healthcosts.net
Explore wound abdomen 20102 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,034.80
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.
$1,592.00
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 | $134.35 | ↓ -87% |
| Oscar | All Products | $135.94 | ↓ -87% |
| Caresource | Managed Medicaid | $138.38 | ↓ -87% |
| Buckeye | Managed Medicaid | $141.07 | ↓ -86% |
| Molina | Managed Medicaid | $147.79 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $147.79 | ↓ -86% |
| Summacare | Preferred | $158.11 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $158.11 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $179.58 | ↓ -83% |
| Aultcare | PPO/HMO | $191.53 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $206.76 | ↓ -80% |
| OHCP | All Products | $208.12 | ↓ -80% |
| Summacare | Medicare Advantage MD | $231.09 | ↓ -78% |
| The Health Plan | Medicare Advantage | $239.44 | ↓ -77% |
| Anthem | Medicare Advantage | $239.44 | ↓ -77% |
| Aetna | Medicare Advantage | $239.44 | ↓ -77% |
| Cigna | Medicare Advantage | $239.44 | ↓ -77% |
| Humana | Medicare Advantage HMO | $239.44 | ↓ -77% |
| United | Medicare Advantage | $239.44 | ↓ -77% |
| MMO | Medicare HMO & PPO | $246.62 | ↓ -76% |
| CommuniCare | Medicare Advantage | $251.41 | ↓ -76% |
| Summacare | Premier | $251.41 | ↓ -76% |
| The Health Plan | PPO | $256.20 | ↓ -75% |
| Perennial Health | Medicare Advantage | $258.60 | ↓ -75% |
| The Health Plan | All Products PCP | $263.38 | ↓ -75% |
| OMAS | All Products | $267.50 | ↓ -74% |
| The Health Plan | All Products Specialty Physicians | $275.36 | ↓ -73% |
| The Health Plan | All Products Radiation Oncology Physicians | $311.27 | ↓ -70% |
| PHPHI | All Products | $321.00 | ↓ -69% |
| MMO | Traditional | $374.50 | ↓ -64% |
| GMS | All Products | $374.50 | ↓ -64% |
| Aetna | All Products First Health | $401.25 | ↓ -61% |
| Immergrun | All Products | $401.25 | ↓ -61% |
| Aetna | Asa | $428.00 | ↓ -59% |
| UNITED | Managed Medicaid | $456.30 | ↓ -56% |
| CARESOURCE | Managed Medicaid | $469.99 | ↓ -55% |
| ANTHEM | Managed Medicaid | $479.12 | ↓ -54% |
| MOLINA | Managed Medicaid | $479.12 | ↓ -54% |
| Multiplan | All Products | $481.50 | ↓ -53% |
| AMERIHEALTH | Managed Medicaid | $501.93 | ↓ -51% |
| Aetna | Qhp/Ifp | $535.00 | ↓ -48% |
| Aetna | Acop | $670.25 | ↓ -35% |
| Cigna | All Products Mid-Level | $741.14 | ↓ -28% |
| Anthem | All Products Mid-Level Non-Facility | $792.66 | ↓ -23% |
| Cigna | All Products Physician | $875.73 | ↓ -15% |
| United | All Products - Mid-Level | $1,315.98 | ↑ +27% |
| United | HMO & PPO | $1,462.20 | ↑ +41% |
| United | All Products | $1,462.20 | ↑ +41% |
| The Health Plan | MEDICARE ADVANTAGE | $1,521.15 | ↑ +47% |
| UNITED | MEDICARE ADVANTAGE | $1,690.17 | ↑ +63% |
| HUMANA | Medicare Advantage HMO | $1,690.17 | ↑ +63% |
| Perennial Health | MEDICARE ADVANTAGE | $1,825.39 | ↑ +76% |
| ANTHEM | MEDICARE ADVANTAGE | $1,952.02 | ↑ +89% |
| Summacare | MEDICARE ADVANTAGE | $1,952.02 | ↑ +89% |
| AETNA | MEDICARE ADVANTAGE | $1,952.02 | ↑ +89% |
| CIGNA | MEDICARE ADVANTAGE | $2,010.58 | ↑ +94% |
| CommuniCare | MEDICARE ADVANTAGE | $2,049.62 | ↑ +98% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,108.18 | ↑ +104% |
| MMO | ALL PRODUCTS | $2,759.72 | ↑ +167% |
| MMO | SuperMed | $3,114.50 | ↑ +201% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +123252% |
| The Health Plan | POS | $4,036,081.00 | ↑ +389935% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Explore wound abdomen 20102 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,034.80 | $1.10 – $1,952.02 |
| akron general | Akron | $5,469.10 | $1.10 – $7,572.60 |
| avon hospital | Avon | not published | $476.42 – $2,147.22 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $777.81 – $900.63 |
| euclid hospital | Euclid | not published | $488.10 – $2,147.22 |
| fairview hospital | Cleveland | not published | $458.55 – $2,147.22 |
| lutheran hospital | Cleveland | not published | $436.54 – $2,147.22 |
| hillcrest hospital | Mayfield Heights | not published | $477.73 – $2,147.22 |