In-111 autol wbc diag per dose at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,203.20
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.
$4,928.00
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.
$105.59 with UNITED vs $4,928.00 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 | $105.59 | ↓ -97% |
| CARESOURCE | Managed Medicaid | $108.76 | ↓ -97% |
| Buckeye | Managed Medicaid | $108.76 | ↓ -97% |
| MOLINA | Managed Medicaid | $110.87 | ↓ -97% |
| ANTHEM | Managed Medicaid | $110.87 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $116.15 | ↓ -96% |
| The Health Plan | MEDICARE ADVANTAGE | $928.25 | ↓ -71% |
| HUMANA | Medicare Advantage HMO | $1,031.39 | ↓ -68% |
| UNITED | MEDICARE ADVANTAGE | $1,031.39 | ↓ -68% |
| MMO | Medicare HMO & PPO | $1,082.96 | ↓ -66% |
| Summacare | MEDICARE ADVANTAGE | $1,103.19 | ↓ -66% |
| ANTHEM | MEDICARE ADVANTAGE | $1,103.19 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $1,103.19 | ↓ -66% |
| Perennial Health | MEDICARE ADVANTAGE | $1,113.90 | ↓ -65% |
| CIGNA | MEDICARE ADVANTAGE | $1,136.29 | ↓ -65% |
| CommuniCare | MEDICARE ADVANTAGE | $1,158.35 | ↓ -64% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,191.45 | ↓ -63% |
| Zing Health | Medicare Advantage | $1,213.51 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $1,393.64 | ↓ -56% |
| PHP | ALL PRODUCTS | $1,576.96 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,576.96 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $1,665.66 | ↓ -48% |
| Summacare | Preferred | $1,729.73 | ↓ -46% |
| Aultcare | PPO/HMO | $1,764.22 | ↓ -45% |
| Summacare | PREMIER | $1,882.50 | ↓ -41% |
| MMO | ALL PRODUCTS | $2,207.74 | ↓ -31% |
| UNITED | ALL PRODUCTS | $2,217.49 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,217.60 | ↓ -31% |
| ANTHEM | HPN | $2,258.50 | ↓ -29% |
| ANTHEM | Exchange | $2,391.56 | ↓ -25% |
| OHCP | ALL PRODUCTS | $2,395.01 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,464.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $2,464.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $2,657.18 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $2,661.12 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,725.18 | ↓ -15% |
| The Health Plan | POS | $3,052.90 | ↓ -5% |
| The Health Plan | HMO | $3,052.90 | ↓ -5% |
| The Health Plan | PPO | $3,146.04 | ↓ -2% |
| GMS | ALL PRODUCTS | $3,449.60 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $3,449.60 | ↑ +8% |
| AETNA | ALL PRODUCTS | $3,696.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $3,696.00 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $4,139.52 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $4,435.20 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $4,435.20 | ↑ +38% |
| FrontPath | TRANSPLANT | $4,435.20 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $4,435.20 | ↑ +38% |
| CIGNA | ALL PRODUCTS | $4,928.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $4,928.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| AETNA | International | not published by hospital | — |
| AETNA | Asa_Whirlpool_Peia | not published by hospital | — |
Visitor-reported prices
Comments
In-111 autol wbc diag per dose at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $1,512.10 | $78.75 – $2,347.73 |
| cleveland clinic main campus | Cleveland | $3,203.20 | $1.10 – $5,620.30 |
| akron general | Akron | $3,203.20 | $0.01 – $4,435.20 |
| avon hospital | Avon | $3,203.20 | $0.01 – $4,435.20 |
| euclid hospital | Euclid | $3,203.20 | $0.01 – $4,435.20 |
| fairview hospital | Cleveland | $3,203.20 | $0.01 – $4,435.20 |
| lutheran hospital | Cleveland | $3,203.20 | $0.01 – $4,435.20 |
| hillcrest hospital | Mayfield Heights | $3,203.20 | $0.01 – $4,435.20 |