healthcosts.net
Cltx mndblr/max alv ridge fx at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$894.40
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.
$1,376.00
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% |
| United | Managed Medicaid | $288.27 | ↓ -68% |
| Caresource | Managed Medicaid | $296.92 | ↓ -67% |
| Buckeye | Managed Medicaid | $302.68 | ↓ -66% |
| Molina | Managed Medicaid | $317.10 | ↓ -65% |
| AmeriHealth | Managed Medicaid | $317.10 | ↓ -65% |
| Oscar | All Products | $349.64 | ↓ -61% |
| Summacare | Medicare Advantage Lower Level | $351.56 | ↓ -61% |
| Summacare | Preferred | $351.56 | ↓ -61% |
| Summacare | Medicare Advantage Psych | $422.45 | ↓ -53% |
| Summacare | Medicare Advantage CNA | $459.73 | ↓ -49% |
| Aultcare | PPO/HMO | $492.61 | ↓ -45% |
| Summacare | Medicare Advantage MD | $513.82 | ↓ -43% |
| OHCP | All Products | $535.26 | ↓ -40% |
| The Health Plan | Medicare Advantage | $563.27 | ↓ -37% |
| Anthem | Medicare Advantage | $563.27 | ↓ -37% |
| Aetna | Medicare Advantage | $563.27 | ↓ -37% |
| United | Medicare Advantage | $563.27 | ↓ -37% |
| Cigna | Medicare Advantage | $563.27 | ↓ -37% |
| Humana | Medicare Advantage HMO | $563.27 | ↓ -37% |
| MMO | Medicare HMO & PPO | $580.17 | ↓ -35% |
| CommuniCare | Medicare Advantage | $591.43 | ↓ -34% |
| Summacare | Premier | $591.43 | ↓ -34% |
| The Health Plan | PPO | $602.70 | ↓ -33% |
| Perennial Health | Medicare Advantage | $608.33 | ↓ -32% |
| The Health Plan | All Products PCP | $619.60 | ↓ -31% |
| The Health Plan | All Products Specialty Physicians | $647.76 | ↓ -28% |
| OMAS | All Products | $688.00 | ↓ -23% |
| The Health Plan | All Products Radiation Oncology Physicians | $732.25 | ↓ -18% |
| Aetna | Acop | $818.75 | ↓ -8% |
| PHPHI | All Products | $825.60 | ↓ -8% |
| Cigna | All Products Mid-Level | $829.59 | ↓ -7% |
| Anthem | All Products Mid-Level Non-Facility | $887.27 | ↓ -1% |
| MMO | Traditional | $963.20 | ↑ +8% |
| GMS | All Products | $963.20 | ↑ +8% |
| Cigna | All Products Physician | $980.25 | ↑ +10% |
| Aetna | All Products First Health | $1,032.00 | ↑ +15% |
| Immergrun | All Products | $1,032.00 | ↑ +15% |
| Aetna | Asa | $1,100.80 | ↑ +23% |
| Multiplan | All Products | $1,238.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,376.00 | ↑ +54% |
| United | All Products - Mid-Level | $1,614.92 | ↑ +81% |
| UNITED | Managed Medicaid | $1,679.14 | ↑ +88% |
| CARESOURCE | Managed Medicaid | $1,729.51 | ↑ +93% |
| MOLINA | Managed Medicaid | $1,763.10 | ↑ +97% |
| ANTHEM | Managed Medicaid | $1,763.10 | ↑ +97% |
| United | All Products | $1,794.36 | ↑ +101% |
| United | HMO & PPO | $1,794.36 | ↑ +101% |
| AMERIHEALTH | Managed Medicaid | $1,847.05 | ↑ +107% |
| The Health Plan | MEDICARE ADVANTAGE | $2,696.88 | ↑ +202% |
| HUMANA | Medicare Advantage HMO | $2,996.53 | ↑ +235% |
| UNITED | MEDICARE ADVANTAGE | $2,996.53 | ↑ +235% |
| ANTHEM | MEDICARE ADVANTAGE | $3,136.68 | ↑ +251% |
| Summacare | MEDICARE ADVANTAGE | $3,136.68 | ↑ +251% |
| AETNA | MEDICARE ADVANTAGE | $3,136.68 | ↑ +251% |
| CIGNA | MEDICARE ADVANTAGE | $3,230.78 | ↑ +261% |
| Perennial Health | MEDICARE ADVANTAGE | $3,236.25 | ↑ +262% |
| CommuniCare | MEDICARE ADVANTAGE | $3,293.51 | ↑ +268% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,387.61 | ↑ +279% |
| MMO | ALL PRODUCTS | $4,872.30 | ↑ +445% |
| MMO | SuperMed | $5,497.86 | ↑ +515% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +142616% |
| The Health Plan | POS | $4,036,081.00 | ↑ +451161% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Cltx mndblr/max alv ridge fx at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $9,696.70 | $1.10 – $13,426.20 |
| akron general | Akron | $894.40 | $1.10 – $3,236.25 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,600.75 | $900.00 – $5,646.02 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,600.75 | $900.00 – $7,944.33 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,328.50 | not published |
| University Hospitals Elyria Medical Center | Elyria | $3,600.75 | $3,136.68 – $5,646.02 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,600.75 | $3,136.68 – $5,646.02 |
| University Hospitals Geneva Medical Center | Geneva | $3,328.50 | not published |