Ercp remove forgn body duct 43275 at St Elizabeth Boardman Hospital
8401 Market St., Youngstown, OH · Mercy · · NPI 1790868982
$11,128.64
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.
$18,547.73
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.
$1,815.43 with HUMANA MEDICARE [1010] vs $1,851.74 with CARESOURCE MYCARE OHIO [4236] — 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 |
|---|---|---|---|
| HUMANA MEDICARE [1010] | HUMANA CHOICE-PPO MEDICARE [101003] | $1,815.43 | ↓ -84% |
| AETNA MEDICARE [1003] | AETNA MEDICARE-ADVANTAGE PPO [103002] | $1,815.43 | ↓ -84% |
| UHC MEDICARE [1011] | UHC MEDICARE COMPLETE [44] | $1,815.43 | ↓ -84% |
| AETNA MEDICARE [1003] | AETNA MEDICARE ADVANTAGE HMO [103003] | $1,815.43 | ↓ -84% |
| HUMANA MEDICARE [1010] | HUMANA GOLD PLUS HMO [101001] | $1,815.43 | ↓ -84% |
| UHC MEDICARE [1011] | UHC AARP MEDICARE ADVANTAGE [1011017] | $1,815.43 | ↓ -84% |
| CARESOURCE MYCARE OHIO [4236] | CARESOURCE MYCARE OHIO DUAL [4236001] | $1,851.74 | ↓ -83% |
Visitor-reported prices
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Ercp remove forgn body duct 43275 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Elizabeth Youngstown Hospital | Youngstown | $16,574.63 | $3,729.35 – $3,803.93 |
| Jewish Hospital | Cincinnati | $11,798.17 | $1,870.01 – $1,907.41 |
| Anderson Hospital | Cincinnati | $10,817.61 | $3,757.24 – $3,757.24 |
| Clermont Hospital | Batavia | $16,521.64 | $3,757.24 – $3,757.24 |
| Kings Mills Hospital | Mason | $18,118.24 | $1,870.01 – $1,907.41 |
| Mercy West Hospital | Cincinnati | $17,455.34 | $3,822.46 – $3,898.91 |
| St Ritas Medical Center | Lima | $16,373.12 | $3,822.46 – $3,898.91 |
| cleveland clinic main campus | Cleveland | $5,671.90 | $1.10 – $7,853.40 |