Complx repair enel addl 5cm/< 13153 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$618.80
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.
$952.00
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.
$1.10 with Zing Health vs $6,561.00 with AETNA — 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $71.46 | ↓ -88% |
| Caresource | Managed Medicaid | $73.60 | ↓ -88% |
| Buckeye | Managed Medicaid | $75.03 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $78.61 | ↓ -87% |
| Molina | Managed Medicaid | $78.61 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $83.96 | ↓ -86% |
| Summacare | Preferred | $83.96 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $84.09 | ↓ -86% |
| Summacare | Medicare Advantage CNA | $109.79 | ↓ -82% |
| The Health Plan | Medicare Advantage | $112.12 | ↓ -82% |
| United | Medicare Advantage | $112.12 | ↓ -82% |
| Aetna | Medicare Advantage | $112.12 | ↓ -82% |
| Anthem | Medicare Advantage | $112.12 | ↓ -82% |
| Cigna | Medicare Advantage | $112.12 | ↓ -82% |
| Humana | Medicare Advantage HMO | $112.12 | ↓ -82% |
| MMO | Medicare HMO & PPO | $115.48 | ↓ -81% |
| CommuniCare | Medicare Advantage | $117.73 | ↓ -81% |
| Summacare | Premier | $117.73 | ↓ -81% |
| Perennial Health | Medicare Advantage | $121.09 | ↓ -80% |
| Summacare | Medicare Advantage MD | $122.71 | ↓ -80% |
| The Health Plan | All Products PCP | $123.33 | ↓ -80% |
| The Health Plan | All Products Specialty Physicians | $128.94 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $131.45 | ↓ -79% |
| The Health Plan | All Products Radiation Oncology Physicians | $145.76 | ↓ -76% |
| OSCAR | ALL PRODUCTS | $170.53 | ↓ -72% |
| PHPHI | ALL PRODUCTS | $192.96 | ↓ -69% |
| PHP | ALL PRODUCTS | $192.96 | ↓ -69% |
| CC EHP | ALL PRODUCTS | $203.81 | ↓ -67% |
| Aultcare | PPO/HMO | $215.87 | ↓ -65% |
| Cigna | All Products Mid-Level | $229.94 | ↓ -63% |
| Summacare | PREMIER | $230.35 | ↓ -63% |
| Oscar | All Products | $241.90 | ↓ -61% |
| Anthem | All Products Mid-Level Non-Facility | $245.93 | ↓ -60% |
| Aetna | Acop | $266.13 | ↓ -57% |
| MMO | ALL PRODUCTS | $270.14 | ↓ -56% |
| Amish Community Aid Plan | ALL PRODUCTS | $271.35 | ↓ -56% |
| Cigna | All Products Physician | $271.70 | ↓ -56% |
| ANTHEM | HPN | $276.35 | ↓ -55% |
| CIGNA | ALL PRODUCTS | $284.62 | ↓ -54% |
| ANTHEM | Exchange | $292.64 | ↓ -53% |
| OHCP | ALL PRODUCTS | $293.06 | ↓ -53% |
| OMAS | ALL PRODUCTS | $301.50 | ↓ -51% |
| Immergrun | ALL PRODUCTS | $301.50 | ↓ -51% |
| ANTHEM | PPO/HMO | $325.14 | ↓ -47% |
| Ohio Healthy | TRANSPLANT | $325.62 | ↓ -47% |
| ANTHEM | TRADITIONAL | $333.46 | ↓ -46% |
| OHCP | All Products | $370.33 | ↓ -40% |
| The Health Plan | PPO | $384.96 | ↓ -38% |
| United | All Products - Mid-Level | $405.18 | ↓ -35% |
| GMS | ALL PRODUCTS | $422.10 | ↓ -32% |
| Medical Benefit Corp | Transplant SMCP | $422.10 | ↓ -32% |
| United | HMO & PPO | $450.20 | ↓ -27% |
| United | All Products | $450.20 | ↓ -27% |
| Consociate Health | ALL PRODUCTS | $452.25 | ↓ -27% |
| AETNA | ALL PRODUCTS | $452.25 | ↓ -27% |
| OMAS | All Products | $476.00 | ↓ -23% |
| The Health Plan | Self-Funded ASO | $506.52 | ↓ -18% |
| MMO | SuperMed | $514.08 | ↓ -17% |
| Tertiary Care Network | TRANSPLANT | $542.70 | ↓ -12% |
| Managed Care Services | TRANSPLANT | $542.70 | ↓ -12% |
| MULTIPLAN | ALL PRODUCTS | $542.70 | ↓ -12% |
| FrontPath | TRANSPLANT | $542.70 | ↓ -12% |
| PHPHI | All Products | $571.20 | ↓ -8% |
| The Health Plan | HMO | $603.00 | ↓ -3% |
| The Health Plan | POS | $603.00 | ↓ -3% |
| AETNA | Qhp/Ipf | $603.00 | ↓ -3% |
| MMO | Traditional | $666.40 | ↑ +8% |
| GMS | All Products | $666.40 | ↑ +8% |
| Immergrun | All Products | $714.00 | ↑ +15% |
| Aetna | All Products First Health | $714.00 | ↑ +15% |
| Aetna | Asa | $761.60 | ↑ +23% |
| Multiplan | All Products | $856.80 | ↑ +38% |
| UNITED | Managed Medicaid | $864.73 | ↑ +40% |
| CARESOURCE | Managed Medicaid | $890.67 | ↑ +44% |
| ANTHEM | Managed Medicaid | $907.97 | ↑ +47% |
| MOLINA | Managed Medicaid | $907.97 | ↑ +47% |
| AMERIHEALTH | Managed Medicaid | $951.20 | ↑ +54% |
| Aetna | Qhp/Ifp | $952.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↑ +910% |
| AETNA | International | $6,561.00 | ↑ +960% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | 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
Complx repair enel addl 5cm/< 13153 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $1,110.60 | not published |
| Clermont Hospital | Batavia | $1,110.60 | not published |
| Kings Mills Hospital | Mason | $1,110.60 | not published |
| Mercy West Hospital | Cincinnati | $1,110.60 | not published |
| cleveland clinic main campus | Cleveland | $618.80 | $0.01 – $1,227.99 |
| akron general | Akron | $618.80 | $0.01 – $974.74 |
| avon hospital | Avon | $391.95 | $131.45 – $920.04 |
| euclid hospital | Euclid | $391.95 | $131.45 – $1,071.04 |