Cptr ophth dx img post segmt at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$269.10
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.
$414.00
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 $273.00 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% |
| Summacare | Preferred | $10.78 | ↓ -96% |
| Summacare | Medicare Advantage Lower Level | $10.78 | ↓ -96% |
| Summacare | Medicare Advantage Psych | $12.89 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $14.09 | ↓ -95% |
| Summacare | Medicare Advantage MD | $15.75 | ↓ -94% |
| The Health Plan | Medicare Advantage | $17.18 | ↓ -94% |
| Aetna | Medicare Advantage | $17.18 | ↓ -94% |
| United | Medicare Advantage | $17.18 | ↓ -94% |
| Humana | Medicare Advantage HMO | $17.18 | ↓ -94% |
| Cigna | Medicare Advantage | $17.18 | ↓ -94% |
| Anthem | Medicare Advantage | $17.18 | ↓ -94% |
| MMO | Medicare HMO & PPO | $17.70 | ↓ -93% |
| CommuniCare | Medicare Advantage | $18.04 | ↓ -93% |
| Summacare | Premier | $18.04 | ↓ -93% |
| United | Managed Medicaid | $18.35 | ↓ -93% |
| Perennial Health | Medicare Advantage | $18.55 | ↓ -93% |
| Caresource | Managed Medicaid | $18.90 | ↓ -93% |
| The Health Plan | All Products PCP | $18.90 | ↓ -93% |
| Buckeye | Managed Medicaid | $19.27 | ↓ -93% |
| The Health Plan | All Products Specialty Physicians | $19.76 | ↓ -93% |
| Molina | Managed Medicaid | $20.19 | ↓ -92% |
| AmeriHealth | Managed Medicaid | $20.19 | ↓ -92% |
| The Health Plan | All Products Radiation Oncology Physicians | $22.33 | ↓ -92% |
| Anthem | All Products Mid-Level Non-Facility | $32.58 | ↓ -88% |
| Oscar | All Products | $35.83 | ↓ -87% |
| UNITED | Managed Medicaid | $38.91 | ↓ -86% |
| CARESOURCE | Managed Medicaid | $40.08 | ↓ -85% |
| MOLINA | Managed Medicaid | $40.86 | ↓ -85% |
| ANTHEM | Managed Medicaid | $40.86 | ↓ -85% |
| United | All Products - Mid-Level | $42.32 | ↓ -84% |
| AMERIHEALTH | Managed Medicaid | $42.80 | ↓ -84% |
| United | HMO & PPO | $47.02 | ↓ -83% |
| United | All Products | $47.02 | ↓ -83% |
| The Health Plan | MEDICARE ADVANTAGE | $49.40 | ↓ -82% |
| Aultcare | PPO/HMO | $50.48 | ↓ -81% |
| OHCP | All Products | $54.85 | ↓ -80% |
| HUMANA | Medicare Advantage HMO | $54.88 | ↓ -80% |
| UNITED | MEDICARE ADVANTAGE | $54.88 | ↓ -80% |
| AETNA | MEDICARE ADVANTAGE | $55.81 | ↓ -79% |
| ANTHEM | MEDICARE ADVANTAGE | $55.81 | ↓ -79% |
| Summacare | MEDICARE ADVANTAGE | $55.81 | ↓ -79% |
| CIGNA | MEDICARE ADVANTAGE | $57.49 | ↓ -79% |
| CommuniCare | MEDICARE ADVANTAGE | $58.60 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $59.28 | ↓ -78% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $60.28 | ↓ -78% |
| OMAS | All Products | $70.50 | ↓ -74% |
| MMO | SuperMed | $76.14 | ↓ -72% |
| OSCAR | ALL PRODUCTS | $77.20 | ↓ -71% |
| PHPHI | All Products | $84.60 | ↓ -69% |
| PHP | ALL PRODUCTS | $87.36 | ↓ -68% |
| PHPHI | ALL PRODUCTS | $87.36 | ↓ -68% |
| CC EHP | ALL PRODUCTS | $92.27 | ↓ -66% |
| GMS | All Products | $98.70 | ↓ -63% |
| MMO | Traditional | $98.70 | ↓ -63% |
| Summacare | PREMIER | $104.29 | ↓ -61% |
| Immergrun | All Products | $105.75 | ↓ -61% |
| Aetna | All Products First Health | $105.75 | ↓ -61% |
| Aetna | Asa | $112.80 | ↓ -58% |
| MMO | ALL PRODUCTS | $122.12 | ↓ -55% |
| Amish Community Aid Plan | ALL PRODUCTS | $122.85 | ↓ -54% |
| ANTHEM | HPN | $125.12 | ↓ -54% |
| Multiplan | All Products | $126.90 | ↓ -53% |
| CIGNA | ALL PRODUCTS | $128.86 | ↓ -52% |
| ANTHEM | Exchange | $132.49 | ↓ -51% |
| OHCP | ALL PRODUCTS | $132.68 | ↓ -51% |
| OMAS | ALL PRODUCTS | $136.50 | ↓ -49% |
| Immergrun | ALL PRODUCTS | $136.50 | ↓ -49% |
| Aetna | Qhp/Ifp | $141.00 | ↓ -48% |
| ANTHEM | PPO/HMO | $147.20 | ↓ -45% |
| Ohio Healthy | TRANSPLANT | $147.42 | ↓ -45% |
| ANTHEM | TRADITIONAL | $150.97 | ↓ -44% |
| UNITED | ALL PRODUCTS | $153.70 | ↓ -43% |
| The Health Plan | PPO | $174.28 | ↓ -35% |
| AETNA | Asa_Whirlpool_Peia | $191.10 | ↓ -29% |
| GMS | ALL PRODUCTS | $191.10 | ↓ -29% |
| Medical Benefit Corp | Transplant SMCP | $191.10 | ↓ -29% |
| AETNA | International | $191.10 | ↓ -29% |
| Consociate Health | ALL PRODUCTS | $204.75 | ↓ -24% |
| AETNA | ALL PRODUCTS | $204.75 | ↓ -24% |
| The Health Plan | Self-Funded ASO | $229.32 | ↓ -15% |
| Managed Care Services | TRANSPLANT | $245.70 | ↓ -9% |
| FrontPath | TRANSPLANT | $245.70 | ↓ -9% |
| MULTIPLAN | ALL PRODUCTS | $245.70 | ↓ -9% |
| Tertiary Care Network | TRANSPLANT | $245.70 | ↓ -9% |
| AETNA | Qhp/Ipf | $273.00 | ↑ +1% |
| The Health Plan | POS | $273.00 | ↑ +1% |
| The Health Plan | HMO | $273.00 | ↑ +1% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Cptr ophth dx img post segmt at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $269.10 | $1.10 – $245.70 |
| akron general | Akron | $269.10 | $1.10 – $245.70 |
| avon hospital | Avon | $177.45 | $40.62 – $245.70 |
| euclid hospital | Euclid | $177.45 | $41.63 – $245.70 |
| fairview hospital | Cleveland | $177.45 | $39.10 – $245.70 |
| lutheran hospital | Cleveland | $177.45 | $37.23 – $245.70 |
| hillcrest hospital | Mayfield Heights | $177.45 | $40.75 – $245.70 |
| marymount hospital | Garfield Heights | $177.45 | $36.76 – $245.70 |