healthcosts.net
Exam pelvic add-on at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$34.45
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.
$53.00
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 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $11.96 | ↓ -65% |
| Summacare | Preferred | $12.26 | ↓ -64% |
| Summacare | Medicare Advantage Lower Level | $12.26 | ↓ -64% |
| Oscar | All Products | $13.47 | ↓ -61% |
| Aetna | Medicare Advantage | $15.94 | ↓ -54% |
| United | Medicare Advantage | $15.94 | ↓ -54% |
| Humana | Medicare Advantage HMO | $15.94 | ↓ -54% |
| Cigna | Medicare Advantage | $15.94 | ↓ -54% |
| The Health Plan | Medicare Advantage | $15.94 | ↓ -54% |
| Anthem | Medicare Advantage | $15.94 | ↓ -54% |
| Summacare | Medicare Advantage CNA | $16.03 | ↓ -53% |
| United | Managed Medicaid | $16.23 | ↓ -53% |
| MMO | Medicare HMO & PPO | $16.42 | ↓ -52% |
| Caresource | Managed Medicaid | $16.72 | ↓ -51% |
| CommuniCare | Medicare Advantage | $16.74 | ↓ -51% |
| Summacare | Premier | $16.74 | ↓ -51% |
| Buckeye | Managed Medicaid | $17.04 | ↓ -51% |
| The Health Plan | PPO | $17.06 | ↓ -50% |
| Perennial Health | Medicare Advantage | $17.22 | ↓ -50% |
| The Health Plan | All Products PCP | $17.53 | ↓ -49% |
| AmeriHealth | Managed Medicaid | $17.85 | ↓ -48% |
| Molina | Managed Medicaid | $17.85 | ↓ -48% |
| Summacare | Medicare Advantage MD | $17.92 | ↓ -48% |
| The Health Plan | All Products Specialty Physicians | $18.33 | ↓ -47% |
| Aultcare | PPO/HMO | $18.97 | ↓ -45% |
| OHCP | All Products | $20.62 | ↓ -40% |
| The Health Plan | All Products Radiation Oncology Physicians | $20.72 | ↓ -40% |
| Anthem | All Products Mid-Level Non-Facility | $23.66 | ↓ -31% |
| OMAS | All Products | $26.50 | ↓ -23% |
| MMO | SuperMed | $28.62 | ↓ -17% |
| United | All Products - Mid-Level | $31.18 | ↓ -9% |
| PHPHI | All Products | $31.80 | ↓ -8% |
| United | HMO & PPO | $34.64 | ↑ +1% |
| United | All Products | $34.64 | ↑ +1% |
| GMS | All Products | $37.10 | ↑ +8% |
| MMO | Traditional | $37.10 | ↑ +8% |
| Immergrun | All Products | $39.75 | ↑ +15% |
| Aetna | All Products First Health | $39.75 | ↑ +15% |
| Aetna | Asa | $42.40 | ↑ +23% |
| Multiplan | All Products | $47.70 | ↑ +38% |
| Aetna | Qhp/Ifp | $53.00 | ↑ +54% |
| UNITED | Managed Medicaid | $56.04 | ↑ +63% |
| CARESOURCE | Managed Medicaid | $57.72 | ↑ +68% |
| ANTHEM | Managed Medicaid | $58.84 | ↑ +71% |
| MOLINA | Managed Medicaid | $58.84 | ↑ +71% |
| AMERIHEALTH | Managed Medicaid | $61.64 | ↑ +79% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +3705119% |
| The Health Plan | POS | $4,036,081.00 | ↑ +11715665% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Exam pelvic add-on at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $34.45 | $1.10 – $79.59 |
| akron general | Akron | $34.45 | $1.10 – $63.17 |
| avon hospital | Avon | not published | $58.51 – $59.62 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $95.52 – $110.61 |
| euclid hospital | Euclid | not published | $59.95 – $69.41 |
| fairview hospital | Cleveland | not published | $56.32 – $65.21 |
| lutheran hospital | Cleveland | not published | $53.61 – $62.07 |
| hillcrest hospital | Mayfield Heights | not published | $58.67 – $67.94 |