healthcosts.net
Img rta detcj/mntr ds staff at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$13.65
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.
$21.00
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 $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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -92% |
| Oscar | All Products | $5.34 | ↓ -61% |
| United | Managed Medicaid | $5.82 | ↓ -57% |
| Caresource | Managed Medicaid | $5.99 | ↓ -56% |
| Buckeye | Managed Medicaid | $6.11 | ↓ -55% |
| Molina | Managed Medicaid | $6.40 | ↓ -53% |
| AmeriHealth | Managed Medicaid | $6.40 | ↓ -53% |
| Aultcare | PPO/HMO | $7.52 | ↓ -45% |
| OHCP | All Products | $8.17 | ↓ -40% |
| Summacare | Preferred | $10.18 | ↓ -25% |
| Summacare | Medicare Advantage Lower Level | $10.18 | ↓ -25% |
| OMAS | All Products | $10.50 | ↓ -23% |
| PHPHI | All Products | $12.60 | ↓ -8% |
| Summacare | Medicare Advantage Psych | $12.89 | ↓ -6% |
| Summacare | Medicare Advantage CNA | $13.31 | ↓ -2% |
| MMO | Traditional | $14.70 | ↑ +8% |
| GMS | All Products | $14.70 | ↑ +8% |
| Summacare | Medicare Advantage MD | $14.88 | ↑ +9% |
| Immergrun | All Products | $15.75 | ↑ +15% |
| Aetna | All Products First Health | $15.75 | ↑ +15% |
| Aetna | Asa | $16.80 | ↑ +23% |
| United | Medicare Advantage | $17.19 | ↑ +26% |
| The Health Plan | Medicare Advantage | $17.19 | ↑ +26% |
| Anthem | Medicare Advantage | $17.19 | ↑ +26% |
| Aetna | Medicare Advantage | $17.19 | ↑ +26% |
| Cigna | Medicare Advantage | $17.19 | ↑ +26% |
| Humana | Medicare Advantage HMO | $17.19 | ↑ +26% |
| MMO | Medicare HMO & PPO | $17.71 | ↑ +30% |
| Summacare | Premier | $18.05 | ↑ +32% |
| CommuniCare | Medicare Advantage | $18.05 | ↑ +32% |
| The Health Plan | PPO | $18.39 | ↑ +35% |
| Perennial Health | Medicare Advantage | $18.57 | ↑ +36% |
| Multiplan | All Products | $18.90 | ↑ +38% |
| The Health Plan | All Products PCP | $18.91 | ↑ +39% |
| The Health Plan | All Products Specialty Physicians | $19.77 | ↑ +45% |
| Aetna | Qhp/Ifp | $21.00 | ↑ +54% |
| Anthem | All Products Mid-Level Non-Facility | $21.08 | ↑ +54% |
| The Health Plan | All Products Radiation Oncology Physicians | $22.35 | ↑ +64% |
| United | All Products - Mid-Level | $29.00 | ↑ +112% |
| United | HMO & PPO | $32.22 | ↑ +136% |
| United | All Products | $32.22 | ↑ +136% |
| UNITED | Managed Medicaid | $38.91 | ↑ +185% |
| CARESOURCE | Managed Medicaid | $40.08 | ↑ +194% |
| ANTHEM | Managed Medicaid | $40.86 | ↑ +199% |
| MOLINA | Managed Medicaid | $40.86 | ↑ +199% |
| AMERIHEALTH | Managed Medicaid | $42.80 | ↑ +214% |
| The Health Plan | MEDICARE ADVANTAGE | $49.40 | ↑ +262% |
| UNITED | MEDICARE ADVANTAGE | $54.88 | ↑ +302% |
| HUMANA | Medicare Advantage HMO | $54.88 | ↑ +302% |
| AETNA | MEDICARE ADVANTAGE | $55.81 | ↑ +309% |
| Summacare | MEDICARE ADVANTAGE | $55.81 | ↑ +309% |
| ANTHEM | MEDICARE ADVANTAGE | $55.81 | ↑ +309% |
| CIGNA | MEDICARE ADVANTAGE | $57.49 | ↑ +321% |
| CommuniCare | MEDICARE ADVANTAGE | $58.60 | ↑ +329% |
| Perennial Health | MEDICARE ADVANTAGE | $59.28 | ↑ +334% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $60.28 | ↑ +342% |
| MMO | ALL PRODUCTS | $92.57 | ↑ +578% |
| MMO | SuperMed | $103.94 | ↑ +661% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +9351168% |
| The Health Plan | POS | $4,036,081.00 | ↑ +29568259% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Img rta detcj/mntr ds staff at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $85.80 | $1.10 – $55.81 |
| akron general | Akron | $13.65 | $1.10 – $59.28 |
| avon hospital | Avon | not published | $40.62 – $61.39 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $66.34 – $76.81 |
| euclid hospital | Euclid | not published | $41.63 – $61.39 |
| fairview hospital | Cleveland | not published | $39.10 – $61.39 |
| lutheran hospital | Cleveland | not published | $37.23 – $61.39 |
| hillcrest hospital | Mayfield Heights | not published | $40.75 – $61.39 |