Dialysis repeated eval at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,416.40
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.
$5,256.00
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 $5,256.00 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 | $74.68 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $74.68 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $78.89 | ↓ -98% |
| United | Managed Medicaid | $95.99 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $97.66 | ↓ -97% |
| Caresource | Managed Medicaid | $98.87 | ↓ -97% |
| Buckeye | Managed Medicaid | $100.79 | ↓ -97% |
| The Health Plan | Medicare Advantage | $105.18 | ↓ -97% |
| Aetna | Medicare Advantage | $105.18 | ↓ -97% |
| Cigna | Medicare Advantage | $105.18 | ↓ -97% |
| Humana | Medicare Advantage HMO | $105.18 | ↓ -97% |
| Anthem | Medicare Advantage | $105.18 | ↓ -97% |
| United | Medicare Advantage | $105.18 | ↓ -97% |
| Molina | Managed Medicaid | $105.59 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $105.59 | ↓ -97% |
| MMO | Medicare HMO & PPO | $108.34 | ↓ -97% |
| Summacare | Medicare Advantage MD | $109.15 | ↓ -97% |
| Summacare | Premier | $110.44 | ↓ -97% |
| CommuniCare | Medicare Advantage | $110.44 | ↓ -97% |
| Perennial Health | Medicare Advantage | $113.59 | ↓ -97% |
| The Health Plan | All Products PCP | $115.70 | ↓ -97% |
| The Health Plan | All Products Specialty Physicians | $120.96 | ↓ -96% |
| The Health Plan | All Products Radiation Oncology Physicians | $136.73 | ↓ -96% |
| Anthem | All Products Mid-Level Non-Facility | $163.25 | ↓ -95% |
| MMO | SuperMed | $207.87 | ↓ -94% |
| Oscar | All Products | $256.13 | ↓ -93% |
| United | All Products - Mid-Level | $281.36 | ↓ -92% |
| UNITED | Managed Medicaid | $304.21 | ↓ -91% |
| United | All Products | $312.62 | ↓ -91% |
| United | HMO & PPO | $312.62 | ↓ -91% |
| CARESOURCE | Managed Medicaid | $313.34 | ↓ -91% |
| ANTHEM | Managed Medicaid | $319.42 | ↓ -91% |
| MOLINA | Managed Medicaid | $319.42 | ↓ -91% |
| AMERIHEALTH | Managed Medicaid | $334.63 | ↓ -90% |
| Aultcare | PPO/HMO | $360.86 | ↓ -89% |
| OHCP | All Products | $392.11 | ↓ -89% |
| OMAS | All Products | $504.00 | ↓ -85% |
| PHPHI | All Products | $604.80 | ↓ -82% |
| GMS | All Products | $705.60 | ↓ -79% |
| MMO | Traditional | $705.60 | ↓ -79% |
| Immergrun | All Products | $756.00 | ↓ -78% |
| Aetna | All Products First Health | $756.00 | ↓ -78% |
| Aetna | Asa | $806.40 | ↓ -76% |
| Multiplan | All Products | $907.20 | ↓ -73% |
| Aetna | Qhp/Ifp | $1,008.00 | ↓ -70% |
| AETNA | MEDICARE ADVANTAGE | $1,145.81 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $1,486.40 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $1,681.92 | ↓ -51% |
| PHP | ALL PRODUCTS | $1,681.92 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $1,776.53 | ↓ -48% |
| Summacare | PREMIER | $2,007.79 | ↓ -41% |
| MMO | ALL PRODUCTS | $2,354.69 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,365.20 | ↓ -31% |
| ANTHEM | HPN | $2,408.82 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $2,480.83 | ↓ -27% |
| ANTHEM | Exchange | $2,550.74 | ↓ -25% |
| OHCP | ALL PRODUCTS | $2,554.42 | ↓ -25% |
| Immergrun | ALL PRODUCTS | $2,628.00 | ↓ -23% |
| OMAS | ALL PRODUCTS | $2,628.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $2,834.04 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $2,838.24 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,906.57 | ↓ -15% |
| The Health Plan | PPO | $3,355.43 | ↓ -2% |
| AETNA | Asa_Whirlpool_Peia | $3,679.20 | ↑ +8% |
| GMS | ALL PRODUCTS | $3,679.20 | ↑ +8% |
| AETNA | International | $3,679.20 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $3,679.20 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $3,942.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $3,942.00 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $4,415.04 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $4,730.40 | ↑ +38% |
| FrontPath | TRANSPLANT | $4,730.40 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $4,730.40 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $4,730.40 | ↑ +38% |
| AETNA | Qhp/Ipf | $5,256.00 | ↑ +54% |
| The Health Plan | POS | $5,256.00 | ↑ +54% |
| The Health Plan | HMO | $5,256.00 | ↑ +54% |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Dialysis repeated eval at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $175.07 | $203.40 – $261.03 |
| cleveland clinic main campus | Cleveland | $3,416.40 | $0.01 – $4,730.40 |
| akron general | Akron | $655.20 | $1.10 – $907.20 |
| avon hospital | Avon | $3,416.40 | $232.79 – $4,730.40 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $3,416.40 | $518.56 – $4,730.40 |
| euclid hospital | Euclid | $3,416.40 | $232.79 – $4,730.40 |
| fairview hospital | Cleveland | $3,416.40 | $198.84 – $4,730.40 |
| lutheran hospital | Cleveland | $3,416.40 | $232.79 – $4,730.40 |