Coombs direct at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$24.05
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.
$37.00
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.
$1.11 with AETNA vs $122.12 with MMO — 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $1.11 | ↓ -95% |
| ANTHEM | HPN | $2.65 | ↓ -89% |
| ANTHEM | PPO/HMO | $3.12 | ↓ -87% |
| OSCAR | ALL PRODUCTS | $10.46 | ↓ -57% |
| PHPHI | ALL PRODUCTS | $11.84 | ↓ -51% |
| PHP | ALL PRODUCTS | $11.84 | ↓ -51% |
| UNITED | ALL PRODUCTS | $12.14 | ↓ -50% |
| Summacare | Preferred | $12.99 | ↓ -46% |
| Aultcare | PPO/HMO | $13.25 | ↓ -45% |
| Summacare | PREMIER | $14.13 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $16.65 | ↓ -31% |
| OHCP | ALL PRODUCTS | $17.98 | ↓ -25% |
| Immergrun | ALL PRODUCTS | $18.50 | ↓ -23% |
| OMAS | ALL PRODUCTS | $18.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $19.98 | ↓ -17% |
| AETNA | International | $20.05 | ↓ -17% |
| CIGNA | ALL PRODUCTS | $20.10 | ↓ -16% |
| ANTHEM | TRADITIONAL | $20.46 | ↓ -15% |
| UNITED | Managed Medicaid | $22.71 | ↓ -6% |
| The Health Plan | POS | $22.92 | ↓ -5% |
| The Health Plan | HMO | $22.92 | ↓ -5% |
| CARESOURCE | Managed Medicaid | $23.39 | ↓ -3% |
| Buckeye | Managed Medicaid | $23.39 | ↓ -3% |
| The Health Plan | PPO | $23.62 | ↓ -2% |
| ANTHEM | Managed Medicaid | $23.85 | ↓ -1% |
| MOLINA | Managed Medicaid | $23.85 | ↓ -1% |
| AMERIHEALTH | Managed Medicaid | $24.98 | ↑ +4% |
| GMS | ALL PRODUCTS | $25.90 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $25.90 | ↑ +8% |
| AETNA | ALL PRODUCTS | $27.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $27.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $31.08 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $33.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $33.30 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $33.30 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $33.30 | ↑ +38% |
| CC EHP | ALL PRODUCTS | $33.86 | ↑ +41% |
| ANTHEM | Exchange | $36.69 | ↑ +53% |
| The Health Plan | MEDICARE ADVANTAGE | $37.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $37.00 | ↑ +54% |
| UNITED | MEDICARE ADVANTAGE | $54.88 | ↑ +128% |
| HUMANA | Medicare Advantage HMO | $54.88 | ↑ +128% |
| Summacare | MEDICARE ADVANTAGE | $55.81 | ↑ +132% |
| ANTHEM | MEDICARE ADVANTAGE | $55.81 | ↑ +132% |
| AETNA | MEDICARE ADVANTAGE | $55.81 | ↑ +132% |
| CIGNA | MEDICARE ADVANTAGE | $57.49 | ↑ +139% |
| MMO | Medicare HMO & PPO | $57.63 | ↑ +140% |
| CommuniCare | MEDICARE ADVANTAGE | $58.60 | ↑ +144% |
| Perennial Health | MEDICARE ADVANTAGE | $59.28 | ↑ +146% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $60.28 | ↑ +151% |
| Zing Health | Medicare Advantage | $61.39 | ↑ +155% |
| MMO | ALL PRODUCTS | $122.12 | ↑ +408% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Coombs direct at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $60.60 | not published |
| Anderson Hospital | Cincinnati | $60.60 | not published |
| Clermont Hospital | Batavia | $60.60 | not published |
| Kings Mills Hospital | Mason | $60.60 | not published |
| Mercy West Hospital | Cincinnati | $60.60 | not published |
| St Ritas Medical Center | Lima | $199.20 | not published |
| Trinity Medical Center East | Steubenville | $65.47 | $2.66 – $101.64 |
| cleveland clinic main campus | Cleveland | $24.05 | $2.66 – $61.39 |