Ins/rpl prph sac/gstr npg/r at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$18,129.80
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.
?
What you pay up front if you don't use insurance.
$27,892.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.01 with UNITED vs $43,675.48 with MMO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $81.85 | ↓ -100% |
| Caresource | Managed Medicaid | $84.31 | ↓ -100% |
| Buckeye | Managed Medicaid | $85.94 | ↓ -100% |
| AmeriHealth | Managed Medicaid | $90.04 | ↓ -100% |
| Molina | Managed Medicaid | $90.04 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $181.26 | ↓ -99% |
| Summacare | Preferred | $181.26 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $196.28 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $237.03 | ↓ -99% |
| The Health Plan | Medicare Advantage | $261.71 | ↓ -99% |
| Aetna | Medicare Advantage | $261.71 | ↓ -99% |
| United | Medicare Advantage | $261.71 | ↓ -99% |
| Humana | Medicare Advantage HMO | $261.71 | ↓ -99% |
| Anthem | Medicare Advantage | $261.71 | ↓ -99% |
| Cigna | Medicare Advantage | $261.71 | ↓ -99% |
| Summacare | Medicare Advantage MD | $264.92 | ↓ -99% |
| MMO | Medicare HMO & PPO | $269.56 | ↓ -99% |
| Summacare | Premier | $274.80 | ↓ -98% |
| CommuniCare | Medicare Advantage | $274.80 | ↓ -98% |
| Perennial Health | Medicare Advantage | $282.65 | ↓ -98% |
| The Health Plan | All Products PCP | $287.88 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $300.97 | ↓ -98% |
| Cigna | All Products Mid-Level | $320.95 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $340.22 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $343.26 | ↓ -98% |
| Aetna | Acop | $363.31 | ↓ -98% |
| Cigna | All Products Physician | $379.24 | ↓ -98% |
| Oscar | All Products | $570.20 | ↓ -97% |
| The Health Plan | PPO | $702.45 | ↓ -96% |
| Aultcare | PPO/HMO | $803.35 | ↓ -96% |
| OHCP | All Products | $872.92 | ↓ -95% |
| United | All Products - Mid-Level | $965.02 | ↓ -95% |
| United | All Products | $1,072.25 | ↓ -94% |
| United | HMO & PPO | $1,072.25 | ↓ -94% |
| OMAS | All Products | $1,122.00 | ↓ -94% |
| PHPHI | All Products | $1,346.40 | ↓ -93% |
| MMO | Traditional | $1,570.80 | ↓ -91% |
| GMS | All Products | $1,570.80 | ↓ -91% |
| Aetna | All Products First Health | $1,683.00 | ↓ -91% |
| Immergrun | All Products | $1,683.00 | ↓ -91% |
| Aetna | Asa | $1,795.20 | ↓ -90% |
| Multiplan | All Products | $2,019.60 | ↓ -89% |
| Aetna | Qhp/Ifp | $2,244.00 | ↓ -88% |
| CIGNA | ALL PRODUCTS | $3,465.00 | ↓ -81% |
| AETNA | Asa_Whirlpool_Peia | $3,810.00 | ↓ -79% |
| AETNA | International | $4,001.00 | ↓ -78% |
| ANTHEM | HPN | $6,720.00 | ↓ -63% |
| ANTHEM | Exchange | $7,116.00 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $7,887.86 | ↓ -56% |
| ANTHEM | PPO/HMO | $7,906.00 | ↓ -56% |
| PHP | ALL PRODUCTS | $8,925.44 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $8,925.44 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $9,427.50 | ↓ -48% |
| Summacare | PREMIER | $10,654.74 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $12,551.40 | ↓ -31% |
| OHCP | ALL PRODUCTS | $13,555.51 | ↓ -25% |
| OMAS | ALL PRODUCTS | $13,946.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $13,946.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $15,061.68 | ↓ -17% |
| ANTHEM | TRADITIONAL | $15,424.28 | ↓ -15% |
| UNITED | Managed Medicaid | $15,634.74 | ↓ -14% |
| CARESOURCE | Managed Medicaid | $16,103.78 | ↓ -11% |
| MOLINA | Managed Medicaid | $16,416.48 | ↓ -9% |
| ANTHEM | Managed Medicaid | $16,416.48 | ↓ -9% |
| AMERIHEALTH | Managed Medicaid | $17,198.21 | ↓ -5% |
| The Health Plan | MEDICARE ADVANTAGE | $17,832.77 | ↓ -2% |
| AETNA | MEDICARE ADVANTAGE | $18,354.00 | ↑ +1% |
| ANTHEM | MEDICARE ADVANTAGE | $18,354.00 | ↑ +1% |
| Summacare | MEDICARE ADVANTAGE | $18,354.00 | ↑ +1% |
| CIGNA | MEDICARE ADVANTAGE | $18,904.62 | ↑ +4% |
| CommuniCare | MEDICARE ADVANTAGE | $19,271.70 | ↑ +6% |
| GMS | ALL PRODUCTS | $19,524.40 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $19,524.40 | ↑ +8% |
| HUMANA | Medicare Advantage HMO | $19,814.19 | ↑ +9% |
| UNITED | MEDICARE ADVANTAGE | $19,814.19 | ↑ +9% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $19,822.32 | ↑ +9% |
| Consociate Health | ALL PRODUCTS | $20,919.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $20,919.00 | ↑ +15% |
| Perennial Health | MEDICARE ADVANTAGE | $21,399.32 | ↑ +18% |
| The Health Plan | Self-Funded ASO | $23,429.28 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $25,102.80 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $25,102.80 | ↑ +38% |
| FrontPath | TRANSPLANT | $25,102.80 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $25,102.80 | ↑ +38% |
| AETNA | Qhp/Ipf | $27,892.00 | ↑ +54% |
| The Health Plan | HMO | $27,892.00 | ↑ +54% |
| The Health Plan | POS | $27,892.00 | ↑ +54% |
| MMO | SuperMed | $37,350.66 | ↑ +106% |
| MMO | ALL PRODUCTS | $43,675.48 | ↑ +141% |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rpl prph sac/gstr npg/r at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $59,718.07 | $18,905.80 – $19,283.92 |
| Anderson Hospital | Cincinnati | $58,936.74 | $18,905.80 – $19,283.92 |
| Mercy West Hospital | Cincinnati | $42,675.46 | $19,234.03 – $19,618.71 |
| St Ritas Medical Center | Lima | $58,416.95 | $19,234.03 – $19,618.71 |
| cleveland clinic main campus | Cleveland | $18,129.80 | $0.01 – $25,102.80 |
| akron general | Akron | $1,458.60 | $1.10 – $19,822.32 |
| avon hospital | Avon | $18,129.80 | $0.01 – $25,102.80 |
| euclid hospital | Euclid | $18,129.80 | $0.01 – $25,102.80 |