healthcosts.net
Fusion of knuckle at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,856.40
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.
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What you pay up front if you don't use insurance.
$2,856.00
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 $12,214.27 with MMO — 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 | $425.62 | ↓ -77% |
| Caresource | Managed Medicaid | $438.39 | ↓ -76% |
| Summacare | Medicare Advantage Lower Level | $443.77 | ↓ -76% |
| Summacare | Preferred | $443.77 | ↓ -76% |
| Buckeye | Managed Medicaid | $446.90 | ↓ -76% |
| AmeriHealth | Managed Medicaid | $468.18 | ↓ -75% |
| Molina | Managed Medicaid | $468.18 | ↓ -75% |
| Summacare | Medicare Advantage Psych | $504.54 | ↓ -73% |
| Summacare | Medicare Advantage CNA | $580.31 | ↓ -69% |
| Summacare | Medicare Advantage MD | $648.58 | ↓ -65% |
| Cigna | Medicare Advantage | $672.72 | ↓ -64% |
| United | Medicare Advantage | $672.72 | ↓ -64% |
| Aetna | Medicare Advantage | $672.72 | ↓ -64% |
| Anthem | Medicare Advantage | $672.72 | ↓ -64% |
| The Health Plan | Medicare Advantage | $672.72 | ↓ -64% |
| Humana | Medicare Advantage HMO | $672.72 | ↓ -64% |
| MMO | Medicare HMO & PPO | $692.90 | ↓ -63% |
| CommuniCare | Medicare Advantage | $706.36 | ↓ -62% |
| Summacare | Premier | $706.36 | ↓ -62% |
| Oscar | All Products | $725.71 | ↓ -61% |
| Perennial Health | Medicare Advantage | $726.54 | ↓ -61% |
| The Health Plan | All Products PCP | $739.99 | ↓ -60% |
| The Health Plan | All Products Specialty Physicians | $773.63 | ↓ -58% |
| The Health Plan | All Products Radiation Oncology Physicians | $874.54 | ↓ -53% |
| Anthem | All Products Mid-Level Non-Facility | $978.67 | ↓ -47% |
| Aultcare | PPO/HMO | $1,022.45 | ↓ -45% |
| OHCP | All Products | $1,110.98 | ↓ -40% |
| OMAS | All Products | $1,428.00 | ↓ -23% |
| UNITED | Managed Medicaid | $1,559.72 | ↓ -16% |
| CARESOURCE | Managed Medicaid | $1,606.51 | ↓ -13% |
| United | All Products - Mid-Level | $1,615.79 | ↓ -13% |
| ANTHEM | Managed Medicaid | $1,637.71 | ↓ -12% |
| MOLINA | Managed Medicaid | $1,637.71 | ↓ -12% |
| PHPHI | All Products | $1,713.60 | ↓ -8% |
| AMERIHEALTH | Managed Medicaid | $1,715.69 | ↓ -8% |
| United | All Products | $1,795.33 | ↓ -3% |
| United | HMO & PPO | $1,795.33 | ↓ -3% |
| GMS | All Products | $1,999.20 | ↑ +8% |
| MMO | Traditional | $1,999.20 | ↑ +8% |
| Immergrun | All Products | $2,142.00 | ↑ +15% |
| Aetna | All Products First Health | $2,142.00 | ↑ +15% |
| Aetna | Asa | $2,284.80 | ↑ +23% |
| Multiplan | All Products | $2,570.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,856.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $5,940.60 | ↑ +220% |
| HUMANA | Medicare Advantage HMO | $6,600.66 | ↑ +256% |
| UNITED | MEDICARE ADVANTAGE | $6,600.66 | ↑ +256% |
| Summacare | MEDICARE ADVANTAGE | $6,864.94 | ↑ +270% |
| ANTHEM | MEDICARE ADVANTAGE | $6,864.94 | ↑ +270% |
| AETNA | MEDICARE ADVANTAGE | $6,864.94 | ↑ +270% |
| CIGNA | MEDICARE ADVANTAGE | $7,070.89 | ↑ +281% |
| Perennial Health | MEDICARE ADVANTAGE | $7,128.72 | ↑ +284% |
| CommuniCare | MEDICARE ADVANTAGE | $7,208.19 | ↑ +288% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,414.13 | ↑ +299% |
| MMO | ALL PRODUCTS | $10,826.38 | ↑ +483% |
| MMO | SuperMed | $12,214.27 | ↑ +558% |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Fusion of knuckle at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,856.40 | $1.10 – $6,864.94 |
| akron general | Akron | $1,856.40 | $1.10 – $7,128.72 |
| avon hospital | Avon | not published | $1,628.47 – $7,551.43 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,658.69 – $3,078.48 |
| euclid hospital | Euclid | not published | $1,668.40 – $7,551.43 |
| fairview hospital | Cleveland | not published | $1,567.38 – $7,551.43 |
| lutheran hospital | Cleveland | not published | $1,492.19 – $7,551.43 |
| hillcrest hospital | Mayfield Heights | not published | $1,632.96 – $7,551.43 |