healthcosts.net
Explore woundchest 20101 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$839.80
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.
$1,292.00
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 | $108.84 | ↓ -87% |
| Caresource | Managed Medicaid | $112.11 | ↓ -87% |
| Buckeye | Managed Medicaid | $114.28 | ↓ -86% |
| Molina | Managed Medicaid | $119.72 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $119.72 | ↓ -86% |
| Summacare | Preferred | $129.39 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $129.39 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $147.74 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $169.20 | ↓ -80% |
| Summacare | Medicare Advantage MD | $189.11 | ↓ -77% |
| The Health Plan | Medicare Advantage | $196.99 | ↓ -77% |
| United | Medicare Advantage | $196.99 | ↓ -77% |
| Aetna | Medicare Advantage | $196.99 | ↓ -77% |
| Cigna | Medicare Advantage | $196.99 | ↓ -77% |
| Humana | Medicare Advantage HMO | $196.99 | ↓ -77% |
| Anthem | Medicare Advantage | $196.99 | ↓ -77% |
| MMO | Medicare HMO & PPO | $202.90 | ↓ -76% |
| CommuniCare | Medicare Advantage | $206.84 | ↓ -75% |
| Summacare | Premier | $206.84 | ↓ -75% |
| The Health Plan | PPO | $210.78 | ↓ -75% |
| Perennial Health | Medicare Advantage | $212.75 | ↓ -75% |
| The Health Plan | All Products PCP | $216.69 | ↓ -74% |
| The Health Plan | All Products Specialty Physicians | $226.54 | ↓ -73% |
| The Health Plan | All Products Radiation Oncology Physicians | $256.09 | ↓ -70% |
| Oscar | All Products | $328.30 | ↓ -61% |
| UNITED | Managed Medicaid | $456.30 | ↓ -46% |
| Aultcare | PPO/HMO | $462.54 | ↓ -45% |
| CARESOURCE | Managed Medicaid | $469.99 | ↓ -44% |
| MOLINA | Managed Medicaid | $479.12 | ↓ -43% |
| ANTHEM | Managed Medicaid | $479.12 | ↓ -43% |
| AMERIHEALTH | Managed Medicaid | $501.93 | ↓ -40% |
| OHCP | All Products | $502.59 | ↓ -40% |
| Aetna | Acop | $617.08 | ↓ -27% |
| OMAS | All Products | $646.00 | ↓ -23% |
| Cigna | All Products Mid-Level | $707.37 | ↓ -16% |
| Anthem | All Products Mid-Level Non-Facility | $756.54 | ↓ -10% |
| PHPHI | All Products | $775.20 | ↓ -8% |
| Cigna | All Products Physician | $835.83 | ↓ -0% |
| MMO | Traditional | $904.40 | ↑ +8% |
| GMS | All Products | $904.40 | ↑ +8% |
| Aetna | All Products First Health | $969.00 | ↑ +15% |
| Immergrun | All Products | $969.00 | ↑ +15% |
| Aetna | Asa | $1,033.60 | ↑ +23% |
| Multiplan | All Products | $1,162.80 | ↑ +38% |
| United | All Products - Mid-Level | $1,230.21 | ↑ +46% |
| Aetna | Qhp/Ifp | $1,292.00 | ↑ +54% |
| United | HMO & PPO | $1,366.90 | ↑ +63% |
| United | All Products | $1,366.90 | ↑ +63% |
| The Health Plan | MEDICARE ADVANTAGE | $1,521.15 | ↑ +81% |
| HUMANA | Medicare Advantage HMO | $1,690.17 | ↑ +101% |
| UNITED | MEDICARE ADVANTAGE | $1,690.17 | ↑ +101% |
| Perennial Health | MEDICARE ADVANTAGE | $1,825.39 | ↑ +117% |
| Summacare | MEDICARE ADVANTAGE | $1,952.02 | ↑ +132% |
| AETNA | MEDICARE ADVANTAGE | $1,952.02 | ↑ +132% |
| ANTHEM | MEDICARE ADVANTAGE | $1,952.02 | ↑ +132% |
| CIGNA | MEDICARE ADVANTAGE | $2,010.58 | ↑ +139% |
| CommuniCare | MEDICARE ADVANTAGE | $2,049.62 | ↑ +144% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,108.18 | ↑ +151% |
| MMO | ALL PRODUCTS | $2,759.72 | ↑ +229% |
| MMO | SuperMed | $3,114.50 | ↑ +271% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +151894% |
| The Health Plan | POS | $4,036,081.00 | ↑ +480500% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
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Explore woundchest 20101 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,469.10 | $1.10 – $7,572.60 |
| akron general | Akron | $5,469.10 | $1.10 – $7,572.60 |
| lodi hospital | Lodi | $5,469.10 | $745.30 – $7,572.60 |
| University Hospitals Ahuja Medical Center | Beachwood | $2,113.50 | $622.78 – $3,513.64 |
| University Hospitals Beachwood Medical Center | Beachwood | $2,113.50 | $900.00 – $4,943.91 |
| University Hospitals Conneaut Medical Center | Conneaut | $1,693.50 | not published |
| University Hospitals Elyria Medical Center | Elyria | $2,113.50 | $1,952.02 – $3,513.64 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $2,113.50 | $1,952.02 – $3,513.64 |