healthcosts.net
Lung Function Test (Spirometry) at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$516.75
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.
?
What you pay up front if you don't use insurance.
$795.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $720.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $4.94 | ↓ -99% |
| Summacare | Preferred | $4.94 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $6.14 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $6.46 | ↓ -99% |
| Summacare | Medicare Advantage MD | $7.22 | ↓ -99% |
| United | Medicare Advantage | $8.19 | ↓ -98% |
| Anthem | Medicare Advantage | $8.19 | ↓ -98% |
| Cigna | Medicare Advantage | $8.19 | ↓ -98% |
| Humana | Medicare Advantage HMO | $8.19 | ↓ -98% |
| Aetna | Medicare Advantage | $8.19 | ↓ -98% |
| The Health Plan | Medicare Advantage | $8.19 | ↓ -98% |
| MMO | Medicare HMO & PPO | $8.44 | ↓ -98% |
| Summacare | Premier | $8.60 | ↓ -98% |
| CommuniCare | Medicare Advantage | $8.60 | ↓ -98% |
| Perennial Health | Medicare Advantage | $8.85 | ↓ -98% |
| The Health Plan | All Products PCP | $9.01 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $9.42 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $10.65 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $10.85 | ↓ -98% |
| United | All Products - Mid-Level | $18.65 | ↓ -96% |
| Oscar | All Products | $19.06 | ↓ -96% |
| United | All Products | $20.72 | ↓ -96% |
| United | HMO & PPO | $20.72 | ↓ -96% |
| United | Managed Medicaid | $21.89 | ↓ -96% |
| Caresource | Managed Medicaid | $22.55 | ↓ -96% |
| Buckeye | Managed Medicaid | $22.98 | ↓ -96% |
| Molina | Managed Medicaid | $24.08 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $24.08 | ↓ -95% |
| Aultcare | PPO/HMO | $26.85 | ↓ -95% |
| OHCP | All Products | $29.18 | ↓ -94% |
| OMAS | All Products | $37.50 | ↓ -93% |
| MMO | SuperMed | $40.50 | ↓ -92% |
| PHPHI | All Products | $45.00 | ↓ -91% |
| MMO | Traditional | $52.50 | ↓ -90% |
| GMS | All Products | $52.50 | ↓ -90% |
| UNITED | Managed Medicaid | $52.98 | ↓ -90% |
| CARESOURCE | Managed Medicaid | $54.57 | ↓ -89% |
| ANTHEM | Managed Medicaid | $55.63 | ↓ -89% |
| MOLINA | Managed Medicaid | $55.63 | ↓ -89% |
| Aetna | All Products First Health | $56.25 | ↓ -89% |
| Immergrun | All Products | $56.25 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $58.28 | ↓ -89% |
| Aetna | Asa | $60.00 | ↓ -88% |
| Multiplan | All Products | $67.50 | ↓ -87% |
| Aetna | Qhp/Ifp | $75.00 | ↓ -85% |
| The Health Plan | MEDICARE ADVANTAGE | $130.11 | ↓ -75% |
| UNITED | MEDICARE ADVANTAGE | $144.57 | ↓ -72% |
| HUMANA | Medicare Advantage HMO | $144.57 | ↓ -72% |
| Perennial Health | MEDICARE ADVANTAGE | $156.13 | ↓ -70% |
| OSCAR | ALL PRODUCTS | $203.62 | ↓ -61% |
| Summacare | MEDICARE ADVANTAGE | $204.28 | ↓ -60% |
| ANTHEM | MEDICARE ADVANTAGE | $204.28 | ↓ -60% |
| AETNA | MEDICARE ADVANTAGE | $204.28 | ↓ -60% |
| CIGNA | MEDICARE ADVANTAGE | $210.41 | ↓ -59% |
| CommuniCare | MEDICARE ADVANTAGE | $214.49 | ↓ -58% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $220.62 | ↓ -57% |
| PHP | ALL PRODUCTS | $230.40 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $230.40 | ↓ -55% |
| CC EHP | ALL PRODUCTS | $243.36 | ↓ -53% |
| Summacare | PREMIER | $275.04 | ↓ -47% |
| MMO | ALL PRODUCTS | $311.87 | ↓ -40% |
| Amish Community Aid Plan | ALL PRODUCTS | $324.00 | ↓ -37% |
| CIGNA | ALL PRODUCTS | $339.84 | ↓ -34% |
| OHCP | ALL PRODUCTS | $349.92 | ↓ -32% |
| Immergrun | ALL PRODUCTS | $360.00 | ↓ -30% |
| OMAS | ALL PRODUCTS | $360.00 | ↓ -30% |
| Ohio Healthy | TRANSPLANT | $388.80 | ↓ -25% |
| ANTHEM | TRADITIONAL | $398.16 | ↓ -23% |
| ANTHEM | Exchange | $430.63 | ↓ -17% |
| ANTHEM | HPN | $430.63 | ↓ -17% |
| ANTHEM | PPO/HMO | $430.63 | ↓ -17% |
| UNITED | ALL PRODUCTS | $435.60 | ↓ -16% |
| The Health Plan | PPO | $459.65 | ↓ -11% |
| Medical Benefit Corp | Transplant SMCP | $504.00 | ↓ -2% |
| AETNA | International | $504.00 | ↓ -2% |
| GMS | ALL PRODUCTS | $504.00 | ↓ -2% |
| AETNA | Asa_Whirlpool_Peia | $504.00 | ↓ -2% |
| AETNA | ALL PRODUCTS | $540.00 | ↑ +4% |
| Consociate Health | ALL PRODUCTS | $540.00 | ↑ +4% |
| The Health Plan | Self-Funded ASO | $604.80 | ↑ +17% |
| MULTIPLAN | ALL PRODUCTS | $648.00 | ↑ +25% |
| Tertiary Care Network | TRANSPLANT | $648.00 | ↑ +25% |
| FrontPath | TRANSPLANT | $648.00 | ↑ +25% |
| Managed Care Services | TRANSPLANT | $648.00 | ↑ +25% |
| The Health Plan | POS | $720.00 | ↑ +39% |
| The Health Plan | HMO | $720.00 | ↑ +39% |
| AETNA | Qhp/Ipf | $720.00 | ↑ +39% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| 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
Lung Function Test (Spirometry) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $468.00 | $90.32 – $648.00 |
| cleveland clinic main campus | Cleveland | $516.75 | $1.10 – $648.00 |
| akron general | Akron | $516.75 | $1.10 – $648.00 |
| avon hospital | Avon | $468.00 | $55.31 – $648.00 |
| euclid hospital | Euclid | $468.00 | $56.67 – $648.00 |
| fairview hospital | Cleveland | $468.00 | $53.24 – $648.00 |
| lutheran hospital | Cleveland | $468.00 | $50.68 – $648.00 |
| hillcrest hospital | Mayfield Heights | $468.00 | $55.02 – $648.00 |