Mr safety determination physician/other qhp at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$566.80
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.
$872.00
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.
$1.01 with AETNA vs $608.00 with The Health Plan — 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Preferred | $17.29 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $17.29 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $20.45 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $22.61 | ↓ -96% |
| Summacare | Medicare Advantage MD | $25.27 | ↓ -96% |
| Cigna | Medicare Advantage | $27.26 | ↓ -95% |
| Aetna | Medicare Advantage | $27.26 | ↓ -95% |
| Anthem | Medicare Advantage | $27.26 | ↓ -95% |
| United | Medicare Advantage | $27.26 | ↓ -95% |
| Humana | Medicare Advantage HMO | $27.26 | ↓ -95% |
| The Health Plan | Medicare Advantage | $27.26 | ↓ -95% |
| MMO | Medicare HMO & PPO | $28.08 | ↓ -95% |
| Summacare | Premier | $28.62 | ↓ -95% |
| CommuniCare | Medicare Advantage | $28.62 | ↓ -95% |
| Perennial Health | Medicare Advantage | $29.44 | ↓ -95% |
| The Health Plan | All Products PCP | $29.99 | ↓ -95% |
| The Health Plan | All Products Specialty Physicians | $31.35 | ↓ -94% |
| The Health Plan | All Products Radiation Oncology Physicians | $35.44 | ↓ -94% |
| Anthem | All Products Mid-Level Non-Facility | $36.18 | ↓ -94% |
| United | Managed Medicaid | $53.14 | ↓ -91% |
| Caresource | Managed Medicaid | $54.73 | ↓ -90% |
| Buckeye | Managed Medicaid | $55.80 | ↓ -90% |
| Aetna | Acop | $56.21 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $58.45 | ↓ -90% |
| Molina | Managed Medicaid | $58.45 | ↓ -90% |
| Oscar | All Products | $67.08 | ↓ -88% |
| UNITED | Managed Medicaid | $70.79 | ↓ -88% |
| United | All Products - Mid-Level | $70.97 | ↓ -87% |
| CARESOURCE | Managed Medicaid | $72.91 | ↓ -87% |
| The Health Plan | MEDICARE ADVANTAGE | $73.22 | ↓ -87% |
| MOLINA | Managed Medicaid | $74.33 | ↓ -87% |
| ANTHEM | Managed Medicaid | $74.33 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $77.87 | ↓ -86% |
| United | All Products | $78.00 | ↓ -86% |
| UNITED | MEDICARE ADVANTAGE | $81.36 | ↓ -86% |
| HUMANA | Medicare Advantage HMO | $81.36 | ↓ -86% |
| ANTHEM | MEDICARE ADVANTAGE | $82.33 | ↓ -85% |
| AETNA | MEDICARE ADVANTAGE | $82.33 | ↓ -85% |
| Summacare | MEDICARE ADVANTAGE | $82.33 | ↓ -85% |
| CIGNA | MEDICARE ADVANTAGE | $84.80 | ↓ -85% |
| CommuniCare | MEDICARE ADVANTAGE | $86.45 | ↓ -85% |
| Perennial Health | MEDICARE ADVANTAGE | $87.86 | ↓ -84% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $88.92 | ↓ -84% |
| Aultcare | PPO/HMO | $94.51 | ↓ -83% |
| OHCP | All Products | $102.70 | ↓ -82% |
| OMAS | All Products | $132.00 | ↓ -77% |
| MMO | SuperMed | $142.56 | ↓ -75% |
| PHPHI | All Products | $158.40 | ↓ -72% |
| OSCAR | ALL PRODUCTS | $171.94 | ↓ -70% |
| MMO | Traditional | $184.80 | ↓ -67% |
| GMS | All Products | $184.80 | ↓ -67% |
| PHPHI | ALL PRODUCTS | $194.56 | ↓ -66% |
| PHP | ALL PRODUCTS | $194.56 | ↓ -66% |
| Immergrun | All Products | $198.00 | ↓ -65% |
| Aetna | All Products First Health | $198.00 | ↓ -65% |
| CC EHP | ALL PRODUCTS | $205.50 | ↓ -64% |
| Aetna | Asa | $211.20 | ↓ -63% |
| Summacare | PREMIER | $232.26 | ↓ -59% |
| Multiplan | All Products | $237.60 | ↓ -58% |
| Aetna | Qhp/Ifp | $264.00 | ↓ -53% |
| MMO | ALL PRODUCTS | $272.38 | ↓ -52% |
| Amish Community Aid Plan | ALL PRODUCTS | $273.60 | ↓ -52% |
| ANTHEM | HPN | $278.65 | ↓ -51% |
| CIGNA | ALL PRODUCTS | $286.98 | ↓ -49% |
| ANTHEM | Exchange | $295.06 | ↓ -48% |
| OHCP | ALL PRODUCTS | $295.49 | ↓ -48% |
| OMAS | ALL PRODUCTS | $304.00 | ↓ -46% |
| Immergrun | ALL PRODUCTS | $304.00 | ↓ -46% |
| ANTHEM | PPO/HMO | $327.83 | ↓ -42% |
| Ohio Healthy | TRANSPLANT | $328.32 | ↓ -42% |
| ANTHEM | TRADITIONAL | $336.22 | ↓ -41% |
| The Health Plan | PPO | $388.15 | ↓ -32% |
| Medical Benefit Corp | Transplant SMCP | $425.60 | ↓ -25% |
| GMS | ALL PRODUCTS | $425.60 | ↓ -25% |
| AETNA | International | $425.60 | ↓ -25% |
| AETNA | ALL PRODUCTS | $456.00 | ↓ -20% |
| Consociate Health | ALL PRODUCTS | $456.00 | ↓ -20% |
| The Health Plan | Self-Funded ASO | $510.72 | ↓ -10% |
| Managed Care Services | TRANSPLANT | $547.20 | ↓ -3% |
| FrontPath | TRANSPLANT | $547.20 | ↓ -3% |
| Tertiary Care Network | TRANSPLANT | $547.20 | ↓ -3% |
| MULTIPLAN | ALL PRODUCTS | $547.20 | ↓ -3% |
| AETNA | Qhp/Ipf | $608.00 | ↑ +7% |
| The Health Plan | HMO | $608.00 | ↑ +7% |
| The Health Plan | POS | $608.00 | ↑ +7% |
| AETNA | NAP | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Mr safety determination physician/other qhp at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $566.80 | $1.10 – $547.20 |
| akron general | Akron | $566.80 | $0.87 – $547.20 |
| avon hospital | Avon | $395.20 | $0.87 – $547.20 |
| euclid hospital | Euclid | $395.20 | $0.87 – $547.20 |
| fairview hospital | Cleveland | $395.20 | $0.87 – $547.20 |
| lutheran hospital | Cleveland | $395.20 | $0.87 – $547.20 |
| hillcrest hospital | Mayfield Heights | $395.20 | $0.87 – $547.20 |
| marymount hospital | Garfield Heights | $395.20 | $0.87 – $547.20 |