Lumizyme injection at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,370.97
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.
$3,647.64
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.
$2.17 with AETNA vs $16,216.51 with AMERIHEALTH — 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 | $2.17 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $181.77 | ↓ -92% |
| HUMANA | Medicare Advantage HMO | $201.97 | ↓ -91% |
| UNITED | MEDICARE ADVANTAGE | $201.97 | ↓ -91% |
| Summacare | MEDICARE ADVANTAGE | $207.38 | ↓ -91% |
| AETNA | MEDICARE ADVANTAGE | $207.38 | ↓ -91% |
| ANTHEM | MEDICARE ADVANTAGE | $207.38 | ↓ -91% |
| MMO | Medicare HMO & PPO | $212.07 | ↓ -91% |
| CIGNA | MEDICARE ADVANTAGE | $213.60 | ↓ -91% |
| CommuniCare | MEDICARE ADVANTAGE | $217.75 | ↓ -91% |
| Perennial Health | MEDICARE ADVANTAGE | $218.13 | ↓ -91% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $223.97 | ↓ -91% |
| Zing Health | Medicare Advantage | $228.12 | ↓ -90% |
| MMO | ALL PRODUCTS | $345.28 | ↓ -85% |
| Summacare | Preferred | $396.11 | ↓ -83% |
| UNITED | ALL PRODUCTS | $433.53 | ↓ -82% |
| CIGNA | ALL PRODUCTS | $445.87 | ↓ -81% |
| AETNA | International | $459.74 | ↓ -81% |
| OSCAR | ALL PRODUCTS | $1,031.55 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $1,167.24 | ↓ -51% |
| PHP | ALL PRODUCTS | $1,167.24 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $1,232.90 | ↓ -48% |
| Aultcare | PPO/HMO | $1,305.86 | ↓ -45% |
| Summacare | PREMIER | $1,393.40 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,641.44 | ↓ -31% |
| ANTHEM | HPN | $1,671.71 | ↓ -29% |
| ANTHEM | Exchange | $1,770.20 | ↓ -25% |
| OHCP | ALL PRODUCTS | $1,772.75 | ↓ -25% |
| Immergrun | ALL PRODUCTS | $1,823.82 | ↓ -23% |
| OMAS | ALL PRODUCTS | $1,823.82 | ↓ -23% |
| ANTHEM | PPO/HMO | $1,966.81 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $1,969.73 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,017.14 | ↓ -15% |
| The Health Plan | HMO | $2,259.71 | ↓ -5% |
| The Health Plan | POS | $2,259.71 | ↓ -5% |
| The Health Plan | PPO | $2,328.65 | ↓ -2% |
| GMS | ALL PRODUCTS | $2,553.35 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $2,553.35 | ↑ +8% |
| AETNA | ALL PRODUCTS | $2,735.73 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $2,735.73 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $3,064.02 | ↑ +29% |
| FrontPath | TRANSPLANT | $3,282.88 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $3,282.88 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $3,282.88 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $3,282.88 | ↑ +38% |
| AETNA | Qhp/Ipf | $3,647.64 | ↑ +54% |
| UNITED | Managed Medicaid | $14,742.28 | ↑ +522% |
| Buckeye | Managed Medicaid | $15,184.55 | ↑ +540% |
| CARESOURCE | Managed Medicaid | $15,184.55 | ↑ +540% |
| ANTHEM | Managed Medicaid | $15,479.39 | ↑ +553% |
| MOLINA | Managed Medicaid | $15,479.39 | ↑ +553% |
| AMERIHEALTH | Managed Medicaid | $16,216.51 | ↑ +584% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Lumizyme injection at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $4,291.32 | not published |
| Mercy West Hospital | Cincinnati | $4,291.32 | not published |
| akron general | Akron | $2,370.97 | $2.17 – $16,617.81 |
| avon hospital | Avon | $2,370.97 | $201.97 – $15,685.16 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $2,370.97 | $1,031.55 – $29,097.34 |
| euclid hospital | Euclid | $2,370.97 | $197.30 – $18,259.40 |
| fairview hospital | Cleveland | $2,370.97 | $2.17 – $17,153.79 |
| lutheran hospital | Cleveland | $2,370.97 | $201.97 – $16,330.97 |