healthcosts.net
Exc tr-ext mal+marg tal >4 cm 11606 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,435.85
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.
$2,209.00
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 $2,768.64 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 | $161.27 | ↓ -89% |
| Caresource | Managed Medicaid | $166.11 | ↓ -88% |
| Buckeye | Managed Medicaid | $169.33 | ↓ -88% |
| Oscar | All Products | $172.03 | ↓ -88% |
| Molina | Managed Medicaid | $177.40 | ↓ -88% |
| AmeriHealth | Managed Medicaid | $177.40 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $193.54 | ↓ -87% |
| Summacare | Preferred | $193.54 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $202.12 | ↓ -86% |
| Aultcare | PPO/HMO | $242.37 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $253.09 | ↓ -82% |
| OHCP | All Products | $263.35 | ↓ -82% |
| Humana | Medicare Advantage HMO | $269.49 | ↓ -81% |
| Anthem | Medicare Advantage | $269.49 | ↓ -81% |
| Aetna | Medicare Advantage | $269.49 | ↓ -81% |
| The Health Plan | Medicare Advantage | $269.49 | ↓ -81% |
| Cigna | Medicare Advantage | $269.49 | ↓ -81% |
| United | Medicare Advantage | $269.49 | ↓ -81% |
| MMO | Medicare HMO & PPO | $277.57 | ↓ -81% |
| Summacare | Medicare Advantage MD | $282.86 | ↓ -80% |
| CommuniCare | Medicare Advantage | $282.96 | ↓ -80% |
| Summacare | Premier | $282.96 | ↓ -80% |
| Perennial Health | Medicare Advantage | $291.05 | ↓ -80% |
| The Health Plan | All Products PCP | $296.44 | ↓ -79% |
| The Health Plan | All Products Specialty Physicians | $309.91 | ↓ -78% |
| OMAS | All Products | $338.50 | ↓ -76% |
| The Health Plan | All Products Radiation Oncology Physicians | $350.34 | ↓ -76% |
| PHPHI | All Products | $406.20 | ↓ -72% |
| GMS | All Products | $473.90 | ↓ -67% |
| MMO | Traditional | $473.90 | ↓ -67% |
| Aetna | All Products First Health | $507.75 | ↓ -65% |
| Immergrun | All Products | $507.75 | ↓ -65% |
| Aetna | Asa | $541.60 | ↓ -62% |
| Cigna | All Products Mid-Level | $551.22 | ↓ -62% |
| Anthem | All Products Mid-Level Non-Facility | $589.54 | ↓ -59% |
| Multiplan | All Products | $609.30 | ↓ -58% |
| Aetna | Acop | $619.56 | ↓ -57% |
| Cigna | All Products Physician | $651.32 | ↓ -55% |
| Aetna | Qhp/Ifp | $677.00 | ↓ -53% |
| United | All Products - Mid-Level | $981.09 | ↓ -32% |
| United | HMO & PPO | $1,090.10 | ↓ -24% |
| United | All Products | $1,090.10 | ↓ -24% |
| The Health Plan | MEDICARE ADVANTAGE | $1,347.36 | ↓ -6% |
| UNITED | Managed Medicaid | $1,397.41 | ↓ -3% |
| CARESOURCE | Managed Medicaid | $1,439.33 | ↑ +0% |
| ANTHEM | Managed Medicaid | $1,467.28 | ↑ +2% |
| MOLINA | Managed Medicaid | $1,467.28 | ↑ +2% |
| UNITED | MEDICARE ADVANTAGE | $1,497.07 | ↑ +4% |
| HUMANA | Medicare Advantage HMO | $1,497.07 | ↑ +4% |
| AMERIHEALTH | Managed Medicaid | $1,537.15 | ↑ +7% |
| ANTHEM | MEDICARE ADVANTAGE | $1,562.54 | ↑ +9% |
| Summacare | MEDICARE ADVANTAGE | $1,562.54 | ↑ +9% |
| AETNA | MEDICARE ADVANTAGE | $1,562.54 | ↑ +9% |
| CIGNA | MEDICARE ADVANTAGE | $1,609.41 | ↑ +12% |
| Perennial Health | MEDICARE ADVANTAGE | $1,616.83 | ↑ +13% |
| CommuniCare | MEDICARE ADVANTAGE | $1,640.67 | ↑ +14% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,687.54 | ↑ +18% |
| MMO | ALL PRODUCTS | $2,453.53 | ↑ +71% |
| MMO | SuperMed | $2,768.64 | ↑ +93% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Exc tr-ext mal+marg tal >4 cm 11606 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 | $1,435.85 | $1.10 – $1,616.83 |
| University Hospitals Ahuja Medical Center | Beachwood | $2,732.25 | $805.10 – $3,278.70 |
| University Hospitals Beachwood Medical Center | Beachwood | $2,732.25 | $900.00 – $3,957.48 |
| University Hospitals Elyria Medical Center | Elyria | $2,732.25 | $1,562.54 – $2,812.57 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $2,732.25 | $1,562.54 – $2,812.57 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $2,732.25 | $1,562.54 – $2,812.57 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $2,732.25 | $1,562.54 – $2,812.57 |