healthcosts.net
Dx dark adaptation exam i&r at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,259.70
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.
$1,938.00
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 $4,036,081.00 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 | Medicare Advantage Psych | $10.06 | ↓ -99% |
| United | Medicare Advantage | $13.41 | ↓ -99% |
| Aetna | Medicare Advantage | $13.41 | ↓ -99% |
| Humana | Medicare Advantage HMO | $13.41 | ↓ -99% |
| The Health Plan | Medicare Advantage | $13.41 | ↓ -99% |
| Cigna | Medicare Advantage | $13.41 | ↓ -99% |
| Anthem | Medicare Advantage | $13.41 | ↓ -99% |
| MMO | Medicare HMO & PPO | $13.81 | ↓ -99% |
| CommuniCare | Medicare Advantage | $14.08 | ↓ -99% |
| Summacare | Premier | $14.08 | ↓ -99% |
| Perennial Health | Medicare Advantage | $14.48 | ↓ -99% |
| The Health Plan | All Products PCP | $14.75 | ↓ -99% |
| The Health Plan | All Products Specialty Physicians | $15.42 | ↓ -99% |
| Summacare | Preferred | $16.09 | ↓ -99% |
| Anthem | All Products Mid-Level Non-Facility | $16.11 | ↓ -99% |
| The Health Plan | All Products Radiation Oncology Physicians | $17.43 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $17.46 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $22.83 | ↓ -98% |
| Summacare | Medicare Advantage MD | $25.52 | ↓ -98% |
| Oscar | All Products | $25.92 | ↓ -98% |
| United | Managed Medicaid | $32.18 | ↓ -97% |
| Caresource | Managed Medicaid | $33.15 | ↓ -97% |
| The Health Plan | PPO | $33.41 | ↓ -97% |
| Buckeye | Managed Medicaid | $33.79 | ↓ -97% |
| Molina | Managed Medicaid | $35.40 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $35.40 | ↓ -97% |
| Aultcare | PPO/HMO | $36.52 | ↓ -97% |
| UNITED | Managed Medicaid | $39.66 | ↓ -97% |
| OHCP | All Products | $39.68 | ↓ -97% |
| CARESOURCE | Managed Medicaid | $40.85 | ↓ -97% |
| MOLINA | Managed Medicaid | $41.64 | ↓ -97% |
| ANTHEM | Managed Medicaid | $41.64 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $43.63 | ↓ -97% |
| OMAS | All Products | $51.00 | ↓ -96% |
| MMO | SuperMed | $55.08 | ↓ -96% |
| United | All Products - Mid-Level | $61.20 | ↓ -95% |
| PHPHI | All Products | $61.20 | ↓ -95% |
| United | HMO & PPO | $68.00 | ↓ -95% |
| United | All Products | $68.00 | ↓ -95% |
| MMO | Traditional | $71.40 | ↓ -94% |
| GMS | All Products | $71.40 | ↓ -94% |
| Aetna | All Products First Health | $76.50 | ↓ -94% |
| Immergrun | All Products | $76.50 | ↓ -94% |
| Aetna | Asa | $81.60 | ↓ -94% |
| Multiplan | All Products | $91.80 | ↓ -93% |
| Aetna | Qhp/Ifp | $102.00 | ↓ -92% |
| The Health Plan | MEDICARE ADVANTAGE | $331.83 | ↓ -74% |
| HUMANA | Medicare Advantage HMO | $368.71 | ↓ -71% |
| UNITED | MEDICARE ADVANTAGE | $368.71 | ↓ -71% |
| Perennial Health | MEDICARE ADVANTAGE | $398.20 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $422.64 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $422.64 | ↓ -66% |
| Summacare | MEDICARE ADVANTAGE | $422.64 | ↓ -66% |
| CIGNA | MEDICARE ADVANTAGE | $435.31 | ↓ -65% |
| CommuniCare | MEDICARE ADVANTAGE | $443.77 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $456.45 | ↓ -64% |
| MMO | ALL PRODUCTS | $602.97 | ↓ -52% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +101230% |
| The Health Plan | POS | $4,036,081.00 | ↑ +320300% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Dx dark adaptation exam i&r at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,259.70 | $1.10 – $1,652.40 |
| akron general | Akron | $1,259.70 | $1.10 – $435.31 |
| avon hospital | Avon | not published | $41.41 – $464.90 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $67.61 – $78.29 |
| euclid hospital | Euclid | not published | $42.43 – $464.90 |
| fairview hospital | Cleveland | not published | $39.85 – $464.90 |
| lutheran hospital | Cleveland | not published | $37.94 – $464.90 |
| hillcrest hospital | Mayfield Heights | not published | $41.52 – $464.90 |