healthcosts.net
Exc prtl bn phlnx toe at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,300.00
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.
$2,000.00
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 | $169.05 | ↓ -87% |
| Caresource | Managed Medicaid | $174.12 | ↓ -87% |
| Buckeye | Managed Medicaid | $177.50 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $185.96 | ↓ -86% |
| Molina | Managed Medicaid | $185.96 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $207.11 | ↓ -84% |
| Summacare | Preferred | $207.11 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $230.63 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $270.84 | ↓ -79% |
| Summacare | Medicare Advantage MD | $302.70 | ↓ -77% |
| The Health Plan | Medicare Advantage | $307.51 | ↓ -76% |
| Aetna | Medicare Advantage | $307.51 | ↓ -76% |
| United | Medicare Advantage | $307.51 | ↓ -76% |
| Cigna | Medicare Advantage | $307.51 | ↓ -76% |
| Anthem | Medicare Advantage | $307.51 | ↓ -76% |
| Humana | Medicare Advantage HMO | $307.51 | ↓ -76% |
| MMO | Medicare HMO & PPO | $316.74 | ↓ -76% |
| CommuniCare | Medicare Advantage | $322.89 | ↓ -75% |
| Summacare | Premier | $322.89 | ↓ -75% |
| The Health Plan | PPO | $329.04 | ↓ -75% |
| Perennial Health | Medicare Advantage | $332.11 | ↓ -74% |
| The Health Plan | All Products PCP | $338.26 | ↓ -74% |
| The Health Plan | All Products Specialty Physicians | $353.64 | ↓ -73% |
| The Health Plan | All Products Radiation Oncology Physicians | $399.76 | ↓ -69% |
| Oscar | All Products | $508.20 | ↓ -61% |
| Cigna | All Products Mid-Level | $577.30 | ↓ -56% |
| Anthem | All Products Mid-Level Non-Facility | $617.43 | ↓ -53% |
| Aetna | Acop | $662.59 | ↓ -49% |
| Cigna | All Products Physician | $682.14 | ↓ -48% |
| Aultcare | PPO/HMO | $716.00 | ↓ -45% |
| OHCP | All Products | $778.00 | ↓ -40% |
| OMAS | All Products | $1,000.00 | ↓ -23% |
| United | All Products - Mid-Level | $1,036.19 | ↓ -20% |
| United | All Products | $1,151.33 | ↓ -11% |
| United | HMO & PPO | $1,151.33 | ↓ -11% |
| PHPHI | All Products | $1,200.00 | ↓ -8% |
| MMO | Traditional | $1,400.00 | ↑ +8% |
| GMS | All Products | $1,400.00 | ↑ +8% |
| UNITED | Managed Medicaid | $1,430.89 | ↑ +10% |
| CARESOURCE | Managed Medicaid | $1,473.82 | ↑ +13% |
| Aetna | All Products First Health | $1,500.00 | ↑ +15% |
| Immergrun | All Products | $1,500.00 | ↑ +15% |
| ANTHEM | Managed Medicaid | $1,502.43 | ↑ +16% |
| MOLINA | Managed Medicaid | $1,502.43 | ↑ +16% |
| AMERIHEALTH | Managed Medicaid | $1,573.98 | ↑ +21% |
| Aetna | Asa | $1,600.00 | ↑ +23% |
| Multiplan | All Products | $1,800.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,000.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $2,698.16 | ↑ +108% |
| UNITED | MEDICARE ADVANTAGE | $2,997.95 | ↑ +131% |
| HUMANA | Medicare Advantage HMO | $2,997.95 | ↑ +131% |
| ANTHEM | MEDICARE ADVANTAGE | $3,095.56 | ↑ +138% |
| AETNA | MEDICARE ADVANTAGE | $3,095.56 | ↑ +138% |
| Summacare | MEDICARE ADVANTAGE | $3,095.56 | ↑ +138% |
| CIGNA | MEDICARE ADVANTAGE | $3,188.43 | ↑ +145% |
| Perennial Health | MEDICARE ADVANTAGE | $3,237.79 | ↑ +149% |
| CommuniCare | MEDICARE ADVANTAGE | $3,250.34 | ↑ +150% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,343.21 | ↑ +157% |
| MMO | ALL PRODUCTS | $4,898.36 | ↑ +277% |
| MMO | SuperMed | $5,526.53 | ↑ +325% |
| UNITED | ALL PRODUCTS | $5,553.00 | ↑ +327% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +98088% |
| The Health Plan | POS | $4,036,081.00 | ↑ +310368% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exc prtl bn phlnx toe at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,300.00 | $1.10 – $3,095.56 |
| akron general | Akron | $1,300.00 | $1.10 – $3,237.79 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,752.25 | $900.00 – $5,572.02 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,752.25 | $900.00 – $7,840.20 |
| University Hospitals Conneaut Medical Center | Conneaut | $3,006.75 | not published |
| University Hospitals Elyria Medical Center | Elyria | $3,752.25 | $3,095.56 – $5,572.02 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $3,752.25 | $3,095.56 – $5,572.02 |
| University Hospitals Geneva Medical Center | Geneva | $3,006.75 | not published |