Clsd tx mandibular fx without manip 21450 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,522.95
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.
$2,343.00
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 $6,561.00 with AETNA — 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% |
| UNITED | Managed Medicaid | $240.62 | ↓ -84% |
| Buckeye | Managed Medicaid | $247.84 | ↓ -84% |
| CARESOURCE | Managed Medicaid | $247.84 | ↓ -84% |
| United | Managed Medicaid | $250.90 | ↓ -84% |
| MOLINA | Managed Medicaid | $252.65 | ↓ -83% |
| ANTHEM | Managed Medicaid | $252.65 | ↓ -83% |
| Caresource | Managed Medicaid | $258.43 | ↓ -83% |
| AMERIHEALTH | Managed Medicaid | $264.68 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $275.99 | ↓ -82% |
| Molina | Managed Medicaid | $275.99 | ↓ -82% |
| Summacare | Medicare Advantage Lower Level | $284.64 | ↓ -81% |
| Summacare | Preferred | $284.64 | ↓ -81% |
| Summacare | Medicare Advantage Psych | $325.42 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $372.22 | ↓ -76% |
| Oscar | All Products | $377.08 | ↓ -75% |
| Summacare | Medicare Advantage MD | $416.01 | ↓ -73% |
| The Health Plan | MEDICARE ADVANTAGE | $423.48 | ↓ -72% |
| Humana | Medicare Advantage HMO | $433.89 | ↓ -72% |
| Aetna | Medicare Advantage | $433.89 | ↓ -72% |
| United | Medicare Advantage | $433.89 | ↓ -72% |
| The Health Plan | Medicare Advantage | $433.89 | ↓ -72% |
| Anthem | Medicare Advantage | $433.89 | ↓ -72% |
| Cigna | Medicare Advantage | $433.89 | ↓ -72% |
| MMO | Medicare HMO & PPO | $446.91 | ↓ -71% |
| Summacare | Premier | $455.58 | ↓ -70% |
| CommuniCare | Medicare Advantage | $455.58 | ↓ -70% |
| Perennial Health | Medicare Advantage | $468.60 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $470.54 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $470.54 | ↓ -69% |
| The Health Plan | All Products PCP | $477.28 | ↓ -69% |
| The Health Plan | All Products Specialty Physicians | $498.97 | ↓ -67% |
| Perennial Health | MEDICARE ADVANTAGE | $508.18 | ↓ -67% |
| ANTHEM | MEDICARE ADVANTAGE | $510.25 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $510.25 | ↓ -66% |
| Summacare | MEDICARE ADVANTAGE | $510.25 | ↓ -66% |
| CIGNA | MEDICARE ADVANTAGE | $525.55 | ↓ -65% |
| Aultcare | PPO/HMO | $531.27 | ↓ -65% |
| CommuniCare | MEDICARE ADVANTAGE | $535.76 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $551.07 | ↓ -64% |
| The Health Plan | All Products Radiation Oncology Physicians | $564.06 | ↓ -63% |
| OHCP | All Products | $577.28 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $662.60 | ↓ -56% |
| Cigna | All Products Mid-Level | $716.09 | ↓ -53% |
| OMAS | All Products | $742.00 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $749.76 | ↓ -51% |
| PHP | ALL PRODUCTS | $749.76 | ↓ -51% |
| Anthem | All Products Mid-Level Non-Facility | $765.88 | ↓ -50% |
| Aetna | Acop | $779.42 | ↓ -49% |
| CC EHP | ALL PRODUCTS | $791.93 | ↓ -48% |
| The Health Plan | PPO | $803.25 | ↓ -47% |
| Cigna | All Products Physician | $846.14 | ↓ -44% |
| PHPHI | All Products | $890.40 | ↓ -42% |
| Summacare | PREMIER | $895.03 | ↓ -41% |
| MMO | SuperMed | $939.01 | ↓ -38% |
| MMO | Traditional | $1,038.80 | ↓ -32% |
| GMS | All Products | $1,038.80 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,054.35 | ↓ -31% |
| MMO | ALL PRODUCTS | $1,098.51 | ↓ -28% |
| CIGNA | ALL PRODUCTS | $1,105.90 | ↓ -27% |
| Immergrun | All Products | $1,113.00 | ↓ -27% |
| Aetna | All Products First Health | $1,113.00 | ↓ -27% |
| OHCP | ALL PRODUCTS | $1,138.70 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,171.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $1,171.50 | ↓ -23% |
| Aetna | Asa | $1,187.20 | ↓ -22% |
| United | All Products - Mid-Level | $1,261.81 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $1,265.22 | ↓ -17% |
| ANTHEM | TRADITIONAL | $1,295.68 | ↓ -15% |
| Multiplan | All Products | $1,335.60 | ↓ -12% |
| ANTHEM | HPN | $1,379.00 | ↓ -9% |
| United | All Products | $1,402.02 | ↓ -8% |
| United | HMO & PPO | $1,402.02 | ↓ -8% |
| ANTHEM | Exchange | $1,459.00 | ↓ -4% |
| Aetna | Qhp/Ifp | $1,484.00 | ↓ -3% |
| ANTHEM | PPO/HMO | $1,622.00 | ↑ +7% |
| GMS | ALL PRODUCTS | $1,640.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,640.10 | ↑ +8% |
| AETNA | ALL PRODUCTS | $1,757.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $1,757.25 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $1,968.12 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $2,108.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $2,108.70 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $2,108.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $2,108.70 | ↑ +38% |
| AETNA | Qhp/Ipf | $2,343.00 | ↑ +54% |
| The Health Plan | HMO | $2,343.00 | ↑ +54% |
| The Health Plan | POS | $2,343.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↑ +310% |
| AETNA | International | $6,561.00 | ↑ +331% |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx mandibular fx without manip 21450 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Clermont Hospital | Batavia | $1,125.60 | not published |
| Kings Mills Hospital | Mason | $1,125.60 | not published |
| cleveland clinic main campus | Cleveland | $1,522.95 | $1.10 – $2,108.70 |
| akron general | Akron | $1,522.95 | $1.10 – $2,108.70 |
| avon hospital | Avon | $1,522.95 | $251.22 – $2,108.70 |
| euclid hospital | Euclid | $1,522.95 | $257.38 – $2,108.70 |
| fairview hospital | Cleveland | $1,522.95 | $241.80 – $2,108.70 |
| lutheran hospital | Cleveland | $1,522.95 | $230.20 – $2,108.70 |