Icd crtp serena MRI at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$12,870.00
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.
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What you pay up front if you don't use insurance.
$19,800.00
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.
$163.84 with UNITED vs $9,114.00 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 |
|---|---|---|---|
| UNITED | Managed Medicaid | $163.84 | ↓ -99% |
| CARESOURCE | Managed Medicaid | $168.76 | ↓ -99% |
| Buckeye | Managed Medicaid | $168.76 | ↓ -99% |
| ANTHEM | Managed Medicaid | $172.03 | ↓ -99% |
| MOLINA | Managed Medicaid | $172.03 | ↓ -99% |
| AMERIHEALTH | Managed Medicaid | $180.22 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $1,986.85 | ↓ -85% |
| OSCAR | ALL PRODUCTS | $2,577.44 | ↓ -80% |
| Zing Health | Medicare Advantage | $2,734.20 | ↓ -79% |
| PHP | ALL PRODUCTS | $2,916.48 | ↓ -77% |
| PHPHI | ALL PRODUCTS | $2,916.48 | ↓ -77% |
| Summacare | Preferred | $3,199.01 | ↓ -75% |
| Aultcare | PPO/HMO | $3,262.81 | ↓ -75% |
| Summacare | PREMIER | $3,481.55 | ↓ -73% |
| MMO | ALL PRODUCTS | $4,083.07 | ↓ -68% |
| Amish Community Aid Plan | ALL PRODUCTS | $4,101.30 | ↓ -68% |
| ANTHEM | HPN | $4,176.95 | ↓ -68% |
| CIGNA | ALL PRODUCTS | $4,301.81 | ↓ -67% |
| ANTHEM | Exchange | $4,423.02 | ↓ -66% |
| OHCP | ALL PRODUCTS | $4,429.40 | ↓ -66% |
| Immergrun | ALL PRODUCTS | $4,557.00 | ↓ -65% |
| OMAS | ALL PRODUCTS | $4,557.00 | ↓ -65% |
| ANTHEM | PPO/HMO | $4,914.27 | ↓ -62% |
| Ohio Healthy | TRANSPLANT | $4,921.56 | ↓ -62% |
| ANTHEM | TRADITIONAL | $5,040.04 | ↓ -61% |
| The Health Plan | POS | $5,646.12 | ↓ -56% |
| The Health Plan | HMO | $5,646.12 | ↓ -56% |
| CC EHP | ALL PRODUCTS | $5,787.39 | ↓ -55% |
| The Health Plan | PPO | $5,818.38 | ↓ -55% |
| GMS | ALL PRODUCTS | $6,379.80 | ↓ -50% |
| AETNA | International | $6,379.80 | ↓ -50% |
| Medical Benefit Corp | Transplant SMCP | $6,379.80 | ↓ -50% |
| AETNA | Asa_Whirlpool_Peia | $6,379.80 | ↓ -50% |
| Consociate Health | ALL PRODUCTS | $6,835.50 | ↓ -47% |
| AETNA | ALL PRODUCTS | $6,835.50 | ↓ -47% |
| The Health Plan | Self-Funded ASO | $7,655.76 | ↓ -41% |
| Managed Care Services | TRANSPLANT | $8,202.60 | ↓ -36% |
| MULTIPLAN | ALL PRODUCTS | $8,202.60 | ↓ -36% |
| FrontPath | TRANSPLANT | $8,202.60 | ↓ -36% |
| Tertiary Care Network | TRANSPLANT | $8,202.60 | ↓ -36% |
| AETNA | Qhp/Ipf | $9,114.00 | ↓ -29% |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Icd crtp serena MRI at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $60,357.06 | not published |
| Anderson Hospital | Cincinnati | $60,357.06 | not published |
| Clermont Hospital | Batavia | $60,357.06 | not published |
| Kings Mills Hospital | Mason | $60,357.06 | not published |
| Mercy West Hospital | Cincinnati | $60,357.06 | not published |
| St Ritas Medical Center | Lima | $46,699.20 | not published |
| Trinity Medical Center East | Steubenville | $4,390.97 | $2,982.00 – $3,826.90 |
| cleveland clinic main campus | Cleveland | $10,400.00 | $200.93 – $14,400.00 |