healthcosts.net
Lower Back (Lumbar Spine) CT scan (with and without contrast) at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,161.55
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.
$1,787.00
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.
$1.01 with AETNA vs $1,412.25 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $36.63 | ↓ -97% |
| Summacare | Preferred | $36.63 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $43.11 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $47.90 | ↓ -96% |
| Summacare | Medicare Advantage MD | $53.53 | ↓ -95% |
| United | Medicare Advantage | $57.48 | ↓ -95% |
| Anthem | Medicare Advantage | $57.48 | ↓ -95% |
| Cigna | Medicare Advantage | $57.48 | ↓ -95% |
| Humana | Medicare Advantage HMO | $57.48 | ↓ -95% |
| Aetna | Medicare Advantage | $57.48 | ↓ -95% |
| The Health Plan | Medicare Advantage | $57.48 | ↓ -95% |
| MMO | Medicare HMO & PPO | $59.20 | ↓ -95% |
| Summacare | Premier | $60.35 | ↓ -95% |
| CommuniCare | Medicare Advantage | $60.35 | ↓ -95% |
| Perennial Health | Medicare Advantage | $62.08 | ↓ -95% |
| The Health Plan | All Products PCP | $63.23 | ↓ -95% |
| The Health Plan | All Products Specialty Physicians | $66.10 | ↓ -94% |
| The Health Plan | All Products Radiation Oncology Physicians | $74.72 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $81.32 | ↓ -93% |
| United | All Products - Mid-Level | $102.89 | ↓ -91% |
| United | All Products | $114.32 | ↓ -90% |
| United | HMO & PPO | $114.32 | ↓ -90% |
| The Health Plan | MEDICARE ADVANTAGE | $148.04 | ↓ -87% |
| Oscar | All Products | $152.21 | ↓ -87% |
| UNITED | MEDICARE ADVANTAGE | $164.49 | ↓ -86% |
| HUMANA | Medicare Advantage HMO | $164.49 | ↓ -86% |
| Summacare | MEDICARE ADVANTAGE | $165.94 | ↓ -86% |
| ANTHEM | MEDICARE ADVANTAGE | $165.94 | ↓ -86% |
| AETNA | MEDICARE ADVANTAGE | $165.94 | ↓ -86% |
| CIGNA | MEDICARE ADVANTAGE | $170.92 | ↓ -85% |
| CommuniCare | MEDICARE ADVANTAGE | $174.24 | ↓ -85% |
| Perennial Health | MEDICARE ADVANTAGE | $177.65 | ↓ -85% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $179.22 | ↓ -85% |
| Aetna | Acop | $192.25 | ↓ -83% |
| United | Managed Medicaid | $194.62 | ↓ -83% |
| Caresource | Managed Medicaid | $200.46 | ↓ -83% |
| Buckeye | Managed Medicaid | $204.35 | ↓ -82% |
| Molina | Managed Medicaid | $214.08 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $214.08 | ↓ -82% |
| Aultcare | PPO/HMO | $214.44 | ↓ -82% |
| OHCP | All Products | $233.01 | ↓ -80% |
| OMAS | All Products | $299.50 | ↓ -74% |
| MMO | SuperMed | $313.60 | ↓ -73% |
| UNITED | Managed Medicaid | $321.05 | ↓ -72% |
| CARESOURCE | Managed Medicaid | $330.68 | ↓ -72% |
| ANTHEM | Managed Medicaid | $337.10 | ↓ -71% |
| MOLINA | Managed Medicaid | $337.10 | ↓ -71% |
| OSCAR | ALL PRODUCTS | $347.28 | ↓ -70% |
| AMERIHEALTH | Managed Medicaid | $353.16 | ↓ -70% |
| PHPHI | All Products | $359.40 | ↓ -69% |
| MMO | ALL PRODUCTS | $366.83 | ↓ -68% |
| PHP | ALL PRODUCTS | $392.96 | ↓ -66% |
| PHPHI | ALL PRODUCTS | $392.96 | ↓ -66% |
| CC EHP | ALL PRODUCTS | $415.06 | ↓ -64% |
| MMO | Traditional | $419.30 | ↓ -64% |
| GMS | All Products | $419.30 | ↓ -64% |
| Aetna | All Products First Health | $449.25 | ↓ -61% |
| Immergrun | All Products | $449.25 | ↓ -61% |
| Summacare | PREMIER | $469.10 | ↓ -60% |
| Aetna | Asa | $479.20 | ↓ -59% |
| Multiplan | All Products | $539.10 | ↓ -54% |
| Amish Community Aid Plan | ALL PRODUCTS | $552.60 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $579.62 | ↓ -50% |
| OHCP | ALL PRODUCTS | $596.81 | ↓ -49% |
| Aetna | Qhp/Ifp | $599.00 | ↓ -48% |
| ANTHEM | HPN | $612.63 | ↓ -47% |
| Immergrun | ALL PRODUCTS | $614.00 | ↓ -47% |
| OMAS | ALL PRODUCTS | $614.00 | ↓ -47% |
| Ohio Healthy | TRANSPLANT | $663.12 | ↓ -43% |
| ANTHEM | TRADITIONAL | $679.08 | ↓ -42% |
| ANTHEM | Exchange | $737.30 | ↓ -37% |
| AETNA | International | $758.04 | ↓ -35% |
| ANTHEM | PPO/HMO | $819.22 | ↓ -29% |
| Medical Benefit Corp | Transplant SMCP | $859.60 | ↓ -26% |
| GMS | ALL PRODUCTS | $859.60 | ↓ -26% |
| UNITED | ALL PRODUCTS | $903.92 | ↓ -22% |
| AETNA | ALL PRODUCTS | $921.00 | ↓ -21% |
| Consociate Health | ALL PRODUCTS | $921.00 | ↓ -21% |
| The Health Plan | Self-Funded ASO | $1,031.52 | ↓ -11% |
| MULTIPLAN | ALL PRODUCTS | $1,105.20 | ↓ -5% |
| Tertiary Care Network | TRANSPLANT | $1,105.20 | ↓ -5% |
| FrontPath | TRANSPLANT | $1,105.20 | ↓ -5% |
| Managed Care Services | TRANSPLANT | $1,105.20 | ↓ -5% |
| The Health Plan | HMO | $1,212.00 | ↑ +4% |
| AETNA | Qhp/Ipf | $1,228.00 | ↑ +6% |
| The Health Plan | POS | $1,372.35 | ↑ +18% |
| The Health Plan | PPO | $1,412.25 | ↑ +22% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with and without contrast) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| euclid hospital | Euclid | $798.20 | $0.87 – $1,105.20 |
| cleveland clinic main campus | Cleveland | $1,161.55 | $1.10 – $1,105.20 |
| akron general | Akron | $1,161.55 | $0.87 – $1,105.20 |
| avon hospital | Avon | $798.20 | $0.87 – $1,105.20 |
| fairview hospital | Cleveland | $798.20 | $0.87 – $1,105.20 |
| lutheran hospital | Cleveland | $798.20 | $0.87 – $1,105.20 |
| lodi hospital | Lodi | $798.20 | $178.02 – $1,105.20 |
| hillcrest hospital | Mayfield Heights | $798.20 | $0.87 – $1,105.20 |