Audit/dast over 30 min at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$338.00
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.
$520.00
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 $1,276,448.04 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% |
| Oscar | All Products | $6.35 | ↓ -98% |
| Aultcare | PPO/HMO | $8.95 | ↓ -97% |
| OHCP | All Products | $9.73 | ↓ -97% |
| OMAS | All Products | $12.50 | ↓ -96% |
| PHPHI | All Products | $15.00 | ↓ -96% |
| Summacare | Medicare Advantage Lower Level | $17.50 | ↓ -95% |
| GMS | All Products | $17.50 | ↓ -95% |
| Summacare | Medicare Advantage Psych | $17.50 | ↓ -95% |
| MMO | Traditional | $17.50 | ↓ -95% |
| Summacare | Preferred | $17.50 | ↓ -95% |
| Summacare | Premier | $17.50 | ↓ -95% |
| Aetna | All Products First Health | $18.75 | ↓ -94% |
| Immergrun | All Products | $18.75 | ↓ -94% |
| Aetna | Asa | $20.00 | ↓ -94% |
| Multiplan | All Products | $22.50 | ↓ -93% |
| Aetna | Qhp/Ifp | $25.00 | ↓ -93% |
| UNITED | Managed Medicaid | $38.42 | ↓ -89% |
| Buckeye | Managed Medicaid | $39.57 | ↓ -88% |
| CARESOURCE | Managed Medicaid | $39.57 | ↓ -88% |
| ANTHEM | Managed Medicaid | $40.34 | ↓ -88% |
| MOLINA | Managed Medicaid | $40.34 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $42.26 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $50.51 | ↓ -85% |
| Summacare | Medicare Advantage MD | $56.45 | ↓ -83% |
| Anthem | All Products Mid-Level Non-Facility | $75.99 | ↓ -78% |
| Cigna | All Products Mid-Level | $82.90 | ↓ -75% |
| MMO | SuperMed | $93.05 | ↓ -72% |
| Aetna | Acop | $96.03 | ↓ -72% |
| United | All Products - Mid-Level | $96.65 | ↓ -71% |
| Cigna | All Products Physician | $97.95 | ↓ -71% |
| United | HMO & PPO | $107.39 | ↓ -68% |
| United | All Products | $107.39 | ↓ -68% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +377547% |
| United | Medicare Advantage | not published by hospital | — |
| The Health Plan | All Products PCP | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| The Health Plan | All Products Radiation Oncology Physicians | not published by hospital | — |
| The Health Plan | All Products Specialty Physicians | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Audit/dast over 30 min at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $338.00 | $1.10 – $468.00 |
| akron general | Akron | $338.00 | $1.10 – $229.50 |
| University Hospitals Ahuja Medical Center | Beachwood | $100.50 | $29.61 – $120.60 |
| University Hospitals Beachwood Medical Center | Beachwood | $100.50 | $30.96 – $120.60 |
| University Hospitals Elyria Medical Center | Elyria | $100.50 | $65.60 – $118.08 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $100.50 | $65.60 – $118.08 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $100.50 | $37.39 – $118.08 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $100.50 | $65.60 – $118.08 |