healthcosts.net
Lumbar Spinal Fusion (single level) at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$6,729.45
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.
$10,353.00
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% |
| Summacare | Medicare Advantage Lower Level | $981.03 | ↓ -85% |
| Summacare | Preferred | $981.03 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $1,076.06 | ↓ -84% |
| United | Managed Medicaid | $1,172.57 | ↓ -83% |
| Caresource | Managed Medicaid | $1,207.75 | ↓ -82% |
| Buckeye | Managed Medicaid | $1,231.20 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $1,282.88 | ↓ -81% |
| Molina | Managed Medicaid | $1,289.83 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $1,289.83 | ↓ -81% |
| Summacare | Medicare Advantage MD | $1,433.81 | ↓ -79% |
| United | Medicare Advantage | $1,434.74 | ↓ -79% |
| Anthem | Medicare Advantage | $1,434.74 | ↓ -79% |
| Cigna | Medicare Advantage | $1,434.74 | ↓ -79% |
| Humana | Medicare Advantage HMO | $1,434.74 | ↓ -79% |
| Aetna | Medicare Advantage | $1,434.74 | ↓ -79% |
| The Health Plan | Medicare Advantage | $1,434.74 | ↓ -79% |
| MMO | Medicare HMO & PPO | $1,477.78 | ↓ -78% |
| Summacare | Premier | $1,506.48 | ↓ -78% |
| CommuniCare | Medicare Advantage | $1,506.48 | ↓ -78% |
| The Health Plan | PPO | $1,535.17 | ↓ -77% |
| Perennial Health | Medicare Advantage | $1,549.52 | ↓ -77% |
| The Health Plan | All Products PCP | $1,578.21 | ↓ -77% |
| The Health Plan | All Products Specialty Physicians | $1,649.95 | ↓ -75% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,865.16 | ↓ -72% |
| Anthem | All Products Mid-Level Non-Facility | $2,139.26 | ↓ -68% |
| Oscar | All Products | $2,630.70 | ↓ -61% |
| United | All Products - Mid-Level | $3,548.78 | ↓ -47% |
| Aultcare | PPO/HMO | $3,706.37 | ↓ -45% |
| United | All Products | $3,943.09 | ↓ -41% |
| United | HMO & PPO | $3,943.09 | ↓ -41% |
| OHCP | All Products | $4,027.32 | ↓ -40% |
| OMAS | All Products | $5,176.50 | ↓ -23% |
| PHPHI | All Products | $6,211.80 | ↓ -8% |
| MMO | Traditional | $7,247.10 | ↑ +8% |
| GMS | All Products | $7,247.10 | ↑ +8% |
| UNITED | Managed Medicaid | $7,604.81 | ↑ +13% |
| Aetna | All Products First Health | $7,764.75 | ↑ +15% |
| Immergrun | All Products | $7,764.75 | ↑ +15% |
| CARESOURCE | Managed Medicaid | $7,832.95 | ↑ +16% |
| ANTHEM | Managed Medicaid | $7,985.05 | ↑ +19% |
| MOLINA | Managed Medicaid | $7,985.05 | ↑ +19% |
| Aetna | Asa | $8,282.40 | ↑ +23% |
| AMERIHEALTH | Managed Medicaid | $8,365.29 | ↑ +24% |
| Multiplan | All Products | $9,317.70 | ↑ +38% |
| Aetna | Qhp/Ifp | $10,353.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $15,292.83 | ↑ +127% |
| Summacare | MEDICARE ADVANTAGE | $16,588.34 | ↑ +147% |
| ANTHEM | MEDICARE ADVANTAGE | $16,588.34 | ↑ +147% |
| AETNA | MEDICARE ADVANTAGE | $16,588.34 | ↑ +147% |
| UNITED | MEDICARE ADVANTAGE | $16,992.04 | ↑ +153% |
| HUMANA | Medicare Advantage HMO | $16,992.04 | ↑ +153% |
| CIGNA | MEDICARE ADVANTAGE | $17,085.99 | ↑ +154% |
| CommuniCare | MEDICARE ADVANTAGE | $17,417.76 | ↑ +159% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $17,915.41 | ↑ +166% |
| Perennial Health | MEDICARE ADVANTAGE | $18,351.40 | ↑ +173% |
| MMO | ALL PRODUCTS | $28,202.30 | ↑ +319% |
| MMO | SuperMed | $31,818.75 | ↑ +373% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +18868% |
| The Health Plan | POS | $4,036,081.00 | ↑ +59876% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Lumbar Spinal Fusion (single level) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $6,729.45 | $1.10 – $17,048.31 |
| akron general | Akron | $6,729.45 | $1.10 – $17,915.41 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $12,963.06 – $15,009.86 |
| avon hospital | Avon | not published | $7,939.95 – $18,247.18 |
| euclid hospital | Euclid | not published | $8,134.69 – $18,247.18 |
| fairview hospital | Cleveland | not published | $7,642.13 – $18,247.18 |
| lutheran hospital | Cleveland | not published | $7,275.57 – $18,247.18 |
| hillcrest hospital | Mayfield Heights | not published | $7,961.90 – $18,247.18 |