Ins pm gen w/exist mlt leads at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$29,274.05
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.
$45,037.00
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.
$1.10 with Zing Health vs $45,037.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $185.15 | ↓ -99% |
| Caresource | Managed Medicaid | $190.70 | ↓ -99% |
| Buckeye | Managed Medicaid | $194.41 | ↓ -99% |
| Molina | Managed Medicaid | $203.67 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $203.67 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $216.27 | ↓ -99% |
| Summacare | Preferred | $216.27 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $234.22 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $282.81 | ↓ -99% |
| Cigna | Medicare Advantage | $312.29 | ↓ -99% |
| Aetna | Medicare Advantage | $312.29 | ↓ -99% |
| Anthem | Medicare Advantage | $312.29 | ↓ -99% |
| United | Medicare Advantage | $312.29 | ↓ -99% |
| The Health Plan | Medicare Advantage | $312.29 | ↓ -99% |
| Humana | Medicare Advantage HMO | $312.29 | ↓ -99% |
| Summacare | Medicare Advantage MD | $316.08 | ↓ -99% |
| MMO | Medicare HMO & PPO | $321.66 | ↓ -99% |
| CommuniCare | Medicare Advantage | $327.90 | ↓ -99% |
| Summacare | Premier | $327.90 | ↓ -99% |
| Perennial Health | Medicare Advantage | $337.27 | ↓ -99% |
| The Health Plan | All Products PCP | $343.52 | ↓ -99% |
| The Health Plan | All Products Specialty Physicians | $359.13 | ↓ -99% |
| The Health Plan | All Products Radiation Oncology Physicians | $405.98 | ↓ -99% |
| Anthem | All Products Mid-Level Non-Facility | $478.29 | ↓ -98% |
| Oscar | All Products | $564.10 | ↓ -98% |
| United | All Products - Mid-Level | $784.32 | ↓ -97% |
| Aultcare | PPO/HMO | $794.76 | ↓ -97% |
| OHCP | All Products | $863.58 | ↓ -97% |
| United | All Products | $871.46 | ↓ -97% |
| United | HMO & PPO | $871.46 | ↓ -97% |
| OMAS | All Products | $1,110.00 | ↓ -96% |
| PHPHI | All Products | $1,332.00 | ↓ -95% |
| GMS | All Products | $1,554.00 | ↓ -95% |
| MMO | Traditional | $1,554.00 | ↓ -95% |
| Immergrun | All Products | $1,665.00 | ↓ -94% |
| Aetna | All Products First Health | $1,665.00 | ↓ -94% |
| Aetna | Asa | $1,776.00 | ↓ -94% |
| Multiplan | All Products | $1,998.00 | ↓ -93% |
| Aetna | Qhp/Ifp | $2,220.00 | ↓ -92% |
| UNITED | Managed Medicaid | $5,139.91 | ↓ -82% |
| CARESOURCE | Managed Medicaid | $5,294.11 | ↓ -82% |
| MOLINA | Managed Medicaid | $5,396.91 | ↓ -82% |
| ANTHEM | Managed Medicaid | $5,396.91 | ↓ -82% |
| AMERIHEALTH | Managed Medicaid | $5,653.90 | ↓ -81% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↓ -79% |
| AETNA | International | $6,561.00 | ↓ -78% |
| ANTHEM | HPN | $6,720.00 | ↓ -77% |
| ANTHEM | Exchange | $7,116.00 | ↓ -76% |
| ANTHEM | PPO/HMO | $7,906.00 | ↓ -73% |
| UNITED | ALL PRODUCTS | $10,529.00 | ↓ -64% |
| OSCAR | ALL PRODUCTS | $12,736.46 | ↓ -56% |
| PHP | ALL PRODUCTS | $14,411.84 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $14,411.84 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $15,222.51 | ↓ -48% |
| The Health Plan | MEDICARE ADVANTAGE | $15,859.23 | ↓ -46% |
| Summacare | PREMIER | $17,204.13 | ↓ -41% |
| UNITED | MEDICARE ADVANTAGE | $17,621.37 | ↓ -40% |
| HUMANA | Medicare Advantage HMO | $17,621.37 | ↓ -40% |
| Summacare | MEDICARE ADVANTAGE | $18,223.05 | ↓ -38% |
| AETNA | MEDICARE ADVANTAGE | $18,223.05 | ↓ -38% |
| ANTHEM | MEDICARE ADVANTAGE | $18,223.05 | ↓ -38% |
| CIGNA | MEDICARE ADVANTAGE | $18,769.74 | ↓ -36% |
| Perennial Health | MEDICARE ADVANTAGE | $19,031.08 | ↓ -35% |
| CommuniCare | MEDICARE ADVANTAGE | $19,134.20 | ↓ -35% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $19,680.89 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $20,266.65 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $21,257.46 | ↓ -27% |
| OHCP | ALL PRODUCTS | $21,887.98 | ↓ -25% |
| OMAS | ALL PRODUCTS | $22,518.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $22,518.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $24,319.98 | ↓ -17% |
| ANTHEM | TRADITIONAL | $24,905.46 | ↓ -15% |
| The Health Plan | PPO | $28,751.62 | ↓ -2% |
| Medical Benefit Corp | Transplant SMCP | $31,525.90 | ↑ +8% |
| GMS | ALL PRODUCTS | $31,525.90 | ↑ +8% |
| MMO | SuperMed | $33,268.48 | ↑ +14% |
| Consociate Health | ALL PRODUCTS | $33,777.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $33,777.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $37,831.08 | ↑ +29% |
| MMO | ALL PRODUCTS | $38,903.08 | ↑ +33% |
| MULTIPLAN | ALL PRODUCTS | $40,533.30 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $40,533.30 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $40,533.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $40,533.30 | ↑ +38% |
| The Health Plan | POS | $45,037.00 | ↑ +54% |
| The Health Plan | HMO | $45,037.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $45,037.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $15,354.00 | not published |
| cleveland clinic main campus | Cleveland | $29,274.05 | $1.10 – $40,533.30 |
| akron general | Akron | $29,274.05 | $1.10 – $40,533.30 |
| avon hospital | Avon | $29,274.05 | $631.36 – $40,533.30 |
| euclid hospital | Euclid | $29,274.05 | $631.36 – $40,533.30 |
| fairview hospital | Cleveland | $29,274.05 | $539.29 – $40,533.30 |
| lutheran hospital | Cleveland | $29,274.05 | $631.36 – $40,533.30 |
| hillcrest hospital | Mayfield Heights | $29,274.05 | $539.29 – $40,533.30 |