Create eardrum opening at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,851.25
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.
$5,925.00
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.
$0.01 with UNITED vs $6,561.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $97.40 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $97.40 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $104.49 | ↓ -97% |
| United | Managed Medicaid | $113.58 | ↓ -97% |
| Caresource | Managed Medicaid | $116.99 | ↓ -97% |
| Buckeye | Managed Medicaid | $119.26 | ↓ -97% |
| Molina | Managed Medicaid | $124.94 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $124.94 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $127.37 | ↓ -97% |
| Anthem | Medicare Advantage | $139.32 | ↓ -96% |
| Aetna | Medicare Advantage | $139.32 | ↓ -96% |
| United | Medicare Advantage | $139.32 | ↓ -96% |
| Cigna | Medicare Advantage | $139.32 | ↓ -96% |
| The Health Plan | Medicare Advantage | $139.32 | ↓ -96% |
| Humana | Medicare Advantage HMO | $139.32 | ↓ -96% |
| Summacare | Medicare Advantage MD | $142.36 | ↓ -96% |
| MMO | Medicare HMO & PPO | $143.50 | ↓ -96% |
| CommuniCare | Medicare Advantage | $146.29 | ↓ -96% |
| Summacare | Premier | $146.29 | ↓ -96% |
| Perennial Health | Medicare Advantage | $150.47 | ↓ -96% |
| The Health Plan | All Products PCP | $153.25 | ↓ -96% |
| The Health Plan | All Products Specialty Physicians | $160.22 | ↓ -96% |
| The Health Plan | All Products Radiation Oncology Physicians | $181.12 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $211.85 | ↓ -94% |
| Oscar | All Products | $224.62 | ↓ -94% |
| Aultcare | PPO/HMO | $316.47 | ↓ -92% |
| OHCP | All Products | $343.88 | ↓ -91% |
| United | All Products - Mid-Level | $353.22 | ↓ -91% |
| United | HMO & PPO | $392.47 | ↓ -90% |
| United | All Products | $392.47 | ↓ -90% |
| OMAS | All Products | $442.00 | ↓ -89% |
| PHPHI | All Products | $530.40 | ↓ -86% |
| GMS | All Products | $618.80 | ↓ -84% |
| MMO | Traditional | $618.80 | ↓ -84% |
| Immergrun | All Products | $663.00 | ↓ -83% |
| Aetna | All Products First Health | $663.00 | ↓ -83% |
| Aetna | Asa | $707.20 | ↓ -82% |
| UNITED | Managed Medicaid | $766.14 | ↓ -80% |
| CARESOURCE | Managed Medicaid | $789.12 | ↓ -80% |
| Multiplan | All Products | $795.60 | ↓ -79% |
| The Health Plan | PPO | $803.25 | ↓ -79% |
| ANTHEM | Managed Medicaid | $804.45 | ↓ -79% |
| MOLINA | Managed Medicaid | $804.45 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $842.75 | ↓ -78% |
| Aetna | Qhp/Ifp | $884.00 | ↓ -77% |
| The Health Plan | MEDICARE ADVANTAGE | $1,231.81 | ↓ -68% |
| UNITED | MEDICARE ADVANTAGE | $1,368.67 | ↓ -64% |
| HUMANA | Medicare Advantage HMO | $1,368.67 | ↓ -64% |
| ANTHEM | MEDICARE ADVANTAGE | $1,467.92 | ↓ -62% |
| AETNA | MEDICARE ADVANTAGE | $1,467.92 | ↓ -62% |
| Summacare | MEDICARE ADVANTAGE | $1,467.92 | ↓ -62% |
| Perennial Health | MEDICARE ADVANTAGE | $1,478.17 | ↓ -62% |
| CIGNA | MEDICARE ADVANTAGE | $1,511.96 | ↓ -61% |
| CommuniCare | MEDICARE ADVANTAGE | $1,541.31 | ↓ -60% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,585.35 | ↓ -59% |
| OSCAR | ALL PRODUCTS | $1,675.59 | ↓ -56% |
| PHP | ALL PRODUCTS | $1,896.00 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,896.00 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $2,002.65 | ↓ -48% |
| Summacare | PREMIER | $2,263.35 | ↓ -41% |
| MMO | SuperMed | $2,603.78 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,666.25 | ↓ -31% |
| ANTHEM | HPN | $2,854.07 | ↓ -26% |
| OHCP | ALL PRODUCTS | $2,879.55 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,962.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $2,962.50 | ↓ -23% |
| ANTHEM | Exchange | $3,021.75 | ↓ -22% |
| MMO | ALL PRODUCTS | $3,044.82 | ↓ -21% |
| Ohio Healthy | TRANSPLANT | $3,199.50 | ↓ -17% |
| ANTHEM | TRADITIONAL | $3,276.53 | ↓ -15% |
| ANTHEM | PPO/HMO | $3,357.70 | ↓ -13% |
| Medical Benefit Corp | Transplant SMCP | $4,147.50 | ↑ +8% |
| GMS | ALL PRODUCTS | $4,147.50 | ↑ +8% |
| AETNA | ALL PRODUCTS | $4,443.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $4,443.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $4,977.00 | ↑ +29% |
| FrontPath | TRANSPLANT | $5,332.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $5,332.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $5,332.50 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $5,332.50 | ↑ +38% |
| CIGNA | ALL PRODUCTS | $5,520.00 | ↑ +43% |
| AETNA | Qhp/Ipf | $5,925.00 | ↑ +54% |
| The Health Plan | HMO | $5,925.00 | ↑ +54% |
| The Health Plan | POS | $5,925.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↑ +62% |
| AETNA | International | $6,561.00 | ↑ +70% |
| 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
Create eardrum opening at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $10,633.22 | $1,512.05 – $1,542.29 |
| Anderson Hospital | Cincinnati | $8,911.06 | $1,512.05 – $1,542.29 |
| Clermont Hospital | Batavia | $8,954.92 | $1,512.05 – $1,542.29 |
| Kings Mills Hospital | Mason | $18,650.20 | $1,512.05 – $1,542.29 |
| St Ritas Medical Center | Lima | $15,587.10 | $1,538.30 – $1,569.07 |
| cleveland clinic main campus | Cleveland | $3,851.25 | $0.01 – $5,332.50 |
| akron general | Akron | $574.60 | $1.10 – $1,511.96 |
| avon hospital | Avon | $3,851.25 | $0.01 – $5,332.50 |