Ghs simple repair 12.6 - 20.0 cm - 12016 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$779.35
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.
$1,199.00
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.
$0.01 with UNITED vs $4,001.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $79.40 | ↓ -90% |
| Summacare | Preferred | $79.40 | ↓ -90% |
| Summacare | Medicare Advantage Psych | $91.31 | ↓ -88% |
| United | Managed Medicaid | $98.41 | ↓ -87% |
| Caresource | Managed Medicaid | $101.36 | ↓ -87% |
| Buckeye | Managed Medicaid | $103.33 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $103.84 | ↓ -87% |
| Molina | Managed Medicaid | $108.25 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $108.25 | ↓ -86% |
| Summacare | Medicare Advantage MD | $116.05 | ↓ -85% |
| Cigna | Medicare Advantage | $121.74 | ↓ -84% |
| Aetna | Medicare Advantage | $121.74 | ↓ -84% |
| United | Medicare Advantage | $121.74 | ↓ -84% |
| Anthem | Medicare Advantage | $121.74 | ↓ -84% |
| The Health Plan | Medicare Advantage | $121.74 | ↓ -84% |
| Humana | Medicare Advantage HMO | $121.74 | ↓ -84% |
| MMO | Medicare HMO & PPO | $125.39 | ↓ -84% |
| CommuniCare | Medicare Advantage | $127.83 | ↓ -84% |
| Summacare | Premier | $127.83 | ↓ -84% |
| Perennial Health | Medicare Advantage | $131.48 | ↓ -83% |
| The Health Plan | All Products PCP | $133.91 | ↓ -83% |
| The Health Plan | All Products Specialty Physicians | $140.00 | ↓ -82% |
| UNITED | Managed Medicaid | $151.86 | ↓ -81% |
| CARESOURCE | Managed Medicaid | $156.42 | ↓ -80% |
| The Health Plan | All Products Radiation Oncology Physicians | $158.26 | ↓ -80% |
| ANTHEM | Managed Medicaid | $159.45 | ↓ -80% |
| MOLINA | Managed Medicaid | $159.45 | ↓ -80% |
| AMERIHEALTH | Managed Medicaid | $167.05 | ↓ -79% |
| Cigna | All Products Mid-Level | $272.94 | ↓ -65% |
| Aetna | Acop | $286.80 | ↓ -63% |
| Anthem | All Products Mid-Level Non-Facility | $291.92 | ↓ -63% |
| Oscar | All Products | $299.58 | ↓ -62% |
| Cigna | All Products Physician | $322.51 | ↓ -59% |
| The Health Plan | MEDICARE ADVANTAGE | $332.24 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $339.08 | ↓ -56% |
| UNITED | MEDICARE ADVANTAGE | $369.16 | ↓ -53% |
| HUMANA | Medicare Advantage HMO | $369.16 | ↓ -53% |
| PHPHI | ALL PRODUCTS | $383.68 | ↓ -51% |
| PHP | ALL PRODUCTS | $383.68 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $384.59 | ↓ -51% |
| Summacare | MEDICARE ADVANTAGE | $384.59 | ↓ -51% |
| ANTHEM | MEDICARE ADVANTAGE | $384.59 | ↓ -51% |
| CIGNA | MEDICARE ADVANTAGE | $396.13 | ↓ -49% |
| Perennial Health | MEDICARE ADVANTAGE | $398.69 | ↓ -49% |
| CommuniCare | MEDICARE ADVANTAGE | $403.82 | ↓ -48% |
| CC EHP | ALL PRODUCTS | $405.26 | ↓ -48% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $415.36 | ↓ -47% |
| Aultcare | PPO/HMO | $422.08 | ↓ -46% |
| Summacare | PREMIER | $458.02 | ↓ -41% |
| OHCP | All Products | $458.63 | ↓ -41% |
| United | All Products - Mid-Level | $481.19 | ↓ -38% |
| United | HMO & PPO | $534.66 | ↓ -31% |
| United | All Products | $534.66 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $539.55 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $565.93 | ↓ -27% |
| ANTHEM | HPN | $577.56 | ↓ -26% |
| OHCP | ALL PRODUCTS | $582.71 | ↓ -25% |
| OMAS | All Products | $589.50 | ↓ -24% |
| OMAS | ALL PRODUCTS | $599.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $599.50 | ↓ -23% |
| ANTHEM | Exchange | $611.49 | ↓ -22% |
| Ohio Healthy | TRANSPLANT | $647.46 | ↓ -17% |
| ANTHEM | TRADITIONAL | $663.05 | ↓ -15% |
| ANTHEM | PPO/HMO | $679.47 | ↓ -13% |
| MMO | SuperMed | $680.96 | ↓ -13% |
| The Health Plan | PPO | $702.45 | ↓ -10% |
| PHPHI | All Products | $707.40 | ↓ -9% |
| MMO | ALL PRODUCTS | $796.11 | ↑ +2% |
| MMO | Traditional | $825.30 | ↑ +6% |
| GMS | All Products | $825.30 | ↑ +6% |
| GMS | ALL PRODUCTS | $839.30 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $839.30 | ↑ +8% |
| Immergrun | All Products | $884.25 | ↑ +13% |
| Aetna | All Products First Health | $884.25 | ↑ +13% |
| Consociate Health | ALL PRODUCTS | $899.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $899.25 | ↑ +15% |
| Aetna | Asa | $943.20 | ↑ +21% |
| The Health Plan | Self-Funded ASO | $1,007.16 | ↑ +29% |
| Multiplan | All Products | $1,061.10 | ↑ +36% |
| FrontPath | TRANSPLANT | $1,079.10 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,079.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,079.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $1,079.10 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,179.00 | ↑ +51% |
| The Health Plan | POS | $1,199.00 | ↑ +54% |
| The Health Plan | HMO | $1,199.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $1,199.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↑ +389% |
| AETNA | International | $4,001.00 | ↑ +413% |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair 12.6 - 20.0 cm - 12016 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $725.40 | not published |
| Anderson Hospital | Cincinnati | $725.40 | not published |
| Clermont Hospital | Batavia | $725.40 | not published |
| Kings Mills Hospital | Mason | $725.40 | not published |
| Mercy West Hospital | Cincinnati | $725.40 | not published |
| cleveland clinic main campus | Cleveland | $779.35 | $0.01 – $1,079.10 |
| akron general | Akron | $779.35 | $0.01 – $1,079.10 |
| avon hospital | Avon | $779.35 | $0.01 – $1,079.10 |