Ins pm gen exist dual lead at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$27,751.75
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.
$42,695.00
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.
$6,249.00 with AETNA vs $47,061.36 with MMO — 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↓ -77% |
| AETNA | International | $6,561.00 | ↓ -76% |
| ANTHEM | HPN | $6,720.00 | ↓ -76% |
| ANTHEM | Exchange | $7,116.00 | ↓ -74% |
| ANTHEM | PPO/HMO | $7,906.00 | ↓ -72% |
| OSCAR | ALL PRODUCTS | $12,074.15 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $13,662.40 | ↓ -51% |
| PHP | ALL PRODUCTS | $13,662.40 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $14,430.91 | ↓ -48% |
| UNITED | ALL PRODUCTS | $14,502.00 | ↓ -48% |
| Summacare | Preferred | $14,985.95 | ↓ -46% |
| Aultcare | PPO/HMO | $15,284.81 | ↓ -45% |
| Summacare | PREMIER | $16,309.49 | ↓ -41% |
| UNITED | Managed Medicaid | $17,801.85 | ↓ -36% |
| Buckeye | Managed Medicaid | $18,335.91 | ↓ -34% |
| CARESOURCE | Managed Medicaid | $18,335.91 | ↓ -34% |
| The Health Plan | MEDICARE ADVANTAGE | $18,665.85 | ↓ -33% |
| MOLINA | Managed Medicaid | $18,691.94 | ↓ -33% |
| ANTHEM | Managed Medicaid | $18,691.94 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $19,212.75 | ↓ -31% |
| AMERIHEALTH | Managed Medicaid | $19,582.04 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $20,152.04 | ↓ -27% |
| HUMANA | Medicare Advantage HMO | $20,739.83 | ↓ -25% |
| UNITED | MEDICARE ADVANTAGE | $20,739.83 | ↓ -25% |
| OHCP | ALL PRODUCTS | $20,749.77 | ↓ -25% |
| ANTHEM | MEDICARE ADVANTAGE | $21,044.14 | ↓ -24% |
| Summacare | MEDICARE ADVANTAGE | $21,044.14 | ↓ -24% |
| AETNA | MEDICARE ADVANTAGE | $21,044.14 | ↓ -24% |
| Immergrun | ALL PRODUCTS | $21,347.50 | ↓ -23% |
| OMAS | ALL PRODUCTS | $21,347.50 | ↓ -23% |
| CIGNA | MEDICARE ADVANTAGE | $21,675.46 | ↓ -22% |
| MMO | Medicare HMO & PPO | $21,776.82 | ↓ -22% |
| CommuniCare | MEDICARE ADVANTAGE | $22,096.34 | ↓ -20% |
| Perennial Health | MEDICARE ADVANTAGE | $22,399.02 | ↓ -19% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $22,727.67 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $23,055.30 | ↓ -17% |
| Zing Health | Medicare Advantage | $23,148.55 | ↓ -17% |
| ANTHEM | TRADITIONAL | $23,610.34 | ↓ -15% |
| The Health Plan | PPO | $27,256.49 | ↓ -2% |
| Medical Benefit Corp | Transplant SMCP | $29,886.50 | ↑ +8% |
| GMS | ALL PRODUCTS | $29,886.50 | ↑ +8% |
| AETNA | ALL PRODUCTS | $32,021.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $32,021.25 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $35,863.80 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $38,425.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $38,425.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $38,425.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $38,425.50 | ↑ +38% |
| The Health Plan | POS | $42,695.00 | ↑ +54% |
| The Health Plan | HMO | $42,695.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $42,695.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $47,061.36 | ↑ +70% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $24,754.80 | not published |
| cleveland clinic main campus | Cleveland | $27,751.75 | $1.10 – $38,425.50 |
| akron general | Akron | $27,751.75 | $603.67 – $38,425.50 |
| avon hospital | Avon | $27,751.75 | $664.30 – $38,425.50 |
| euclid hospital | Euclid | $27,751.75 | $664.30 – $38,425.50 |
| fairview hospital | Cleveland | $27,751.75 | $567.43 – $38,425.50 |
| lutheran hospital | Cleveland | $27,751.75 | $664.30 – $38,425.50 |
| hillcrest hospital | Mayfield Heights | $27,751.75 | $567.43 – $38,425.50 |