healthcosts.net
Bx breast add lesion mr imag at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$520.65
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.
$801.00
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 $4,036,081.00 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% |
| Summacare | Medicare Advantage Lower Level | $54.39 | ↓ -90% |
| Summacare | Preferred | $54.39 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $56.23 | ↓ -89% |
| United | Managed Medicaid | $68.15 | ↓ -87% |
| Caresource | Managed Medicaid | $70.19 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $71.12 | ↓ -86% |
| Buckeye | Managed Medicaid | $71.56 | ↓ -86% |
| Molina | Managed Medicaid | $74.97 | ↓ -86% |
| United | Medicare Advantage | $74.97 | ↓ -86% |
| Aetna | Medicare Advantage | $74.97 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $74.97 | ↓ -86% |
| The Health Plan | Medicare Advantage | $74.97 | ↓ -86% |
| Anthem | Medicare Advantage | $74.97 | ↓ -86% |
| Cigna | Medicare Advantage | $74.97 | ↓ -86% |
| Humana | Medicare Advantage HMO | $74.97 | ↓ -86% |
| MMO | Medicare HMO & PPO | $77.22 | ↓ -85% |
| CommuniCare | Medicare Advantage | $78.72 | ↓ -85% |
| Summacare | Premier | $78.72 | ↓ -85% |
| Summacare | Medicare Advantage MD | $79.49 | ↓ -85% |
| The Health Plan | PPO | $80.22 | ↓ -85% |
| Perennial Health | Medicare Advantage | $80.97 | ↓ -84% |
| The Health Plan | All Products PCP | $82.47 | ↓ -84% |
| The Health Plan | All Products Specialty Physicians | $86.22 | ↓ -83% |
| The Health Plan | All Products Radiation Oncology Physicians | $97.46 | ↓ -81% |
| Oscar | All Products | $203.53 | ↓ -61% |
| Aultcare | PPO/HMO | $286.76 | ↓ -45% |
| OHCP | All Products | $311.59 | ↓ -40% |
| OMAS | All Products | $400.50 | ↓ -23% |
| MMO | SuperMed | $432.54 | ↓ -17% |
| PHPHI | All Products | $480.60 | ↓ -8% |
| GMS | All Products | $560.70 | ↑ +8% |
| MMO | Traditional | $560.70 | ↑ +8% |
| Aetna | All Products First Health | $600.75 | ↑ +15% |
| Immergrun | All Products | $600.75 | ↑ +15% |
| Aetna | Asa | $640.80 | ↑ +23% |
| Cigna | All Products Mid-Level | $720.72 | ↑ +38% |
| Multiplan | All Products | $720.90 | ↑ +38% |
| Anthem | All Products Mid-Level Non-Facility | $770.82 | ↑ +48% |
| Aetna | Qhp/Ifp | $801.00 | ↑ +54% |
| UNITED | Managed Medicaid | $841.30 | ↑ +62% |
| Cigna | All Products Physician | $851.61 | ↑ +64% |
| CARESOURCE | Managed Medicaid | $866.54 | ↑ +66% |
| ANTHEM | Managed Medicaid | $883.37 | ↑ +70% |
| MOLINA | Managed Medicaid | $883.37 | ↑ +70% |
| AMERIHEALTH | Managed Medicaid | $925.43 | ↑ +78% |
| Aetna | Acop | $1,024.81 | ↑ +97% |
| United | All Products - Mid-Level | $1,233.17 | ↑ +137% |
| United | All Products | $1,370.19 | ↑ +163% |
| United | HMO & PPO | $1,370.19 | ↑ +163% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +245064% |
| The Health Plan | POS | $4,036,081.00 | ↑ +775100% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Bx breast add lesion mr imag at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,626.95 | $1.10 – $2,252.70 |
| akron general | Akron | $1,626.95 | $1.10 – $2,252.70 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,008.25 | $494.85 – $3,609.90 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,008.25 | $241.04 – $3,609.90 |
| University Hospitals Conneaut Medical Center | Conneaut | $2,781.75 | not published |
| University Hospitals Elyria Medical Center | Elyria | $3,008.25 | $510.68 – $919.22 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,008.25 | $510.68 – $919.22 |
| University Hospitals Geneva Medical Center | Geneva | $2,781.75 | not published |