M/phmtrc alys ishquant/semiq at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$768.30
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.
$1,182.00
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 $1,182.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $1.11 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $38.46 | ↓ -95% |
| Summacare | Preferred | $38.46 | ↓ -95% |
| Summacare | Medicare Advantage Psych | $44.86 | ↓ -94% |
| Summacare | Medicare Advantage CNA | $50.29 | ↓ -93% |
| UNITED | Managed Medicaid | $55.85 | ↓ -93% |
| Summacare | Medicare Advantage MD | $56.21 | ↓ -93% |
| CARESOURCE | Managed Medicaid | $57.53 | ↓ -93% |
| Buckeye | Managed Medicaid | $57.53 | ↓ -93% |
| ANTHEM | Managed Medicaid | $58.64 | ↓ -92% |
| MOLINA | Managed Medicaid | $58.64 | ↓ -92% |
| United | Medicare Advantage | $59.81 | ↓ -92% |
| The Health Plan | Medicare Advantage | $59.81 | ↓ -92% |
| Aetna | Medicare Advantage | $59.81 | ↓ -92% |
| Cigna | Medicare Advantage | $59.81 | ↓ -92% |
| Humana | Medicare Advantage HMO | $59.81 | ↓ -92% |
| Anthem | Medicare Advantage | $59.81 | ↓ -92% |
| AMERIHEALTH | Managed Medicaid | $61.44 | ↓ -92% |
| MMO | Medicare HMO & PPO | $61.60 | ↓ -92% |
| Summacare | Premier | $62.80 | ↓ -92% |
| CommuniCare | Medicare Advantage | $62.80 | ↓ -92% |
| Perennial Health | Medicare Advantage | $64.59 | ↓ -92% |
| United | All Products | $65.72 | ↓ -91% |
| United | HMO & PPO | $65.72 | ↓ -91% |
| United | All Products - Mid-Level | $65.72 | ↓ -91% |
| The Health Plan | All Products PCP | $65.79 | ↓ -91% |
| The Health Plan | All Products Specialty Physicians | $68.78 | ↓ -91% |
| The Health Plan | All Products Radiation Oncology Physicians | $77.75 | ↓ -90% |
| Anthem | All Products Mid-Level Non-Facility | $83.53 | ↓ -89% |
| The Health Plan | MEDICARE ADVANTAGE | $142.50 | ↓ -81% |
| Oscar | All Products | $156.53 | ↓ -80% |
| HUMANA | Medicare Advantage HMO | $158.33 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $158.33 | ↓ -79% |
| Summacare | MEDICARE ADVANTAGE | $161.18 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $161.18 | ↓ -79% |
| ANTHEM | MEDICARE ADVANTAGE | $161.18 | ↓ -79% |
| CIGNA | MEDICARE ADVANTAGE | $166.02 | ↓ -78% |
| CommuniCare | MEDICARE ADVANTAGE | $169.24 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $171.00 | ↓ -78% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $174.08 | ↓ -77% |
| Aultcare | PPO/HMO | $220.53 | ↓ -71% |
| OHCP | All Products | $239.62 | ↓ -69% |
| OMAS | All Products | $308.00 | ↓ -60% |
| MMO | SuperMed | $332.64 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $334.27 | ↓ -56% |
| UNITED | ALL PRODUCTS | $335.61 | ↓ -56% |
| MMO | ALL PRODUCTS | $341.02 | ↓ -56% |
| PHPHI | All Products | $369.60 | ↓ -52% |
| PHP | ALL PRODUCTS | $378.24 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $378.24 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $399.52 | ↓ -48% |
| MMO | Traditional | $431.20 | ↓ -44% |
| GMS | All Products | $431.20 | ↓ -44% |
| Summacare | PREMIER | $451.52 | ↓ -41% |
| Immergrun | All Products | $462.00 | ↓ -40% |
| Aetna | All Products First Health | $462.00 | ↓ -40% |
| Aetna | Asa | $492.80 | ↓ -36% |
| Amish Community Aid Plan | ALL PRODUCTS | $531.90 | ↓ -31% |
| ANTHEM | HPN | $541.71 | ↓ -29% |
| Multiplan | All Products | $554.40 | ↓ -28% |
| CIGNA | ALL PRODUCTS | $557.90 | ↓ -27% |
| ANTHEM | Exchange | $573.62 | ↓ -25% |
| OHCP | ALL PRODUCTS | $574.45 | ↓ -25% |
| OMAS | ALL PRODUCTS | $591.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $591.00 | ↓ -23% |
| Aetna | Qhp/Ifp | $616.00 | ↓ -20% |
| ANTHEM | PPO/HMO | $637.33 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $638.28 | ↓ -17% |
| ANTHEM | TRADITIONAL | $653.65 | ↓ -15% |
| The Health Plan | PPO | $754.59 | ↓ -2% |
| GMS | ALL PRODUCTS | $827.40 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $827.40 | ↑ +8% |
| AETNA | International | $827.40 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $886.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $886.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $992.88 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $1,063.80 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,063.80 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,063.80 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,063.80 | ↑ +38% |
| The Health Plan | POS | $1,182.00 | ↑ +54% |
| The Health Plan | HMO | $1,182.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $1,182.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
M/phmtrc alys ishquant/semiq at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $2,078.40 | not published |
| Anderson Hospital | Cincinnati | $2,078.40 | not published |
| Clermont Hospital | Batavia | $2,078.40 | not published |
| Kings Mills Hospital | Mason | $2,078.40 | not published |
| Mercy West Hospital | Cincinnati | $2,078.40 | not published |
| St Ritas Medical Center | Lima | $671.40 | not published |
| Trinity Medical Center East | Steubenville | $354.10 | $140.26 – $549.78 |
| cleveland clinic main campus | Cleveland | $768.30 | $1.10 – $1,063.80 |