healthcosts.net
Exc back les sbq <3 cm 21930 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,284.40
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.
$1,976.00
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 $2,768.64 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 | $187.22 | ↓ -85% |
| Caresource | Managed Medicaid | $192.84 | ↓ -85% |
| Buckeye | Managed Medicaid | $196.58 | ↓ -85% |
| Oscar | All Products | $204.55 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $205.94 | ↓ -84% |
| Molina | Managed Medicaid | $205.94 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $225.67 | ↓ -82% |
| Summacare | Preferred | $225.67 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $254.93 | ↓ -80% |
| Aultcare | PPO/HMO | $288.19 | ↓ -78% |
| Summacare | Medicare Advantage CNA | $295.10 | ↓ -77% |
| OHCP | All Products | $313.15 | ↓ -76% |
| Summacare | Medicare Advantage MD | $329.82 | ↓ -74% |
| United | Medicare Advantage | $339.90 | ↓ -74% |
| Anthem | Medicare Advantage | $339.90 | ↓ -74% |
| Aetna | Medicare Advantage | $339.90 | ↓ -74% |
| Cigna | Medicare Advantage | $339.90 | ↓ -74% |
| Humana | Medicare Advantage HMO | $339.90 | ↓ -74% |
| The Health Plan | Medicare Advantage | $339.90 | ↓ -74% |
| MMO | Medicare HMO & PPO | $350.10 | ↓ -73% |
| Summacare | Premier | $356.90 | ↓ -72% |
| CommuniCare | Medicare Advantage | $356.90 | ↓ -72% |
| Perennial Health | Medicare Advantage | $367.09 | ↓ -71% |
| The Health Plan | All Products PCP | $373.89 | ↓ -71% |
| The Health Plan | All Products Specialty Physicians | $390.89 | ↓ -70% |
| OMAS | All Products | $402.50 | ↓ -69% |
| The Health Plan | All Products Radiation Oncology Physicians | $441.87 | ↓ -66% |
| PHPHI | All Products | $483.00 | ↓ -62% |
| MMO | Traditional | $563.50 | ↓ -56% |
| GMS | All Products | $563.50 | ↓ -56% |
| Immergrun | All Products | $603.75 | ↓ -53% |
| Aetna | All Products First Health | $603.75 | ↓ -53% |
| Cigna | All Products Mid-Level | $621.60 | ↓ -52% |
| Aetna | Asa | $644.00 | ↓ -50% |
| Anthem | All Products Mid-Level Non-Facility | $664.81 | ↓ -48% |
| Aetna | Acop | $665.14 | ↓ -48% |
| Multiplan | All Products | $724.50 | ↓ -44% |
| Cigna | All Products Physician | $734.48 | ↓ -43% |
| Aetna | Qhp/Ifp | $805.00 | ↓ -37% |
| UNITED | Managed Medicaid | $1,101.77 | ↓ -14% |
| United | All Products - Mid-Level | $1,103.60 | ↓ -14% |
| CARESOURCE | Managed Medicaid | $1,134.82 | ↓ -12% |
| ANTHEM | Managed Medicaid | $1,156.86 | ↓ -10% |
| MOLINA | Managed Medicaid | $1,156.86 | ↓ -10% |
| AMERIHEALTH | Managed Medicaid | $1,211.95 | ↓ -6% |
| United | HMO & PPO | $1,226.22 | ↓ -5% |
| United | All Products | $1,226.22 | ↓ -5% |
| The Health Plan | MEDICARE ADVANTAGE | $1,347.36 | ↑ +5% |
| HUMANA | Medicare Advantage HMO | $1,497.07 | ↑ +17% |
| UNITED | MEDICARE ADVANTAGE | $1,497.07 | ↑ +17% |
| Summacare | MEDICARE ADVANTAGE | $1,562.54 | ↑ +22% |
| AETNA | MEDICARE ADVANTAGE | $1,562.54 | ↑ +22% |
| ANTHEM | MEDICARE ADVANTAGE | $1,562.54 | ↑ +22% |
| CIGNA | MEDICARE ADVANTAGE | $1,609.41 | ↑ +25% |
| Perennial Health | MEDICARE ADVANTAGE | $1,616.83 | ↑ +26% |
| CommuniCare | MEDICARE ADVANTAGE | $1,640.67 | ↑ +28% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,687.54 | ↑ +31% |
| ANTHEM | PPO/HMO | $2,104.00 | ↑ +64% |
| MMO | ALL PRODUCTS | $2,453.53 | ↑ +91% |
| MMO | SuperMed | $2,768.64 | ↑ +116% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exc back les sbq <3 cm 21930 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,844.45 | $0.01 – $6,707.70 |
| akron general | Akron | $4,844.45 | $0.01 – $6,707.70 |
| University Hospitals Ahuja Medical Center | Beachwood | $2,531.25 | $745.88 – $3,037.50 |
| University Hospitals Beachwood Medical Center | Beachwood | $2,531.25 | $900.00 – $3,957.48 |
| University Hospitals Elyria Medical Center | Elyria | $2,531.25 | $1,562.54 – $2,812.57 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $2,531.25 | $1,562.54 – $2,812.57 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $2,531.25 | $1,562.54 – $2,812.57 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $2,531.25 | $1,562.54 – $2,812.57 |