healthcosts.net
Ercp stent exchange w/dilate at marymount hospital
12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737
$17,798.95
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.
$27,383.00
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.
$885.04 with ANTHEM vs $27,383.00 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 | PPO/HMO | $885.04 | ↓ -95% |
| OPTUM | Managed Medicaid Transplant | $2,205.23 | ↓ -88% |
| Paramount | Managed Medicaid | $2,390.93 | ↓ -87% |
| ANTHEM | Managed Medicaid | $2,437.35 | ↓ -86% |
| MOLINA | Managed Medicaid | $2,437.35 | ↓ -86% |
| Buckeye | Managed Medicaid | $2,437.35 | ↓ -86% |
| United BH | Managed Medicaid | $2,460.57 | ↓ -86% |
| UNITED | Managed Medicaid | $2,483.78 | ↓ -86% |
| CARESOURCE | Managed Medicaid | $2,483.78 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $2,553.42 | ↓ -86% |
| MMO | ALL PRODUCTS | $2,593.00 | ↓ -85% |
| UNITED | MEDICARE ADVANTAGE | $4,944.41 | ↓ -72% |
| AETNA | Acop | $5,355.00 | ↓ -70% |
| ANTHEM | MEDICARE ADVANTAGE | $5,518.49 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $5,518.49 | ↓ -69% |
| OPTUM | Medicare Advantage Transplant | $5,518.49 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $5,518.49 | ↓ -69% |
| OPTUM | All Products VA | $5,518.49 | ↓ -69% |
| MMO | Medicare Advantage HMO | $5,518.49 | ↓ -69% |
| UNITED | ALL PRODUCTS | $5,553.00 | ↓ -69% |
| AETNA | Asa_Whirlpool_Peia | $5,653.00 | ↓ -68% |
| MMO | Medicare Advantage PPO | $5,684.05 | ↓ -68% |
| Valor | HMO & PPO | $5,743.54 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $5,743.54 | ↓ -68% |
| UPMC | MEDICARE ADVANTAGE | $5,743.54 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $5,743.54 | ↓ -68% |
| DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,743.54 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $5,915.84 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $5,959.97 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $6,030.71 | ↓ -66% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $6,203.02 | ↓ -65% |
| Zing Health | Medicare Advantage | $6,317.89 | ↓ -65% |
| PPHP | ALL PRODUCTS | $6,317.89 | ↓ -65% |
| AETNA | International | $6,410.00 | ↓ -64% |
| OSCAR | ALL PRODUCTS | $7,743.91 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $8,762.56 | ↓ -51% |
| PHP | ALL PRODUCTS | $8,762.56 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $9,255.45 | ↓ -48% |
| Summacare | Preferred | $9,584.05 | ↓ -46% |
| CIGNA | ALL PRODUCTS | $10,235.00 | ↓ -42% |
| Summacare | PREMIER | $10,432.92 | ↓ -41% |
| Aultcare | PPO/HMO | $11,336.56 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $12,322.35 | ↓ -31% |
| OHCP | ALL PRODUCTS | $13,308.14 | ↓ -25% |
| OMAS | ALL PRODUCTS | $13,691.50 | ↓ -23% |
| MMO | NASCO | $14,321.31 | ↓ -20% |
| MMO | TRADITIONAL | $14,321.31 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $14,786.82 | ↓ -17% |
| HEALTHSMART | ALL PRODUCTS | $15,060.65 | ↓ -15% |
| ANTHEM | TRADITIONAL | $15,348.17 | ↓ -14% |
| OPTUM | All Products Transplant | $15,498.78 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $16,429.80 | ↓ -8% |
| UPMC | ALL PRODUCTS | $16,429.80 | ↓ -8% |
| THREE RIVERS | ALL PRODUCTS | $17,798.95 | ↑ +0% |
| Medical Benefit Corp | Transplant SMCP | $19,168.10 | ↑ +8% |
| GMS | ALL PRODUCTS | $19,168.10 | ↑ +8% |
| Quality Care Partners | ALL PRODUCTS | $19,168.10 | ↑ +8% |
| AETNA | ALL PRODUCTS | $20,537.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $20,537.25 | ↑ +15% |
| Evernorth (Cigna BH) | All Products Psychiatrist | $21,906.40 | ↑ +23% |
| Humana Military | ALL PRODUCTS | $23,275.55 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $24,644.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $24,644.70 | ↑ +38% |
| USA Managed Care | ALL PRODUCTS | $24,644.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $24,644.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $24,644.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $27,383.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| United BH | MEDICARE ADVANTAGE | not published by hospital | — |
| United BH | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ercp stent exchange w/dilate at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $17,798.95 | $1.10 – $24,644.70 |
| akron general | Akron | $2,528.50 | $1.10 – $5,940.30 |
| avon hospital | Avon | $17,798.95 | $885.04 – $24,644.70 |
| euclid hospital | Euclid | $17,798.95 | $885.04 – $24,644.70 |
| fairview hospital | Cleveland | $17,798.95 | $755.98 – $24,644.70 |
| lutheran hospital | Cleveland | $17,798.95 | $885.04 – $24,644.70 |
| hillcrest hospital | Mayfield Heights | $17,798.95 | $755.98 – $24,644.70 |
| medina hospital | Medina | $17,798.95 | $600.57 – $24,644.70 |