healthcosts.net
Ureteral reflux study at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,950.65
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.
$3,001.00
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% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Preferred | $16.44 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $16.44 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $19.89 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $21.50 | ↓ -99% |
| Summacare | Medicare Advantage MD | $24.03 | ↓ -99% |
| Cigna | Medicare Advantage | $26.52 | ↓ -99% |
| United | Medicare Advantage | $26.52 | ↓ -99% |
| Aetna | Medicare Advantage | $26.52 | ↓ -99% |
| Humana | Medicare Advantage HMO | $26.52 | ↓ -99% |
| Anthem | Medicare Advantage | $26.52 | ↓ -99% |
| The Health Plan | Medicare Advantage | $26.52 | ↓ -99% |
| MMO | Medicare HMO & PPO | $27.32 | ↓ -99% |
| CommuniCare | Medicare Advantage | $27.85 | ↓ -99% |
| Summacare | Premier | $27.85 | ↓ -99% |
| Perennial Health | Medicare Advantage | $28.64 | ↓ -99% |
| The Health Plan | All Products PCP | $29.17 | ↓ -99% |
| The Health Plan | All Products Specialty Physicians | $30.50 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $34.48 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $34.82 | ↓ -98% |
| United | All Products - Mid-Level | $45.07 | ↓ -98% |
| United | All Products | $50.08 | ↓ -97% |
| United | HMO & PPO | $50.08 | ↓ -97% |
| Oscar | All Products | $57.93 | ↓ -97% |
| Aultcare | PPO/HMO | $81.62 | ↓ -96% |
| OHCP | All Products | $88.69 | ↓ -95% |
| OMAS | All Products | $114.00 | ↓ -94% |
| MMO | SuperMed | $123.12 | ↓ -94% |
| United | Managed Medicaid | $135.71 | ↓ -93% |
| PHPHI | All Products | $136.80 | ↓ -93% |
| Caresource | Managed Medicaid | $139.78 | ↓ -93% |
| Buckeye | Managed Medicaid | $142.50 | ↓ -93% |
| AmeriHealth | Managed Medicaid | $149.28 | ↓ -92% |
| Molina | Managed Medicaid | $149.28 | ↓ -92% |
| MMO | Traditional | $159.60 | ↓ -92% |
| GMS | All Products | $159.60 | ↓ -92% |
| Immergrun | All Products | $171.00 | ↓ -91% |
| Aetna | All Products First Health | $171.00 | ↓ -91% |
| Aetna | Asa | $182.40 | ↓ -91% |
| Multiplan | All Products | $205.20 | ↓ -89% |
| The Health Plan | PPO | $218.71 | ↓ -89% |
| Aetna | Qhp/Ifp | $228.00 | ↓ -88% |
| UNITED | Managed Medicaid | $253.86 | ↓ -87% |
| CARESOURCE | Managed Medicaid | $261.48 | ↓ -87% |
| MOLINA | Managed Medicaid | $266.55 | ↓ -86% |
| ANTHEM | Managed Medicaid | $266.55 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $279.25 | ↓ -86% |
| The Health Plan | MEDICARE ADVANTAGE | $334.15 | ↓ -83% |
| UNITED | MEDICARE ADVANTAGE | $371.28 | ↓ -81% |
| HUMANA | Medicare Advantage HMO | $371.28 | ↓ -81% |
| Summacare | MEDICARE ADVANTAGE | $378.21 | ↓ -81% |
| ANTHEM | MEDICARE ADVANTAGE | $378.21 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $378.21 | ↓ -81% |
| CIGNA | MEDICARE ADVANTAGE | $389.56 | ↓ -80% |
| CommuniCare | MEDICARE ADVANTAGE | $397.13 | ↓ -80% |
| Perennial Health | MEDICARE ADVANTAGE | $400.99 | ↓ -79% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $408.47 | ↓ -79% |
| CIGNA | ALL PRODUCTS | $547.09 | ↓ -72% |
| MMO | ALL PRODUCTS | $624.15 | ↓ -68% |
| ANTHEM | HPN | $775.71 | ↓ -60% |
| AETNA | International | $959.83 | ↓ -51% |
| ANTHEM | Exchange | $1,069.54 | ↓ -45% |
| ANTHEM | PPO/HMO | $1,188.42 | ↓ -39% |
| UNITED | ALL PRODUCTS | $1,909.17 | ↓ -2% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +65337% |
| The Health Plan | POS | $4,036,081.00 | ↑ +206810% |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Ureteral reflux study at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,950.65 | $1.10 – $2,495.70 |
| akron general | Akron | $1,950.65 | $1.10 – $400.99 |
| University Hospitals Ahuja Medical Center | Beachwood | $1,353.75 | $378.21 – $1,624.50 |
| University Hospitals Beachwood Medical Center | Beachwood | $1,353.75 | $378.21 – $1,624.50 |
| University Hospitals Conneaut Medical Center | Conneaut | $1,251.75 | $492.30 – $503.58 |
| University Hospitals Elyria Medical Center | Elyria | $1,353.75 | $378.21 – $680.79 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $1,353.75 | $378.21 – $680.79 |
| University Hospitals Geneva Medical Center | Geneva | $1,251.75 | $492.30 – $503.58 |