Ghs st - eval for alt comm at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$102.05
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.
?
What you pay up front if you don't use insurance.
$157.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $157.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $6.44 | ↓ -94% |
| Summacare | Preferred | $6.53 | ↓ -94% |
| Summacare | Medicare Advantage Lower Level | $6.53 | ↓ -94% |
| Summacare | Medicare Advantage CNA | $8.53 | ↓ -92% |
| Cigna | Medicare Advantage | $8.58 | ↓ -92% |
| Aetna | Medicare Advantage | $8.58 | ↓ -92% |
| United | Medicare Advantage | $8.58 | ↓ -92% |
| Humana | Medicare Advantage HMO | $8.58 | ↓ -92% |
| The Health Plan | Medicare Advantage | $8.58 | ↓ -92% |
| Anthem | Medicare Advantage | $8.58 | ↓ -92% |
| MMO | Medicare HMO & PPO | $8.84 | ↓ -91% |
| Summacare | Premier | $9.01 | ↓ -91% |
| CommuniCare | Medicare Advantage | $9.01 | ↓ -91% |
| Perennial Health | Medicare Advantage | $9.27 | ↓ -91% |
| The Health Plan | All Products PCP | $9.44 | ↓ -91% |
| Summacare | Medicare Advantage MD | $9.54 | ↓ -91% |
| United | Managed Medicaid | $9.55 | ↓ -91% |
| Caresource | Managed Medicaid | $9.84 | ↓ -90% |
| The Health Plan | All Products Specialty Physicians | $9.87 | ↓ -90% |
| Buckeye | Managed Medicaid | $10.03 | ↓ -90% |
| Molina | Managed Medicaid | $10.51 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $10.51 | ↓ -90% |
| The Health Plan | All Products Radiation Oncology Physicians | $11.15 | ↓ -89% |
| Cigna | All Products Mid-Level | $20.09 | ↓ -80% |
| Aetna | Acop | $20.78 | ↓ -80% |
| Anthem | All Products Mid-Level Non-Facility | $21.49 | ↓ -79% |
| Oscar | All Products | $22.36 | ↓ -78% |
| Cigna | All Products Physician | $23.73 | ↓ -77% |
| Aultcare | PPO/HMO | $31.50 | ↓ -69% |
| UNITED | Managed Medicaid | $32.62 | ↓ -68% |
| The Health Plan | MEDICARE ADVANTAGE | $32.64 | ↓ -68% |
| CARESOURCE | Managed Medicaid | $33.60 | ↓ -67% |
| OHCP | All Products | $34.23 | ↓ -66% |
| ANTHEM | Managed Medicaid | $34.25 | ↓ -66% |
| MOLINA | Managed Medicaid | $34.25 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $35.34 | ↓ -65% |
| ANTHEM | MEDICARE ADVANTAGE | $35.34 | ↓ -65% |
| Summacare | MEDICARE ADVANTAGE | $35.34 | ↓ -65% |
| AMERIHEALTH | Managed Medicaid | $35.88 | ↓ -65% |
| HUMANA | Medicare Advantage HMO | $36.27 | ↓ -64% |
| UNITED | MEDICARE ADVANTAGE | $36.27 | ↓ -64% |
| CIGNA | MEDICARE ADVANTAGE | $36.40 | ↓ -64% |
| United | All Products - Mid-Level | $36.94 | ↓ -64% |
| CommuniCare | MEDICARE ADVANTAGE | $37.10 | ↓ -64% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $38.16 | ↓ -63% |
| Perennial Health | MEDICARE ADVANTAGE | $39.17 | ↓ -62% |
| United | HMO & PPO | $41.05 | ↓ -60% |
| United | All Products | $41.05 | ↓ -60% |
| OMAS | All Products | $44.00 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $44.40 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $50.24 | ↓ -51% |
| PHP | ALL PRODUCTS | $50.24 | ↓ -51% |
| PHPHI | All Products | $52.80 | ↓ -48% |
| CC EHP | ALL PRODUCTS | $53.07 | ↓ -48% |
| Summacare | PREMIER | $59.97 | ↓ -41% |
| GMS | All Products | $61.60 | ↓ -40% |
| MMO | Traditional | $61.60 | ↓ -40% |
| Aetna | All Products First Health | $66.00 | ↓ -35% |
| Immergrun | All Products | $66.00 | ↓ -35% |
| MMO | SuperMed | $68.10 | ↓ -33% |
| Aetna | Asa | $70.40 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $70.65 | ↓ -31% |
| ANTHEM | HPN | $71.95 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $74.10 | ↓ -27% |
| ANTHEM | Exchange | $76.19 | ↓ -25% |
| OHCP | ALL PRODUCTS | $76.30 | ↓ -25% |
| OMAS | ALL PRODUCTS | $78.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $78.50 | ↓ -23% |
| Multiplan | All Products | $79.20 | ↓ -22% |
| MMO | ALL PRODUCTS | $80.07 | ↓ -22% |
| ANTHEM | PPO/HMO | $84.65 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $84.78 | ↓ -17% |
| ANTHEM | TRADITIONAL | $86.82 | ↓ -15% |
| Aetna | Qhp/Ifp | $88.00 | ↓ -14% |
| UNITED | ALL PRODUCTS | $94.99 | ↓ -7% |
| The Health Plan | PPO | $100.23 | ↓ -2% |
| AETNA | Asa_Whirlpool_Peia | $109.90 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $109.90 | ↑ +8% |
| GMS | ALL PRODUCTS | $109.90 | ↑ +8% |
| AETNA | International | $109.90 | ↑ +8% |
| AETNA | ALL PRODUCTS | $117.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $117.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $131.88 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $141.30 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $141.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $141.30 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $141.30 | ↑ +38% |
| The Health Plan | POS | $157.00 | ↑ +54% |
| The Health Plan | HMO | $157.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $157.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ghs st - eval for alt comm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $62.99 | $76.20 – $97.79 |
| cleveland clinic main campus | Cleveland | $102.05 | $1.10 – $141.30 |
| akron general | Akron | $102.05 | $1.10 – $141.30 |
| avon hospital | Avon | $102.05 | $19.11 – $141.30 |
| euclid hospital | Euclid | $102.05 | $19.11 – $141.30 |
| fairview hospital | Cleveland | $102.05 | $16.32 – $141.30 |
| lutheran hospital | Cleveland | $102.05 | $19.11 – $141.30 |
| hillcrest hospital | Mayfield Heights | $102.05 | $16.32 – $141.30 |