healthcosts.net
Explore penetrating wnd/extremity 20103 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,388.40
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.
$2,136.00
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 | $176.49 | ↓ -87% |
| Caresource | Managed Medicaid | $181.78 | ↓ -87% |
| Buckeye | Managed Medicaid | $185.31 | ↓ -87% |
| Molina | Managed Medicaid | $194.14 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $194.14 | ↓ -86% |
| UNITED | Managed Medicaid | $194.98 | ↓ -86% |
| CARESOURCE | Managed Medicaid | $200.83 | ↓ -86% |
| MOLINA | Managed Medicaid | $204.73 | ↓ -85% |
| ANTHEM | Managed Medicaid | $204.73 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $212.14 | ↓ -85% |
| Summacare | Preferred | $212.14 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $214.48 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $231.77 | ↓ -83% |
| Oscar | All Products | $268.33 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $277.41 | ↓ -80% |
| The Health Plan | Medicare Advantage | $309.03 | ↓ -78% |
| Cigna | Medicare Advantage | $309.03 | ↓ -78% |
| Humana | Medicare Advantage HMO | $309.03 | ↓ -78% |
| Anthem | Medicare Advantage | $309.03 | ↓ -78% |
| Aetna | Medicare Advantage | $309.03 | ↓ -78% |
| United | Medicare Advantage | $309.03 | ↓ -78% |
| Summacare | Medicare Advantage MD | $310.05 | ↓ -78% |
| MMO | Medicare HMO & PPO | $318.30 | ↓ -77% |
| Summacare | Premier | $324.48 | ↓ -77% |
| CommuniCare | Medicare Advantage | $324.48 | ↓ -77% |
| The Health Plan | PPO | $330.66 | ↓ -76% |
| Perennial Health | Medicare Advantage | $333.75 | ↓ -76% |
| The Health Plan | All Products PCP | $339.93 | ↓ -76% |
| The Health Plan | All Products Specialty Physicians | $355.38 | ↓ -74% |
| Aultcare | PPO/HMO | $378.05 | ↓ -73% |
| The Health Plan | All Products Radiation Oncology Physicians | $401.74 | ↓ -71% |
| OHCP | All Products | $410.78 | ↓ -70% |
| OMAS | All Products | $528.00 | ↓ -62% |
| PHPHI | All Products | $633.60 | ↓ -54% |
| Cigna | All Products Mid-Level | $692.96 | ↓ -50% |
| GMS | All Products | $739.20 | ↓ -47% |
| MMO | Traditional | $739.20 | ↓ -47% |
| Anthem | All Products Mid-Level Non-Facility | $741.12 | ↓ -47% |
| Immergrun | All Products | $792.00 | ↓ -43% |
| Aetna | All Products First Health | $792.00 | ↓ -43% |
| Aetna | Acop | $795.03 | ↓ -43% |
| Cigna | All Products Physician | $818.81 | ↓ -41% |
| Aetna | Asa | $844.80 | ↓ -39% |
| Multiplan | All Products | $950.40 | ↓ -32% |
| Aetna | Qhp/Ifp | $1,056.00 | ↓ -24% |
| United | All Products - Mid-Level | $1,226.24 | ↓ -12% |
| The Health Plan | MEDICARE ADVANTAGE | $1,347.36 | ↓ -3% |
| United | All Products | $1,362.49 | ↓ -2% |
| United | HMO & PPO | $1,362.49 | ↓ -2% |
| HUMANA | Medicare Advantage HMO | $1,497.07 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $1,497.07 | ↑ +8% |
| ANTHEM | MEDICARE ADVANTAGE | $1,562.54 | ↑ +13% |
| AETNA | MEDICARE ADVANTAGE | $1,562.54 | ↑ +13% |
| Summacare | MEDICARE ADVANTAGE | $1,562.54 | ↑ +13% |
| CIGNA | MEDICARE ADVANTAGE | $1,609.41 | ↑ +16% |
| Perennial Health | MEDICARE ADVANTAGE | $1,616.83 | ↑ +16% |
| CommuniCare | MEDICARE ADVANTAGE | $1,640.67 | ↑ +18% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,687.54 | ↑ +22% |
| CIGNA | ALL PRODUCTS | $2,123.00 | ↑ +53% |
| MMO | ALL PRODUCTS | $2,453.53 | ↑ +77% |
| MMO | SuperMed | $2,768.64 | ↑ +99% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +91837% |
| The Health Plan | POS | $4,036,081.00 | ↑ +290600% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Explore penetrating wnd/extremity 20103 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,844.45 | $1.10 – $6,707.70 |
| akron general | Akron | $4,844.45 | $1.10 – $6,707.70 |
| University Hospitals Ahuja Medical Center | Beachwood | $1,971.00 | $580.79 – $2,812.57 |
| University Hospitals Beachwood Medical Center | Beachwood | $1,971.00 | $900.00 – $3,957.48 |
| University Hospitals Elyria Medical Center | Elyria | $1,971.00 | $1,562.54 – $2,812.57 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $1,971.00 | $1,562.54 – $2,812.57 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $1,971.00 | $1,562.54 – $2,812.57 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $1,971.00 | $1,562.54 – $2,812.57 |