Ghs eyelid foreign body-embedded - bil at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$893.75
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.
$1,375.00
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 $3,004.00 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% |
| United | Managed Medicaid | $58.83 | ↓ -93% |
| Caresource | Managed Medicaid | $60.59 | ↓ -93% |
| Buckeye | Managed Medicaid | $61.77 | ↓ -93% |
| AmeriHealth | Managed Medicaid | $64.71 | ↓ -93% |
| Molina | Managed Medicaid | $64.71 | ↓ -93% |
| Summacare | Medicare Advantage Lower Level | $68.46 | ↓ -92% |
| Summacare | Preferred | $68.46 | ↓ -92% |
| Summacare | Medicare Advantage Psych | $72.06 | ↓ -92% |
| Summacare | Medicare Advantage CNA | $89.52 | ↓ -90% |
| United | Medicare Advantage | $96.08 | ↓ -89% |
| Aetna | Medicare Advantage | $96.08 | ↓ -89% |
| Anthem | Medicare Advantage | $96.08 | ↓ -89% |
| Humana | Medicare Advantage HMO | $96.08 | ↓ -89% |
| The Health Plan | Medicare Advantage | $96.08 | ↓ -89% |
| Cigna | Medicare Advantage | $96.08 | ↓ -89% |
| MMO | Medicare HMO & PPO | $98.96 | ↓ -89% |
| Summacare | Medicare Advantage MD | $100.05 | ↓ -89% |
| CommuniCare | Medicare Advantage | $100.88 | ↓ -89% |
| Summacare | Premier | $100.88 | ↓ -89% |
| Perennial Health | Medicare Advantage | $103.77 | ↓ -88% |
| The Health Plan | All Products PCP | $105.69 | ↓ -88% |
| The Health Plan | All Products Specialty Physicians | $110.49 | ↓ -88% |
| The Health Plan | All Products Radiation Oncology Physicians | $124.90 | ↓ -86% |
| Oscar | All Products | $140.26 | ↓ -84% |
| UNITED | Managed Medicaid | $161.61 | ↓ -82% |
| CARESOURCE | Managed Medicaid | $166.46 | ↓ -81% |
| MOLINA | Managed Medicaid | $169.69 | ↓ -81% |
| ANTHEM | Managed Medicaid | $169.69 | ↓ -81% |
| AMERIHEALTH | Managed Medicaid | $177.77 | ↓ -80% |
| Aultcare | PPO/HMO | $197.62 | ↓ -78% |
| OHCP | All Products | $214.73 | ↓ -76% |
| The Health Plan | MEDICARE ADVANTAGE | $248.58 | ↓ -72% |
| OMAS | All Products | $276.00 | ↓ -69% |
| UNITED | MEDICARE ADVANTAGE | $276.21 | ↓ -69% |
| HUMANA | Medicare Advantage HMO | $276.21 | ↓ -69% |
| Perennial Health | MEDICARE ADVANTAGE | $298.30 | ↓ -67% |
| Summacare | MEDICARE ADVANTAGE | $300.29 | ↓ -66% |
| ANTHEM | MEDICARE ADVANTAGE | $300.29 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $300.29 | ↓ -66% |
| CIGNA | MEDICARE ADVANTAGE | $309.30 | ↓ -65% |
| CommuniCare | MEDICARE ADVANTAGE | $315.30 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $324.31 | ↓ -64% |
| Cigna | All Products Mid-Level | $327.45 | ↓ -63% |
| PHPHI | All Products | $331.20 | ↓ -63% |
| Aetna | Acop | $338.84 | ↓ -62% |
| Anthem | All Products Mid-Level Non-Facility | $350.21 | ↓ -61% |
| MMO | Traditional | $386.40 | ↓ -57% |
| GMS | All Products | $386.40 | ↓ -57% |
| Cigna | All Products Physician | $386.92 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $388.85 | ↓ -56% |
| Aetna | All Products First Health | $414.00 | ↓ -54% |
| Immergrun | All Products | $414.00 | ↓ -54% |
| PHPHI | ALL PRODUCTS | $440.00 | ↓ -51% |
| PHP | ALL PRODUCTS | $440.00 | ↓ -51% |
| Aetna | Asa | $441.60 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $464.75 | ↓ -48% |
| Multiplan | All Products | $496.80 | ↓ -44% |
| MMO | SuperMed | $498.18 | ↓ -44% |
| Summacare | PREMIER | $525.25 | ↓ -41% |
| Aetna | Qhp/Ifp | $552.00 | ↓ -38% |
| United | All Products - Mid-Level | $572.56 | ↓ -36% |
| MMO | ALL PRODUCTS | $581.62 | ↓ -35% |
| Amish Community Aid Plan | ALL PRODUCTS | $618.75 | ↓ -31% |
| United | HMO & PPO | $636.17 | ↓ -29% |
| United | All Products | $636.17 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $649.00 | ↓ -27% |
| OHCP | ALL PRODUCTS | $668.25 | ↓ -25% |
| OMAS | ALL PRODUCTS | $687.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $687.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $742.50 | ↓ -17% |
| ANTHEM | TRADITIONAL | $760.38 | ↓ -15% |
| The Health Plan | PPO | $877.80 | ↓ -2% |
| GMS | ALL PRODUCTS | $962.50 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $962.50 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $1,031.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $1,031.25 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $1,155.00 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $1,237.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,237.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $1,237.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,237.50 | ↑ +38% |
| The Health Plan | POS | $1,375.00 | ↑ +54% |
| The Health Plan | HMO | $1,375.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $1,375.00 | ↑ +54% |
| ANTHEM | HPN | $1,379.00 | ↑ +54% |
| ANTHEM | Exchange | $1,459.00 | ↑ +63% |
| ANTHEM | PPO/HMO | $1,622.00 | ↑ +81% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +220% |
| AETNA | International | $3,004.00 | ↑ +236% |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs eyelid foreign body-embedded - bil at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $742.20 | not published |
| cleveland clinic main campus | Cleveland | $893.75 | $0.01 – $1,237.50 |
| akron general | Akron | $893.75 | $1.10 – $1,237.50 |
| avon hospital | Avon | $893.75 | $168.74 – $1,237.50 |
| euclid hospital | Euclid | $893.75 | $172.87 – $1,237.50 |
| fairview hospital | Cleveland | $893.75 | $162.40 – $1,237.50 |
| lutheran hospital | Cleveland | $893.75 | $154.61 – $1,237.50 |
| hillcrest hospital | Mayfield Heights | $893.75 | $169.20 – $1,237.50 |