_fragile x methylation-sendout at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
not published by hospital
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.
not published by hospital
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.
$17.93 with ANTHEM vs $101.01 with UNITED — 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 |
|---|---|---|---|
| ANTHEM | HPN | $17.93 | — |
| ANTHEM | PPO/HMO | $21.09 | — |
| The Health Plan | MEDICARE ADVANTAGE | $40.40 | — |
| ANTHEM | MEDICARE ADVANTAGE | $44.89 | — |
| HUMANA | Medicare Advantage HMO | $44.89 | — |
| Summacare | MEDICARE ADVANTAGE | $44.89 | — |
| AETNA | MEDICARE ADVANTAGE | $44.89 | — |
| UNITED | MEDICARE ADVANTAGE | $44.89 | — |
| CIGNA | MEDICARE ADVANTAGE | $46.24 | — |
| CC EHP | ALL PRODUCTS | $46.56 | — |
| MMO | Medicare HMO & PPO | $47.13 | — |
| CommuniCare | MEDICARE ADVANTAGE | $47.13 | — |
| Perennial Health | MEDICARE ADVANTAGE | $48.48 | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | $48.48 | — |
| Zing Health | Medicare Advantage | $49.38 | — |
| UNITED | Managed Medicaid | $68.44 | — |
| Buckeye | Managed Medicaid | $70.49 | — |
| CARESOURCE | Managed Medicaid | $70.49 | — |
| MOLINA | Managed Medicaid | $71.86 | — |
| ANTHEM | Managed Medicaid | $71.86 | — |
| AMERIHEALTH | Managed Medicaid | $75.28 | — |
| MMO | ALL PRODUCTS | $78.56 | — |
| AETNA | International | $94.64 | — |
| UNITED | ALL PRODUCTS | $101.01 | — |
Visitor-reported prices
Comments
_fragile x methylation-sendout at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Ritas Medical Center | Lima | $375.00 | not published |
| Trinity Medical Center East | Steubenville | $468.16 | $17.96 – $632.48 |
| cleveland clinic main campus | Cleveland | $201.50 | $17.96 – $279.00 |
| Dublin Methodist Hospital | Dublin | $533.65 | $44.89 – $168.34 |
| Shelby Hospital | Shelby | $562.25 | not published |
| Berger Hospital | Circleville | $466.70 | $44.89 – $44.89 |
| Grant Medical Center | Columbus | $533.65 | $44.89 – $168.34 |
| Southeastern Medical Center | Cambridge | $221.00 | $44.89 – $46.69 |