Electronic analysis with brain program ea add 15 min 95984 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$233.35
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.
$359.00
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 $359.00 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 Lower Level | $26.20 | ↓ -89% |
| Summacare | Preferred | $26.20 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $27.44 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $34.26 | ↓ -85% |
| United | Managed Medicaid | $35.43 | ↓ -85% |
| Caresource | Managed Medicaid | $36.49 | ↓ -84% |
| Humana | Medicare Advantage HMO | $36.58 | ↓ -84% |
| United | Medicare Advantage | $36.58 | ↓ -84% |
| Aetna | Medicare Advantage | $36.58 | ↓ -84% |
| Anthem | Medicare Advantage | $36.58 | ↓ -84% |
| Cigna | Medicare Advantage | $36.58 | ↓ -84% |
| The Health Plan | Medicare Advantage | $36.58 | ↓ -84% |
| Buckeye | Managed Medicaid | $37.20 | ↓ -84% |
| MMO | Medicare HMO & PPO | $37.68 | ↓ -84% |
| Summacare | Medicare Advantage MD | $38.29 | ↓ -84% |
| CommuniCare | Medicare Advantage | $38.41 | ↓ -84% |
| Summacare | Premier | $38.41 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $38.97 | ↓ -83% |
| Molina | Managed Medicaid | $38.97 | ↓ -83% |
| Perennial Health | Medicare Advantage | $39.51 | ↓ -83% |
| The Health Plan | All Products PCP | $40.24 | ↓ -83% |
| The Health Plan | All Products Specialty Physicians | $42.07 | ↓ -82% |
| The Health Plan | All Products Radiation Oncology Physicians | $47.55 | ↓ -80% |
| Cigna | All Products Mid-Level | $54.27 | ↓ -77% |
| Anthem | All Products Mid-Level Non-Facility | $58.03 | ↓ -75% |
| Aetna | Acop | $62.47 | ↓ -73% |
| Cigna | All Products Physician | $64.12 | ↓ -73% |
| UNITED | Managed Medicaid | $75.53 | ↓ -68% |
| CARESOURCE | Managed Medicaid | $77.80 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $78.26 | ↓ -66% |
| MOLINA | Managed Medicaid | $79.31 | ↓ -66% |
| ANTHEM | Managed Medicaid | $79.31 | ↓ -66% |
| AMERIHEALTH | Managed Medicaid | $83.08 | ↓ -64% |
| Oscar | All Products | $89.44 | ↓ -62% |
| United | All Products - Mid-Level | $100.46 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $101.53 | ↓ -56% |
| United | HMO & PPO | $111.62 | ↓ -52% |
| United | All Products | $111.62 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $114.88 | ↓ -51% |
| PHP | ALL PRODUCTS | $114.88 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $121.34 | ↓ -48% |
| Aultcare | PPO/HMO | $126.02 | ↓ -46% |
| OHCP | All Products | $136.93 | ↓ -41% |
| Summacare | PREMIER | $137.14 | ↓ -41% |
| MMO | ALL PRODUCTS | $160.83 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $161.55 | ↓ -31% |
| ANTHEM | HPN | $164.53 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $169.45 | ↓ -27% |
| ANTHEM | Exchange | $174.22 | ↓ -25% |
| OHCP | ALL PRODUCTS | $174.47 | ↓ -25% |
| OMAS | All Products | $176.00 | ↓ -25% |
| OMAS | ALL PRODUCTS | $179.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $179.50 | ↓ -23% |
| MMO | SuperMed | $190.08 | ↓ -19% |
| ANTHEM | PPO/HMO | $193.57 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $193.86 | ↓ -17% |
| ANTHEM | TRADITIONAL | $198.53 | ↓ -15% |
| UNITED | ALL PRODUCTS | $202.12 | ↓ -13% |
| PHPHI | All Products | $211.20 | ↓ -9% |
| The Health Plan | PPO | $229.19 | ↓ -2% |
| MMO | Traditional | $246.40 | ↑ +6% |
| GMS | All Products | $246.40 | ↑ +6% |
| AETNA | Asa_Whirlpool_Peia | $251.30 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $251.30 | ↑ +8% |
| GMS | ALL PRODUCTS | $251.30 | ↑ +8% |
| AETNA | International | $251.30 | ↑ +8% |
| Aetna | All Products First Health | $264.00 | ↑ +13% |
| Immergrun | All Products | $264.00 | ↑ +13% |
| Consociate Health | ALL PRODUCTS | $269.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $269.25 | ↑ +15% |
| Aetna | Asa | $281.60 | ↑ +21% |
| The Health Plan | Self-Funded ASO | $301.56 | ↑ +29% |
| Multiplan | All Products | $316.80 | ↑ +36% |
| MULTIPLAN | ALL PRODUCTS | $323.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $323.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $323.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $323.10 | ↑ +38% |
| Aetna | Qhp/Ifp | $352.00 | ↑ +51% |
| AETNA | Qhp/Ipf | $359.00 | ↑ +54% |
| The Health Plan | POS | $359.00 | ↑ +54% |
| The Health Plan | HMO | $359.00 | ↑ +54% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | 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 | — |
Visitor-reported prices
Comments
Electronic analysis with brain program ea add 15 min 95984 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $233.35 | $1.10 – $323.10 |
| akron general | Akron | $233.35 | $1.10 – $323.10 |
| avon hospital | Avon | $233.35 | $78.26 – $323.10 |
| euclid hospital | Euclid | $233.35 | $78.26 – $323.10 |
| fairview hospital | Cleveland | $233.35 | $68.00 – $323.10 |
| lutheran hospital | Cleveland | $233.35 | $72.27 – $323.10 |
| hillcrest hospital | Mayfield Heights | $233.35 | $68.00 – $323.10 |
| marymount hospital | Garfield Heights | $233.35 | $71.35 – $323.10 |