healthcosts.net
Ia infect ag ab qual/semiquant sgl step at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$81.25
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.
$125.00
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 $125.00 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 | ↓ -99% |
| Summacare | Medicare Advantage MD | $15.38 | ↓ -81% |
| The Health Plan | MEDICARE ADVANTAGE | $16.28 | ↓ -80% |
| HUMANA | Medicare Advantage HMO | $18.09 | ↓ -78% |
| UNITED | MEDICARE ADVANTAGE | $18.09 | ↓ -78% |
| Summacare | MEDICARE ADVANTAGE | $18.09 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $18.09 | ↓ -78% |
| ANTHEM | MEDICARE ADVANTAGE | $18.09 | ↓ -78% |
| CIGNA | MEDICARE ADVANTAGE | $18.63 | ↓ -77% |
| UNITED | Managed Medicaid | $18.82 | ↓ -77% |
| CommuniCare | MEDICARE ADVANTAGE | $18.99 | ↓ -77% |
| MMO | Medicare HMO & PPO | $18.99 | ↓ -77% |
| Buckeye | Managed Medicaid | $19.38 | ↓ -76% |
| CARESOURCE | Managed Medicaid | $19.38 | ↓ -76% |
| Perennial Health | MEDICARE ADVANTAGE | $19.54 | ↓ -76% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $19.54 | ↓ -76% |
| United | All Products | $19.72 | ↓ -76% |
| United | All Products - Mid-Level | $19.72 | ↓ -76% |
| United | HMO & PPO | $19.72 | ↓ -76% |
| ANTHEM | Managed Medicaid | $19.76 | ↓ -76% |
| MOLINA | Managed Medicaid | $19.76 | ↓ -76% |
| AMERIHEALTH | Managed Medicaid | $20.70 | ↓ -75% |
| Anthem | All Products Mid-Level Non-Facility | $24.62 | ↓ -70% |
| Aetna | Acop | $25.33 | ↓ -69% |
| ANTHEM | HPN | $29.37 | ↓ -64% |
| MMO | ALL PRODUCTS | $31.66 | ↓ -61% |
| Oscar | All Products | $31.76 | ↓ -61% |
| MMO | SuperMed | $32.26 | ↓ -60% |
| CC EHP | ALL PRODUCTS | $32.31 | ↓ -60% |
| ANTHEM | Exchange | $35.01 | ↓ -57% |
| CIGNA | ALL PRODUCTS | $37.94 | ↓ -53% |
| UNITED | ALL PRODUCTS | $40.71 | ↓ -50% |
| Aultcare | PPO/HMO | $44.75 | ↓ -45% |
| OHCP | All Products | $48.63 | ↓ -40% |
| AETNA | International | $54.97 | ↓ -32% |
| OMAS | All Products | $62.50 | ↓ -23% |
| PHPHI | All Products | $75.00 | ↓ -8% |
| Summacare | Medicare Advantage CNA | $87.50 | ↑ +8% |
| GMS | All Products | $87.50 | ↑ +8% |
| Summacare | Premier | $87.50 | ↑ +8% |
| MMO | Traditional | $87.50 | ↑ +8% |
| Summacare | Preferred | $87.50 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $87.50 | ↑ +8% |
| Summacare | Medicare Advantage Lower Level | $87.50 | ↑ +8% |
| Immergrun | All Products | $93.75 | ↑ +15% |
| Aetna | All Products First Health | $93.75 | ↑ +15% |
| Aetna | Asa | $100.00 | ↑ +23% |
| Multiplan | All Products | $112.50 | ↑ +38% |
| Aetna | Qhp/Ifp | $125.00 | ↑ +54% |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| The Health Plan | All Products PCP | not published by hospital | — |
| The Health Plan | All Products Radiation Oncology Physicians | not published by hospital | — |
| The Health Plan | All Products Specialty Physicians | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ia infect ag ab qual/semiquant sgl step at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $81.25 | $1.10 – $112.50 |
| akron general | Akron | $81.25 | $1.10 – $112.50 |
| University Hospitals Ahuja Medical Center | Beachwood | $36.75 | $6.12 – $44.10 |
| University Hospitals Beachwood Medical Center | Beachwood | $36.75 | $8.54 – $44.10 |
| University Hospitals Conneaut Medical Center | Conneaut | $45.00 | $6.12 – $59.00 |
| University Hospitals Elyria Medical Center | Elyria | $36.75 | $18.09 – $32.56 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $36.75 | $6.12 – $32.56 |
| University Hospitals Geneva Medical Center | Geneva | $45.00 | $6.12 – $69.00 |