Ins/rpl ldless pm right vent w img & eval at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$24,705.20
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.
$38,008.00
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 $38,903.08 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $289.35 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $289.35 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $309.60 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $378.38 | ↓ -98% |
| United | Managed Medicaid | $398.95 | ↓ -98% |
| Caresource | Managed Medicaid | $410.92 | ↓ -98% |
| Humana | Medicare Advantage HMO | $412.80 | ↓ -98% |
| United | Medicare Advantage | $412.80 | ↓ -98% |
| Aetna | Medicare Advantage | $412.80 | ↓ -98% |
| Cigna | Medicare Advantage | $412.80 | ↓ -98% |
| The Health Plan | Medicare Advantage | $412.80 | ↓ -98% |
| Anthem | Medicare Advantage | $412.80 | ↓ -98% |
| Buckeye | Managed Medicaid | $418.90 | ↓ -98% |
| Summacare | Medicare Advantage MD | $422.89 | ↓ -98% |
| MMO | Medicare HMO & PPO | $425.18 | ↓ -98% |
| CommuniCare | Medicare Advantage | $433.44 | ↓ -98% |
| Summacare | Premier | $433.44 | ↓ -98% |
| Molina | Managed Medicaid | $438.85 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $438.85 | ↓ -98% |
| Perennial Health | Medicare Advantage | $445.82 | ↓ -98% |
| The Health Plan | All Products PCP | $454.08 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $474.72 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $536.64 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $639.87 | ↓ -97% |
| Oscar | All Products | $872.07 | ↓ -96% |
| United | All Products - Mid-Level | $1,049.43 | ↓ -96% |
| United | HMO & PPO | $1,166.04 | ↓ -95% |
| United | All Products | $1,166.04 | ↓ -95% |
| Aultcare | PPO/HMO | $1,228.66 | ↓ -95% |
| OHCP | All Products | $1,335.05 | ↓ -95% |
| OMAS | All Products | $1,716.00 | ↓ -93% |
| PHPHI | All Products | $2,059.20 | ↓ -92% |
| MMO | Traditional | $2,402.40 | ↓ -90% |
| GMS | All Products | $2,402.40 | ↓ -90% |
| Aetna | All Products First Health | $2,574.00 | ↓ -90% |
| Immergrun | All Products | $2,574.00 | ↓ -90% |
| Aetna | Asa | $2,745.60 | ↓ -89% |
| Multiplan | All Products | $3,088.80 | ↓ -87% |
| Aetna | Qhp/Ifp | $3,432.00 | ↓ -86% |
| UNITED | Managed Medicaid | $5,139.91 | ↓ -79% |
| CARESOURCE | Managed Medicaid | $5,294.11 | ↓ -79% |
| MOLINA | Managed Medicaid | $5,396.91 | ↓ -78% |
| ANTHEM | Managed Medicaid | $5,396.91 | ↓ -78% |
| AMERIHEALTH | Managed Medicaid | $5,653.90 | ↓ -77% |
| ANTHEM | HPN | $6,720.00 | ↓ -73% |
| AETNA | Asa_Whirlpool_Peia | $7,090.00 | ↓ -71% |
| ANTHEM | Exchange | $7,116.00 | ↓ -71% |
| AETNA | International | $7,445.00 | ↓ -70% |
| ANTHEM | PPO/HMO | $7,906.00 | ↓ -68% |
| OSCAR | ALL PRODUCTS | $10,748.66 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $12,162.56 | ↓ -51% |
| PHP | ALL PRODUCTS | $12,162.56 | ↓ -51% |
| UNITED | ALL PRODUCTS | $12,742.00 | ↓ -48% |
| CC EHP | ALL PRODUCTS | $12,846.70 | ↓ -48% |
| Summacare | PREMIER | $14,519.06 | ↓ -41% |
| The Health Plan | MEDICARE ADVANTAGE | $15,859.23 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $17,103.60 | ↓ -31% |
| HUMANA | Medicare Advantage HMO | $17,621.37 | ↓ -29% |
| UNITED | MEDICARE ADVANTAGE | $17,621.37 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $17,939.78 | ↓ -27% |
| AETNA | MEDICARE ADVANTAGE | $18,223.05 | ↓ -26% |
| ANTHEM | MEDICARE ADVANTAGE | $18,223.05 | ↓ -26% |
| Summacare | MEDICARE ADVANTAGE | $18,223.05 | ↓ -26% |
| OHCP | ALL PRODUCTS | $18,471.89 | ↓ -25% |
| CIGNA | MEDICARE ADVANTAGE | $18,769.74 | ↓ -24% |
| OMAS | ALL PRODUCTS | $19,004.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $19,004.00 | ↓ -23% |
| Perennial Health | MEDICARE ADVANTAGE | $19,031.08 | ↓ -23% |
| CommuniCare | MEDICARE ADVANTAGE | $19,134.20 | ↓ -23% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $19,680.89 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $20,524.32 | ↓ -17% |
| ANTHEM | TRADITIONAL | $21,018.42 | ↓ -15% |
| The Health Plan | PPO | $24,264.31 | ↓ -2% |
| GMS | ALL PRODUCTS | $26,605.60 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $26,605.60 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $28,506.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $28,506.00 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $31,926.72 | ↑ +29% |
| MMO | SuperMed | $33,268.48 | ↑ +35% |
| FrontPath | TRANSPLANT | $34,207.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $34,207.20 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $34,207.20 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $34,207.20 | ↑ +38% |
| The Health Plan | POS | $38,008.00 | ↑ +54% |
| The Health Plan | HMO | $38,008.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $38,008.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $38,903.08 | ↑ +57% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl ldless pm right vent w img & eval at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $31,950.60 | not published |
| Anderson Hospital | Cincinnati | $31,950.60 | not published |
| Kings Mills Hospital | Mason | $31,950.60 | not published |
| Mercy West Hospital | Cincinnati | $31,950.60 | not published |
| St Ritas Medical Center | Lima | $26,397.60 | not published |
| Trinity Medical Center East | Steubenville | $12,081.36 | $14,616.60 – $19,488.80 |
| cleveland clinic main campus | Cleveland | $24,705.20 | $1.10 – $34,207.20 |
| akron general | Akron | $24,705.20 | $1.10 – $34,207.20 |