healthcosts.net
Av fusion direct any site at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,094.00
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.
$4,760.00
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 $5,442.30 with MMO — 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 | $317.12 | ↓ -90% |
| Summacare | Medicare Advantage Lower Level | $401.49 | ↓ -87% |
| Summacare | Preferred | $401.49 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $445.97 | ↓ -86% |
| Aultcare | PPO/HMO | $446.78 | ↓ -86% |
| United | Managed Medicaid | $457.96 | ↓ -85% |
| Caresource | Managed Medicaid | $471.70 | ↓ -85% |
| Buckeye | Managed Medicaid | $480.86 | ↓ -84% |
| OHCP | All Products | $485.47 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $503.76 | ↓ -84% |
| Molina | Managed Medicaid | $503.76 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $525.02 | ↓ -83% |
| Summacare | Medicare Advantage MD | $586.79 | ↓ -81% |
| United | Medicare Advantage | $594.63 | ↓ -81% |
| The Health Plan | Medicare Advantage | $594.63 | ↓ -81% |
| Humana | Medicare Advantage HMO | $594.63 | ↓ -81% |
| Anthem | Medicare Advantage | $594.63 | ↓ -81% |
| Cigna | Medicare Advantage | $594.63 | ↓ -81% |
| Aetna | Medicare Advantage | $594.63 | ↓ -81% |
| MMO | Medicare HMO & PPO | $612.47 | ↓ -80% |
| OMAS | All Products | $624.00 | ↓ -80% |
| Summacare | Premier | $624.36 | ↓ -80% |
| CommuniCare | Medicare Advantage | $624.36 | ↓ -80% |
| Perennial Health | Medicare Advantage | $642.20 | ↓ -79% |
| The Health Plan | All Products PCP | $654.09 | ↓ -79% |
| The Health Plan | All Products Specialty Physicians | $683.82 | ↓ -78% |
| PHPHI | All Products | $748.80 | ↓ -76% |
| The Health Plan | All Products Radiation Oncology Physicians | $773.02 | ↓ -75% |
| MMO | Traditional | $873.60 | ↓ -72% |
| GMS | All Products | $873.60 | ↓ -72% |
| Anthem | All Products Mid-Level Non-Facility | $882.23 | ↓ -71% |
| Aetna | All Products First Health | $936.00 | ↓ -70% |
| Immergrun | All Products | $936.00 | ↓ -70% |
| Aetna | Asa | $998.40 | ↓ -68% |
| Multiplan | All Products | $1,123.20 | ↓ -64% |
| Aetna | Qhp/Ifp | $1,248.00 | ↓ -60% |
| United | All Products - Mid-Level | $1,457.67 | ↓ -53% |
| United | HMO & PPO | $1,619.63 | ↓ -48% |
| United | All Products | $1,619.63 | ↓ -48% |
| UNITED | Managed Medicaid | $2,571.20 | ↓ -17% |
| The Health Plan | MEDICARE ADVANTAGE | $2,617.40 | ↓ -15% |
| CARESOURCE | Managed Medicaid | $2,648.34 | ↓ -14% |
| ANTHEM | Managed Medicaid | $2,699.76 | ↓ -13% |
| MOLINA | Managed Medicaid | $2,699.76 | ↓ -13% |
| AMERIHEALTH | Managed Medicaid | $2,828.32 | ↓ -9% |
| UNITED | MEDICARE ADVANTAGE | $2,908.23 | ↓ -6% |
| HUMANA | Medicare Advantage HMO | $2,908.23 | ↓ -6% |
| AETNA | MEDICARE ADVANTAGE | $2,987.22 | ↓ -3% |
| ANTHEM | MEDICARE ADVANTAGE | $2,987.22 | ↓ -3% |
| Summacare | MEDICARE ADVANTAGE | $2,987.22 | ↓ -3% |
| CIGNA | MEDICARE ADVANTAGE | $3,076.84 | ↓ -1% |
| CommuniCare | MEDICARE ADVANTAGE | $3,136.58 | ↑ +1% |
| Perennial Health | MEDICARE ADVANTAGE | $3,140.89 | ↑ +2% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,226.20 | ↑ +4% |
| MMO | ALL PRODUCTS | $4,823.68 | ↑ +56% |
| MMO | SuperMed | $5,442.30 | ↑ +76% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Av fusion direct any site at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,094.00 | $1.10 – $4,284.00 |
| akron general | Akron | $3,094.00 | $1.10 – $3,140.89 |
| avon hospital | Avon | not published | $2,684.51 – $3,285.94 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,382.84 – $5,074.87 |
| euclid hospital | Euclid | not published | $2,750.35 – $3,285.94 |
| fairview hospital | Cleveland | not published | $2,583.82 – $3,285.94 |
| lutheran hospital | Cleveland | not published | $2,459.88 – $3,285.94 |
| hillcrest hospital | Mayfield Heights | not published | $2,691.94 – $3,285.94 |