healthcosts.net
Inst via cath agent pleurds at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$400.40
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.
$616.00
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 $4,036,081.00 with The Health Plan — 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 | $39.11 | ↓ -90% |
| Caresource | Managed Medicaid | $40.28 | ↓ -90% |
| Buckeye | Managed Medicaid | $41.07 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $43.02 | ↓ -89% |
| Molina | Managed Medicaid | $43.02 | ↓ -89% |
| Summacare | Preferred | $46.38 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $46.38 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $50.96 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $60.65 | ↓ -85% |
| Summacare | Medicare Advantage MD | $67.78 | ↓ -83% |
| Aetna | Medicare Advantage | $67.94 | ↓ -83% |
| United | Medicare Advantage | $67.94 | ↓ -83% |
| Cigna | Medicare Advantage | $67.94 | ↓ -83% |
| The Health Plan | Medicare Advantage | $67.94 | ↓ -83% |
| Anthem | Medicare Advantage | $67.94 | ↓ -83% |
| Humana | Medicare Advantage HMO | $67.94 | ↓ -83% |
| MMO | Medicare HMO & PPO | $69.98 | ↓ -83% |
| CommuniCare | Medicare Advantage | $71.34 | ↓ -82% |
| Summacare | Premier | $71.34 | ↓ -82% |
| The Health Plan | PPO | $72.70 | ↓ -82% |
| Perennial Health | Medicare Advantage | $73.38 | ↓ -82% |
| The Health Plan | All Products PCP | $74.73 | ↓ -81% |
| The Health Plan | All Products Specialty Physicians | $78.13 | ↓ -80% |
| The Health Plan | All Products Radiation Oncology Physicians | $88.32 | ↓ -78% |
| Oscar | All Products | $156.53 | ↓ -61% |
| Aultcare | PPO/HMO | $220.53 | ↓ -45% |
| OHCP | All Products | $239.62 | ↓ -40% |
| OMAS | All Products | $308.00 | ↓ -23% |
| Cigna | All Products Mid-Level | $308.07 | ↓ -23% |
| Anthem | All Products Mid-Level Non-Facility | $329.49 | ↓ -18% |
| Aetna | Acop | $339.25 | ↓ -15% |
| Cigna | All Products Physician | $364.02 | ↓ -9% |
| PHPHI | All Products | $369.60 | ↓ -8% |
| MMO | Traditional | $431.20 | ↑ +8% |
| GMS | All Products | $431.20 | ↑ +8% |
| Aetna | All Products First Health | $462.00 | ↑ +15% |
| Immergrun | All Products | $462.00 | ↑ +15% |
| Aetna | Asa | $492.80 | ↑ +23% |
| The Health Plan | MEDICARE ADVANTAGE | $514.13 | ↑ +28% |
| United | All Products - Mid-Level | $538.84 | ↑ +35% |
| Multiplan | All Products | $554.40 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $571.26 | ↑ +43% |
| HUMANA | Medicare Advantage HMO | $571.26 | ↑ +43% |
| Summacare | MEDICARE ADVANTAGE | $593.48 | ↑ +48% |
| AETNA | MEDICARE ADVANTAGE | $593.48 | ↑ +48% |
| ANTHEM | MEDICARE ADVANTAGE | $593.48 | ↑ +48% |
| United | HMO & PPO | $598.71 | ↑ +50% |
| United | All Products | $598.71 | ↑ +50% |
| CIGNA | MEDICARE ADVANTAGE | $611.28 | ↑ +53% |
| Aetna | Qhp/Ifp | $616.00 | ↑ +54% |
| Perennial Health | MEDICARE ADVANTAGE | $616.96 | ↑ +54% |
| UNITED | Managed Medicaid | $620.13 | ↑ +55% |
| CommuniCare | MEDICARE ADVANTAGE | $623.15 | ↑ +56% |
| CARESOURCE | Managed Medicaid | $638.73 | ↑ +60% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $640.96 | ↑ +60% |
| ANTHEM | Managed Medicaid | $651.14 | ↑ +63% |
| MOLINA | Managed Medicaid | $651.14 | ↑ +63% |
| AMERIHEALTH | Managed Medicaid | $682.14 | ↑ +70% |
| MMO | ALL PRODUCTS | $950.68 | ↑ +137% |
| MMO | SuperMed | $1,073.41 | ↑ +168% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +318693% |
| The Health Plan | POS | $4,036,081.00 | ↑ +1007912% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Inst via cath agent pleurds at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,848.60 | $1.10 – $2,559.60 |
| akron general | Akron | $400.40 | $1.10 – $699.03 |
| University Hospitals Ahuja Medical Center | Beachwood | $2,517.75 | $593.48 – $3,021.30 |
| University Hospitals Beachwood Medical Center | Beachwood | $2,517.75 | $593.48 – $3,021.30 |
| University Hospitals Conneaut Medical Center | Conneaut | $2,421.00 | not published |
| University Hospitals Elyria Medical Center | Elyria | $2,517.75 | $593.48 – $1,068.26 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $2,517.75 | $593.48 – $1,068.26 |
| University Hospitals Geneva Medical Center | Geneva | $2,421.00 | not published |