healthcosts.net
Nctrnl pen tmscn&/rgdity tst at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,304.55
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.
$2,007.00
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 | ↓ -100% |
| UNITED | Managed Medicaid | $40.50 | ↓ -97% |
| CARESOURCE | Managed Medicaid | $41.72 | ↓ -97% |
| Buckeye | Managed Medicaid | $41.72 | ↓ -97% |
| MOLINA | Managed Medicaid | $42.53 | ↓ -97% |
| ANTHEM | Managed Medicaid | $42.53 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $44.55 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $65.91 | ↓ -95% |
| Summacare | Preferred | $65.91 | ↓ -95% |
| Summacare | Medicare Advantage Psych | $80.15 | ↓ -94% |
| United | Managed Medicaid | $85.44 | ↓ -93% |
| Summacare | Medicare Advantage CNA | $86.19 | ↓ -93% |
| Caresource | Managed Medicaid | $88.00 | ↓ -93% |
| Molina | Managed Medicaid | $93.98 | ↓ -93% |
| AmeriHealth | Managed Medicaid | $93.98 | ↓ -93% |
| Summacare | Medicare Advantage MD | $96.33 | ↓ -93% |
| Humana | Medicare Advantage HMO | $106.86 | ↓ -92% |
| Aetna | Medicare Advantage | $106.86 | ↓ -92% |
| Anthem | Medicare Advantage | $106.86 | ↓ -92% |
| Cigna | Medicare Advantage | $106.86 | ↓ -92% |
| The Health Plan | Medicare Advantage | $106.86 | ↓ -92% |
| United | Medicare Advantage | $106.86 | ↓ -92% |
| MMO | Medicare HMO & PPO | $110.07 | ↓ -92% |
| CommuniCare | Medicare Advantage | $112.20 | ↓ -91% |
| Summacare | Premier | $112.20 | ↓ -91% |
| Perennial Health | Medicare Advantage | $115.41 | ↓ -91% |
| The Health Plan | All Products PCP | $117.55 | ↓ -91% |
| The Health Plan | All Products Specialty Physicians | $122.89 | ↓ -91% |
| The Health Plan | PPO | $128.80 | ↓ -90% |
| The Health Plan | All Products Radiation Oncology Physicians | $138.92 | ↓ -89% |
| Anthem | All Products Mid-Level Non-Facility | $144.03 | ↓ -89% |
| The Health Plan | MEDICARE ADVANTAGE | $202.25 | ↓ -84% |
| UNITED | MEDICARE ADVANTAGE | $224.72 | ↓ -83% |
| HUMANA | Medicare Advantage HMO | $224.72 | ↓ -83% |
| Oscar | All Products | $225.64 | ↓ -83% |
| Summacare | MEDICARE ADVANTAGE | $236.38 | ↓ -82% |
| ANTHEM | MEDICARE ADVANTAGE | $236.38 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $236.38 | ↓ -82% |
| United | All Products - Mid-Level | $238.89 | ↓ -82% |
| Perennial Health | MEDICARE ADVANTAGE | $242.70 | ↓ -81% |
| CIGNA | MEDICARE ADVANTAGE | $243.47 | ↓ -81% |
| CommuniCare | MEDICARE ADVANTAGE | $248.19 | ↓ -81% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $255.29 | ↓ -80% |
| United | All Products | $265.43 | ↓ -80% |
| United | HMO & PPO | $265.43 | ↓ -80% |
| Aultcare | PPO/HMO | $317.90 | ↓ -76% |
| OHCP | All Products | $345.43 | ↓ -74% |
| MMO | ALL PRODUCTS | $374.01 | ↓ -71% |
| MMO | SuperMed | $421.12 | ↓ -68% |
| OMAS | All Products | $444.00 | ↓ -66% |
| PHPHI | All Products | $532.80 | ↓ -59% |
| GMS | All Products | $621.60 | ↓ -52% |
| MMO | Traditional | $621.60 | ↓ -52% |
| Aetna | All Products First Health | $666.00 | ↓ -49% |
| Immergrun | All Products | $666.00 | ↓ -49% |
| Aetna | Asa | $710.40 | ↓ -46% |
| Multiplan | All Products | $799.20 | ↓ -39% |
| Aetna | Qhp/Ifp | $888.00 | ↓ -32% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +97746% |
| The Health Plan | POS | $4,036,081.00 | ↑ +309285% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Nctrnl pen tmscn&/rgdity tst at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,304.55 | $1.10 – $1,007.10 |
| akron general | Akron | $1,304.55 | $1.10 – $799.20 |
| avon hospital | Avon | not published | $42.29 – $260.01 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $69.05 – $79.95 |
| euclid hospital | Euclid | not published | $43.33 – $260.01 |
| fairview hospital | Cleveland | not published | $40.71 – $260.01 |
| lutheran hospital | Cleveland | not published | $38.75 – $260.01 |
| hillcrest hospital | Mayfield Heights | not published | $42.41 – $260.01 |