Ghs layer closure 5.1 - 7.5 cm - 12053 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$906.75
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.
$1,395.00
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.
$0.01 with UNITED 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $108.32 | ↓ -88% |
| Caresource | Managed Medicaid | $111.57 | ↓ -88% |
| Buckeye | Managed Medicaid | $113.74 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $119.15 | ↓ -87% |
| Molina | Managed Medicaid | $119.15 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $131.24 | ↓ -86% |
| Summacare | Preferred | $131.24 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $136.42 | ↓ -85% |
| Oscar | All Products | $142.30 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $171.62 | ↓ -81% |
| Anthem | Medicare Advantage | $181.89 | ↓ -80% |
| Aetna | Medicare Advantage | $181.89 | ↓ -80% |
| United | Medicare Advantage | $181.89 | ↓ -80% |
| Humana | Medicare Advantage HMO | $181.89 | ↓ -80% |
| The Health Plan | Medicare Advantage | $181.89 | ↓ -80% |
| Cigna | Medicare Advantage | $181.89 | ↓ -80% |
| MMO | Medicare HMO & PPO | $187.35 | ↓ -79% |
| Summacare | Premier | $190.98 | ↓ -79% |
| CommuniCare | Medicare Advantage | $190.98 | ↓ -79% |
| Summacare | Medicare Advantage MD | $191.81 | ↓ -79% |
| UNITED | Managed Medicaid | $194.98 | ↓ -78% |
| Perennial Health | Medicare Advantage | $196.44 | ↓ -78% |
| The Health Plan | All Products PCP | $200.08 | ↓ -78% |
| Aultcare | PPO/HMO | $200.48 | ↓ -78% |
| CARESOURCE | Managed Medicaid | $200.83 | ↓ -78% |
| ANTHEM | Managed Medicaid | $204.73 | ↓ -77% |
| MOLINA | Managed Medicaid | $204.73 | ↓ -77% |
| The Health Plan | All Products Specialty Physicians | $209.17 | ↓ -77% |
| AMERIHEALTH | Managed Medicaid | $214.48 | ↓ -76% |
| OHCP | All Products | $217.84 | ↓ -76% |
| The Health Plan | All Products Radiation Oncology Physicians | $236.46 | ↓ -74% |
| OMAS | All Products | $280.00 | ↓ -69% |
| The Health Plan | MEDICARE ADVANTAGE | $332.24 | ↓ -63% |
| PHPHI | All Products | $336.00 | ↓ -63% |
| OSCAR | ALL PRODUCTS | $339.08 | ↓ -63% |
| UNITED | MEDICARE ADVANTAGE | $369.16 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $369.16 | ↓ -59% |
| PHPHI | ALL PRODUCTS | $383.68 | ↓ -58% |
| PHP | ALL PRODUCTS | $383.68 | ↓ -58% |
| AETNA | MEDICARE ADVANTAGE | $384.59 | ↓ -58% |
| ANTHEM | MEDICARE ADVANTAGE | $384.59 | ↓ -58% |
| Summacare | MEDICARE ADVANTAGE | $384.59 | ↓ -58% |
| MMO | Traditional | $392.00 | ↓ -57% |
| GMS | All Products | $392.00 | ↓ -57% |
| CIGNA | MEDICARE ADVANTAGE | $396.13 | ↓ -56% |
| Perennial Health | MEDICARE ADVANTAGE | $398.69 | ↓ -56% |
| CommuniCare | MEDICARE ADVANTAGE | $403.82 | ↓ -55% |
| CC EHP | ALL PRODUCTS | $405.26 | ↓ -55% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $415.36 | ↓ -54% |
| Immergrun | All Products | $420.00 | ↓ -54% |
| Aetna | All Products First Health | $420.00 | ↓ -54% |
| Cigna | All Products Mid-Level | $445.55 | ↓ -51% |
| Aetna | Asa | $448.00 | ↓ -51% |
| Summacare | PREMIER | $458.02 | ↓ -49% |
| Anthem | All Products Mid-Level Non-Facility | $476.51 | ↓ -47% |
| Aetna | Acop | $478.03 | ↓ -47% |
| Multiplan | All Products | $504.00 | ↓ -44% |
| Cigna | All Products Physician | $526.46 | ↓ -42% |
| Amish Community Aid Plan | ALL PRODUCTS | $539.55 | ↓ -40% |
| Aetna | Qhp/Ifp | $560.00 | ↓ -38% |
| CIGNA | ALL PRODUCTS | $565.93 | ↓ -38% |
| ANTHEM | HPN | $577.56 | ↓ -36% |
| OHCP | ALL PRODUCTS | $582.71 | ↓ -36% |
| OMAS | ALL PRODUCTS | $599.50 | ↓ -34% |
| Immergrun | ALL PRODUCTS | $599.50 | ↓ -34% |
| ANTHEM | Exchange | $611.49 | ↓ -33% |
| Ohio Healthy | TRANSPLANT | $647.46 | ↓ -29% |
| ANTHEM | TRADITIONAL | $663.05 | ↓ -27% |
| ANTHEM | PPO/HMO | $679.47 | ↓ -25% |
| MMO | SuperMed | $680.96 | ↓ -25% |
| The Health Plan | PPO | $765.44 | ↓ -16% |
| United | All Products - Mid-Level | $785.97 | ↓ -13% |
| MMO | ALL PRODUCTS | $796.11 | ↓ -12% |
| Medical Benefit Corp | Transplant SMCP | $839.30 | ↓ -7% |
| GMS | ALL PRODUCTS | $839.30 | ↓ -7% |
| United | HMO & PPO | $873.30 | ↓ -4% |
| United | All Products | $873.30 | ↓ -4% |
| Consociate Health | ALL PRODUCTS | $899.25 | ↓ -1% |
| AETNA | ALL PRODUCTS | $899.25 | ↓ -1% |
| The Health Plan | Self-Funded ASO | $1,007.16 | ↑ +11% |
| MULTIPLAN | ALL PRODUCTS | $1,079.10 | ↑ +19% |
| FrontPath | TRANSPLANT | $1,079.10 | ↑ +19% |
| Managed Care Services | TRANSPLANT | $1,079.10 | ↑ +19% |
| Tertiary Care Network | TRANSPLANT | $1,079.10 | ↑ +19% |
| The Health Plan | POS | $1,199.00 | ↑ +32% |
| The Health Plan | HMO | $1,199.00 | ↑ +32% |
| AETNA | Qhp/Ipf | $1,199.00 | ↑ +32% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +215% |
| AETNA | International | $3,004.00 | ↑ +231% |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layer closure 5.1 - 7.5 cm - 12053 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $835.80 | not published |
| Clermont Hospital | Batavia | $835.80 | not published |
| Kings Mills Hospital | Mason | $835.80 | not published |
| Trinity Medical Center East | Steubenville | $635.29 | $192.85 – $986.37 |
| cleveland clinic main campus | Cleveland | $906.75 | $0.01 – $1,255.50 |
| akron general | Akron | $906.75 | $1.10 – $1,079.10 |
| avon hospital | Avon | $779.35 | $0.01 – $1,079.10 |
| euclid hospital | Euclid | $779.35 | $0.01 – $1,079.10 |