healthcosts.net
Exc im tumor/shoulder area 5cm/> 23073 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,633.80
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.
$4,052.00
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 | ↓ -100% |
| Oscar | All Products | $382.42 | ↓ -85% |
| United | Managed Medicaid | $400.46 | ↓ -85% |
| Caresource | Managed Medicaid | $412.47 | ↓ -84% |
| Buckeye | Managed Medicaid | $420.48 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $432.11 | ↓ -84% |
| Summacare | Preferred | $432.11 | ↓ -84% |
| Molina | Managed Medicaid | $440.51 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $440.51 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $480.34 | ↓ -82% |
| Aultcare | PPO/HMO | $538.79 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $565.06 | ↓ -79% |
| OHCP | All Products | $585.45 | ↓ -78% |
| Summacare | Medicare Advantage MD | $631.54 | ↓ -76% |
| Aetna | Medicare Advantage | $640.45 | ↓ -76% |
| Cigna | Medicare Advantage | $640.45 | ↓ -76% |
| Anthem | Medicare Advantage | $640.45 | ↓ -76% |
| United | Medicare Advantage | $640.45 | ↓ -76% |
| Humana | Medicare Advantage HMO | $640.45 | ↓ -76% |
| The Health Plan | Medicare Advantage | $640.45 | ↓ -76% |
| MMO | Medicare HMO & PPO | $659.66 | ↓ -75% |
| CommuniCare | Medicare Advantage | $672.47 | ↓ -74% |
| Summacare | Premier | $672.47 | ↓ -74% |
| The Health Plan | PPO | $685.28 | ↓ -74% |
| Perennial Health | Medicare Advantage | $691.69 | ↓ -74% |
| The Health Plan | All Products PCP | $704.50 | ↓ -73% |
| The Health Plan | All Products Specialty Physicians | $736.52 | ↓ -72% |
| OMAS | All Products | $752.50 | ↓ -71% |
| The Health Plan | All Products Radiation Oncology Physicians | $832.59 | ↓ -68% |
| PHPHI | All Products | $903.00 | ↓ -66% |
| Anthem | All Products Mid-Level Non-Facility | $937.08 | ↓ -64% |
| GMS | All Products | $1,053.50 | ↓ -60% |
| MMO | Traditional | $1,053.50 | ↓ -60% |
| UNITED | Managed Medicaid | $1,101.77 | ↓ -58% |
| Aetna | All Products First Health | $1,128.75 | ↓ -57% |
| Immergrun | All Products | $1,128.75 | ↓ -57% |
| CARESOURCE | Managed Medicaid | $1,134.82 | ↓ -57% |
| ANTHEM | Managed Medicaid | $1,156.86 | ↓ -56% |
| MOLINA | Managed Medicaid | $1,156.86 | ↓ -56% |
| Aetna | Asa | $1,204.00 | ↓ -54% |
| AMERIHEALTH | Managed Medicaid | $1,211.95 | ↓ -54% |
| Multiplan | All Products | $1,354.50 | ↓ -49% |
| Aetna | Qhp/Ifp | $1,505.00 | ↓ -43% |
| United | All Products - Mid-Level | $1,558.51 | ↓ -41% |
| United | All Products | $1,731.68 | ↓ -34% |
| United | HMO & PPO | $1,731.68 | ↓ -34% |
| The Health Plan | MEDICARE ADVANTAGE | $2,380.03 | ↓ -10% |
| HUMANA | Medicare Advantage HMO | $2,644.48 | ↑ +0% |
| UNITED | MEDICARE ADVANTAGE | $2,644.48 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↑ +4% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↑ +4% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↑ +4% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↑ +7% |
| Perennial Health | MEDICARE ADVANTAGE | $2,856.04 | ↑ +8% |
| CommuniCare | MEDICARE ADVANTAGE | $2,885.49 | ↑ +10% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↑ +13% |
| MMO | ALL PRODUCTS | $4,300.08 | ↑ +63% |
| MMO | SuperMed | $4,850.94 | ↑ +84% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +48364% |
| The Health Plan | POS | $4,036,081.00 | ↑ +153142% |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exc im tumor/shoulder area 5cm/> 23073 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $8,557.25 | $0.01 – $11,848.50 |
| akron general | Akron | $2,633.80 | $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 Conneaut Medical Center | Conneaut | $2,639.25 | not published |
| 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 Geneva Medical Center | Geneva | $2,639.25 | not published |