Electrd sq emblem s-icd at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$7,800.00
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.
$12,000.00
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.
$163.84 with UNITED vs $2,346.00 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 |
|---|---|---|---|
| UNITED | Managed Medicaid | $163.84 | ↓ -98% |
| CARESOURCE | Managed Medicaid | $168.76 | ↓ -98% |
| Buckeye | Managed Medicaid | $168.76 | ↓ -98% |
| ANTHEM | Managed Medicaid | $172.03 | ↓ -98% |
| MOLINA | Managed Medicaid | $172.03 | ↓ -98% |
| AMERIHEALTH | Managed Medicaid | $180.22 | ↓ -98% |
| AETNA | MEDICARE ADVANTAGE | $511.43 | ↓ -93% |
| OSCAR | ALL PRODUCTS | $663.45 | ↓ -91% |
| Zing Health | Medicare Advantage | $703.80 | ↓ -91% |
| PHP | ALL PRODUCTS | $750.72 | ↓ -90% |
| PHPHI | ALL PRODUCTS | $750.72 | ↓ -90% |
| Summacare | Preferred | $823.45 | ↓ -89% |
| Aultcare | PPO/HMO | $839.87 | ↓ -89% |
| Summacare | PREMIER | $896.17 | ↓ -89% |
| MMO | ALL PRODUCTS | $1,051.01 | ↓ -87% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,055.70 | ↓ -86% |
| ANTHEM | HPN | $1,075.17 | ↓ -86% |
| CIGNA | ALL PRODUCTS | $1,107.31 | ↓ -86% |
| ANTHEM | Exchange | $1,138.51 | ↓ -85% |
| OHCP | ALL PRODUCTS | $1,140.16 | ↓ -85% |
| Immergrun | ALL PRODUCTS | $1,173.00 | ↓ -85% |
| OMAS | ALL PRODUCTS | $1,173.00 | ↓ -85% |
| ANTHEM | PPO/HMO | $1,264.96 | ↓ -84% |
| Ohio Healthy | TRANSPLANT | $1,266.84 | ↓ -84% |
| ANTHEM | TRADITIONAL | $1,297.34 | ↓ -83% |
| The Health Plan | POS | $1,453.35 | ↓ -81% |
| The Health Plan | HMO | $1,453.35 | ↓ -81% |
| CC EHP | ALL PRODUCTS | $1,489.71 | ↓ -81% |
| The Health Plan | PPO | $1,497.69 | ↓ -81% |
| GMS | ALL PRODUCTS | $1,642.20 | ↓ -79% |
| AETNA | International | $1,642.20 | ↓ -79% |
| Medical Benefit Corp | Transplant SMCP | $1,642.20 | ↓ -79% |
| AETNA | Asa_Whirlpool_Peia | $1,642.20 | ↓ -79% |
| Consociate Health | ALL PRODUCTS | $1,759.50 | ↓ -77% |
| AETNA | ALL PRODUCTS | $1,759.50 | ↓ -77% |
| The Health Plan | Self-Funded ASO | $1,970.64 | ↓ -75% |
| Managed Care Services | TRANSPLANT | $2,111.40 | ↓ -73% |
| MULTIPLAN | ALL PRODUCTS | $2,111.40 | ↓ -73% |
| FrontPath | TRANSPLANT | $2,111.40 | ↓ -73% |
| Tertiary Care Network | TRANSPLANT | $2,111.40 | ↓ -73% |
| AETNA | Qhp/Ipf | $2,346.00 | ↓ -70% |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Electrd sq emblem s-icd at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $14,144.54 | not published |
| Anderson Hospital | Cincinnati | $14,144.54 | not published |
| Clermont Hospital | Batavia | $14,144.54 | not published |
| Kings Mills Hospital | Mason | $14,144.54 | not published |
| Mercy West Hospital | Cincinnati | $14,144.54 | not published |
| St Ritas Medical Center | Lima | $19,054.08 | not published |
| Trinity Medical Center East | Steubenville | $3,506.23 | $1,112.40 – $1,427.58 |
| cleveland clinic main campus | Cleveland | $5,200.00 | $200.93 – $1,147.50 |