Inj proc myelogram lumbar at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,026.35
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.
$1,579.00
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.
$0.01 with UNITED vs $3,004.00 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 | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $42.91 | ↓ -96% |
| Caresource | Managed Medicaid | $44.20 | ↓ -96% |
| Buckeye | Managed Medicaid | $45.06 | ↓ -96% |
| Molina | Managed Medicaid | $47.20 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $47.20 | ↓ -95% |
| Summacare | Medicare Advantage Lower Level | $50.60 | ↓ -95% |
| Summacare | Preferred | $50.60 | ↓ -95% |
| Summacare | Medicare Advantage Psych | $53.09 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $66.17 | ↓ -94% |
| UNITED | Managed Medicaid | $66.85 | ↓ -93% |
| CARESOURCE | Managed Medicaid | $68.86 | ↓ -93% |
| MOLINA | Managed Medicaid | $70.19 | ↓ -93% |
| ANTHEM | Managed Medicaid | $70.19 | ↓ -93% |
| Humana | Medicare Advantage HMO | $70.78 | ↓ -93% |
| Aetna | Medicare Advantage | $70.78 | ↓ -93% |
| United | Medicare Advantage | $70.78 | ↓ -93% |
| Anthem | Medicare Advantage | $70.78 | ↓ -93% |
| The Health Plan | Medicare Advantage | $70.78 | ↓ -93% |
| Cigna | Medicare Advantage | $70.78 | ↓ -93% |
| MMO | Medicare HMO & PPO | $72.90 | ↓ -93% |
| AMERIHEALTH | Managed Medicaid | $73.54 | ↓ -93% |
| Summacare | Medicare Advantage MD | $73.96 | ↓ -93% |
| Summacare | Premier | $74.32 | ↓ -93% |
| CommuniCare | Medicare Advantage | $74.32 | ↓ -93% |
| Perennial Health | Medicare Advantage | $76.44 | ↓ -93% |
| The Health Plan | All Products PCP | $77.86 | ↓ -92% |
| The Health Plan | All Products Specialty Physicians | $81.40 | ↓ -92% |
| The Health Plan | All Products Radiation Oncology Physicians | $92.01 | ↓ -91% |
| Oscar | All Products | $156.53 | ↓ -85% |
| Aultcare | PPO/HMO | $220.53 | ↓ -79% |
| Cigna | All Products Mid-Level | $232.27 | ↓ -77% |
| OHCP | All Products | $239.62 | ↓ -77% |
| Anthem | All Products Mid-Level Non-Facility | $248.41 | ↓ -76% |
| Aetna | Acop | $266.94 | ↓ -74% |
| Cigna | All Products Physician | $274.45 | ↓ -73% |
| OMAS | All Products | $308.00 | ↓ -70% |
| MMO | SuperMed | $332.64 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $344.22 | ↓ -66% |
| PHPHI | All Products | $369.60 | ↓ -64% |
| United | All Products - Mid-Level | $401.79 | ↓ -61% |
| GMS | All Products | $431.20 | ↓ -58% |
| MMO | Traditional | $431.20 | ↓ -58% |
| United | All Products | $446.43 | ↓ -57% |
| United | HMO & PPO | $446.43 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $446.54 | ↓ -56% |
| Aetna | All Products First Health | $462.00 | ↓ -55% |
| Immergrun | All Products | $462.00 | ↓ -55% |
| Aetna | Asa | $492.80 | ↓ -52% |
| PHP | ALL PRODUCTS | $505.28 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $505.28 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $533.70 | ↓ -48% |
| Multiplan | All Products | $554.40 | ↓ -46% |
| Summacare | PREMIER | $603.18 | ↓ -41% |
| Aetna | Qhp/Ifp | $616.00 | ↓ -40% |
| MMO | ALL PRODUCTS | $707.39 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $710.55 | ↓ -31% |
| ANTHEM | HPN | $718.13 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $745.29 | ↓ -27% |
| ANTHEM | Exchange | $760.29 | ↓ -26% |
| OHCP | ALL PRODUCTS | $767.39 | ↓ -25% |
| OMAS | ALL PRODUCTS | $789.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $789.50 | ↓ -23% |
| ANTHEM | PPO/HMO | $844.77 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $852.66 | ↓ -17% |
| ANTHEM | TRADITIONAL | $873.19 | ↓ -15% |
| The Health Plan | PPO | $1,008.03 | ↓ -2% |
| GMS | ALL PRODUCTS | $1,105.30 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,105.30 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $1,184.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $1,184.25 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $1,326.36 | ↑ +29% |
| FrontPath | TRANSPLANT | $1,421.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $1,421.10 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,421.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,421.10 | ↑ +38% |
| The Health Plan | HMO | $1,579.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $1,579.00 | ↑ +54% |
| The Health Plan | POS | $1,579.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +179% |
| AETNA | International | $3,004.00 | ↑ +193% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Inj proc myelogram lumbar at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $603.00 | not published |
| Anderson Hospital | Cincinnati | $1,265.40 | not published |
| Clermont Hospital | Batavia | $1,265.40 | not published |
| Kings Mills Hospital | Mason | $1,265.40 | not published |
| Mercy West Hospital | Cincinnati | $1,265.40 | not published |
| Trinity Medical Center East | Steubenville | $231.60 | $233.40 – $334.54 |
| cleveland clinic main campus | Cleveland | $1,026.35 | $0.01 – $1,421.10 |
| akron general | Akron | $1,026.35 | $0.01 – $1,421.10 |