Fna bx w/mr gdn ea addl at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$393.25
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.
$605.00
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 $605.00 with Aetna — 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% |
| Oscar | All Products | $153.73 | ↓ -61% |
| Aultcare | PPO/HMO | $216.59 | ↓ -45% |
| OHCP | All Products | $235.35 | ↓ -40% |
| OMAS | All Products | $302.50 | ↓ -23% |
| UNITED | Managed Medicaid | $313.67 | ↓ -20% |
| Buckeye | Managed Medicaid | $323.08 | ↓ -18% |
| CARESOURCE | Managed Medicaid | $323.08 | ↓ -18% |
| MMO | SuperMed | $326.70 | ↓ -17% |
| MOLINA | Managed Medicaid | $329.35 | ↓ -16% |
| ANTHEM | Managed Medicaid | $329.35 | ↓ -16% |
| AMERIHEALTH | Managed Medicaid | $345.04 | ↓ -12% |
| PHPHI | All Products | $363.00 | ↓ -8% |
| Anthem | All Products Mid-Level Non-Facility | $366.16 | ↓ -7% |
| Summacare | Medicare Advantage MD | $423.50 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $423.50 | ↑ +8% |
| Summacare | Preferred | $423.50 | ↑ +8% |
| Summacare | Premier | $423.50 | ↑ +8% |
| GMS | All Products | $423.50 | ↑ +8% |
| Summacare | Medicare Advantage Lower Level | $423.50 | ↑ +8% |
| Summacare | Medicare Advantage CNA | $423.50 | ↑ +8% |
| MMO | Traditional | $423.50 | ↑ +8% |
| United | All Products - Mid-Level | $441.90 | ↑ +12% |
| Immergrun | All Products | $453.75 | ↑ +15% |
| Aetna | All Products First Health | $453.75 | ↑ +15% |
| Aetna | Asa | $484.00 | ↑ +23% |
| United | All Products | $491.00 | ↑ +25% |
| United | HMO & PPO | $491.00 | ↑ +25% |
| Multiplan | All Products | $544.50 | ↑ +38% |
| Aetna | Qhp/Ifp | $605.00 | ↑ +54% |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| The Health Plan | All Products PCP | not published by hospital | — |
| The Health Plan | All Products Radiation Oncology Physicians | not published by hospital | — |
| The Health Plan | All Products Specialty Physicians | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Fna bx w/mr gdn ea addl at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $946.40 | $0.01 – $1,310.40 |
| akron general | Akron | $393.25 | $1.10 – $544.50 |
| University Hospitals Ahuja Medical Center | Beachwood | $847.50 | $249.73 – $2,292.78 |
| University Hospitals Beachwood Medical Center | Beachwood | $847.50 | $452.00 – $2,246.00 |
| University Hospitals Conneaut Medical Center | Conneaut | $833.25 | not published |
| University Hospitals Elyria Medical Center | Elyria | $847.50 | not published |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $847.50 | not published |
| University Hospitals Geneva Medical Center | Geneva | $833.25 | not published |