Egd w/thrml txmnt gerd at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$214.88 with The Health Plan vs $4,036,081.00 with The Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| The Health Plan | PPO | $214.88 | — |
| UNITED | Managed Medicaid | $1,223.58 | — |
| CARESOURCE | Managed Medicaid | $1,260.29 | — |
| Buckeye | Managed Medicaid | $1,260.29 | — |
| MOLINA | Managed Medicaid | $1,284.76 | — |
| ANTHEM | Managed Medicaid | $1,284.76 | — |
| AMERIHEALTH | Managed Medicaid | $1,345.94 | — |
| The Health Plan | MEDICARE ADVANTAGE | $3,163.78 | — |
| UNITED | MEDICARE ADVANTAGE | $3,515.31 | — |
| HUMANA | Medicare Advantage HMO | $3,515.31 | — |
| AETNA | MEDICARE ADVANTAGE | $3,647.57 | — |
| ANTHEM | MEDICARE ADVANTAGE | $3,647.57 | — |
| Summacare | MEDICARE ADVANTAGE | $3,647.57 | — |
| MMO | Medicare HMO & PPO | $3,691.08 | — |
| CIGNA | MEDICARE ADVANTAGE | $3,757.00 | — |
| Perennial Health | MEDICARE ADVANTAGE | $3,796.53 | — |
| CommuniCare | MEDICARE ADVANTAGE | $3,829.95 | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,939.38 | — |
| Zing Health | Medicare Advantage | $4,012.33 | — |
| MMO | ALL PRODUCTS | $5,795.64 | — |
| The Health Plan | HMO | $1,276,448.04 | — |
| The Health Plan | POS | $4,036,081.00 | — |
Visitor-reported prices
Comments
Egd w/thrml txmnt gerd at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $11,375.65 | $1.10 – $15,750.90 |
| University Hospitals Ahuja Medical Center | Beachwood | $5,043.00 | $900.00 – $6,565.63 |
| University Hospitals Beachwood Medical Center | Beachwood | $5,043.00 | $900.00 – $9,238.28 |
| University Hospitals Elyria Medical Center | Elyria | $5,043.00 | $3,647.57 – $6,565.63 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $5,043.00 | $3,647.57 – $6,565.63 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $5,043.00 | $3,647.57 – $6,565.63 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $5,043.00 | $3,647.57 – $6,565.63 |
| University Hospitals Portage Medical Center | Ravenna OH 44266 | $5,043.00 | $3,938.98 – $7,090.16 |