Hlth bhv assmt/reassessment at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$598.00
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.
$920.00
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 $920.00 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 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $55.79 | ↓ -91% |
| Summacare | Preferred | $64.37 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $65.07 | ↓ -89% |
| Summacare | Medicare Advantage CNA | $72.96 | ↓ -88% |
| The Health Plan | MEDICARE ADVANTAGE | $76.92 | ↓ -87% |
| OSCAR | ALL PRODUCTS | $78.62 | ↓ -87% |
| Summacare | Medicare Advantage MD | $81.54 | ↓ -86% |
| HUMANA | Medicare Advantage HMO | $85.47 | ↓ -86% |
| UNITED | MEDICARE ADVANTAGE | $85.47 | ↓ -86% |
| Anthem | Medicare Advantage | $86.76 | ↓ -85% |
| United | Medicare Advantage | $86.76 | ↓ -85% |
| Aetna | Medicare Advantage | $86.76 | ↓ -85% |
| The Health Plan | Medicare Advantage | $86.76 | ↓ -85% |
| Cigna | Medicare Advantage | $86.76 | ↓ -85% |
| Humana | Medicare Advantage HMO | $86.76 | ↓ -85% |
| PHPHI | ALL PRODUCTS | $88.96 | ↓ -85% |
| PHP | ALL PRODUCTS | $88.96 | ↓ -85% |
| MMO | Medicare HMO & PPO | $89.36 | ↓ -85% |
| Summacare | Premier | $91.10 | ↓ -85% |
| CommuniCare | Medicare Advantage | $91.10 | ↓ -85% |
| Perennial Health | MEDICARE ADVANTAGE | $92.31 | ↓ -85% |
| CC EHP | ALL PRODUCTS | $92.57 | ↓ -85% |
| Perennial Health | Medicare Advantage | $93.70 | ↓ -84% |
| The Health Plan | All Products PCP | $95.44 | ↓ -84% |
| ANTHEM | MEDICARE ADVANTAGE | $96.11 | ↓ -84% |
| AETNA | MEDICARE ADVANTAGE | $96.11 | ↓ -84% |
| Summacare | MEDICARE ADVANTAGE | $96.11 | ↓ -84% |
| CIGNA | MEDICARE ADVANTAGE | $98.99 | ↓ -83% |
| Aultcare | PPO/HMO | $99.52 | ↓ -83% |
| The Health Plan | All Products Specialty Physicians | $99.77 | ↓ -83% |
| CommuniCare | MEDICARE ADVANTAGE | $100.92 | ↓ -83% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $103.80 | ↓ -83% |
| Summacare | PREMIER | $106.20 | ↓ -82% |
| The Health Plan | All Products Radiation Oncology Physicians | $112.79 | ↓ -81% |
| Cigna | All Products Mid-Level | $118.82 | ↓ -80% |
| Amish Community Aid Plan | ALL PRODUCTS | $125.10 | ↓ -79% |
| Anthem | All Products Mid-Level Non-Facility | $127.08 | ↓ -79% |
| ANTHEM | HPN | $127.41 | ↓ -79% |
| CIGNA | ALL PRODUCTS | $131.22 | ↓ -78% |
| ANTHEM | Exchange | $134.91 | ↓ -77% |
| OHCP | ALL PRODUCTS | $135.11 | ↓ -77% |
| OMAS | ALL PRODUCTS | $139.00 | ↓ -77% |
| Immergrun | ALL PRODUCTS | $139.00 | ↓ -77% |
| Cigna | All Products Physician | $140.40 | ↓ -77% |
| ANTHEM | PPO/HMO | $149.90 | ↓ -75% |
| Ohio Healthy | TRANSPLANT | $150.12 | ↓ -75% |
| MMO | SuperMed | $152.32 | ↓ -75% |
| ANTHEM | TRADITIONAL | $153.73 | ↓ -74% |
| UNITED | Managed Medicaid | $160.91 | ↓ -73% |
| Buckeye | Managed Medicaid | $165.74 | ↓ -72% |
| CARESOURCE | Managed Medicaid | $165.74 | ↓ -72% |
| MOLINA | Managed Medicaid | $168.96 | ↓ -72% |
| ANTHEM | Managed Medicaid | $168.96 | ↓ -72% |
| AMERIHEALTH | Managed Medicaid | $177.00 | ↓ -70% |
| The Health Plan | PPO | $177.48 | ↓ -70% |
| MMO | ALL PRODUCTS | $177.97 | ↓ -70% |
| Medical Benefit Corp | Transplant SMCP | $194.60 | ↓ -67% |
| AETNA | International | $194.60 | ↓ -67% |
| AETNA | Asa_Whirlpool_Peia | $194.60 | ↓ -67% |
| GMS | ALL PRODUCTS | $194.60 | ↓ -67% |
| Consociate Health | ALL PRODUCTS | $208.50 | ↓ -65% |
| AETNA | ALL PRODUCTS | $208.50 | ↓ -65% |
| United | All Products - Mid-Level | $231.03 | ↓ -61% |
| The Health Plan | Self-Funded ASO | $233.52 | ↓ -61% |
| Oscar | All Products | $233.77 | ↓ -61% |
| Tertiary Care Network | TRANSPLANT | $250.20 | ↓ -58% |
| FrontPath | TRANSPLANT | $250.20 | ↓ -58% |
| Managed Care Services | TRANSPLANT | $250.20 | ↓ -58% |
| MULTIPLAN | ALL PRODUCTS | $250.20 | ↓ -58% |
| United | HMO & PPO | $256.71 | ↓ -57% |
| United | All Products | $256.71 | ↓ -57% |
| The Health Plan | HMO | $278.00 | ↓ -54% |
| AETNA | Qhp/Ipf | $278.00 | ↓ -54% |
| The Health Plan | POS | $278.00 | ↓ -54% |
| OHCP | All Products | $357.88 | ↓ -40% |
| OMAS | All Products | $460.00 | ↓ -23% |
| PHPHI | All Products | $552.00 | ↓ -8% |
| MMO | Traditional | $644.00 | ↑ +8% |
| GMS | All Products | $644.00 | ↑ +8% |
| Aetna | All Products First Health | $690.00 | ↑ +15% |
| Immergrun | All Products | $690.00 | ↑ +15% |
| Aetna | Asa | $736.00 | ↑ +23% |
| Multiplan | All Products | $828.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $920.00 | ↑ +54% |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv assmt/reassessment at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $598.00 | $1.10 – $828.00 |
| akron general | Akron | $598.00 | $1.10 – $828.00 |
| avon hospital | Avon | $180.70 | $78.62 – $250.20 |
| euclid hospital | Euclid | $180.70 | $77.33 – $250.20 |
| fairview hospital | Cleveland | $180.70 | $77.33 – $250.20 |
| lutheran hospital | Cleveland | $180.70 | $78.62 – $250.20 |
| hillcrest hospital | Mayfield Heights | $180.70 | $77.33 – $250.20 |
| marymount hospital | Garfield Heights | $180.70 | $77.33 – $250.20 |