Ghs moderate sedation, > 5 yr, 30 min, other at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$429.00
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.
$660.00
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 $584.00 with The Health Plan — 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% |
| Oscar | All Products | $35.00 | ↓ -92% |
| Summacare | Preferred | $45.64 | ↓ -89% |
| Summacare | Medicare Advantage Lower Level | $45.64 | ↓ -89% |
| Aultcare | PPO/HMO | $49.31 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $53.03 | ↓ -88% |
| OHCP | All Products | $53.58 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $59.68 | ↓ -86% |
| United | Managed Medicaid | $60.63 | ↓ -86% |
| Caresource | Managed Medicaid | $62.45 | ↓ -85% |
| Buckeye | Managed Medicaid | $63.66 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $66.69 | ↓ -84% |
| Molina | Managed Medicaid | $66.69 | ↓ -84% |
| Summacare | Medicare Advantage MD | $66.70 | ↓ -84% |
| OMAS | All Products | $68.88 | ↓ -84% |
| The Health Plan | Medicare Advantage | $70.70 | ↓ -84% |
| Anthem | Medicare Advantage | $70.70 | ↓ -84% |
| Humana | Medicare Advantage HMO | $70.70 | ↓ -84% |
| United | Medicare Advantage | $70.70 | ↓ -84% |
| Aetna | Medicare Advantage | $70.70 | ↓ -84% |
| Cigna | Medicare Advantage | $70.70 | ↓ -84% |
| MMO | Medicare HMO & PPO | $72.82 | ↓ -83% |
| CommuniCare | Medicare Advantage | $74.24 | ↓ -83% |
| Summacare | Premier | $74.24 | ↓ -83% |
| MMO | SuperMed | $74.39 | ↓ -83% |
| Perennial Health | Medicare Advantage | $76.36 | ↓ -82% |
| The Health Plan | All Products PCP | $77.77 | ↓ -82% |
| The Health Plan | All Products Specialty Physicians | $81.31 | ↓ -81% |
| PHPHI | All Products | $82.65 | ↓ -81% |
| The Health Plan | All Products Radiation Oncology Physicians | $91.91 | ↓ -79% |
| MMO | Traditional | $96.43 | ↓ -78% |
| GMS | All Products | $96.43 | ↓ -78% |
| Anthem | All Products Mid-Level Non-Facility | $102.13 | ↓ -76% |
| Immergrun | All Products | $103.31 | ↓ -76% |
| Aetna | All Products First Health | $103.31 | ↓ -76% |
| Aetna | Asa | $110.20 | ↓ -74% |
| Multiplan | All Products | $123.98 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $127.31 | ↓ -70% |
| Aetna | Qhp/Ifp | $137.75 | ↓ -68% |
| UNITED | Managed Medicaid | $163.56 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $165.16 | ↓ -62% |
| CARESOURCE | Managed Medicaid | $168.47 | ↓ -61% |
| MOLINA | Managed Medicaid | $171.74 | ↓ -60% |
| ANTHEM | Managed Medicaid | $171.74 | ↓ -60% |
| United | All Products - Mid-Level | $173.87 | ↓ -59% |
| AMERIHEALTH | Managed Medicaid | $179.92 | ↓ -58% |
| PHPHI | ALL PRODUCTS | $186.88 | ↓ -56% |
| PHP | ALL PRODUCTS | $186.88 | ↓ -56% |
| United | All Products | $193.19 | ↓ -55% |
| United | HMO & PPO | $193.19 | ↓ -55% |
| CC EHP | ALL PRODUCTS | $197.39 | ↓ -54% |
| Summacare | PREMIER | $223.09 | ↓ -48% |
| MMO | ALL PRODUCTS | $261.63 | ↓ -39% |
| Amish Community Aid Plan | ALL PRODUCTS | $262.80 | ↓ -39% |
| ANTHEM | HPN | $267.65 | ↓ -38% |
| CIGNA | ALL PRODUCTS | $275.65 | ↓ -36% |
| ANTHEM | Exchange | $283.42 | ↓ -34% |
| OHCP | ALL PRODUCTS | $283.82 | ↓ -34% |
| OMAS | ALL PRODUCTS | $292.00 | ↓ -32% |
| Immergrun | ALL PRODUCTS | $292.00 | ↓ -32% |
| ANTHEM | PPO/HMO | $314.89 | ↓ -27% |
| Ohio Healthy | TRANSPLANT | $315.36 | ↓ -26% |
| ANTHEM | TRADITIONAL | $322.95 | ↓ -25% |
| The Health Plan | PPO | $372.83 | ↓ -13% |
| AETNA | International | $408.80 | ↓ -5% |
| GMS | ALL PRODUCTS | $408.80 | ↓ -5% |
| AETNA | Asa_Whirlpool_Peia | $408.80 | ↓ -5% |
| Medical Benefit Corp | Transplant SMCP | $408.80 | ↓ -5% |
| AETNA | ALL PRODUCTS | $438.00 | ↑ +2% |
| Consociate Health | ALL PRODUCTS | $438.00 | ↑ +2% |
| The Health Plan | Self-Funded ASO | $490.56 | ↑ +14% |
| Tertiary Care Network | TRANSPLANT | $525.60 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $525.60 | ↑ +23% |
| Managed Care Services | TRANSPLANT | $525.60 | ↑ +23% |
| FrontPath | TRANSPLANT | $525.60 | ↑ +23% |
| AETNA | Qhp/Ipf | $584.00 | ↑ +36% |
| The Health Plan | HMO | $584.00 | ↑ +36% |
| The Health Plan | POS | $584.00 | ↑ +36% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
Visitor-reported prices
Comments
Ghs moderate sedation, > 5 yr, 30 min, other at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $196.20 | not published |
| Anderson Hospital | Cincinnati | $196.20 | not published |
| Clermont Hospital | Batavia | $196.20 | not published |
| Kings Mills Hospital | Mason | $196.20 | not published |
| Mercy West Hospital | Cincinnati | $196.20 | not published |
| cleveland clinic main campus | Cleveland | $429.00 | $1.10 – $594.00 |
| akron general | Akron | $429.00 | $1.10 – $525.60 |
| avon hospital | Avon | $379.60 | $127.31 – $525.60 |