem | All Products Mid-Level Non-Facility | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| UNITED | Managed Medicaid | $161.61 | ↓ -93% |
| Buckeye | Managed Medicaid | $166.46 | ↓ -92% |
| CARESOURCE | Managed Medicaid | $166.46 | ↓ -92% |
| MOLINA | Managed Medicaid | $169.69 | ↓ -92% |
| ANTHEM | Managed Medicaid | $169.69 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $177.77 | ↓ -92% |
| The Health Plan | MEDICARE ADVANTAGE | $248.58 | ↓ -89% |
| UNITED | MEDICARE ADVANTAGE | $276.21 | ↓ -87% |
| HUMANA | Medicare Advantage HMO | $276.21 | ↓ -87% |
| MMO | Medicare HMO & PPO | $290.02 | ↓ -87% |
| Perennial Health | MEDICARE ADVANTAGE | $298.30 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $300.29 | ↓ -86% |
| ANTHEM | MEDICARE ADVANTAGE | $300.29 | ↓ -86% |
| Summacare | MEDICARE ADVANTAGE | $300.29 | ↓ -86% |
| CIGNA | MEDICARE ADVANTAGE | $309.30 | ↓ -86% |
| CommuniCare | MEDICARE ADVANTAGE | $315.30 | ↓ -86% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $324.31 | ↓ -85% |
| MMO | ALL PRODUCTS | $440.85 | ↓ -80% |
| MMO | SuperMed | $498.18 | ↓ -77% |
| Oscar | All Products | $701.32 | ↓ -68% |
| Aultcare | PPO/HMO | $988.08 | ↓ -55% |
| OHCP | All Products | $1,073.64 | ↓ -51% |
| OMAS | All Products | $1,380.00 | ↓ -37% |
| PHPHI | All Products | $1,656.00 | ↓ -24% |
| Summacare | Preferred | $1,932.00 | ↓ -11% |
| GMS | All Products | $1,932.00 | ↓ -11% |
| MMO | Traditional | $1,932.00 | ↓ -11% |
| Summacare | Medicare Advantage CNA | $1,932.00 | ↓ -11% |
| Summacare | Medicare Advantage Lower Level | $1,932.00 | ↓ -11% |
| Summacare | Medicare Advantage MD | $1,932.00 | ↓ -11% |
| Summacare | Medicare Advantage Psych | $1,932.00 | ↓ -11% |
| Summacare | Premier | $1,932.00 | ↓ -11% |
| Aetna | All Products First Health | $2,070.00 | ↓ -5% |
| Immergrun | All Products | $2,070.00 | ↓ -5% |
| Aetna | Asa | $2,208.00 | ↑ +2% |
| Multiplan | All Products | $2,484.00 | ↑ +14% |
| Aetna | Qhp/Ifp | $2,760.00 | ↑ +27% |
| Anthem | Medicare Advantage | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | Medicare Advantage | 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 | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | All Products - Mid-Level | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Aetna | ALL PRODUCTS | 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 | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted procedure eyelids at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,925.00 | $0.01 – $409.50 |
| akron general | Akron | $2,174.90 | $0.01 – $2,484.00 |
| avon hospital | Avon | not published | $168.74 – $330.32 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $275.48 – $318.98 |
| euclid hospital | Euclid | not published | $172.87 – $330.32 |
| fairview hospital | Cleveland | not published | $162.40 – $330.32 |
| lutheran hospital | Cleveland | not published | $154.61 – $330.32 |
| hillcrest hospital | Mayfield Heights | not published | $169.20 – $330.32 |