healthcosts.net
Initial nursing facility care/day low severity 99304 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$390.00
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.
?
What you pay up front if you don't use insurance.
$600.00
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.
?
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
?
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 →
?
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% |
| United | Managed Medicaid | $44.47 | ↓ -89% |
| Caresource | Managed Medicaid | $45.80 | ↓ -88% |
| Buckeye | Managed Medicaid | $46.69 | ↓ -88% |
| Molina | Managed Medicaid | $48.92 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $48.92 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $49.08 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $52.46 | ↓ -87% |
| UNITED | Managed Medicaid | $56.04 | ↓ -86% |
| Summacare | Preferred | $56.63 | ↓ -85% |
| CARESOURCE | Managed Medicaid | $57.72 | ↓ -85% |
| ANTHEM | Managed Medicaid | $58.84 | ↓ -85% |
| MOLINA | Managed Medicaid | $58.84 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $61.64 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $64.18 | ↓ -84% |
| Humana | Medicare Advantage HMO | $69.95 | ↓ -82% |
| Aetna | Medicare Advantage | $69.95 | ↓ -82% |
| Anthem | Medicare Advantage | $69.95 | ↓ -82% |
| Cigna | Medicare Advantage | $69.95 | ↓ -82% |
| The Health Plan | Medicare Advantage | $69.95 | ↓ -82% |
| United | Medicare Advantage | $69.95 | ↓ -82% |
| Summacare | Medicare Advantage MD | $71.73 | ↓ -82% |
| MMO | Medicare HMO & PPO | $72.05 | ↓ -82% |
| CommuniCare | Medicare Advantage | $73.45 | ↓ -81% |
| Summacare | Premier | $73.45 | ↓ -81% |
| The Health Plan | PPO | $74.85 | ↓ -81% |
| Perennial Health | Medicare Advantage | $75.55 | ↓ -81% |
| The Health Plan | All Products PCP | $76.95 | ↓ -80% |
| The Health Plan | All Products Specialty Physicians | $80.44 | ↓ -79% |
| The Health Plan | All Products Radiation Oncology Physicians | $90.94 | ↓ -77% |
| Anthem | All Products Mid-Level Non-Facility | $91.64 | ↓ -77% |
| United | All Products - Mid-Level | $116.98 | ↓ -70% |
| MMO | SuperMed | $117.65 | ↓ -70% |
| United | All Products | $129.98 | ↓ -67% |
| United | HMO & PPO | $129.98 | ↓ -67% |
| Oscar | All Products | $152.46 | ↓ -61% |
| Aultcare | PPO/HMO | $214.80 | ↓ -45% |
| OHCP | All Products | $233.40 | ↓ -40% |
| OMAS | All Products | $300.00 | ↓ -23% |
| PHPHI | All Products | $360.00 | ↓ -8% |
| MMO | Traditional | $420.00 | ↑ +8% |
| GMS | All Products | $420.00 | ↑ +8% |
| Immergrun | All Products | $450.00 | ↑ +15% |
| Aetna | All Products First Health | $450.00 | ↑ +15% |
| Aetna | Asa | $480.00 | ↑ +23% |
| Multiplan | All Products | $540.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $600.00 | ↑ +54% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +327194% |
| The Health Plan | POS | $4,036,081.00 | ↑ +1034793% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Initial nursing facility care/day low severity 99304 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $390.00 | $1.10 – $540.00 |
| akron general | Akron | $390.00 | $1.10 – $540.00 |
| avon hospital | Avon | not published | $58.51 – $59.62 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $95.52 – $110.61 |
| euclid hospital | Euclid | not published | $59.95 – $69.41 |
| fairview hospital | Cleveland | not published | $56.32 – $65.21 |
| lutheran hospital | Cleveland | not published | $53.61 – $62.07 |
| hillcrest hospital | Mayfield Heights | not published | $58.67 – $67.94 |