Inj. denosumab-bbdz, 1 mg at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$4,416.07
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.
$6,793.95
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.
$28.23 with Summacare vs $5,774.88 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 |
|---|---|---|---|
| Summacare | MEDICARE ADVANTAGE | $28.23 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $28.23 | ↓ -99% |
| ANTHEM | MEDICARE ADVANTAGE | $28.23 | ↓ -99% |
| CIGNA | MEDICARE ADVANTAGE | $29.08 | ↓ -99% |
| CommuniCare | MEDICARE ADVANTAGE | $29.64 | ↓ -99% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $30.49 | ↓ -99% |
| Zing Health | Medicare Advantage | $31.05 | ↓ -99% |
| Summacare | Preferred | $53.92 | ↓ -99% |
| CIGNA | ALL PRODUCTS | $60.69 | ↓ -99% |
| UNITED | Managed Medicaid | $1,098.39 | ↓ -75% |
| CARESOURCE | Managed Medicaid | $1,131.34 | ↓ -74% |
| Buckeye | Managed Medicaid | $1,131.34 | ↓ -74% |
| MOLINA | Managed Medicaid | $1,153.31 | ↓ -74% |
| ANTHEM | Managed Medicaid | $1,153.31 | ↓ -74% |
| AMERIHEALTH | Managed Medicaid | $1,208.23 | ↓ -73% |
| OSCAR | ALL PRODUCTS | $1,633.14 | ↓ -63% |
| PHPHI | ALL PRODUCTS | $1,847.96 | ↓ -58% |
| PHP | ALL PRODUCTS | $1,847.96 | ↓ -58% |
| CC EHP | ALL PRODUCTS | $1,951.91 | ↓ -56% |
| Aultcare | PPO/HMO | $2,067.41 | ↓ -53% |
| Summacare | PREMIER | $2,206.00 | ↓ -50% |
| MMO | ALL PRODUCTS | $2,587.15 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,598.70 | ↓ -41% |
| ANTHEM | HPN | $2,646.63 | ↓ -40% |
| ANTHEM | Exchange | $2,802.55 | ↓ -37% |
| OHCP | ALL PRODUCTS | $2,806.59 | ↓ -36% |
| Immergrun | ALL PRODUCTS | $2,887.44 | ↓ -35% |
| OMAS | ALL PRODUCTS | $2,887.44 | ↓ -35% |
| ANTHEM | PPO/HMO | $3,113.82 | ↓ -29% |
| Ohio Healthy | TRANSPLANT | $3,118.44 | ↓ -29% |
| ANTHEM | TRADITIONAL | $3,193.51 | ↓ -28% |
| The Health Plan | POS | $3,577.54 | ↓ -19% |
| The Health Plan | HMO | $3,577.54 | ↓ -19% |
| The Health Plan | PPO | $3,686.68 | ↓ -17% |
| AETNA | Asa_Whirlpool_Peia | $4,042.42 | ↓ -8% |
| Medical Benefit Corp | Transplant SMCP | $4,042.42 | ↓ -8% |
| GMS | ALL PRODUCTS | $4,042.42 | ↓ -8% |
| AETNA | International | $4,042.42 | ↓ -8% |
| AETNA | ALL PRODUCTS | $4,331.16 | ↓ -2% |
| Consociate Health | ALL PRODUCTS | $4,331.16 | ↓ -2% |
| The Health Plan | Self-Funded ASO | $4,850.90 | ↑ +10% |
| MULTIPLAN | ALL PRODUCTS | $5,197.39 | ↑ +18% |
| Managed Care Services | TRANSPLANT | $5,197.39 | ↑ +18% |
| FrontPath | TRANSPLANT | $5,197.39 | ↑ +18% |
| Tertiary Care Network | TRANSPLANT | $5,197.39 | ↑ +18% |
| AETNA | Qhp/Ipf | $5,774.88 | ↑ +31% |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Inj. denosumab-bbdz, 1 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Ritas Medical Center | Lima | $12,415.98 | not published |
| akron general | Akron | $4,416.07 | $28.23 – $5,197.39 |
| avon hospital | Avon | $4,416.07 | $28.23 – $5,197.39 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $4,416.07 | $1,633.14 – $5,197.39 |
| euclid hospital | Euclid | $4,416.07 | $28.23 – $5,197.39 |
| fairview hospital | Cleveland | $4,416.07 | $28.23 – $5,197.39 |
| lutheran hospital | Cleveland | $4,416.07 | $28.23 – $5,197.39 |
| hillcrest hospital | Mayfield Heights | $4,416.07 | $28.23 – $5,197.39 |