Alcohol/subs interv >30 min at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$371.80
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.
?
What you pay up front if you don't use insurance.
$572.00
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.
?
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
?
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 →
?
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% |
| Summacare | Medicare Advantage Lower Level | $38.04 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $40.94 | ↓ -89% |
| Summacare | Preferred | $43.90 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $49.75 | ↓ -87% |
| United | Managed Medicaid | $50.06 | ↓ -87% |
| Caresource | Managed Medicaid | $51.56 | ↓ -86% |
| Buckeye | Managed Medicaid | $52.56 | ↓ -86% |
| Anthem | Medicare Advantage | $54.59 | ↓ -85% |
| United | Medicare Advantage | $54.59 | ↓ -85% |
| Humana | Medicare Advantage HMO | $54.59 | ↓ -85% |
| Cigna | Medicare Advantage | $54.59 | ↓ -85% |
| The Health Plan | Medicare Advantage | $54.59 | ↓ -85% |
| Aetna | Medicare Advantage | $54.59 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $55.07 | ↓ -85% |
| Molina | Managed Medicaid | $55.07 | ↓ -85% |
| Summacare | Medicare Advantage MD | $55.60 | ↓ -85% |
| MMO | Medicare HMO & PPO | $56.23 | ↓ -85% |
| CommuniCare | Medicare Advantage | $57.32 | ↓ -85% |
| Summacare | Premier | $57.32 | ↓ -85% |
| The Health Plan | PPO | $58.41 | ↓ -84% |
| Perennial Health | Medicare Advantage | $58.96 | ↓ -84% |
| The Health Plan | All Products PCP | $60.05 | ↓ -84% |
| The Health Plan | All Products Specialty Physicians | $62.78 | ↓ -83% |
| The Health Plan | All Products Radiation Oncology Physicians | $70.97 | ↓ -81% |
| Anthem | All Products Mid-Level Non-Facility | $91.04 | ↓ -76% |
| Aetna | Acop | $93.28 | ↓ -75% |
| UNITED | Managed Medicaid | $97.01 | ↓ -74% |
| United | All Products - Mid-Level | $98.26 | ↓ -74% |
| CARESOURCE | Managed Medicaid | $99.92 | ↓ -73% |
| ANTHEM | Managed Medicaid | $101.86 | ↓ -73% |
| MOLINA | Managed Medicaid | $101.86 | ↓ -73% |
| AMERIHEALTH | Managed Medicaid | $106.71 | ↓ -71% |
| United | HMO & PPO | $109.18 | ↓ -71% |
| United | All Products | $109.18 | ↓ -71% |
| The Health Plan | MEDICARE ADVANTAGE | $133.61 | ↓ -64% |
| Oscar | All Products | $145.35 | ↓ -61% |
| UNITED | MEDICARE ADVANTAGE | $148.46 | ↓ -60% |
| HUMANA | Medicare Advantage HMO | $148.46 | ↓ -60% |
| Perennial Health | MEDICARE ADVANTAGE | $160.33 | ↓ -57% |
| ANTHEM | MEDICARE ADVANTAGE | $167.92 | ↓ -55% |
| Summacare | MEDICARE ADVANTAGE | $167.92 | ↓ -55% |
| AETNA | MEDICARE ADVANTAGE | $167.92 | ↓ -55% |
| CIGNA | MEDICARE ADVANTAGE | $172.96 | ↓ -53% |
| CommuniCare | MEDICARE ADVANTAGE | $176.32 | ↓ -53% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $181.36 | ↓ -51% |
| Aultcare | PPO/HMO | $204.78 | ↓ -45% |
| OHCP | All Products | $222.51 | ↓ -40% |
| MMO | ALL PRODUCTS | $241.28 | ↓ -35% |
| MMO | SuperMed | $272.38 | ↓ -27% |
| OMAS | All Products | $286.00 | ↓ -23% |
| PHPHI | All Products | $343.20 | ↓ -8% |
| GMS | All Products | $400.40 | ↑ +8% |
| MMO | Traditional | $400.40 | ↑ +8% |
| Aetna | All Products First Health | $429.00 | ↑ +15% |
| Immergrun | All Products | $429.00 | ↑ +15% |
| Aetna | Asa | $457.60 | ↑ +23% |
| Multiplan | All Products | $514.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $572.00 | ↑ +54% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +343216% |
| The Health Plan | POS | $4,036,081.00 | ↑ +1085452% |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Alcohol/subs interv >30 min at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $60.01 | $72.60 – $93.17 |
| cleveland clinic main campus | Cleveland | $371.80 | $1.10 – $514.80 |
| akron general | Akron | $371.80 | $1.10 – $514.80 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $100.50 | $35.00 – $335.85 |
| Allen Hospital | Oberlin | $249.00 | not published |
| Urbana Hospital | Urbana | $64.20 | not published |
| avon hospital | Avon | not published | $101.28 – $184.72 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $165.36 – $191.47 |