Hlth bhv ivntj indiv 1st 30 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$413.40
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.
$636.00
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 $636.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $38.32 | ↓ -91% |
| Summacare | Preferred | $44.22 | ↓ -89% |
| Summacare | Medicare Advantage Psych | $44.81 | ↓ -89% |
| Summacare | Medicare Advantage CNA | $50.12 | ↓ -88% |
| Summacare | Medicare Advantage MD | $56.01 | ↓ -86% |
| Aetna | Medicare Advantage | $59.74 | ↓ -86% |
| United | Medicare Advantage | $59.74 | ↓ -86% |
| The Health Plan | Medicare Advantage | $59.74 | ↓ -86% |
| Anthem | Medicare Advantage | $59.74 | ↓ -86% |
| Cigna | Medicare Advantage | $59.74 | ↓ -86% |
| Humana | Medicare Advantage HMO | $59.74 | ↓ -86% |
| MMO | Medicare HMO & PPO | $61.53 | ↓ -85% |
| CommuniCare | Medicare Advantage | $62.73 | ↓ -85% |
| Summacare | Premier | $62.73 | ↓ -85% |
| Perennial Health | Medicare Advantage | $64.52 | ↓ -84% |
| The Health Plan | All Products PCP | $65.71 | ↓ -84% |
| The Health Plan | All Products Specialty Physicians | $68.70 | ↓ -83% |
| UNITED | Managed Medicaid | $77.55 | ↓ -81% |
| The Health Plan | All Products Radiation Oncology Physicians | $77.66 | ↓ -81% |
| Buckeye | Managed Medicaid | $79.88 | ↓ -81% |
| CARESOURCE | Managed Medicaid | $79.88 | ↓ -81% |
| Cigna | All Products Mid-Level | $81.24 | ↓ -80% |
| ANTHEM | Managed Medicaid | $81.43 | ↓ -80% |
| MOLINA | Managed Medicaid | $81.43 | ↓ -80% |
| AMERIHEALTH | Managed Medicaid | $85.31 | ↓ -79% |
| Anthem | All Products Mid-Level Non-Facility | $86.90 | ↓ -79% |
| Cigna | All Products Physician | $95.99 | ↓ -77% |
| The Health Plan | MEDICARE ADVANTAGE | $133.61 | ↓ -68% |
| OSCAR | ALL PRODUCTS | $136.31 | ↓ -67% |
| HUMANA | Medicare Advantage HMO | $148.46 | ↓ -64% |
| UNITED | MEDICARE ADVANTAGE | $148.46 | ↓ -64% |
| PHPHI | ALL PRODUCTS | $154.24 | ↓ -63% |
| PHP | ALL PRODUCTS | $154.24 | ↓ -63% |
| United | All Products - Mid-Level | $156.50 | ↓ -62% |
| Perennial Health | MEDICARE ADVANTAGE | $160.33 | ↓ -61% |
| CC EHP | ALL PRODUCTS | $160.51 | ↓ -61% |
| Oscar | All Products | $161.61 | ↓ -61% |
| AETNA | MEDICARE ADVANTAGE | $167.92 | ↓ -59% |
| ANTHEM | MEDICARE ADVANTAGE | $167.92 | ↓ -59% |
| Summacare | MEDICARE ADVANTAGE | $167.92 | ↓ -59% |
| Aultcare | PPO/HMO | $172.56 | ↓ -58% |
| CIGNA | MEDICARE ADVANTAGE | $172.96 | ↓ -58% |
| United | HMO & PPO | $173.89 | ↓ -58% |
| United | All Products | $173.89 | ↓ -58% |
| CommuniCare | MEDICARE ADVANTAGE | $176.32 | ↓ -57% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $181.36 | ↓ -56% |
| Summacare | PREMIER | $184.12 | ↓ -55% |
| Amish Community Aid Plan | ALL PRODUCTS | $216.90 | ↓ -48% |
| ANTHEM | HPN | $220.90 | ↓ -47% |
| CIGNA | ALL PRODUCTS | $227.50 | ↓ -45% |
| ANTHEM | Exchange | $233.91 | ↓ -43% |
| OHCP | ALL PRODUCTS | $234.25 | ↓ -43% |
| OMAS | ALL PRODUCTS | $241.00 | ↓ -42% |
| Immergrun | ALL PRODUCTS | $241.00 | ↓ -42% |
| OHCP | All Products | $247.40 | ↓ -40% |
| ANTHEM | PPO/HMO | $259.89 | ↓ -37% |
| Ohio Healthy | TRANSPLANT | $260.28 | ↓ -37% |
| ANTHEM | TRADITIONAL | $266.55 | ↓ -36% |
| MMO | SuperMed | $272.38 | ↓ -34% |
| UNITED | ALL PRODUCTS | $291.61 | ↓ -29% |
| The Health Plan | PPO | $307.71 | ↓ -26% |
| OMAS | All Products | $318.00 | ↓ -23% |
| MMO | ALL PRODUCTS | $318.32 | ↓ -23% |
| Medical Benefit Corp | Transplant SMCP | $337.40 | ↓ -18% |
| AETNA | Asa_Whirlpool_Peia | $337.40 | ↓ -18% |
| AETNA | International | $337.40 | ↓ -18% |
| GMS | ALL PRODUCTS | $337.40 | ↓ -18% |
| Consociate Health | ALL PRODUCTS | $361.50 | ↓ -13% |
| AETNA | ALL PRODUCTS | $361.50 | ↓ -13% |
| PHPHI | All Products | $381.60 | ↓ -8% |
| The Health Plan | Self-Funded ASO | $404.88 | ↓ -2% |
| Tertiary Care Network | TRANSPLANT | $433.80 | ↑ +5% |
| MULTIPLAN | ALL PRODUCTS | $433.80 | ↑ +5% |
| Managed Care Services | TRANSPLANT | $433.80 | ↑ +5% |
| FrontPath | TRANSPLANT | $433.80 | ↑ +5% |
| GMS | All Products | $445.20 | ↑ +8% |
| MMO | Traditional | $445.20 | ↑ +8% |
| Immergrun | All Products | $477.00 | ↑ +15% |
| Aetna | All Products First Health | $477.00 | ↑ +15% |
| AETNA | Qhp/Ipf | $482.00 | ↑ +17% |
| The Health Plan | HMO | $482.00 | ↑ +17% |
| The Health Plan | POS | $482.00 | ↑ +17% |
| Aetna | Asa | $508.80 | ↑ +23% |
| Multiplan | All Products | $572.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $636.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv ivntj indiv 1st 30 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $413.40 | $1.10 – $572.40 |
| akron general | Akron | $413.40 | $1.10 – $572.40 |
| avon hospital | Avon | $313.30 | $80.97 – $433.80 |
| euclid hospital | Euclid | $313.30 | $82.94 – $433.80 |
| fairview hospital | Cleveland | $313.30 | $77.93 – $433.80 |
| lutheran hospital | Cleveland | $313.30 | $74.19 – $433.80 |
| hillcrest hospital | Mayfield Heights | $313.30 | $81.19 – $433.80 |
| marymount hospital | Garfield Heights | $313.30 | $73.25 – $433.80 |