MRA without cont, abd at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
not published by hospital
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.
not published by hospital
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.
$201.01 with The Health Plan vs $1,165.03 with UNITED — 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 |
|---|---|---|---|
| The Health Plan | MEDICARE ADVANTAGE | $201.01 | — |
| HUMANA | Medicare Advantage HMO | $223.34 | — |
| UNITED | MEDICARE ADVANTAGE | $223.34 | — |
| ANTHEM | MEDICARE ADVANTAGE | $225.74 | — |
| Summacare | MEDICARE ADVANTAGE | $225.74 | — |
| AETNA | MEDICARE ADVANTAGE | $225.74 | — |
| CIGNA | MEDICARE ADVANTAGE | $232.51 | — |
| MMO | Medicare HMO & PPO | $234.51 | — |
| CommuniCare | MEDICARE ADVANTAGE | $237.02 | — |
| Perennial Health | MEDICARE ADVANTAGE | $241.21 | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | $243.79 | — |
| Zing Health | Medicare Advantage | $248.31 | — |
| UNITED | Managed Medicaid | $253.39 | — |
| CARESOURCE | Managed Medicaid | $260.99 | — |
| Buckeye | Managed Medicaid | $260.99 | — |
| ANTHEM | Managed Medicaid | $266.06 | — |
| MOLINA | Managed Medicaid | $266.06 | — |
| AMERIHEALTH | Managed Medicaid | $278.73 | — |
| MMO | ALL PRODUCTS | $370.82 | — |
| UNITED | ALL PRODUCTS | $1,165.03 | — |
Visitor-reported prices
Comments
MRA without cont, abd at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $1,764.03 | $1,502.00 – $2,738.89 |
| Allen Hospital | Oberlin | $1,690.80 | not published |
| Urbana Hospital | Urbana | $2,806.80 | not published |
| Kettering Health Main Campus (Kettering) | Kettering | $962.40 | $235.10 – $631.61 |
| Kettering Health Dayton (Grandview) | Dayton | $962.40 | $235.10 – $631.61 |
| Defiance Hospital | Defiance | $2,952.60 | not published |
| Kettering Health Miamisburg (Sycamore) | Miamisburg | $962.40 | $236.56 – $635.54 |
| Willard Hospital | Willard | $2,860.20 | not published |