Complx repair fccmnaxghf 13131 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$969.80
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.
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What you pay up front if you don't use insurance.
$1,492.00
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 $4,001.00 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 | $122.16 | ↓ -87% |
| Caresource | Managed Medicaid | $125.82 | ↓ -87% |
| Buckeye | Managed Medicaid | $128.27 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $134.38 | ↓ -86% |
| Molina | Managed Medicaid | $134.38 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $147.65 | ↓ -85% |
| Summacare | Preferred | $147.65 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $149.45 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $193.09 | ↓ -80% |
| Anthem | Medicare Advantage | $199.26 | ↓ -79% |
| Aetna | Medicare Advantage | $199.26 | ↓ -79% |
| United | Medicare Advantage | $199.26 | ↓ -79% |
| Humana | Medicare Advantage HMO | $199.26 | ↓ -79% |
| The Health Plan | Medicare Advantage | $199.26 | ↓ -79% |
| Cigna | Medicare Advantage | $199.26 | ↓ -79% |
| MMO | Medicare HMO & PPO | $205.24 | ↓ -79% |
| Summacare | Premier | $209.22 | ↓ -78% |
| CommuniCare | Medicare Advantage | $209.22 | ↓ -78% |
| Perennial Health | Medicare Advantage | $215.20 | ↓ -78% |
| Summacare | Medicare Advantage MD | $215.80 | ↓ -78% |
| The Health Plan | All Products PCP | $219.19 | ↓ -77% |
| The Health Plan | All Products Specialty Physicians | $229.15 | ↓ -76% |
| The Health Plan | All Products Radiation Oncology Physicians | $259.04 | ↓ -73% |
| UNITED | Managed Medicaid | $317.47 | ↓ -67% |
| CARESOURCE | Managed Medicaid | $326.99 | ↓ -66% |
| The Health Plan | MEDICARE ADVANTAGE | $332.24 | ↓ -66% |
| ANTHEM | Managed Medicaid | $333.34 | ↓ -66% |
| MOLINA | Managed Medicaid | $333.34 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $339.08 | ↓ -65% |
| AMERIHEALTH | Managed Medicaid | $349.22 | ↓ -64% |
| HUMANA | Medicare Advantage HMO | $369.16 | ↓ -62% |
| UNITED | MEDICARE ADVANTAGE | $369.16 | ↓ -62% |
| Oscar | All Products | $379.12 | ↓ -61% |
| PHP | ALL PRODUCTS | $383.68 | ↓ -60% |
| PHPHI | ALL PRODUCTS | $383.68 | ↓ -60% |
| Summacare | MEDICARE ADVANTAGE | $384.59 | ↓ -60% |
| ANTHEM | MEDICARE ADVANTAGE | $384.59 | ↓ -60% |
| AETNA | MEDICARE ADVANTAGE | $384.59 | ↓ -60% |
| CIGNA | MEDICARE ADVANTAGE | $396.13 | ↓ -59% |
| Perennial Health | MEDICARE ADVANTAGE | $398.69 | ↓ -59% |
| CommuniCare | MEDICARE ADVANTAGE | $403.82 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $405.26 | ↓ -58% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $415.36 | ↓ -57% |
| Aultcare | PPO/HMO | $429.24 | ↓ -56% |
| Summacare | PREMIER | $458.02 | ↓ -53% |
| Cigna | All Products Mid-Level | $475.78 | ↓ -51% |
| Anthem | All Products Mid-Level Non-Facility | $508.86 | ↓ -48% |
| Aetna | Acop | $531.16 | ↓ -45% |
| Amish Community Aid Plan | ALL PRODUCTS | $539.55 | ↓ -44% |
| Cigna | All Products Physician | $562.18 | ↓ -42% |
| CIGNA | ALL PRODUCTS | $565.93 | ↓ -42% |
| OHCP | All Products | $580.39 | ↓ -40% |
| OHCP | ALL PRODUCTS | $582.71 | ↓ -40% |
| OMAS | ALL PRODUCTS | $599.50 | ↓ -38% |
| Immergrun | ALL PRODUCTS | $599.50 | ↓ -38% |
| Ohio Healthy | TRANSPLANT | $647.46 | ↓ -33% |
| ANTHEM | TRADITIONAL | $663.05 | ↓ -32% |
| MMO | SuperMed | $680.96 | ↓ -30% |
| The Health Plan | PPO | $702.45 | ↓ -28% |
| OMAS | All Products | $746.00 | ↓ -23% |
| MMO | ALL PRODUCTS | $796.11 | ↓ -18% |
| Medical Benefit Corp | Transplant SMCP | $839.30 | ↓ -13% |
| GMS | ALL PRODUCTS | $839.30 | ↓ -13% |
| United | All Products - Mid-Level | $840.43 | ↓ -13% |
| PHPHI | All Products | $895.20 | ↓ -8% |
| AETNA | ALL PRODUCTS | $899.25 | ↓ -7% |
| Consociate Health | ALL PRODUCTS | $899.25 | ↓ -7% |
| United | HMO & PPO | $933.81 | ↓ -4% |
| United | All Products | $933.81 | ↓ -4% |
| The Health Plan | Self-Funded ASO | $1,007.16 | ↑ +4% |
| GMS | All Products | $1,044.40 | ↑ +8% |
| MMO | Traditional | $1,044.40 | ↑ +8% |
| Tertiary Care Network | TRANSPLANT | $1,079.10 | ↑ +11% |
| MULTIPLAN | ALL PRODUCTS | $1,079.10 | ↑ +11% |
| Managed Care Services | TRANSPLANT | $1,079.10 | ↑ +11% |
| FrontPath | TRANSPLANT | $1,079.10 | ↑ +11% |
| Immergrun | All Products | $1,119.00 | ↑ +15% |
| Aetna | All Products First Health | $1,119.00 | ↑ +15% |
| Aetna | Asa | $1,193.60 | ↑ +23% |
| The Health Plan | HMO | $1,199.00 | ↑ +24% |
| The Health Plan | POS | $1,199.00 | ↑ +24% |
| AETNA | Qhp/Ipf | $1,199.00 | ↑ +24% |
| Multiplan | All Products | $1,342.80 | ↑ +38% |
| ANTHEM | HPN | $1,379.00 | ↑ +42% |
| ANTHEM | Exchange | $1,459.00 | ↑ +50% |
| Aetna | Qhp/Ifp | $1,492.00 | ↑ +54% |
| ANTHEM | PPO/HMO | $1,622.00 | ↑ +67% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↑ +293% |
| AETNA | International | $4,001.00 | ↑ +313% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Complx repair fccmnaxghf 13131 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $6,161.22 | $396.16 – $404.08 |
| Clermont Hospital | Batavia | $837.00 | not published |
| Kings Mills Hospital | Mason | $837.00 | not published |
| Mercy West Hospital | Cincinnati | $837.00 | not published |
| Trinity Medical Center East | Steubenville | $457.75 | $192.85 – $710.71 |
| cleveland clinic main campus | Cleveland | $969.80 | $0.01 – $1,342.80 |
| akron general | Akron | $969.80 | $0.01 – $1,342.80 |
| avon hospital | Avon | $779.35 | $331.46 – $1,079.10 |