healthcosts.net
Ghs musc tst done w/n tst non ext at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$565.50
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.
$870.00
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 $4,036,081.00 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% |
| Summacare | Medicare Advantage Lower Level | $22.28 | ↓ -96% |
| Summacare | Preferred | $22.28 | ↓ -96% |
| Summacare | Medicare Advantage Psych | $27.10 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $29.14 | ↓ -95% |
| Summacare | Medicare Advantage MD | $32.57 | ↓ -94% |
| Cigna | Medicare Advantage | $36.13 | ↓ -94% |
| Humana | Medicare Advantage HMO | $36.13 | ↓ -94% |
| Anthem | Medicare Advantage | $36.13 | ↓ -94% |
| Aetna | Medicare Advantage | $36.13 | ↓ -94% |
| United | Medicare Advantage | $36.13 | ↓ -94% |
| The Health Plan | Medicare Advantage | $36.13 | ↓ -94% |
| MMO | Medicare HMO & PPO | $37.21 | ↓ -93% |
| Summacare | Premier | $37.94 | ↓ -93% |
| CommuniCare | Medicare Advantage | $37.94 | ↓ -93% |
| Perennial Health | Medicare Advantage | $39.02 | ↓ -93% |
| The Health Plan | All Products PCP | $39.74 | ↓ -93% |
| The Health Plan | All Products Specialty Physicians | $41.55 | ↓ -93% |
| United | Managed Medicaid | $44.47 | ↓ -92% |
| Caresource | Managed Medicaid | $45.80 | ↓ -92% |
| Buckeye | Managed Medicaid | $46.69 | ↓ -92% |
| The Health Plan | All Products Radiation Oncology Physicians | $46.97 | ↓ -92% |
| AmeriHealth | Managed Medicaid | $48.92 | ↓ -91% |
| Molina | Managed Medicaid | $48.92 | ↓ -91% |
| Anthem | All Products Mid-Level Non-Facility | $48.99 | ↓ -91% |
| Oscar | All Products | $79.28 | ↓ -86% |
| United | All Products - Mid-Level | $83.43 | ↓ -85% |
| The Health Plan | PPO | $88.83 | ↓ -84% |
| United | All Products | $92.70 | ↓ -84% |
| United | HMO & PPO | $92.70 | ↓ -84% |
| Aultcare | PPO/HMO | $111.70 | ↓ -80% |
| OHCP | All Products | $121.37 | ↓ -79% |
| OMAS | All Products | $156.00 | ↓ -72% |
| MMO | SuperMed | $168.48 | ↓ -70% |
| PHPHI | All Products | $187.20 | ↓ -67% |
| MMO | Traditional | $218.40 | ↓ -61% |
| GMS | All Products | $218.40 | ↓ -61% |
| Aetna | All Products First Health | $234.00 | ↓ -59% |
| Immergrun | All Products | $234.00 | ↓ -59% |
| Aetna | Asa | $249.60 | ↓ -56% |
| Multiplan | All Products | $280.80 | ↓ -50% |
| Aetna | Qhp/Ifp | $312.00 | ↓ -45% |
| UNITED | Managed Medicaid | $319.42 | ↓ -44% |
| CARESOURCE | Managed Medicaid | $329.00 | ↓ -42% |
| ANTHEM | Managed Medicaid | $335.39 | ↓ -41% |
| MOLINA | Managed Medicaid | $335.39 | ↓ -41% |
| AMERIHEALTH | Managed Medicaid | $351.36 | ↓ -38% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +225620% |
| The Health Plan | POS | $4,036,081.00 | ↑ +713619% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Ghs musc tst done w/n tst non ext at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $565.50 | $1.10 – $502.20 |
| akron general | Akron | $565.50 | $1.10 – $502.20 |
| University Hospitals Ahuja Medical Center | Beachwood | $291.75 | $82.61 – $350.10 |
| University Hospitals Beachwood Medical Center | Beachwood | $291.75 | $38.99 – $350.10 |
| University Hospitals Elyria Medical Center | Elyria | $291.75 | $82.61 – $148.69 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $291.75 | $82.61 – $148.69 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $291.75 | $47.09 – $148.69 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $291.75 | $82.61 – $148.69 |