healthcosts.net
Exc malig snhfg 0.5cm or less 11620 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$426.40
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.
$656.00
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% |
| United | Managed Medicaid | $68.80 | ↓ -84% |
| Caresource | Managed Medicaid | $70.86 | ↓ -83% |
| Buckeye | Managed Medicaid | $72.24 | ↓ -83% |
| Summacare | Medicare Advantage Lower Level | $74.89 | ↓ -82% |
| Summacare | Preferred | $74.89 | ↓ -82% |
| Oscar | All Products | $75.21 | ↓ -82% |
| Molina | Managed Medicaid | $75.68 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $75.68 | ↓ -82% |
| Summacare | Medicare Advantage Psych | $79.17 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $97.93 | ↓ -77% |
| United | Medicare Advantage | $105.56 | ↓ -75% |
| Humana | Medicare Advantage HMO | $105.56 | ↓ -75% |
| The Health Plan | Medicare Advantage | $105.56 | ↓ -75% |
| Aetna | Medicare Advantage | $105.56 | ↓ -75% |
| Cigna | Medicare Advantage | $105.56 | ↓ -75% |
| Anthem | Medicare Advantage | $105.56 | ↓ -75% |
| Aultcare | PPO/HMO | $105.97 | ↓ -75% |
| MMO | Medicare HMO & PPO | $108.73 | ↓ -75% |
| Summacare | Medicare Advantage MD | $109.45 | ↓ -74% |
| CommuniCare | Medicare Advantage | $110.84 | ↓ -74% |
| Summacare | Premier | $110.84 | ↓ -74% |
| The Health Plan | PPO | $112.95 | ↓ -74% |
| Perennial Health | Medicare Advantage | $114.00 | ↓ -73% |
| OHCP | All Products | $115.14 | ↓ -73% |
| The Health Plan | All Products PCP | $116.12 | ↓ -73% |
| The Health Plan | All Products Specialty Physicians | $121.39 | ↓ -72% |
| The Health Plan | All Products Radiation Oncology Physicians | $137.23 | ↓ -68% |
| OMAS | All Products | $148.00 | ↓ -65% |
| PHPHI | All Products | $177.60 | ↓ -58% |
| MMO | Traditional | $207.20 | ↓ -51% |
| GMS | All Products | $207.20 | ↓ -51% |
| Immergrun | All Products | $222.00 | ↓ -48% |
| Aetna | All Products First Health | $222.00 | ↓ -48% |
| Aetna | Asa | $236.80 | ↓ -44% |
| Cigna | All Products Mid-Level | $242.34 | ↓ -43% |
| Anthem | All Products Mid-Level Non-Facility | $259.19 | ↓ -39% |
| Aetna | Acop | $265.69 | ↓ -38% |
| Multiplan | All Products | $266.40 | ↓ -38% |
| Cigna | All Products Physician | $286.35 | ↓ -33% |
| Aetna | Qhp/Ifp | $296.00 | ↓ -31% |
| United | All Products - Mid-Level | $429.49 | ↑ +1% |
| United | All Products | $477.21 | ↑ +12% |
| United | HMO & PPO | $477.21 | ↑ +12% |
| UNITED | Managed Medicaid | $864.73 | ↑ +103% |
| CARESOURCE | Managed Medicaid | $890.67 | ↑ +109% |
| MOLINA | Managed Medicaid | $907.97 | ↑ +113% |
| ANTHEM | Managed Medicaid | $907.97 | ↑ +113% |
| AMERIHEALTH | Managed Medicaid | $951.20 | ↑ +123% |
| The Health Plan | MEDICARE ADVANTAGE | $1,347.36 | ↑ +216% |
| HUMANA | Medicare Advantage HMO | $1,497.07 | ↑ +251% |
| UNITED | MEDICARE ADVANTAGE | $1,497.07 | ↑ +251% |
| ANTHEM | MEDICARE ADVANTAGE | $1,562.54 | ↑ +266% |
| Summacare | MEDICARE ADVANTAGE | $1,562.54 | ↑ +266% |
| AETNA | MEDICARE ADVANTAGE | $1,562.54 | ↑ +266% |
| CIGNA | MEDICARE ADVANTAGE | $1,609.41 | ↑ +277% |
| Perennial Health | MEDICARE ADVANTAGE | $1,616.83 | ↑ +279% |
| CommuniCare | MEDICARE ADVANTAGE | $1,640.67 | ↑ +285% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,687.54 | ↑ +296% |
| MMO | ALL PRODUCTS | $2,453.53 | ↑ +475% |
| MMO | SuperMed | $2,768.64 | ↑ +549% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +299255% |
| The Health Plan | POS | $4,036,081.00 | ↑ +946448% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exc malig snhfg 0.5cm or less 11620 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,159.65 | $0.01 – $4,374.90 |
| akron general | Akron | $426.40 | $1.10 – $1,616.83 |
| avon hospital | Avon | not published | $902.84 – $1,718.79 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,474.01 – $1,706.75 |
| euclid hospital | Euclid | not published | $924.99 – $1,718.79 |
| fairview hospital | Cleveland | not published | $868.97 – $1,718.79 |
| lutheran hospital | Cleveland | not published | $827.29 – $1,718.79 |
| hillcrest hospital | Mayfield Heights | not published | $905.34 – $1,718.79 |