healthcosts.net
Ghs layered repair over 3.0 cm -12057 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,048.15
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.
$3,151.00
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 $3,151.00 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 | $194.98 | ↓ -90% |
| CARESOURCE | Managed Medicaid | $200.83 | ↓ -90% |
| Buckeye | Managed Medicaid | $200.83 | ↓ -90% |
| ANTHEM | Managed Medicaid | $204.73 | ↓ -90% |
| MOLINA | Managed Medicaid | $204.73 | ↓ -90% |
| United | Managed Medicaid | $213.52 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $214.48 | ↓ -90% |
| Caresource | Managed Medicaid | $219.93 | ↓ -89% |
| Molina | Managed Medicaid | $234.87 | ↓ -89% |
| AmeriHealth | Managed Medicaid | $234.87 | ↓ -89% |
| Summacare | Preferred | $257.33 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $257.33 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $278.60 | ↓ -86% |
| The Health Plan | MEDICARE ADVANTAGE | $332.24 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $336.51 | ↓ -84% |
| HUMANA | Medicare Advantage HMO | $369.16 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $369.16 | ↓ -82% |
| Aetna | Medicare Advantage | $371.47 | ↓ -82% |
| Anthem | Medicare Advantage | $371.47 | ↓ -82% |
| United | Medicare Advantage | $371.47 | ↓ -82% |
| Cigna | Medicare Advantage | $371.47 | ↓ -82% |
| Humana | Medicare Advantage HMO | $371.47 | ↓ -82% |
| The Health Plan | Medicare Advantage | $371.47 | ↓ -82% |
| Summacare | Medicare Advantage MD | $376.10 | ↓ -82% |
| MMO | Medicare HMO & PPO | $382.61 | ↓ -81% |
| ANTHEM | MEDICARE ADVANTAGE | $384.59 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $384.59 | ↓ -81% |
| Summacare | MEDICARE ADVANTAGE | $384.59 | ↓ -81% |
| Summacare | Premier | $390.04 | ↓ -81% |
| CommuniCare | Medicare Advantage | $390.04 | ↓ -81% |
| CIGNA | MEDICARE ADVANTAGE | $396.13 | ↓ -81% |
| Perennial Health | MEDICARE ADVANTAGE | $398.69 | ↓ -81% |
| Perennial Health | Medicare Advantage | $401.19 | ↓ -80% |
| CommuniCare | MEDICARE ADVANTAGE | $403.82 | ↓ -80% |
| The Health Plan | All Products PCP | $408.62 | ↓ -80% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $415.36 | ↓ -80% |
| The Health Plan | All Products Specialty Physicians | $427.19 | ↓ -79% |
| The Health Plan | All Products Radiation Oncology Physicians | $482.91 | ↓ -76% |
| MMO | ALL PRODUCTS | $603.43 | ↓ -71% |
| MMO | SuperMed | $680.96 | ↓ -67% |
| Cigna | All Products Mid-Level | $751.15 | ↓ -63% |
| Oscar | All Products | $800.67 | ↓ -61% |
| Anthem | All Products Mid-Level Non-Facility | $803.37 | ↓ -61% |
| Aetna | Acop | $817.12 | ↓ -60% |
| Cigna | All Products Physician | $887.56 | ↓ -57% |
| Aultcare | PPO/HMO | $1,128.06 | ↓ -45% |
| OHCP | All Products | $1,225.74 | ↓ -40% |
| United | All Products - Mid-Level | $1,319.97 | ↓ -36% |
| United | All Products | $1,466.63 | ↓ -28% |
| United | HMO & PPO | $1,466.63 | ↓ -28% |
| OMAS | All Products | $1,575.50 | ↓ -23% |
| PHPHI | All Products | $1,890.60 | ↓ -8% |
| GMS | All Products | $2,205.70 | ↑ +8% |
| MMO | Traditional | $2,205.70 | ↑ +8% |
| Immergrun | All Products | $2,363.25 | ↑ +15% |
| Aetna | All Products First Health | $2,363.25 | ↑ +15% |
| Aetna | Asa | $2,520.80 | ↑ +23% |
| Multiplan | All Products | $2,835.90 | ↑ +38% |
| Aetna | Qhp/Ifp | $3,151.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layered repair over 3.0 cm -12057 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,716.00 | $1.10 – $2,376.00 |
| akron general | Akron | $2,048.15 | $1.10 – $2,835.90 |
| 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 | $436.50 | 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 | $436.50 | not published |