Mnt subs tx for change dx at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$128.70
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.
$198.00
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 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $16.18 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $16.58 | ↓ -87% |
| Summacare | Preferred | $16.58 | ↓ -87% |
| The Health Plan | Medicare Advantage | $21.57 | ↓ -83% |
| Cigna | Medicare Advantage | $21.57 | ↓ -83% |
| Humana | Medicare Advantage HMO | $21.57 | ↓ -83% |
| Aetna | Medicare Advantage | $21.57 | ↓ -83% |
| United | Medicare Advantage | $21.57 | ↓ -83% |
| Anthem | Medicare Advantage | $21.57 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $21.68 | ↓ -83% |
| MMO | Medicare HMO & PPO | $22.22 | ↓ -83% |
| CommuniCare | Medicare Advantage | $22.65 | ↓ -82% |
| Summacare | Premier | $22.65 | ↓ -82% |
| The Health Plan | PPO | $23.08 | ↓ -82% |
| Perennial Health | Medicare Advantage | $23.30 | ↓ -82% |
| The Health Plan | All Products PCP | $23.73 | ↓ -82% |
| Summacare | Medicare Advantage MD | $24.23 | ↓ -81% |
| The Health Plan | All Products Specialty Physicians | $24.81 | ↓ -81% |
| The Health Plan | All Products Radiation Oncology Physicians | $28.04 | ↓ -78% |
| ANTHEM | MEDICARE ADVANTAGE | $29.84 | ↓ -77% |
| Summacare | MEDICARE ADVANTAGE | $29.84 | ↓ -77% |
| AETNA | NAP | $29.84 | ↓ -77% |
| AETNA | MEDICARE ADVANTAGE | $29.84 | ↓ -77% |
| AETNA | Qhp/Ipf | $29.84 | ↓ -77% |
| CIGNA | MEDICARE ADVANTAGE | $30.74 | ↓ -76% |
| The Health Plan | MEDICARE ADVANTAGE | $31.15 | ↓ -76% |
| CommuniCare | MEDICARE ADVANTAGE | $31.33 | ↓ -76% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $32.23 | ↓ -75% |
| UNITED | MEDICARE ADVANTAGE | $34.61 | ↓ -73% |
| AETNA | International | $34.61 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $34.61 | ↓ -73% |
| Perennial Health | MEDICARE ADVANTAGE | $37.38 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $41.84 | ↓ -67% |
| Aetna | Acop | $44.07 | ↓ -66% |
| MMO | SuperMed | $46.59 | ↓ -64% |
| Oscar | All Products | $50.31 | ↓ -61% |
| MMO | ALL PRODUCTS | $60.69 | ↓ -53% |
| UNITED | Managed Medicaid | $67.86 | ↓ -47% |
| Buckeye | Managed Medicaid | $69.90 | ↓ -46% |
| CARESOURCE | Managed Medicaid | $69.90 | ↓ -46% |
| Aultcare | PPO/HMO | $70.88 | ↓ -45% |
| ANTHEM | Managed Medicaid | $71.25 | ↓ -45% |
| MOLINA | Managed Medicaid | $71.25 | ↓ -45% |
| United | All Products - Mid-Level | $71.98 | ↓ -44% |
| AMERIHEALTH | Managed Medicaid | $74.65 | ↓ -42% |
| OHCP | All Products | $77.02 | ↓ -40% |
| United | HMO & PPO | $79.98 | ↓ -38% |
| United | All Products | $79.98 | ↓ -38% |
| OMAS | All Products | $99.00 | ↓ -23% |
| PHPHI | All Products | $118.80 | ↓ -8% |
| GMS | All Products | $138.60 | ↑ +8% |
| MMO | Traditional | $138.60 | ↑ +8% |
| Aetna | All Products First Health | $148.50 | ↑ +15% |
| Immergrun | All Products | $148.50 | ↑ +15% |
| Aetna | Asa | $158.40 | ↑ +23% |
| Multiplan | All Products | $178.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $198.00 | ↑ +54% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +991701% |
| The Health Plan | POS | $4,036,081.00 | ↑ +3135938% |
| Caresource | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Mnt subs tx for change dx at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $23.81 | $28.80 – $31.18 |
| cleveland clinic main campus | Cleveland | $128.70 | $1.10 – $178.20 |
| akron general | Akron | $128.70 | $1.10 – $178.20 |
| Dublin Methodist Hospital | Dublin | $26.00 | not published |
| Shelby Hospital | Shelby | $20.80 | not published |
| Berger Hospital | Circleville | $19.50 | $21.47 – $21.47 |
| Grant Medical Center | Columbus | $26.00 | $21.47 – $21.47 |
| Southeastern Medical Center | Cambridge | $26.00 | $21.47 – $22.33 |