healthcosts.net
Ins/rplc spi npg/rcvr pocket at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,484.60
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.
$2,284.00
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 $53,018.11 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 | Medicare Advantage Lower Level | $209.31 | ↓ -86% |
| Summacare | Preferred | $209.31 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $232.88 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $273.71 | ↓ -82% |
| Summacare | Medicare Advantage MD | $305.91 | ↓ -79% |
| Humana | Medicare Advantage HMO | $310.50 | ↓ -79% |
| United | Medicare Advantage | $310.50 | ↓ -79% |
| Aetna | Medicare Advantage | $310.50 | ↓ -79% |
| The Health Plan | Medicare Advantage | $310.50 | ↓ -79% |
| Anthem | Medicare Advantage | $310.50 | ↓ -79% |
| Cigna | Medicare Advantage | $310.50 | ↓ -79% |
| MMO | Medicare HMO & PPO | $319.82 | ↓ -78% |
| Summacare | Premier | $326.03 | ↓ -78% |
| CommuniCare | Medicare Advantage | $326.03 | ↓ -78% |
| United | Managed Medicaid | $333.64 | ↓ -78% |
| Perennial Health | Medicare Advantage | $335.34 | ↓ -77% |
| The Health Plan | All Products PCP | $341.55 | ↓ -77% |
| Caresource | Managed Medicaid | $343.65 | ↓ -77% |
| Buckeye | Managed Medicaid | $350.32 | ↓ -76% |
| The Health Plan | All Products Specialty Physicians | $357.08 | ↓ -76% |
| AmeriHealth | Managed Medicaid | $367.00 | ↓ -75% |
| Molina | Managed Medicaid | $367.00 | ↓ -75% |
| The Health Plan | All Products Radiation Oncology Physicians | $403.65 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $484.54 | ↓ -67% |
| Oscar | All Products | $580.36 | ↓ -61% |
| United | All Products - Mid-Level | $761.07 | ↓ -49% |
| Aultcare | PPO/HMO | $817.67 | ↓ -45% |
| United | HMO & PPO | $845.63 | ↓ -43% |
| United | All Products | $845.63 | ↓ -43% |
| OHCP | All Products | $888.48 | ↓ -40% |
| OMAS | All Products | $1,142.00 | ↓ -23% |
| PHPHI | All Products | $1,370.40 | ↓ -8% |
| GMS | All Products | $1,598.80 | ↑ +8% |
| MMO | Traditional | $1,598.80 | ↑ +8% |
| Immergrun | All Products | $1,713.00 | ↑ +15% |
| Aetna | All Products First Health | $1,713.00 | ↑ +15% |
| Aetna | Asa | $1,827.20 | ↑ +23% |
| Multiplan | All Products | $2,055.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,284.00 | ↑ +54% |
| UNITED | Managed Medicaid | $15,634.74 | ↑ +953% |
| CARESOURCE | Managed Medicaid | $16,103.78 | ↑ +985% |
| MOLINA | Managed Medicaid | $16,416.48 | ↑ +1006% |
| ANTHEM | Managed Medicaid | $16,416.48 | ↑ +1006% |
| AMERIHEALTH | Managed Medicaid | $17,198.21 | ↑ +1058% |
| The Health Plan | MEDICARE ADVANTAGE | $25,341.29 | ↑ +1607% |
| UNITED | MEDICARE ADVANTAGE | $28,156.99 | ↑ +1797% |
| HUMANA | Medicare Advantage HMO | $28,156.99 | ↑ +1797% |
| Summacare | MEDICARE ADVANTAGE | $29,193.76 | ↑ +1866% |
| ANTHEM | MEDICARE ADVANTAGE | $29,193.76 | ↑ +1866% |
| AETNA | MEDICARE ADVANTAGE | $29,193.76 | ↑ +1866% |
| CIGNA | MEDICARE ADVANTAGE | $30,069.57 | ↑ +1925% |
| Perennial Health | MEDICARE ADVANTAGE | $30,409.55 | ↑ +1948% |
| CommuniCare | MEDICARE ADVANTAGE | $30,653.45 | ↑ +1965% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $31,529.26 | ↑ +2024% |
| MMO | ALL PRODUCTS | $46,991.90 | ↑ +3065% |
| MMO | SuperMed | $53,018.11 | ↑ +3471% |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Ins/rplc spi npg/rcvr pocket at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $26,310.05 | $1.10 – $36,429.30 |
| akron general | Akron | $1,484.60 | $1.10 – $30,409.55 |
| University Hospitals Ahuja Medical Center | Beachwood | $36,000.00 | $900.00 – $52,548.77 |
| University Hospitals Beachwood Medical Center | Beachwood | $36,000.00 | $900.00 – $73,939.59 |
| University Hospitals Conneaut Medical Center | Conneaut | $28,845.75 | not published |
| University Hospitals Elyria Medical Center | Elyria | $36,000.00 | $29,193.76 – $52,548.77 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $36,000.00 | $29,193.76 – $52,548.77 |
| University Hospitals Geneva Medical Center | Geneva | $28,845.75 | not published |