healthcosts.net
Exam plvc w/anes othr thn lcl at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$455.00
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.
$700.00
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 $5,338.37 with MMO — 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 | $55.93 | ↓ -88% |
| CARESOURCE | Managed Medicaid | $57.61 | ↓ -87% |
| Buckeye | Managed Medicaid | $57.61 | ↓ -87% |
| ANTHEM | Managed Medicaid | $58.73 | ↓ -87% |
| MOLINA | Managed Medicaid | $58.73 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $61.52 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $65.09 | ↓ -86% |
| Summacare | Preferred | $65.09 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $70.89 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $85.12 | ↓ -81% |
| United | Managed Medicaid | $90.78 | ↓ -80% |
| Caresource | Managed Medicaid | $93.50 | ↓ -79% |
| Humana | Medicare Advantage HMO | $94.52 | ↓ -79% |
| United | Medicare Advantage | $94.52 | ↓ -79% |
| Aetna | Medicare Advantage | $94.52 | ↓ -79% |
| The Health Plan | Medicare Advantage | $94.52 | ↓ -79% |
| Anthem | Medicare Advantage | $94.52 | ↓ -79% |
| Cigna | Medicare Advantage | $94.52 | ↓ -79% |
| Summacare | Medicare Advantage MD | $95.13 | ↓ -79% |
| MMO | Medicare HMO & PPO | $97.36 | ↓ -79% |
| Summacare | Premier | $99.25 | ↓ -78% |
| CommuniCare | Medicare Advantage | $99.25 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $99.86 | ↓ -78% |
| Molina | Managed Medicaid | $99.86 | ↓ -78% |
| Perennial Health | Medicare Advantage | $102.08 | ↓ -78% |
| The Health Plan | All Products PCP | $103.97 | ↓ -77% |
| The Health Plan | All Products Specialty Physicians | $108.70 | ↓ -76% |
| The Health Plan | All Products Radiation Oncology Physicians | $122.88 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $141.00 | ↓ -69% |
| Oscar | All Products | $177.87 | ↓ -61% |
| United | All Products - Mid-Level | $236.61 | ↓ -48% |
| Aultcare | PPO/HMO | $250.60 | ↓ -45% |
| United | All Products | $262.91 | ↓ -42% |
| United | HMO & PPO | $262.91 | ↓ -42% |
| OHCP | All Products | $272.30 | ↓ -40% |
| OMAS | All Products | $350.00 | ↓ -23% |
| PHPHI | All Products | $420.00 | ↓ -8% |
| GMS | All Products | $490.00 | ↑ +8% |
| MMO | Traditional | $490.00 | ↑ +8% |
| Immergrun | All Products | $525.00 | ↑ +15% |
| Aetna | All Products First Health | $525.00 | ↑ +15% |
| Aetna | Asa | $560.00 | ↑ +23% |
| Multiplan | All Products | $630.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $700.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $2,644.04 | ↑ +481% |
| HUMANA | Medicare Advantage HMO | $2,937.82 | ↑ +546% |
| UNITED | MEDICARE ADVANTAGE | $2,937.82 | ↑ +546% |
| ANTHEM | MEDICARE ADVANTAGE | $3,062.57 | ↑ +573% |
| AETNA | MEDICARE ADVANTAGE | $3,062.57 | ↑ +573% |
| Summacare | MEDICARE ADVANTAGE | $3,062.57 | ↑ +573% |
| CIGNA | MEDICARE ADVANTAGE | $3,154.45 | ↑ +593% |
| Perennial Health | MEDICARE ADVANTAGE | $3,172.85 | ↑ +597% |
| CommuniCare | MEDICARE ADVANTAGE | $3,215.70 | ↑ +607% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,307.58 | ↑ +627% |
| MMO | ALL PRODUCTS | $4,731.18 | ↑ +940% |
| MMO | SuperMed | $5,338.37 | ↑ +1073% |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Exam plvc w/anes othr thn lcl at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $9,506.90 | $1.10 – $13,163.40 |
| akron general | Akron | $455.00 | $1.10 – $3,172.85 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $3,624.00 | $3,062.57 – $5,512.63 |
| avon hospital | Avon | not published | $58.39 – $3,368.83 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $95.34 – $110.40 |
| euclid hospital | Euclid | not published | $59.83 – $3,368.83 |
| fairview hospital | Cleveland | not published | $56.20 – $3,368.83 |
| lutheran hospital | Cleveland | not published | $53.50 – $3,368.83 |