Heart infarct image at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
not published by hospital
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.
not published by hospital
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.
$158.42 with The Health Plan 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 |
|---|---|---|---|
| The Health Plan | PPO | $158.42 | — |
| UNITED | Managed Medicaid | $253.86 | — |
| CARESOURCE | Managed Medicaid | $261.48 | — |
| Buckeye | Managed Medicaid | $261.48 | — |
| ANTHEM | Managed Medicaid | $266.55 | — |
| MOLINA | Managed Medicaid | $266.55 | — |
| AMERIHEALTH | Managed Medicaid | $279.25 | — |
| The Health Plan | MEDICARE ADVANTAGE | $334.15 | — |
| UNITED | MEDICARE ADVANTAGE | $371.28 | — |
| HUMANA | Medicare Advantage HMO | $371.28 | — |
| Summacare | MEDICARE ADVANTAGE | $378.21 | — |
| AETNA | MEDICARE ADVANTAGE | $378.21 | — |
| ANTHEM | MEDICARE ADVANTAGE | $378.21 | — |
| CIGNA | MEDICARE ADVANTAGE | $389.56 | — |
| MMO | Medicare HMO & PPO | $389.85 | — |
| CommuniCare | MEDICARE ADVANTAGE | $397.13 | — |
| Perennial Health | MEDICARE ADVANTAGE | $400.99 | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | $408.47 | — |
| Zing Health | Medicare Advantage | $416.04 | — |
| CIGNA | ALL PRODUCTS | $422.44 | — |
| MMO | ALL PRODUCTS | $624.15 | — |
| ANTHEM | HPN | $775.71 | — |
| AETNA | International | $959.83 | — |
| ANTHEM | Exchange | $1,069.54 | — |
| ANTHEM | PPO/HMO | $1,188.42 | — |
| UNITED | ALL PRODUCTS | $1,909.17 | — |
| The Health Plan | HMO | $1,276,448.04 | — |
| The Health Plan | POS | $4,036,081.00 | — |
Visitor-reported prices
Comments
Heart infarct image at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy West Hospital | Cincinnati | $703.80 | not published |
| St Ritas Medical Center | Lima | $930.60 | not published |
| Trinity Medical Center East | Steubenville | $607.02 | $734.40 – $942.48 |
| cleveland clinic main campus | Cleveland | $1,981.85 | $1.10 – $378.21 |
| Dublin Methodist Hospital | Dublin | $1,463.80 | $385.47 – $385.47 |
| Shelby Hospital | Shelby | $1,231.75 | not published |
| Berger Hospital | Circleville | $1,227.85 | $383.89 – $383.89 |
| Grant Medical Center | Columbus | $1,463.80 | $385.47 – $385.47 |