All tstg perq&iq drugs/biol at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$107.25
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.
$165.00
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 $165.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -99% |
| Summacare | Preferred | $4.31 | ↓ -96% |
| Summacare | Medicare Advantage Lower Level | $4.31 | ↓ -96% |
| Summacare | Medicare Advantage Psych | $4.47 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $5.64 | ↓ -95% |
| United | Managed Medicaid | $5.66 | ↓ -95% |
| Caresource | Managed Medicaid | $5.83 | ↓ -95% |
| Buckeye | Managed Medicaid | $5.94 | ↓ -94% |
| United | Medicare Advantage | $5.96 | ↓ -94% |
| Cigna | Medicare Advantage | $5.96 | ↓ -94% |
| Humana | Medicare Advantage HMO | $5.96 | ↓ -94% |
| The Health Plan | Medicare Advantage | $5.96 | ↓ -94% |
| Anthem | Medicare Advantage | $5.96 | ↓ -94% |
| Aetna | Medicare Advantage | $5.96 | ↓ -94% |
| MMO | Medicare HMO & PPO | $6.14 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $6.23 | ↓ -94% |
| Molina | Managed Medicaid | $6.23 | ↓ -94% |
| Summacare | Premier | $6.26 | ↓ -94% |
| CommuniCare | Medicare Advantage | $6.26 | ↓ -94% |
| Summacare | Medicare Advantage MD | $6.30 | ↓ -94% |
| Perennial Health | Medicare Advantage | $6.44 | ↓ -94% |
| The Health Plan | All Products PCP | $6.56 | ↓ -94% |
| The Health Plan | All Products Specialty Physicians | $6.85 | ↓ -94% |
| The Health Plan | All Products Radiation Oncology Physicians | $7.75 | ↓ -93% |
| United | All Products - Mid-Level | $23.50 | ↓ -78% |
| Cigna | All Products Mid-Level | $24.18 | ↓ -77% |
| Anthem | All Products Mid-Level Non-Facility | $25.86 | ↓ -76% |
| United | All Products | $26.11 | ↓ -76% |
| United | HMO & PPO | $26.11 | ↓ -76% |
| Cigna | All Products Physician | $28.57 | ↓ -73% |
| Aetna | Acop | $28.85 | ↓ -73% |
| The Health Plan | MEDICARE ADVANTAGE | $32.64 | ↓ -70% |
| AETNA | MEDICARE ADVANTAGE | $35.34 | ↓ -67% |
| Summacare | MEDICARE ADVANTAGE | $35.34 | ↓ -67% |
| ANTHEM | MEDICARE ADVANTAGE | $35.34 | ↓ -67% |
| UNITED | MEDICARE ADVANTAGE | $36.27 | ↓ -66% |
| HUMANA | Medicare Advantage HMO | $36.27 | ↓ -66% |
| CIGNA | MEDICARE ADVANTAGE | $36.40 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $37.10 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $38.16 | ↓ -64% |
| Perennial Health | MEDICARE ADVANTAGE | $39.17 | ↓ -63% |
| Oscar | All Products | $41.93 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $46.66 | ↓ -56% |
| PHP | ALL PRODUCTS | $52.80 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $52.80 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $55.77 | ↓ -48% |
| Aultcare | PPO/HMO | $59.07 | ↓ -45% |
| Summacare | PREMIER | $63.03 | ↓ -41% |
| OHCP | All Products | $64.19 | ↓ -40% |
| MMO | SuperMed | $68.10 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $74.25 | ↓ -31% |
| ANTHEM | HPN | $75.62 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $77.88 | ↓ -27% |
| ANTHEM | Exchange | $80.07 | ↓ -25% |
| MMO | ALL PRODUCTS | $80.07 | ↓ -25% |
| OHCP | ALL PRODUCTS | $80.19 | ↓ -25% |
| OMAS | ALL PRODUCTS | $82.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $82.50 | ↓ -23% |
| OMAS | All Products | $82.50 | ↓ -23% |
| ANTHEM | PPO/HMO | $88.97 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $89.10 | ↓ -17% |
| ANTHEM | TRADITIONAL | $91.25 | ↓ -15% |
| PHPHI | All Products | $99.00 | ↓ -8% |
| UNITED | ALL PRODUCTS | $99.83 | ↓ -7% |
| The Health Plan | PPO | $105.34 | ↓ -2% |
| AETNA | Asa_Whirlpool_Peia | $115.50 | ↑ +8% |
| MMO | Traditional | $115.50 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $115.50 | ↑ +8% |
| GMS | ALL PRODUCTS | $115.50 | ↑ +8% |
| GMS | All Products | $115.50 | ↑ +8% |
| AETNA | International | $115.50 | ↑ +8% |
| AETNA | ALL PRODUCTS | $123.75 | ↑ +15% |
| Immergrun | All Products | $123.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $123.75 | ↑ +15% |
| Aetna | All Products First Health | $123.75 | ↑ +15% |
| UNITED | Managed Medicaid | $125.93 | ↑ +17% |
| CARESOURCE | Managed Medicaid | $129.71 | ↑ +21% |
| Aetna | Asa | $132.00 | ↑ +23% |
| ANTHEM | Managed Medicaid | $132.23 | ↑ +23% |
| MOLINA | Managed Medicaid | $132.23 | ↑ +23% |
| AMERIHEALTH | Managed Medicaid | $138.52 | ↑ +29% |
| The Health Plan | Self-Funded ASO | $138.60 | ↑ +29% |
| Multiplan | All Products | $148.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $148.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $148.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $148.50 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $148.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $165.00 | ↑ +54% |
| The Health Plan | HMO | $165.00 | ↑ +54% |
| The Health Plan | POS | $165.00 | ↑ +54% |
| Aetna | Qhp/Ifp | $165.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
All tstg perq&iq drugs/biol at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $107.25 | $1.10 – $178.84 |
| akron general | Akron | $107.25 | $1.10 – $148.50 |
| avon hospital | Avon | $107.25 | $13.19 – $148.50 |
| euclid hospital | Euclid | $107.25 | $13.19 – $155.98 |
| fairview hospital | Cleveland | $107.25 | $11.27 – $148.50 |
| lutheran hospital | Cleveland | $107.25 | $13.19 – $148.50 |
| hillcrest hospital | Mayfield Heights | $107.25 | $11.27 – $152.66 |
| marymount hospital | Garfield Heights | $107.25 | $13.19 – $148.50 |