healthcosts.net
Explore/treat eye socket at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,678.00
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.
?
What you pay up front if you don't use insurance.
$4,120.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $4,120.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $575.82 | ↓ -78% |
| Summacare | Preferred | $577.85 | ↓ -78% |
| Summacare | Medicare Advantage Lower Level | $577.85 | ↓ -78% |
| Caresource | Managed Medicaid | $593.09 | ↓ -78% |
| Buckeye | Managed Medicaid | $604.61 | ↓ -77% |
| Summacare | Medicare Advantage Psych | $625.30 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $633.40 | ↓ -76% |
| Molina | Managed Medicaid | $633.40 | ↓ -76% |
| Summacare | Medicare Advantage CNA | $755.65 | ↓ -72% |
| Anthem | Medicare Advantage | $833.73 | ↓ -69% |
| The Health Plan | Medicare Advantage | $833.73 | ↓ -69% |
| Humana | Medicare Advantage HMO | $833.73 | ↓ -69% |
| Cigna | Medicare Advantage | $833.73 | ↓ -69% |
| United | Medicare Advantage | $833.73 | ↓ -69% |
| Aetna | Medicare Advantage | $833.73 | ↓ -69% |
| Summacare | Medicare Advantage MD | $844.55 | ↓ -68% |
| MMO | Medicare HMO & PPO | $858.74 | ↓ -68% |
| CommuniCare | Medicare Advantage | $875.42 | ↓ -67% |
| Summacare | Premier | $875.42 | ↓ -67% |
| Perennial Health | Medicare Advantage | $900.43 | ↓ -66% |
| The Health Plan | All Products PCP | $917.10 | ↓ -66% |
| The Health Plan | All Products Specialty Physicians | $958.79 | ↓ -64% |
| Oscar | All Products | $1,046.89 | ↓ -61% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,083.85 | ↓ -60% |
| Anthem | All Products Mid-Level Non-Facility | $1,290.39 | ↓ -52% |
| Aultcare | PPO/HMO | $1,474.96 | ↓ -45% |
| OHCP | All Products | $1,602.68 | ↓ -40% |
| UNITED | Managed Medicaid | $1,730.84 | ↓ -35% |
| CARESOURCE | Managed Medicaid | $1,782.77 | ↓ -33% |
| ANTHEM | Managed Medicaid | $1,817.38 | ↓ -32% |
| MOLINA | Managed Medicaid | $1,817.38 | ↓ -32% |
| AMERIHEALTH | Managed Medicaid | $1,903.92 | ↓ -29% |
| The Health Plan | MEDICARE ADVANTAGE | $1,940.05 | ↓ -28% |
| OMAS | All Products | $2,060.00 | ↓ -23% |
| United | All Products - Mid-Level | $2,132.51 | ↓ -20% |
| UNITED | MEDICARE ADVANTAGE | $2,155.61 | ↓ -20% |
| HUMANA | Medicare Advantage HMO | $2,155.61 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $2,249.28 | ↓ -16% |
| Summacare | MEDICARE ADVANTAGE | $2,249.28 | ↓ -16% |
| ANTHEM | MEDICARE ADVANTAGE | $2,249.28 | ↓ -16% |
| CIGNA | MEDICARE ADVANTAGE | $2,316.76 | ↓ -13% |
| Perennial Health | MEDICARE ADVANTAGE | $2,328.06 | ↓ -13% |
| CommuniCare | MEDICARE ADVANTAGE | $2,361.75 | ↓ -12% |
| United | HMO & PPO | $2,369.46 | ↓ -12% |
| United | All Products | $2,369.46 | ↓ -12% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,429.23 | ↓ -9% |
| PHPHI | All Products | $2,472.00 | ↓ -8% |
| GMS | All Products | $2,884.00 | ↑ +8% |
| MMO | Traditional | $2,884.00 | ↑ +8% |
| Immergrun | All Products | $3,090.00 | ↑ +15% |
| Aetna | All Products First Health | $3,090.00 | ↑ +15% |
| Aetna | Asa | $3,296.00 | ↑ +23% |
| MMO | ALL PRODUCTS | $3,536.32 | ↑ +32% |
| Multiplan | All Products | $3,708.00 | ↑ +38% |
| MMO | SuperMed | $3,988.99 | ↑ +49% |
| Aetna | Qhp/Ifp | $4,120.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Explore/treat eye socket at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,678.00 | $1.10 – $3,708.00 |
| akron general | Akron | $2,678.00 | $1.10 – $3,708.00 |
| avon hospital | Avon | not published | $1,807.12 – $2,474.21 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,950.38 – $3,416.23 |
| euclid hospital | Euclid | not published | $1,851.44 – $2,474.21 |
| fairview hospital | Cleveland | not published | $1,739.34 – $2,474.21 |
| lutheran hospital | Cleveland | not published | $1,655.91 – $2,474.21 |
| hillcrest hospital | Mayfield Heights | not published | $1,812.12 – $2,474.21 |