Hast w/i&r phys/qhp at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$473.85
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.
$729.00
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 $593.00 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 | Preferred | $8.65 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $8.65 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $10.79 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $11.31 | ↓ -98% |
| Summacare | Medicare Advantage MD | $12.64 | ↓ -97% |
| Anthem | Medicare Advantage | $14.39 | ↓ -97% |
| Humana | Medicare Advantage HMO | $14.39 | ↓ -97% |
| United | Medicare Advantage | $14.39 | ↓ -97% |
| Aetna | Medicare Advantage | $14.39 | ↓ -97% |
| Cigna | Medicare Advantage | $14.39 | ↓ -97% |
| The Health Plan | Medicare Advantage | $14.39 | ↓ -97% |
| MMO | Medicare HMO & PPO | $14.82 | ↓ -97% |
| Summacare | Premier | $15.11 | ↓ -97% |
| CommuniCare | Medicare Advantage | $15.11 | ↓ -97% |
| Perennial Health | Medicare Advantage | $15.54 | ↓ -97% |
| The Health Plan | All Products PCP | $15.83 | ↓ -97% |
| The Health Plan | All Products Specialty Physicians | $16.55 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $18.57 | ↓ -96% |
| The Health Plan | All Products Radiation Oncology Physicians | $18.71 | ↓ -96% |
| United | All Products - Mid-Level | $31.94 | ↓ -93% |
| Oscar | All Products | $34.56 | ↓ -93% |
| United | HMO & PPO | $35.48 | ↓ -93% |
| United | All Products | $35.48 | ↓ -93% |
| United | Managed Medicaid | $39.09 | ↓ -92% |
| Caresource | Managed Medicaid | $40.26 | ↓ -92% |
| Buckeye | Managed Medicaid | $41.04 | ↓ -91% |
| Molina | Managed Medicaid | $43.00 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $43.00 | ↓ -91% |
| Aultcare | PPO/HMO | $48.69 | ↓ -90% |
| OHCP | All Products | $52.90 | ↓ -89% |
| UNITED | Managed Medicaid | $52.98 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $54.57 | ↓ -88% |
| MOLINA | Managed Medicaid | $55.63 | ↓ -88% |
| ANTHEM | Managed Medicaid | $55.63 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $58.28 | ↓ -88% |
| OMAS | All Products | $68.00 | ↓ -86% |
| MMO | SuperMed | $73.44 | ↓ -85% |
| PHPHI | All Products | $81.60 | ↓ -83% |
| MMO | Traditional | $95.20 | ↓ -80% |
| GMS | All Products | $95.20 | ↓ -80% |
| Aetna | All Products First Health | $102.00 | ↓ -78% |
| Immergrun | All Products | $102.00 | ↓ -78% |
| The Health Plan | MEDICARE ADVANTAGE | $107.19 | ↓ -77% |
| Aetna | Asa | $108.80 | ↓ -77% |
| UNITED | MEDICARE ADVANTAGE | $119.10 | ↓ -75% |
| HUMANA | Medicare Advantage HMO | $119.10 | ↓ -75% |
| Multiplan | All Products | $122.40 | ↓ -74% |
| Summacare | MEDICARE ADVANTAGE | $125.87 | ↓ -73% |
| AETNA | MEDICARE ADVANTAGE | $125.87 | ↓ -73% |
| ANTHEM | MEDICARE ADVANTAGE | $125.87 | ↓ -73% |
| Perennial Health | MEDICARE ADVANTAGE | $128.63 | ↓ -73% |
| CIGNA | MEDICARE ADVANTAGE | $129.65 | ↓ -73% |
| CommuniCare | MEDICARE ADVANTAGE | $132.17 | ↓ -72% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $135.94 | ↓ -71% |
| Aetna | Qhp/Ifp | $136.00 | ↓ -71% |
| OSCAR | ALL PRODUCTS | $167.70 | ↓ -65% |
| PHPHI | ALL PRODUCTS | $189.76 | ↓ -60% |
| PHP | ALL PRODUCTS | $189.76 | ↓ -60% |
| CC EHP | ALL PRODUCTS | $200.43 | ↓ -58% |
| Summacare | PREMIER | $226.53 | ↓ -52% |
| MMO | ALL PRODUCTS | $255.04 | ↓ -46% |
| Amish Community Aid Plan | ALL PRODUCTS | $266.85 | ↓ -44% |
| CIGNA | ALL PRODUCTS | $279.90 | ↓ -41% |
| OHCP | ALL PRODUCTS | $288.20 | ↓ -39% |
| OMAS | ALL PRODUCTS | $296.50 | ↓ -37% |
| Immergrun | ALL PRODUCTS | $296.50 | ↓ -37% |
| Ohio Healthy | TRANSPLANT | $320.22 | ↓ -32% |
| ANTHEM | TRADITIONAL | $327.93 | ↓ -31% |
| ANTHEM | HPN | $354.67 | ↓ -25% |
| ANTHEM | Exchange | $354.67 | ↓ -25% |
| ANTHEM | PPO/HMO | $354.67 | ↓ -25% |
| UNITED | ALL PRODUCTS | $358.77 | ↓ -24% |
| The Health Plan | PPO | $378.57 | ↓ -20% |
| AETNA | International | $415.10 | ↓ -12% |
| AETNA | Asa_Whirlpool_Peia | $415.10 | ↓ -12% |
| GMS | ALL PRODUCTS | $415.10 | ↓ -12% |
| Medical Benefit Corp | Transplant SMCP | $415.10 | ↓ -12% |
| Consociate Health | ALL PRODUCTS | $444.75 | ↓ -6% |
| AETNA | ALL PRODUCTS | $444.75 | ↓ -6% |
| The Health Plan | Self-Funded ASO | $498.12 | ↑ +5% |
| Managed Care Services | TRANSPLANT | $533.70 | ↑ +13% |
| MULTIPLAN | ALL PRODUCTS | $533.70 | ↑ +13% |
| Tertiary Care Network | TRANSPLANT | $533.70 | ↑ +13% |
| FrontPath | TRANSPLANT | $533.70 | ↑ +13% |
| The Health Plan | POS | $593.00 | ↑ +25% |
| AETNA | Qhp/Ipf | $593.00 | ↑ +25% |
| The Health Plan | HMO | $593.00 | ↑ +25% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Hast w/i&r phys/qhp at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $473.85 | $1.10 – $533.70 |
| akron general | Akron | $473.85 | $1.10 – $129.65 |
| avon hospital | Avon | $385.45 | $55.31 – $533.70 |
| euclid hospital | Euclid | $385.45 | $56.67 – $533.70 |
| fairview hospital | Cleveland | $385.45 | $53.24 – $533.70 |
| lutheran hospital | Cleveland | $385.45 | $50.68 – $533.70 |
| hillcrest hospital | Mayfield Heights | $385.45 | $55.47 – $533.70 |
| marymount hospital | Garfield Heights | $385.45 | $50.05 – $533.70 |