healthcosts.net
Exc hidradenitis peri/umb int 11470 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,976.00
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.
?
What you pay up front if you don't use insurance.
$3,040.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $4,850.94 with MMO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $146.56 | ↓ -93% |
| Caresource | Managed Medicaid | $150.96 | ↓ -92% |
| Buckeye | Managed Medicaid | $153.89 | ↓ -92% |
| AmeriHealth | Managed Medicaid | $161.22 | ↓ -92% |
| Molina | Managed Medicaid | $161.22 | ↓ -92% |
| Summacare | Preferred | $176.76 | ↓ -91% |
| Summacare | Medicare Advantage Lower Level | $176.76 | ↓ -91% |
| Summacare | Medicare Advantage Psych | $203.19 | ↓ -90% |
| Summacare | Medicare Advantage CNA | $231.15 | ↓ -88% |
| Summacare | Medicare Advantage MD | $258.34 | ↓ -87% |
| The Health Plan | Medicare Advantage | $270.92 | ↓ -86% |
| Aetna | Medicare Advantage | $270.92 | ↓ -86% |
| Cigna | Medicare Advantage | $270.92 | ↓ -86% |
| Humana | Medicare Advantage HMO | $270.92 | ↓ -86% |
| Anthem | Medicare Advantage | $270.92 | ↓ -86% |
| United | Medicare Advantage | $270.92 | ↓ -86% |
| MMO | Medicare HMO & PPO | $279.05 | ↓ -86% |
| CommuniCare | Medicare Advantage | $284.47 | ↓ -86% |
| Summacare | Premier | $284.47 | ↓ -86% |
| Perennial Health | Medicare Advantage | $292.59 | ↓ -85% |
| The Health Plan | All Products PCP | $298.01 | ↓ -85% |
| The Health Plan | All Products Specialty Physicians | $311.56 | ↓ -84% |
| The Health Plan | All Products Radiation Oncology Physicians | $352.20 | ↓ -82% |
| Oscar | All Products | $380.13 | ↓ -81% |
| Aultcare | PPO/HMO | $535.57 | ↓ -73% |
| Cigna | All Products Mid-Level | $561.17 | ↓ -72% |
| Aetna | Acop | $575.54 | ↓ -71% |
| OHCP | All Products | $581.94 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $600.18 | ↓ -70% |
| Cigna | All Products Physician | $663.08 | ↓ -66% |
| OMAS | All Products | $748.00 | ↓ -62% |
| PHPHI | All Products | $897.60 | ↓ -55% |
| United | All Products - Mid-Level | $987.56 | ↓ -50% |
| MMO | Traditional | $1,047.20 | ↓ -47% |
| GMS | All Products | $1,047.20 | ↓ -47% |
| United | All Products | $1,097.29 | ↓ -44% |
| United | HMO & PPO | $1,097.29 | ↓ -44% |
| Aetna | All Products First Health | $1,122.00 | ↓ -43% |
| Immergrun | All Products | $1,122.00 | ↓ -43% |
| Aetna | Asa | $1,196.80 | ↓ -39% |
| Multiplan | All Products | $1,346.40 | ↓ -32% |
| UNITED | Managed Medicaid | $1,397.41 | ↓ -29% |
| CARESOURCE | Managed Medicaid | $1,439.33 | ↓ -27% |
| ANTHEM | Managed Medicaid | $1,467.28 | ↓ -26% |
| MOLINA | Managed Medicaid | $1,467.28 | ↓ -26% |
| Aetna | Qhp/Ifp | $1,496.00 | ↓ -24% |
| AMERIHEALTH | Managed Medicaid | $1,537.15 | ↓ -22% |
| The Health Plan | MEDICARE ADVANTAGE | $2,380.03 | ↑ +20% |
| HUMANA | Medicare Advantage HMO | $2,644.48 | ↑ +34% |
| UNITED | MEDICARE ADVANTAGE | $2,644.48 | ↑ +34% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↑ +39% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↑ +39% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↑ +39% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↑ +43% |
| Perennial Health | MEDICARE ADVANTAGE | $2,856.04 | ↑ +45% |
| CommuniCare | MEDICARE ADVANTAGE | $2,885.49 | ↑ +46% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↑ +50% |
| MMO | ALL PRODUCTS | $4,300.08 | ↑ +118% |
| MMO | SuperMed | $4,850.94 | ↑ +145% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exc hidradenitis peri/umb int 11470 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,580.90 | $0.01 – $7,727.40 |
| akron general | Akron | $1,976.00 | $1.10 – $2,856.04 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,294.00 | $900.00 – $4,946.55 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,294.00 | $900.00 – $6,960.13 |
| University Hospitals Elyria Medical Center | Elyria | $3,294.00 | $2,748.08 – $4,946.55 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,294.00 | $2,748.08 – $4,946.55 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $3,294.00 | $2,748.08 – $4,946.55 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $3,294.00 | $2,748.08 – $4,946.55 |