healthcosts.net
Ghs layered repair 20.1 - 30.0 cm -12056 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,515.80
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.
$2,332.00
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 $2,332.00 with Aetna — 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% |
| UNITED | Managed Medicaid | $194.98 | ↓ -87% |
| United | Managed Medicaid | $195.87 | ↓ -87% |
| CARESOURCE | Managed Medicaid | $200.83 | ↓ -87% |
| Buckeye | Managed Medicaid | $200.83 | ↓ -87% |
| Caresource | Managed Medicaid | $201.75 | ↓ -87% |
| ANTHEM | Managed Medicaid | $204.73 | ↓ -86% |
| MOLINA | Managed Medicaid | $204.73 | ↓ -86% |
| AMERIHEALTH | Managed Medicaid | $214.48 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $215.46 | ↓ -86% |
| Molina | Managed Medicaid | $215.46 | ↓ -86% |
| Summacare | Preferred | $235.38 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $235.38 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $253.59 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $307.81 | ↓ -80% |
| The Health Plan | MEDICARE ADVANTAGE | $332.24 | ↓ -78% |
| Cigna | Medicare Advantage | $338.12 | ↓ -78% |
| The Health Plan | Medicare Advantage | $338.12 | ↓ -78% |
| Aetna | Medicare Advantage | $338.12 | ↓ -78% |
| Anthem | Medicare Advantage | $338.12 | ↓ -78% |
| United | Medicare Advantage | $338.12 | ↓ -78% |
| Humana | Medicare Advantage HMO | $338.12 | ↓ -78% |
| Summacare | Medicare Advantage MD | $344.02 | ↓ -77% |
| MMO | Medicare HMO & PPO | $348.26 | ↓ -77% |
| CommuniCare | Medicare Advantage | $355.03 | ↓ -77% |
| Summacare | Premier | $355.03 | ↓ -77% |
| Perennial Health | Medicare Advantage | $365.17 | ↓ -76% |
| HUMANA | Medicare Advantage HMO | $369.16 | ↓ -76% |
| UNITED | MEDICARE ADVANTAGE | $369.16 | ↓ -76% |
| The Health Plan | All Products PCP | $371.93 | ↓ -75% |
| ANTHEM | MEDICARE ADVANTAGE | $384.59 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $384.59 | ↓ -75% |
| Summacare | MEDICARE ADVANTAGE | $384.59 | ↓ -75% |
| The Health Plan | All Products Specialty Physicians | $388.84 | ↓ -74% |
| CIGNA | MEDICARE ADVANTAGE | $396.13 | ↓ -74% |
| Perennial Health | MEDICARE ADVANTAGE | $398.69 | ↓ -74% |
| CommuniCare | MEDICARE ADVANTAGE | $403.82 | ↓ -73% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $415.36 | ↓ -73% |
| The Health Plan | All Products Radiation Oncology Physicians | $439.56 | ↓ -71% |
| Oscar | All Products | $592.56 | ↓ -61% |
| MMO | ALL PRODUCTS | $603.43 | ↓ -60% |
| MMO | SuperMed | $680.96 | ↓ -55% |
| Cigna | All Products Mid-Level | $712.66 | ↓ -53% |
| Anthem | All Products Mid-Level Non-Facility | $762.20 | ↓ -50% |
| Aetna | Acop | $767.86 | ↓ -49% |
| Aultcare | PPO/HMO | $834.86 | ↓ -45% |
| Cigna | All Products Physician | $842.09 | ↓ -44% |
| OHCP | All Products | $907.15 | ↓ -40% |
| OMAS | All Products | $1,166.00 | ↓ -23% |
| United | All Products - Mid-Level | $1,257.52 | ↓ -17% |
| United | All Products | $1,397.25 | ↓ -8% |
| United | HMO & PPO | $1,397.25 | ↓ -8% |
| PHPHI | All Products | $1,399.20 | ↓ -8% |
| GMS | All Products | $1,632.40 | ↑ +8% |
| MMO | Traditional | $1,632.40 | ↑ +8% |
| Immergrun | All Products | $1,749.00 | ↑ +15% |
| Aetna | All Products First Health | $1,749.00 | ↑ +15% |
| Aetna | Asa | $1,865.60 | ↑ +23% |
| Multiplan | All Products | $2,098.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,332.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layered repair 20.1 - 30.0 cm -12056 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $779.35 | $239.13 – $1,079.10 |
| akron general | Akron | $1,515.80 | $1.10 – $2,098.80 |
| University Hospitals Ahuja Medical Center | Beachwood | $471.75 | $139.01 – $1,857.44 |
| University Hospitals Beachwood Medical Center | Beachwood | $471.75 | $289.34 – $1,857.44 |
| University Hospitals Conneaut Medical Center | Conneaut | $363.75 | not published |
| University Hospitals Elyria Medical Center | Elyria | $471.75 | $384.59 – $692.27 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $471.75 | $384.59 – $692.27 |
| University Hospitals Geneva Medical Center | Geneva | $363.75 | not published |