healthcosts.net
Exc snhfg mal+mrg >4 cm 11626 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,198.60
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.
$1,844.00
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 $4,850.94 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 | $161.41 | ↓ -87% |
| Caresource | Managed Medicaid | $166.25 | ↓ -86% |
| Buckeye | Managed Medicaid | $169.48 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $177.55 | ↓ -85% |
| Molina | Managed Medicaid | $177.55 | ↓ -85% |
| Summacare | Preferred | $178.20 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $178.20 | ↓ -85% |
| Oscar | All Products | $184.22 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $186.57 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $233.03 | ↓ -81% |
| Humana | Medicare Advantage HMO | $248.76 | ↓ -79% |
| Anthem | Medicare Advantage | $248.76 | ↓ -79% |
| United | Medicare Advantage | $248.76 | ↓ -79% |
| Aetna | Medicare Advantage | $248.76 | ↓ -79% |
| The Health Plan | Medicare Advantage | $248.76 | ↓ -79% |
| Cigna | Medicare Advantage | $248.76 | ↓ -79% |
| MMO | Medicare HMO & PPO | $256.22 | ↓ -79% |
| Aultcare | PPO/HMO | $259.55 | ↓ -78% |
| Summacare | Medicare Advantage MD | $260.44 | ↓ -78% |
| Summacare | Premier | $261.20 | ↓ -78% |
| CommuniCare | Medicare Advantage | $261.20 | ↓ -78% |
| Perennial Health | Medicare Advantage | $268.66 | ↓ -78% |
| The Health Plan | All Products PCP | $273.64 | ↓ -77% |
| OHCP | All Products | $282.03 | ↓ -76% |
| The Health Plan | All Products Specialty Physicians | $286.07 | ↓ -76% |
| The Health Plan | All Products Radiation Oncology Physicians | $323.39 | ↓ -73% |
| OMAS | All Products | $362.50 | ↓ -70% |
| PHPHI | All Products | $435.00 | ↓ -64% |
| Cigna | All Products Mid-Level | $501.57 | ↓ -58% |
| GMS | All Products | $507.50 | ↓ -58% |
| MMO | Traditional | $507.50 | ↓ -58% |
| Anthem | All Products Mid-Level Non-Facility | $536.44 | ↓ -55% |
| Immergrun | All Products | $543.75 | ↓ -55% |
| Aetna | All Products First Health | $543.75 | ↓ -55% |
| Aetna | Acop | $561.40 | ↓ -53% |
| Aetna | Asa | $580.00 | ↓ -52% |
| Cigna | All Products Physician | $592.66 | ↓ -51% |
| Multiplan | All Products | $652.50 | ↓ -46% |
| Aetna | Qhp/Ifp | $725.00 | ↓ -40% |
| United | All Products - Mid-Level | $888.28 | ↓ -26% |
| United | HMO & PPO | $986.98 | ↓ -18% |
| United | All Products | $986.98 | ↓ -18% |
| UNITED | Managed Medicaid | $1,397.41 | ↑ +17% |
| CARESOURCE | Managed Medicaid | $1,439.33 | ↑ +20% |
| MOLINA | Managed Medicaid | $1,467.28 | ↑ +22% |
| ANTHEM | Managed Medicaid | $1,467.28 | ↑ +22% |
| AMERIHEALTH | Managed Medicaid | $1,537.15 | ↑ +28% |
| The Health Plan | MEDICARE ADVANTAGE | $2,380.03 | ↑ +99% |
| HUMANA | Medicare Advantage HMO | $2,644.48 | ↑ +121% |
| UNITED | MEDICARE ADVANTAGE | $2,644.48 | ↑ +121% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↑ +129% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↑ +129% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↑ +129% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↑ +136% |
| Perennial Health | MEDICARE ADVANTAGE | $2,856.04 | ↑ +138% |
| CommuniCare | MEDICARE ADVANTAGE | $2,885.49 | ↑ +141% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↑ +148% |
| MMO | ALL PRODUCTS | $4,300.08 | ↑ +259% |
| MMO | SuperMed | $4,850.94 | ↑ +305% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exc snhfg mal+mrg >4 cm 11626 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 | $1,198.60 | $1.10 – $2,856.04 |
| avon hospital | Avon | not published | $1,459.00 – $3,022.89 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,382.01 – $2,758.12 |
| euclid hospital | Euclid | not published | $1,494.78 – $3,022.89 |
| fairview hospital | Cleveland | not published | $1,404.27 – $3,022.89 |
| lutheran hospital | Cleveland | not published | $1,336.91 – $3,022.89 |
| hillcrest hospital | Mayfield Heights | not published | $1,463.03 – $3,022.89 |