Caregiver health risk assmt at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$57.85
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.
?
What you pay up front if you don't use insurance.
$89.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.01 with CIGNA vs $89.00 with The Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $1.72 | ↓ -97% |
| Summacare | Preferred | $1.72 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $2.25 | ↓ -96% |
| Summacare | Medicare Advantage Psych | $2.30 | ↓ -96% |
| Summacare | Medicare Advantage MD | $2.52 | ↓ -96% |
| United | Managed Medicaid | $2.67 | ↓ -95% |
| Caresource | Managed Medicaid | $2.75 | ↓ -95% |
| Buckeye | Managed Medicaid | $2.80 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $2.94 | ↓ -95% |
| Molina | Managed Medicaid | $2.94 | ↓ -95% |
| The Health Plan | Medicare Advantage | $3.06 | ↓ -95% |
| Anthem | Medicare Advantage | $3.06 | ↓ -95% |
| Humana | Medicare Advantage HMO | $3.06 | ↓ -95% |
| United | Medicare Advantage | $3.06 | ↓ -95% |
| Cigna | Medicare Advantage | $3.06 | ↓ -95% |
| Aetna | Medicare Advantage | $3.06 | ↓ -95% |
| MMO | Medicare HMO & PPO | $3.15 | ↓ -95% |
| Summacare | Premier | $3.18 | ↓ -95% |
| CommuniCare | Medicare Advantage | $3.21 | ↓ -94% |
| Perennial Health | Medicare Advantage | $3.30 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $3.36 | ↓ -94% |
| The Health Plan | All Products PCP | $3.37 | ↓ -94% |
| The Health Plan | All Products Specialty Physicians | $3.52 | ↓ -94% |
| The Health Plan | All Products Radiation Oncology Physicians | $3.98 | ↓ -93% |
| United | All Products - Mid-Level | $6.51 | ↓ -89% |
| United | HMO & PPO | $7.23 | ↓ -88% |
| United | All Products | $7.23 | ↓ -88% |
| Oscar | All Products | $22.61 | ↓ -61% |
| The Health Plan | MEDICARE ADVANTAGE | $24.77 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $25.17 | ↓ -56% |
| HUMANA | Medicare Advantage HMO | $27.53 | ↓ -52% |
| UNITED | MEDICARE ADVANTAGE | $27.53 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $28.48 | ↓ -51% |
| PHP | ALL PRODUCTS | $28.48 | ↓ -51% |
| Perennial Health | MEDICARE ADVANTAGE | $29.73 | ↓ -49% |
| CC EHP | ALL PRODUCTS | $30.08 | ↓ -48% |
| Aultcare | PPO/HMO | $31.86 | ↓ -45% |
| Summacare | PREMIER | $34.00 | ↓ -41% |
| OHCP | All Products | $34.62 | ↓ -40% |
| ANTHEM | MEDICARE ADVANTAGE | $35.45 | ↓ -39% |
| AETNA | MEDICARE ADVANTAGE | $35.45 | ↓ -39% |
| Summacare | MEDICARE ADVANTAGE | $35.45 | ↓ -39% |
| CIGNA | MEDICARE ADVANTAGE | $36.51 | ↓ -37% |
| CommuniCare | MEDICARE ADVANTAGE | $37.22 | ↓ -36% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $38.28 | ↓ -34% |
| UNITED | Managed Medicaid | $38.42 | ↓ -34% |
| CARESOURCE | Managed Medicaid | $39.57 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $40.05 | ↓ -31% |
| ANTHEM | Managed Medicaid | $40.34 | ↓ -30% |
| MOLINA | Managed Medicaid | $40.34 | ↓ -30% |
| ANTHEM | HPN | $40.79 | ↓ -29% |
| AMERIHEALTH | Managed Medicaid | $42.26 | ↓ -27% |
| MMO | SuperMed | $42.27 | ↓ -27% |
| ANTHEM | Exchange | $43.19 | ↓ -25% |
| OHCP | ALL PRODUCTS | $43.25 | ↓ -25% |
| Immergrun | ALL PRODUCTS | $44.50 | ↓ -23% |
| OMAS | All Products | $44.50 | ↓ -23% |
| OMAS | ALL PRODUCTS | $44.50 | ↓ -23% |
| ANTHEM | PPO/HMO | $47.99 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $48.06 | ↓ -17% |
| ANTHEM | TRADITIONAL | $49.22 | ↓ -15% |
| PHPHI | All Products | $53.40 | ↓ -8% |
| AETNA | Asa_Whirlpool_Peia | $56.71 | ↓ -2% |
| The Health Plan | PPO | $56.82 | ↓ -2% |
| MMO | ALL PRODUCTS | $57.29 | ↓ -1% |
| AETNA | International | $60.00 | ↑ +4% |
| Medical Benefit Corp | Transplant SMCP | $62.30 | ↑ +8% |
| GMS | ALL PRODUCTS | $62.30 | ↑ +8% |
| GMS | All Products | $62.30 | ↑ +8% |
| MMO | Traditional | $62.30 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $66.75 | ↑ +15% |
| Aetna | All Products First Health | $66.75 | ↑ +15% |
| Immergrun | All Products | $66.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $66.75 | ↑ +15% |
| Aetna | Asa | $71.20 | ↑ +23% |
| The Health Plan | Self-Funded ASO | $74.76 | ↑ +29% |
| Multiplan | All Products | $80.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $80.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $80.10 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $80.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $80.10 | ↑ +38% |
| AETNA | Qhp/Ipf | $89.00 | ↑ +54% |
| Aetna | Qhp/Ifp | $89.00 | ↑ +54% |
| The Health Plan | HMO | $89.00 | ↑ +54% |
| The Health Plan | POS | $89.00 | ↑ +54% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Caregiver health risk assmt at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $57.85 | $0.01 – $80.10 |
| akron general | Akron | $57.85 | $0.01 – $80.10 |
| avon hospital | Avon | $57.85 | $0.01 – $80.10 |
| euclid hospital | Euclid | $57.85 | $0.01 – $80.10 |
| fairview hospital | Cleveland | $57.85 | $0.01 – $80.10 |
| lutheran hospital | Cleveland | $57.85 | $0.01 – $80.10 |
| hillcrest hospital | Mayfield Heights | $57.85 | $0.01 – $80.10 |
| marymount hospital | Garfield Heights | $57.85 | $0.01 – $80.10 |