healthcosts.net
Emg 3 ext w-w/o paraspinal area 95863 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$486.20
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.
$748.00
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% |
| United | Managed Medicaid | $110.74 | ↓ -77% |
| Caresource | Managed Medicaid | $114.06 | ↓ -77% |
| Buckeye | Managed Medicaid | $116.28 | ↓ -76% |
| AETNA | MEDICARE ADVANTAGE | $121.73 | ↓ -75% |
| ANTHEM | MEDICARE ADVANTAGE | $121.73 | ↓ -75% |
| Summacare | MEDICARE ADVANTAGE | $121.73 | ↓ -75% |
| AmeriHealth | Managed Medicaid | $121.81 | ↓ -75% |
| Molina | Managed Medicaid | $121.81 | ↓ -75% |
| Summacare | Preferred | $123.99 | ↓ -74% |
| Summacare | Medicare Advantage Lower Level | $123.99 | ↓ -74% |
| CIGNA | MEDICARE ADVANTAGE | $125.39 | ↓ -74% |
| CommuniCare | MEDICARE ADVANTAGE | $127.82 | ↓ -74% |
| The Health Plan | MEDICARE ADVANTAGE | $130.11 | ↓ -73% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $131.47 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $144.57 | ↓ -70% |
| UNITED | MEDICARE ADVANTAGE | $144.57 | ↓ -70% |
| MMO | Medicare HMO & PPO | $151.79 | ↓ -69% |
| Summacare | Medicare Advantage Psych | $155.90 | ↓ -68% |
| Perennial Health | MEDICARE ADVANTAGE | $156.13 | ↓ -68% |
| Summacare | Medicare Advantage CNA | $162.15 | ↓ -67% |
| Summacare | Medicare Advantage MD | $181.22 | ↓ -63% |
| Oscar | All Products | $190.07 | ↓ -61% |
| Anthem | Medicare Advantage | $207.87 | ↓ -57% |
| Aetna | Medicare Advantage | $207.87 | ↓ -57% |
| United | Medicare Advantage | $207.87 | ↓ -57% |
| Cigna | Medicare Advantage | $207.87 | ↓ -57% |
| The Health Plan | Medicare Advantage | $207.87 | ↓ -57% |
| Humana | Medicare Advantage HMO | $207.87 | ↓ -57% |
| Summacare | Premier | $218.26 | ↓ -55% |
| CommuniCare | Medicare Advantage | $218.26 | ↓ -55% |
| The Health Plan | PPO | $222.42 | ↓ -54% |
| Perennial Health | Medicare Advantage | $224.50 | ↓ -54% |
| The Health Plan | All Products PCP | $228.66 | ↓ -53% |
| MMO | ALL PRODUCTS | $236.39 | ↓ -51% |
| The Health Plan | All Products Specialty Physicians | $239.05 | ↓ -51% |
| MMO | SuperMed | $267.01 | ↓ -45% |
| Aultcare | PPO/HMO | $267.78 | ↓ -45% |
| Anthem | All Products Mid-Level Non-Facility | $269.73 | ↓ -45% |
| The Health Plan | All Products Radiation Oncology Physicians | $270.23 | ↓ -44% |
| OHCP | All Products | $290.97 | ↓ -40% |
| UNITED | Managed Medicaid | $319.42 | ↓ -34% |
| CARESOURCE | Managed Medicaid | $329.00 | ↓ -32% |
| MOLINA | Managed Medicaid | $335.39 | ↓ -31% |
| ANTHEM | Managed Medicaid | $335.39 | ↓ -31% |
| AMERIHEALTH | Managed Medicaid | $351.36 | ↓ -28% |
| OMAS | All Products | $374.00 | ↓ -23% |
| PHPHI | All Products | $448.80 | ↓ -8% |
| United | All Products - Mid-Level | $463.21 | ↓ -5% |
| United | HMO & PPO | $514.68 | ↑ +6% |
| United | All Products | $514.68 | ↑ +6% |
| GMS | All Products | $523.60 | ↑ +8% |
| MMO | Traditional | $523.60 | ↑ +8% |
| Aetna | All Products First Health | $561.00 | ↑ +15% |
| Immergrun | All Products | $561.00 | ↑ +15% |
| Aetna | Asa | $598.40 | ↑ +23% |
| Multiplan | All Products | $673.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $748.00 | ↑ +54% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +262436% |
| The Health Plan | POS | $4,036,081.00 | ↑ +830028% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Emg 3 ext w-w/o paraspinal area 95863 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,188.20 | $1.10 – $673.20 |
| akron general | Akron | $486.20 | $1.10 – $673.20 |
| University Hospitals Ahuja Medical Center | Beachwood | $869.25 | $121.73 – $1,043.10 |
| University Hospitals Beachwood Medical Center | Beachwood | $869.25 | $121.73 – $1,043.10 |
| University Hospitals Elyria Medical Center | Elyria | $869.25 | $121.73 – $219.12 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $869.25 | $121.73 – $219.12 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $869.25 | $121.73 – $219.12 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $869.25 | $121.73 – $219.12 |