healthcosts.net
Lower Back (Lumbar Spine) MRI (without contrast) at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,469.00
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.
$2,260.00
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 $1,694.70 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 | $42.98 | ↓ -97% |
| Summacare | Preferred | $42.98 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $50.47 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $56.20 | ↓ -96% |
| Summacare | Medicare Advantage MD | $62.81 | ↓ -96% |
| United | Medicare Advantage | $67.29 | ↓ -95% |
| Anthem | Medicare Advantage | $67.29 | ↓ -95% |
| Cigna | Medicare Advantage | $67.29 | ↓ -95% |
| Humana | Medicare Advantage HMO | $67.29 | ↓ -95% |
| Aetna | Medicare Advantage | $67.29 | ↓ -95% |
| The Health Plan | Medicare Advantage | $67.29 | ↓ -95% |
| MMO | Medicare HMO & PPO | $69.31 | ↓ -95% |
| Summacare | Premier | $70.65 | ↓ -95% |
| CommuniCare | Medicare Advantage | $70.65 | ↓ -95% |
| Perennial Health | Medicare Advantage | $72.67 | ↓ -95% |
| The Health Plan | All Products PCP | $74.02 | ↓ -95% |
| The Health Plan | All Products Specialty Physicians | $77.38 | ↓ -95% |
| The Health Plan | All Products Radiation Oncology Physicians | $87.48 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $94.85 | ↓ -94% |
| United | All Products - Mid-Level | $120.73 | ↓ -92% |
| United | All Products | $134.14 | ↓ -91% |
| United | HMO & PPO | $134.14 | ↓ -91% |
| Oscar | All Products | $150.43 | ↓ -90% |
| United | Managed Medicaid | $188.36 | ↓ -87% |
| Caresource | Managed Medicaid | $194.01 | ↓ -87% |
| Buckeye | Managed Medicaid | $197.78 | ↓ -87% |
| The Health Plan | MEDICARE ADVANTAGE | $201.01 | ↓ -86% |
| Molina | Managed Medicaid | $207.20 | ↓ -86% |
| AmeriHealth | Managed Medicaid | $207.20 | ↓ -86% |
| UNITED | Managed Medicaid | $208.31 | ↓ -86% |
| Aultcare | PPO/HMO | $211.94 | ↓ -86% |
| CARESOURCE | Managed Medicaid | $214.56 | ↓ -85% |
| ANTHEM | Managed Medicaid | $218.73 | ↓ -85% |
| MOLINA | Managed Medicaid | $218.73 | ↓ -85% |
| UNITED | MEDICARE ADVANTAGE | $223.34 | ↓ -85% |
| HUMANA | Medicare Advantage HMO | $223.34 | ↓ -85% |
| Summacare | MEDICARE ADVANTAGE | $225.74 | ↓ -85% |
| ANTHEM | MEDICARE ADVANTAGE | $225.74 | ↓ -85% |
| AETNA | MEDICARE ADVANTAGE | $225.74 | ↓ -85% |
| AMERIHEALTH | Managed Medicaid | $229.14 | ↓ -84% |
| OHCP | All Products | $230.29 | ↓ -84% |
| CIGNA | MEDICARE ADVANTAGE | $232.51 | ↓ -84% |
| CommuniCare | MEDICARE ADVANTAGE | $237.02 | ↓ -84% |
| Perennial Health | MEDICARE ADVANTAGE | $241.21 | ↓ -84% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $243.79 | ↓ -83% |
| OMAS | All Products | $296.00 | ↓ -80% |
| MMO | SuperMed | $319.68 | ↓ -78% |
| PHPHI | All Products | $355.20 | ↓ -76% |
| MMO | Traditional | $414.40 | ↓ -72% |
| GMS | All Products | $414.40 | ↓ -72% |
| Aetna | All Products First Health | $444.00 | ↓ -70% |
| Immergrun | All Products | $444.00 | ↓ -70% |
| OSCAR | ALL PRODUCTS | $471.71 | ↓ -68% |
| Aetna | Asa | $473.60 | ↓ -68% |
| MMO | ALL PRODUCTS | $489.23 | ↓ -67% |
| Multiplan | All Products | $532.80 | ↓ -64% |
| PHP | ALL PRODUCTS | $533.76 | ↓ -64% |
| PHPHI | ALL PRODUCTS | $533.76 | ↓ -64% |
| CC EHP | ALL PRODUCTS | $563.78 | ↓ -62% |
| Aetna | Qhp/Ifp | $592.00 | ↓ -60% |
| Summacare | PREMIER | $637.18 | ↓ -57% |
| Amish Community Aid Plan | ALL PRODUCTS | $750.60 | ↓ -49% |
| CIGNA | ALL PRODUCTS | $787.30 | ↓ -46% |
| ANTHEM | HPN | $789.16 | ↓ -46% |
| OHCP | ALL PRODUCTS | $810.65 | ↓ -45% |
| Immergrun | ALL PRODUCTS | $834.00 | ↓ -43% |
| OMAS | ALL PRODUCTS | $834.00 | ↓ -43% |
| Ohio Healthy | TRANSPLANT | $900.72 | ↓ -39% |
| ANTHEM | TRADITIONAL | $922.40 | ↓ -37% |
| ANTHEM | Exchange | $949.76 | ↓ -35% |
| AETNA | International | $976.47 | ↓ -34% |
| ANTHEM | PPO/HMO | $1,055.29 | ↓ -28% |
| UNITED | ALL PRODUCTS | $1,165.03 | ↓ -21% |
| Medical Benefit Corp | Transplant SMCP | $1,167.60 | ↓ -21% |
| GMS | ALL PRODUCTS | $1,167.60 | ↓ -21% |
| AETNA | ALL PRODUCTS | $1,251.00 | ↓ -15% |
| Consociate Health | ALL PRODUCTS | $1,251.00 | ↓ -15% |
| The Health Plan | Self-Funded ASO | $1,401.12 | ↓ -5% |
| The Health Plan | HMO | $1,474.00 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $1,501.20 | ↑ +2% |
| Tertiary Care Network | TRANSPLANT | $1,501.20 | ↑ +2% |
| FrontPath | TRANSPLANT | $1,501.20 | ↑ +2% |
| Managed Care Services | TRANSPLANT | $1,501.20 | ↑ +2% |
| The Health Plan | POS | $1,657.95 | ↑ +13% |
| AETNA | Qhp/Ipf | $1,668.00 | ↑ +14% |
| The Health Plan | PPO | $1,694.70 | ↑ +15% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (without contrast) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| euclid hospital | Euclid | $1,084.20 | $0.87 – $1,501.20 |
| cleveland clinic main campus | Cleveland | $1,469.00 | $1.10 – $1,501.20 |
| akron general | Akron | $1,469.00 | $0.87 – $1,501.20 |
| avon hospital | Avon | $1,084.20 | $0.87 – $1,501.20 |
| lutheran hospital | Cleveland | $1,084.20 | $0.87 – $1,501.20 |
| fairview hospital | Cleveland | $1,084.20 | $0.87 – $1,501.20 |
| hillcrest hospital | Mayfield Heights | $1,084.20 | $0.87 – $1,501.20 |
| lodi hospital | Lodi | $1,084.20 | $241.72 – $1,501.20 |