healthcosts.net
Full thick gft/scalp/arm/leg/add 20sqcm 15221 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$309.40
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.
$476.00
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 $1,317.64 with AMERIHEALTH — 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% |
| Summacare | Preferred | $42.22 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $42.22 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $42.78 | ↓ -86% |
| United | Managed Medicaid | $49.33 | ↓ -84% |
| Caresource | Managed Medicaid | $50.81 | ↓ -84% |
| Buckeye | Managed Medicaid | $51.80 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $54.26 | ↓ -82% |
| Molina | Managed Medicaid | $54.26 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $55.22 | ↓ -82% |
| Humana | Medicare Advantage HMO | $57.04 | ↓ -82% |
| Aetna | Medicare Advantage | $57.04 | ↓ -82% |
| The Health Plan | Medicare Advantage | $57.04 | ↓ -82% |
| Anthem | Medicare Advantage | $57.04 | ↓ -82% |
| Cigna | Medicare Advantage | $57.04 | ↓ -82% |
| United | Medicare Advantage | $57.04 | ↓ -82% |
| MMO | Medicare HMO & PPO | $58.75 | ↓ -81% |
| CommuniCare | Medicare Advantage | $59.89 | ↓ -81% |
| Summacare | Premier | $59.89 | ↓ -81% |
| Perennial Health | Medicare Advantage | $61.60 | ↓ -80% |
| Summacare | Medicare Advantage MD | $61.71 | ↓ -80% |
| The Health Plan | All Products PCP | $62.74 | ↓ -80% |
| The Health Plan | All Products Specialty Physicians | $65.60 | ↓ -79% |
| The Health Plan | All Products Radiation Oncology Physicians | $74.15 | ↓ -76% |
| Oscar | All Products | $120.95 | ↓ -61% |
| Cigna | All Products Mid-Level | $159.13 | ↓ -49% |
| Anthem | All Products Mid-Level Non-Facility | $170.19 | ↓ -45% |
| Aultcare | PPO/HMO | $170.41 | ↓ -45% |
| Aetna | Acop | $184.97 | ↓ -40% |
| OHCP | All Products | $185.16 | ↓ -40% |
| Cigna | All Products Physician | $188.03 | ↓ -39% |
| OMAS | All Products | $238.00 | ↓ -23% |
| MMO | SuperMed | $257.04 | ↓ -17% |
| United | All Products - Mid-Level | $279.39 | ↓ -10% |
| PHPHI | All Products | $285.60 | ↓ -8% |
| United | HMO & PPO | $310.44 | ↑ +0% |
| United | All Products | $310.44 | ↑ +0% |
| MMO | Traditional | $333.20 | ↑ +8% |
| GMS | All Products | $333.20 | ↑ +8% |
| Immergrun | All Products | $357.00 | ↑ +15% |
| Aetna | All Products First Health | $357.00 | ↑ +15% |
| Aetna | Asa | $380.80 | ↑ +23% |
| Multiplan | All Products | $428.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $476.00 | ↑ +54% |
| UNITED | Managed Medicaid | $1,197.85 | ↑ +287% |
| CARESOURCE | Managed Medicaid | $1,233.79 | ↑ +299% |
| ANTHEM | Managed Medicaid | $1,257.74 | ↑ +307% |
| MOLINA | Managed Medicaid | $1,257.74 | ↑ +307% |
| AMERIHEALTH | Managed Medicaid | $1,317.64 | ↑ +326% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Full thick gft/scalp/arm/leg/add 20sqcm 15221 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,567.20 | $0.01 – $4,939.20 |
| akron general | Akron | $3,567.20 | $0.01 – $4,939.20 |
| avon hospital | Avon | not published | $1,250.63 – $1,274.46 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,041.84 – $2,364.24 |
| euclid hospital | Euclid | not published | $1,281.31 – $1,483.63 |
| fairview hospital | Cleveland | not published | $1,203.73 – $1,393.79 |
| lutheran hospital | Cleveland | not published | $1,145.99 – $1,326.93 |
| hillcrest hospital | Mayfield Heights | not published | $1,254.10 – $1,452.11 |