Diagnostic radio unlisted proc at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$14,137.50
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.
$21,750.00
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 Anthem vs $734.00 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 |
|---|---|---|---|
| Anthem | All Products Mid-Level Non-Facility | $0.01 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Oscar | All Products | $8.13 | ↓ -100% |
| Aultcare | PPO/HMO | $11.46 | ↓ -100% |
| OHCP | All Products | $12.45 | ↓ -100% |
| OMAS | All Products | $16.00 | ↓ -100% |
| MMO | SuperMed | $17.28 | ↓ -100% |
| PHPHI | All Products | $19.20 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $22.40 | ↓ -100% |
| Summacare | Medicare Advantage CNA | $22.40 | ↓ -100% |
| MMO | Traditional | $22.40 | ↓ -100% |
| Summacare | Premier | $22.40 | ↓ -100% |
| Summacare | Preferred | $22.40 | ↓ -100% |
| GMS | All Products | $22.40 | ↓ -100% |
| Summacare | Medicare Advantage Psych | $22.40 | ↓ -100% |
| Summacare | Medicare Advantage MD | $22.40 | ↓ -100% |
| Aetna | All Products First Health | $24.00 | ↓ -100% |
| Immergrun | All Products | $24.00 | ↓ -100% |
| Aetna | Asa | $25.60 | ↓ -100% |
| Multiplan | All Products | $28.80 | ↓ -100% |
| Aetna | Qhp/Ifp | $32.00 | ↓ -100% |
| UNITED | Managed Medicaid | $46.30 | ↓ -100% |
| Buckeye | Managed Medicaid | $47.69 | ↓ -100% |
| CARESOURCE | Managed Medicaid | $47.69 | ↓ -100% |
| MOLINA | Managed Medicaid | $48.62 | ↓ -100% |
| ANTHEM | Managed Medicaid | $48.62 | ↓ -100% |
| AMERIHEALTH | Managed Medicaid | $50.93 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $73.22 | ↓ -99% |
| HUMANA | Medicare Advantage HMO | $81.36 | ↓ -99% |
| UNITED | MEDICARE ADVANTAGE | $81.36 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $82.33 | ↓ -99% |
| ANTHEM | MEDICARE ADVANTAGE | $82.33 | ↓ -99% |
| Summacare | MEDICARE ADVANTAGE | $82.33 | ↓ -99% |
| CIGNA | MEDICARE ADVANTAGE | $84.80 | ↓ -99% |
| MMO | Medicare HMO & PPO | $85.42 | ↓ -99% |
| CommuniCare | MEDICARE ADVANTAGE | $86.45 | ↓ -99% |
| Perennial Health | MEDICARE ADVANTAGE | $87.86 | ↓ -99% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $88.92 | ↓ -99% |
| MMO | ALL PRODUCTS | $181.43 | ↓ -99% |
| OSCAR | ALL PRODUCTS | $207.58 | ↓ -99% |
| PHP | ALL PRODUCTS | $234.88 | ↓ -98% |
| PHPHI | ALL PRODUCTS | $234.88 | ↓ -98% |
| CC EHP | ALL PRODUCTS | $248.09 | ↓ -98% |
| Summacare | PREMIER | $280.39 | ↓ -98% |
| Amish Community Aid Plan | ALL PRODUCTS | $330.30 | ↓ -98% |
| ANTHEM | HPN | $336.39 | ↓ -98% |
| CIGNA | ALL PRODUCTS | $346.45 | ↓ -98% |
| ANTHEM | Exchange | $356.21 | ↓ -97% |
| OHCP | ALL PRODUCTS | $356.72 | ↓ -97% |
| OMAS | ALL PRODUCTS | $367.00 | ↓ -97% |
| Immergrun | ALL PRODUCTS | $367.00 | ↓ -97% |
| ANTHEM | PPO/HMO | $395.77 | ↓ -97% |
| Ohio Healthy | TRANSPLANT | $396.36 | ↓ -97% |
| ANTHEM | TRADITIONAL | $405.90 | ↓ -97% |
| UNITED | ALL PRODUCTS | $409.57 | ↓ -97% |
| The Health Plan | HMO | $454.71 | ↓ -97% |
| The Health Plan | POS | $454.71 | ↓ -97% |
| The Health Plan | PPO | $468.59 | ↓ -97% |
| Medical Benefit Corp | Transplant SMCP | $513.80 | ↓ -96% |
| AETNA | International | $513.80 | ↓ -96% |
| GMS | ALL PRODUCTS | $513.80 | ↓ -96% |
| AETNA | ALL PRODUCTS | $550.50 | ↓ -96% |
| Consociate Health | ALL PRODUCTS | $550.50 | ↓ -96% |
| The Health Plan | Self-Funded ASO | $616.56 | ↓ -96% |
| FrontPath | TRANSPLANT | $660.60 | ↓ -95% |
| Tertiary Care Network | TRANSPLANT | $660.60 | ↓ -95% |
| MULTIPLAN | ALL PRODUCTS | $660.60 | ↓ -95% |
| Managed Care Services | TRANSPLANT | $660.60 | ↓ -95% |
| AETNA | Qhp/Ipf | $734.00 | ↓ -95% |
| Anthem | Medicare Advantage | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| The Health Plan | All Products PCP | not published by hospital | — |
| The Health Plan | All Products Radiation Oncology Physicians | not published by hospital | — |
| The Health Plan | All Products Specialty Physicians | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | All Products - Mid-Level | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic radio unlisted proc at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $772.80 | not published |
| Anderson Hospital | Cincinnati | $772.80 | not published |
| Clermont Hospital | Batavia | $598.80 | not published |
| Kings Mills Hospital | Mason | $598.80 | not published |
| Mercy West Hospital | Cincinnati | $772.80 | not published |
| St Ritas Medical Center | Lima | $187.80 | not published |
| University Hospitals Ahuja Medical Center | Beachwood | $564.75 | $82.33 – $677.70 |
| University Hospitals Beachwood Medical Center | Beachwood | $564.75 | $82.33 – $677.70 |