healthcosts.net
Epidural lysis mult sessions at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,300.00
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.
$2,000.00
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.
$1.10 with Zing Health vs $2,000.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $159.19 | ↓ -88% |
| Caresource | Managed Medicaid | $163.97 | ↓ -87% |
| Buckeye | Managed Medicaid | $167.15 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $175.11 | ↓ -87% |
| Molina | Managed Medicaid | $175.11 | ↓ -87% |
| Summacare | Preferred | $197.96 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $197.96 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $217.05 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $258.88 | ↓ -80% |
| Summacare | Medicare Advantage MD | $289.33 | ↓ -78% |
| United | Medicare Advantage | $289.40 | ↓ -78% |
| Aetna | Medicare Advantage | $289.40 | ↓ -78% |
| Humana | Medicare Advantage HMO | $289.40 | ↓ -78% |
| The Health Plan | Medicare Advantage | $289.40 | ↓ -78% |
| Anthem | Medicare Advantage | $289.40 | ↓ -78% |
| Cigna | Medicare Advantage | $289.40 | ↓ -78% |
| MMO | Medicare HMO & PPO | $298.08 | ↓ -77% |
| CommuniCare | Medicare Advantage | $303.87 | ↓ -77% |
| Summacare | Premier | $303.87 | ↓ -77% |
| Perennial Health | Medicare Advantage | $312.55 | ↓ -76% |
| The Health Plan | All Products PCP | $318.34 | ↓ -76% |
| The Health Plan | All Products Specialty Physicians | $332.81 | ↓ -74% |
| The Health Plan | All Products Radiation Oncology Physicians | $376.22 | ↓ -71% |
| UNITED | Managed Medicaid | $461.12 | ↓ -65% |
| CARESOURCE | Managed Medicaid | $474.95 | ↓ -63% |
| MOLINA | Managed Medicaid | $484.18 | ↓ -63% |
| ANTHEM | Managed Medicaid | $484.18 | ↓ -63% |
| AMERIHEALTH | Managed Medicaid | $507.23 | ↓ -61% |
| Oscar | All Products | $508.20 | ↓ -61% |
| Aultcare | PPO/HMO | $716.00 | ↓ -45% |
| The Health Plan | MEDICARE ADVANTAGE | $740.35 | ↓ -43% |
| Cigna | All Products Mid-Level | $773.26 | ↓ -41% |
| OHCP | All Products | $778.00 | ↓ -40% |
| Aetna | Acop | $814.80 | ↓ -37% |
| HUMANA | Medicare Advantage HMO | $822.61 | ↓ -37% |
| UNITED | MEDICARE ADVANTAGE | $822.61 | ↓ -37% |
| Anthem | All Products Mid-Level Non-Facility | $827.01 | ↓ -36% |
| AETNA | MEDICARE ADVANTAGE | $836.78 | ↓ -36% |
| ANTHEM | MEDICARE ADVANTAGE | $836.78 | ↓ -36% |
| Summacare | MEDICARE ADVANTAGE | $836.78 | ↓ -36% |
| CIGNA | MEDICARE ADVANTAGE | $861.88 | ↓ -34% |
| CommuniCare | MEDICARE ADVANTAGE | $878.62 | ↓ -32% |
| Perennial Health | MEDICARE ADVANTAGE | $888.42 | ↓ -32% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $903.72 | ↓ -30% |
| Cigna | All Products Physician | $913.69 | ↓ -30% |
| OMAS | All Products | $1,000.00 | ↓ -23% |
| PHPHI | All Products | $1,200.00 | ↓ -8% |
| MMO | ALL PRODUCTS | $1,379.36 | ↑ +6% |
| United | All Products - Mid-Level | $1,390.20 | ↑ +7% |
| MMO | Traditional | $1,400.00 | ↑ +8% |
| GMS | All Products | $1,400.00 | ↑ +8% |
| Immergrun | All Products | $1,500.00 | ↑ +15% |
| Aetna | All Products First Health | $1,500.00 | ↑ +15% |
| United | All Products | $1,544.66 | ↑ +19% |
| United | HMO & PPO | $1,544.66 | ↑ +19% |
| MMO | SuperMed | $1,555.46 | ↑ +20% |
| Aetna | Asa | $1,600.00 | ↑ +23% |
| Multiplan | All Products | $1,800.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,000.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Epidural lysis mult sessions at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,300.00 | $1.10 – $1,800.00 |
| akron general | Akron | $1,300.00 | $1.10 – $1,800.00 |
| avon hospital | Avon | not published | $481.45 – $920.46 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $786.02 – $910.13 |
| euclid hospital | Euclid | not published | $493.25 – $920.46 |
| fairview hospital | Cleveland | not published | $463.38 – $920.46 |
| lutheran hospital | Cleveland | not published | $441.15 – $920.46 |
| hillcrest hospital | Mayfield Heights | not published | $482.77 – $920.46 |