Brace back pinnacle lo 627 lumbar at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$397.15
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.
$611.00
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 $867.33 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% |
| AETNA | MEDICARE ADVANTAGE | $62.13 | ↓ -84% |
| OSCAR | ALL PRODUCTS | $80.60 | ↓ -80% |
| PHPHI | ALL PRODUCTS | $91.20 | ↓ -77% |
| PHP | ALL PRODUCTS | $91.20 | ↓ -77% |
| Summacare | Preferred | $100.04 | ↓ -75% |
| Aultcare | PPO/HMO | $102.03 | ↓ -74% |
| Summacare | PREMIER | $108.87 | ↓ -73% |
| CC EHP | ALL PRODUCTS | $110.30 | ↓ -72% |
| MMO | ALL PRODUCTS | $127.68 | ↓ -68% |
| Amish Community Aid Plan | ALL PRODUCTS | $128.25 | ↓ -68% |
| ANTHEM | HPN | $130.62 | ↓ -67% |
| CIGNA | ALL PRODUCTS | $134.52 | ↓ -66% |
| ANTHEM | Exchange | $138.31 | ↓ -65% |
| OHCP | ALL PRODUCTS | $138.51 | ↓ -65% |
| Immergrun | ALL PRODUCTS | $142.50 | ↓ -64% |
| OMAS | ALL PRODUCTS | $142.50 | ↓ -64% |
| ANTHEM | PPO/HMO | $153.67 | ↓ -61% |
| Ohio Healthy | TRANSPLANT | $153.90 | ↓ -61% |
| Oscar | All Products | $155.26 | ↓ -61% |
| ANTHEM | TRADITIONAL | $157.61 | ↓ -60% |
| The Health Plan | HMO | $176.56 | ↓ -56% |
| The Health Plan | POS | $176.56 | ↓ -56% |
| The Health Plan | PPO | $181.94 | ↓ -54% |
| AETNA | Asa_Whirlpool_Peia | $199.50 | ↓ -50% |
| GMS | ALL PRODUCTS | $199.50 | ↓ -50% |
| Medical Benefit Corp | Transplant SMCP | $199.50 | ↓ -50% |
| AETNA | International | $199.50 | ↓ -50% |
| Consociate Health | ALL PRODUCTS | $213.75 | ↓ -46% |
| AETNA | ALL PRODUCTS | $213.75 | ↓ -46% |
| OHCP | All Products | $237.68 | ↓ -40% |
| The Health Plan | Self-Funded ASO | $239.40 | ↓ -40% |
| FrontPath | TRANSPLANT | $256.50 | ↓ -35% |
| Tertiary Care Network | TRANSPLANT | $256.50 | ↓ -35% |
| MULTIPLAN | ALL PRODUCTS | $256.50 | ↓ -35% |
| Managed Care Services | TRANSPLANT | $256.50 | ↓ -35% |
| AETNA | Qhp/Ipf | $285.00 | ↓ -28% |
| OMAS | All Products | $305.50 | ↓ -23% |
| United | All Products - Mid-Level | $314.35 | ↓ -21% |
| United | All Products | $314.35 | ↓ -21% |
| United | HMO & PPO | $314.35 | ↓ -21% |
| PHPHI | All Products | $366.60 | ↓ -8% |
| Summacare | Medicare Advantage MD | $427.70 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $427.70 | ↑ +8% |
| Summacare | Premier | $427.70 | ↑ +8% |
| GMS | All Products | $427.70 | ↑ +8% |
| MMO | Traditional | $427.70 | ↑ +8% |
| Summacare | Medicare Advantage CNA | $427.70 | ↑ +8% |
| Summacare | Medicare Advantage Lower Level | $427.70 | ↑ +8% |
| The Health Plan | All Products PCP | $445.71 | ↑ +12% |
| Aetna | All Products First Health | $458.25 | ↑ +15% |
| Immergrun | All Products | $458.25 | ↑ +15% |
| Aetna | Asa | $488.80 | ↑ +23% |
| Multiplan | All Products | $549.90 | ↑ +38% |
| Aetna | Qhp/Ifp | $611.00 | ↑ +54% |
| Anthem | All Products Mid-Level Non-Facility | $641.24 | ↑ +61% |
| UNITED | Managed Medicaid | $690.33 | ↑ +74% |
| Buckeye | Managed Medicaid | $711.04 | ↑ +79% |
| CARESOURCE | Managed Medicaid | $711.04 | ↑ +79% |
| MOLINA | Managed Medicaid | $724.85 | ↑ +83% |
| ANTHEM | Managed Medicaid | $724.85 | ↑ +83% |
| AMERIHEALTH | Managed Medicaid | $759.36 | ↑ +91% |
| MMO | SuperMed | $867.33 | ↑ +118% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | 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 | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Brace back pinnacle lo 627 lumbar at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $884.71 | not published |
| Anderson Hospital | Cincinnati | $884.71 | not published |
| Clermont Hospital | Batavia | $884.71 | not published |
| Kings Mills Hospital | Mason | $884.71 | not published |
| Mercy West Hospital | Cincinnati | $884.71 | not published |
| St Ritas Medical Center | Lima | $3,257.22 | not published |
| cleveland clinic main campus | Cleveland | $425.75 | $1.10 – $980.32 |
| akron general | Akron | $2,145.65 | $1.10 – $778.15 |