Ghs moderate sedation ea addtl 15 min, other at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$325.00
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.
$500.00
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 $276.00 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 | $28.33 | ↓ -91% |
| Summacare | Medicare Advantage Lower Level | $35.43 | ↓ -89% |
| Summacare | Preferred | $35.43 | ↓ -89% |
| Aultcare | PPO/HMO | $39.92 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $40.31 | ↓ -88% |
| OHCP | All Products | $43.37 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $46.33 | ↓ -86% |
| United | Managed Medicaid | $48.53 | ↓ -85% |
| Caresource | Managed Medicaid | $49.99 | ↓ -85% |
| Buckeye | Managed Medicaid | $50.96 | ↓ -84% |
| Summacare | Medicare Advantage MD | $51.78 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $53.38 | ↓ -84% |
| Molina | Managed Medicaid | $53.38 | ↓ -84% |
| Anthem | Medicare Advantage | $53.75 | ↓ -83% |
| Humana | Medicare Advantage HMO | $53.75 | ↓ -83% |
| United | Medicare Advantage | $53.75 | ↓ -83% |
| The Health Plan | Medicare Advantage | $53.75 | ↓ -83% |
| Cigna | Medicare Advantage | $53.75 | ↓ -83% |
| Aetna | Medicare Advantage | $53.75 | ↓ -83% |
| MMO | Medicare HMO & PPO | $55.36 | ↓ -83% |
| OMAS | All Products | $55.75 | ↓ -83% |
| CommuniCare | Medicare Advantage | $56.44 | ↓ -83% |
| Summacare | Premier | $56.44 | ↓ -83% |
| Perennial Health | Medicare Advantage | $58.05 | ↓ -82% |
| The Health Plan | All Products PCP | $59.13 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $60.17 | ↓ -81% |
| MMO | SuperMed | $60.21 | ↓ -81% |
| The Health Plan | All Products Specialty Physicians | $61.81 | ↓ -81% |
| PHPHI | All Products | $66.90 | ↓ -79% |
| The Health Plan | All Products Radiation Oncology Physicians | $69.88 | ↓ -78% |
| GMS | All Products | $78.05 | ↓ -76% |
| MMO | Traditional | $78.05 | ↓ -76% |
| OSCAR | ALL PRODUCTS | $78.05 | ↓ -76% |
| Anthem | All Products Mid-Level Non-Facility | $82.78 | ↓ -75% |
| Immergrun | All Products | $83.63 | ↓ -74% |
| Aetna | All Products First Health | $83.63 | ↓ -74% |
| PHP | ALL PRODUCTS | $88.32 | ↓ -73% |
| PHPHI | ALL PRODUCTS | $88.32 | ↓ -73% |
| Aetna | Asa | $89.20 | ↓ -73% |
| CC EHP | ALL PRODUCTS | $93.29 | ↓ -71% |
| Multiplan | All Products | $100.35 | ↓ -69% |
| Summacare | PREMIER | $105.43 | ↓ -68% |
| Aetna | Qhp/Ifp | $111.50 | ↓ -66% |
| MMO | ALL PRODUCTS | $123.65 | ↓ -62% |
| Amish Community Aid Plan | ALL PRODUCTS | $124.20 | ↓ -62% |
| ANTHEM | HPN | $126.49 | ↓ -61% |
| CIGNA | ALL PRODUCTS | $130.27 | ↓ -60% |
| ANTHEM | Exchange | $133.94 | ↓ -59% |
| OHCP | ALL PRODUCTS | $134.14 | ↓ -59% |
| United | All Products - Mid-Level | $137.19 | ↓ -58% |
| OMAS | ALL PRODUCTS | $138.00 | ↓ -58% |
| Immergrun | ALL PRODUCTS | $138.00 | ↓ -58% |
| ANTHEM | PPO/HMO | $148.82 | ↓ -54% |
| Ohio Healthy | TRANSPLANT | $149.04 | ↓ -54% |
| United | All Products | $152.43 | ↓ -53% |
| United | HMO & PPO | $152.43 | ↓ -53% |
| ANTHEM | TRADITIONAL | $152.63 | ↓ -53% |
| UNITED | Managed Medicaid | $163.56 | ↓ -50% |
| CARESOURCE | Managed Medicaid | $168.47 | ↓ -48% |
| ANTHEM | Managed Medicaid | $171.74 | ↓ -47% |
| MOLINA | Managed Medicaid | $171.74 | ↓ -47% |
| The Health Plan | PPO | $176.20 | ↓ -46% |
| AMERIHEALTH | Managed Medicaid | $179.92 | ↓ -45% |
| AETNA | International | $193.20 | ↓ -41% |
| Medical Benefit Corp | Transplant SMCP | $193.20 | ↓ -41% |
| GMS | ALL PRODUCTS | $193.20 | ↓ -41% |
| AETNA | Asa_Whirlpool_Peia | $193.20 | ↓ -41% |
| AETNA | ALL PRODUCTS | $207.00 | ↓ -36% |
| Consociate Health | ALL PRODUCTS | $207.00 | ↓ -36% |
| The Health Plan | Self-Funded ASO | $231.84 | ↓ -29% |
| MULTIPLAN | ALL PRODUCTS | $248.40 | ↓ -24% |
| Managed Care Services | TRANSPLANT | $248.40 | ↓ -24% |
| Tertiary Care Network | TRANSPLANT | $248.40 | ↓ -24% |
| FrontPath | TRANSPLANT | $248.40 | ↓ -24% |
| AETNA | Qhp/Ipf | $276.00 | ↓ -15% |
| The Health Plan | POS | $276.00 | ↓ -15% |
| The Health Plan | HMO | $276.00 | ↓ -15% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | 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 | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ghs moderate sedation ea addtl 15 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 | $325.00 | $1.10 – $450.00 |
| akron general | Akron | $325.00 | $1.10 – $248.40 |
| avon hospital | Avon | $179.40 | $60.17 – $248.40 |