Diffusing capacity at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$442.65
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.
$681.00
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 $605.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $5.36 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $5.36 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $6.88 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $7.01 | ↓ -98% |
| Summacare | Medicare Advantage MD | $7.84 | ↓ -98% |
| Cigna | Medicare Advantage | $9.17 | ↓ -98% |
| Aetna | Medicare Advantage | $9.17 | ↓ -98% |
| United | Medicare Advantage | $9.17 | ↓ -98% |
| Humana | Medicare Advantage HMO | $9.17 | ↓ -98% |
| Anthem | Medicare Advantage | $9.17 | ↓ -98% |
| The Health Plan | Medicare Advantage | $9.17 | ↓ -98% |
| MMO | Medicare HMO & PPO | $9.45 | ↓ -98% |
| CommuniCare | Medicare Advantage | $9.63 | ↓ -98% |
| Summacare | Premier | $9.63 | ↓ -98% |
| Perennial Health | Medicare Advantage | $9.90 | ↓ -98% |
| The Health Plan | All Products PCP | $10.09 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $10.55 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $11.76 | ↓ -97% |
| The Health Plan | All Products Radiation Oncology Physicians | $11.92 | ↓ -97% |
| Oscar | All Products | $19.31 | ↓ -96% |
| United | All Products - Mid-Level | $20.25 | ↓ -95% |
| United | HMO & PPO | $22.50 | ↓ -95% |
| United | All Products | $22.50 | ↓ -95% |
| Aultcare | PPO/HMO | $27.21 | ↓ -94% |
| OHCP | All Products | $29.56 | ↓ -93% |
| United | Managed Medicaid | $29.94 | ↓ -93% |
| Caresource | Managed Medicaid | $30.84 | ↓ -93% |
| Buckeye | Managed Medicaid | $31.44 | ↓ -93% |
| AmeriHealth | Managed Medicaid | $32.93 | ↓ -93% |
| Molina | Managed Medicaid | $32.93 | ↓ -93% |
| OMAS | All Products | $38.00 | ↓ -91% |
| MMO | SuperMed | $41.04 | ↓ -91% |
| PHPHI | All Products | $45.60 | ↓ -90% |
| UNITED | Managed Medicaid | $52.98 | ↓ -88% |
| MMO | Traditional | $53.20 | ↓ -88% |
| GMS | All Products | $53.20 | ↓ -88% |
| CARESOURCE | Managed Medicaid | $54.57 | ↓ -88% |
| ANTHEM | Managed Medicaid | $55.63 | ↓ -87% |
| MOLINA | Managed Medicaid | $55.63 | ↓ -87% |
| Immergrun | All Products | $57.00 | ↓ -87% |
| Aetna | All Products First Health | $57.00 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $58.28 | ↓ -87% |
| Aetna | Asa | $60.80 | ↓ -86% |
| Multiplan | All Products | $68.40 | ↓ -85% |
| Aetna | Qhp/Ifp | $76.00 | ↓ -83% |
| AETNA | MEDICARE ADVANTAGE | $131.89 | ↓ -70% |
| OSCAR | ALL PRODUCTS | $171.09 | ↓ -61% |
| PHP | ALL PRODUCTS | $193.60 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $193.60 | ↓ -56% |
| CC EHP | ALL PRODUCTS | $204.49 | ↓ -54% |
| Summacare | PREMIER | $231.11 | ↓ -48% |
| MMO | ALL PRODUCTS | $271.04 | ↓ -39% |
| Amish Community Aid Plan | ALL PRODUCTS | $272.25 | ↓ -38% |
| CIGNA | ALL PRODUCTS | $285.56 | ↓ -35% |
| OHCP | ALL PRODUCTS | $294.03 | ↓ -34% |
| OMAS | ALL PRODUCTS | $302.50 | ↓ -32% |
| Immergrun | ALL PRODUCTS | $302.50 | ↓ -32% |
| Ohio Healthy | TRANSPLANT | $326.70 | ↓ -26% |
| ANTHEM | TRADITIONAL | $334.57 | ↓ -24% |
| ANTHEM | Exchange | $361.85 | ↓ -18% |
| ANTHEM | PPO/HMO | $361.85 | ↓ -18% |
| ANTHEM | HPN | $361.85 | ↓ -18% |
| UNITED | ALL PRODUCTS | $366.03 | ↓ -17% |
| The Health Plan | PPO | $386.23 | ↓ -13% |
| GMS | ALL PRODUCTS | $423.50 | ↓ -4% |
| Medical Benefit Corp | Transplant SMCP | $423.50 | ↓ -4% |
| AETNA | International | $423.50 | ↓ -4% |
| AETNA | Asa_Whirlpool_Peia | $423.50 | ↓ -4% |
| Consociate Health | ALL PRODUCTS | $453.75 | ↑ +3% |
| AETNA | ALL PRODUCTS | $453.75 | ↑ +3% |
| The Health Plan | Self-Funded ASO | $508.20 | ↑ +15% |
| Managed Care Services | TRANSPLANT | $544.50 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $544.50 | ↑ +23% |
| Tertiary Care Network | TRANSPLANT | $544.50 | ↑ +23% |
| FrontPath | TRANSPLANT | $544.50 | ↑ +23% |
| The Health Plan | HMO | $605.00 | ↑ +37% |
| The Health Plan | POS | $605.00 | ↑ +37% |
| AETNA | Qhp/Ipf | $605.00 | ↑ +37% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | 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 | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Diffusing capacity at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $378.00 | not published |
| cleveland clinic main campus | Cleveland | $442.65 | $1.10 – $544.50 |
| akron general | Akron | $442.65 | $1.10 – $544.50 |
| avon hospital | Avon | $393.25 | $55.31 – $544.50 |
| euclid hospital | Euclid | $393.25 | $56.67 – $544.50 |
| fairview hospital | Cleveland | $393.25 | $53.24 – $544.50 |
| lutheran hospital | Cleveland | $393.25 | $50.68 – $544.50 |
| hillcrest hospital | Mayfield Heights | $393.25 | $55.47 – $544.50 |