healthcosts.net
Lower Back (Lumbar Spine) MRI (with and without contrast) at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,197.00
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.
$3,380.00
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 $2,464.00 with AETNA — 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 | $66.87 | ↓ -97% |
| Summacare | Preferred | $66.87 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $77.83 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $87.45 | ↓ -96% |
| Summacare | Medicare Advantage MD | $97.74 | ↓ -96% |
| United | Medicare Advantage | $103.77 | ↓ -95% |
| Anthem | Medicare Advantage | $103.77 | ↓ -95% |
| Cigna | Medicare Advantage | $103.77 | ↓ -95% |
| Humana | Medicare Advantage HMO | $103.77 | ↓ -95% |
| Aetna | Medicare Advantage | $103.77 | ↓ -95% |
| The Health Plan | Medicare Advantage | $103.77 | ↓ -95% |
| MMO | Medicare HMO & PPO | $106.88 | ↓ -95% |
| Summacare | Premier | $108.96 | ↓ -95% |
| CommuniCare | Medicare Advantage | $108.96 | ↓ -95% |
| Perennial Health | Medicare Advantage | $112.07 | ↓ -95% |
| The Health Plan | All Products PCP | $114.15 | ↓ -95% |
| The Health Plan | All Products Specialty Physicians | $119.34 | ↓ -95% |
| The Health Plan | All Products Radiation Oncology Physicians | $134.90 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $146.35 | ↓ -93% |
| United | All Products - Mid-Level | $186.03 | ↓ -92% |
| United | All Products | $206.70 | ↓ -91% |
| United | HMO & PPO | $206.70 | ↓ -91% |
| Oscar | All Products | $232.76 | ↓ -89% |
| The Health Plan | MEDICARE ADVANTAGE | $296.98 | ↓ -86% |
| Aetna | Acop | $304.18 | ↓ -86% |
| UNITED | Managed Medicaid | $314.80 | ↓ -86% |
| United | Managed Medicaid | $316.39 | ↓ -86% |
| CARESOURCE | Managed Medicaid | $324.24 | ↓ -85% |
| Buckeye | Managed Medicaid | $324.24 | ↓ -85% |
| Caresource | Managed Medicaid | $325.88 | ↓ -85% |
| Aultcare | PPO/HMO | $327.93 | ↓ -85% |
| UNITED | MEDICARE ADVANTAGE | $329.98 | ↓ -85% |
| HUMANA | Medicare Advantage HMO | $329.98 | ↓ -85% |
| Summacare | MEDICARE ADVANTAGE | $330.06 | ↓ -85% |
| ANTHEM | MEDICARE ADVANTAGE | $330.06 | ↓ -85% |
| AETNA | MEDICARE ADVANTAGE | $330.06 | ↓ -85% |
| ANTHEM | Managed Medicaid | $330.54 | ↓ -85% |
| MOLINA | Managed Medicaid | $330.54 | ↓ -85% |
| CIGNA | MEDICARE ADVANTAGE | $339.96 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $346.28 | ↓ -84% |
| CommuniCare | MEDICARE ADVANTAGE | $346.56 | ↓ -84% |
| Molina | Managed Medicaid | $348.03 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $348.03 | ↓ -84% |
| OHCP | All Products | $356.32 | ↓ -84% |
| Perennial Health | MEDICARE ADVANTAGE | $356.38 | ↓ -84% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $356.47 | ↓ -84% |
| OMAS | All Products | $458.00 | ↓ -79% |
| MMO | SuperMed | $494.64 | ↓ -77% |
| PHPHI | All Products | $549.60 | ↓ -75% |
| MMO | Traditional | $641.20 | ↓ -71% |
| GMS | All Products | $641.20 | ↓ -71% |
| Aetna | All Products First Health | $687.00 | ↓ -69% |
| Immergrun | All Products | $687.00 | ↓ -69% |
| OSCAR | ALL PRODUCTS | $696.82 | ↓ -68% |
| Aetna | Asa | $732.80 | ↓ -67% |
| MMO | ALL PRODUCTS | $767.82 | ↓ -65% |
| PHP | ALL PRODUCTS | $788.48 | ↓ -64% |
| PHPHI | ALL PRODUCTS | $788.48 | ↓ -64% |
| Multiplan | All Products | $824.40 | ↓ -62% |
| CC EHP | ALL PRODUCTS | $832.83 | ↓ -62% |
| Aetna | Qhp/Ifp | $916.00 | ↓ -58% |
| Summacare | PREMIER | $941.25 | ↓ -57% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,108.80 | ↓ -50% |
| CIGNA | ALL PRODUCTS | $1,163.01 | ↓ -47% |
| OHCP | ALL PRODUCTS | $1,197.50 | ↓ -45% |
| Immergrun | ALL PRODUCTS | $1,232.00 | ↓ -44% |
| OMAS | ALL PRODUCTS | $1,232.00 | ↓ -44% |
| ANTHEM | HPN | $1,262.96 | ↓ -43% |
| Ohio Healthy | TRANSPLANT | $1,330.56 | ↓ -39% |
| ANTHEM | TRADITIONAL | $1,362.59 | ↓ -38% |
| The Health Plan | HMO | $1,474.00 | ↓ -33% |
| ANTHEM | Exchange | $1,519.98 | ↓ -31% |
| AETNA | International | $1,562.73 | ↓ -29% |
| The Health Plan | POS | $1,657.95 | ↓ -25% |
| ANTHEM | PPO/HMO | $1,688.86 | ↓ -23% |
| The Health Plan | PPO | $1,694.70 | ↓ -23% |
| Medical Benefit Corp | Transplant SMCP | $1,724.80 | ↓ -21% |
| GMS | ALL PRODUCTS | $1,724.80 | ↓ -21% |
| AETNA | ALL PRODUCTS | $1,848.00 | ↓ -16% |
| Consociate Health | ALL PRODUCTS | $1,848.00 | ↓ -16% |
| UNITED | ALL PRODUCTS | $1,863.61 | ↓ -15% |
| The Health Plan | Self-Funded ASO | $2,069.76 | ↓ -6% |
| MULTIPLAN | ALL PRODUCTS | $2,217.60 | ↑ +1% |
| Tertiary Care Network | TRANSPLANT | $2,217.60 | ↑ +1% |
| FrontPath | TRANSPLANT | $2,217.60 | ↑ +1% |
| Managed Care Services | TRANSPLANT | $2,217.60 | ↑ +1% |
| AETNA | Qhp/Ipf | $2,464.00 | ↑ +12% |
| 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) MRI (with and without contrast) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| euclid hospital | Euclid | $1,601.60 | $0.87 – $2,217.60 |
| cleveland clinic main campus | Cleveland | $2,197.00 | $1.10 – $2,217.60 |
| akron general | Akron | $2,197.00 | $0.87 – $2,217.60 |
| avon hospital | Avon | $1,601.60 | $0.87 – $2,217.60 |
| lutheran hospital | Cleveland | $1,601.60 | $0.87 – $2,217.60 |
| fairview hospital | Cleveland | $1,601.60 | $0.87 – $2,217.60 |
| hillcrest hospital | Mayfield Heights | $1,601.60 | $0.87 – $2,217.60 |
| lodi hospital | Lodi | $1,601.60 | $356.43 – $2,217.60 |