Npsy tst eval phsy/qhp 1st hr at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,034.80
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.
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What you pay up front if you don't use insurance.
$1,592.00
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 $1,592.00 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% |
| Summacare | Medicare Advantage Lower Level | $65.96 | ↓ -94% |
| Summacare | Medicare Advantage Psych | $73.58 | ↓ -93% |
| Summacare | Preferred | $76.10 | ↓ -93% |
| United | Managed Medicaid | $85.69 | ↓ -92% |
| Summacare | Medicare Advantage CNA | $86.25 | ↓ -92% |
| Caresource | Managed Medicaid | $88.26 | ↓ -91% |
| Buckeye | Managed Medicaid | $89.97 | ↓ -91% |
| Molina | Managed Medicaid | $94.26 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $94.26 | ↓ -91% |
| Summacare | Medicare Advantage MD | $96.40 | ↓ -91% |
| The Health Plan | Medicare Advantage | $98.11 | ↓ -91% |
| Aetna | Medicare Advantage | $98.11 | ↓ -91% |
| Cigna | Medicare Advantage | $98.11 | ↓ -91% |
| Anthem | Medicare Advantage | $98.11 | ↓ -91% |
| Humana | Medicare Advantage HMO | $98.11 | ↓ -91% |
| United | Medicare Advantage | $98.11 | ↓ -91% |
| MMO | Medicare HMO & PPO | $101.05 | ↓ -90% |
| CommuniCare | Medicare Advantage | $103.02 | ↓ -90% |
| Summacare | Premier | $103.02 | ↓ -90% |
| Perennial Health | Medicare Advantage | $105.96 | ↓ -90% |
| The Health Plan | All Products PCP | $107.92 | ↓ -90% |
| The Health Plan | All Products Specialty Physicians | $112.83 | ↓ -89% |
| The Health Plan | All Products Radiation Oncology Physicians | $127.54 | ↓ -88% |
| Cigna | All Products Mid-Level | $161.32 | ↓ -84% |
| UNITED | Managed Medicaid | $168.27 | ↓ -84% |
| Anthem | All Products Mid-Level Non-Facility | $172.53 | ↓ -83% |
| CARESOURCE | Managed Medicaid | $173.32 | ↓ -83% |
| MOLINA | Managed Medicaid | $176.68 | ↓ -83% |
| ANTHEM | Managed Medicaid | $176.68 | ↓ -83% |
| Aetna | Acop | $182.77 | ↓ -82% |
| AMERIHEALTH | Managed Medicaid | $185.10 | ↓ -82% |
| Cigna | All Products Physician | $190.61 | ↓ -82% |
| Oscar | All Products | $286.12 | ↓ -72% |
| United | All Products - Mid-Level | $297.41 | ↓ -71% |
| United | HMO & PPO | $330.46 | ↓ -68% |
| United | All Products | $330.46 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $353.04 | ↓ -66% |
| AETNA | MEDICARE ADVANTAGE | $353.04 | ↓ -66% |
| ANTHEM | MEDICARE ADVANTAGE | $353.04 | ↓ -66% |
| CIGNA | MEDICARE ADVANTAGE | $363.63 | ↓ -65% |
| CommuniCare | MEDICARE ADVANTAGE | $370.69 | ↓ -64% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $381.28 | ↓ -63% |
| Aultcare | PPO/HMO | $403.11 | ↓ -61% |
| OHCP | All Products | $438.01 | ↓ -58% |
| The Health Plan | MEDICARE ADVANTAGE | $441.24 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $450.22 | ↓ -56% |
| HUMANA | Medicare Advantage HMO | $490.26 | ↓ -53% |
| UNITED | MEDICARE ADVANTAGE | $490.26 | ↓ -53% |
| PHP | ALL PRODUCTS | $509.44 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $509.44 | ↓ -51% |
| Perennial Health | MEDICARE ADVANTAGE | $529.48 | ↓ -49% |
| CC EHP | ALL PRODUCTS | $538.10 | ↓ -48% |
| OMAS | All Products | $563.00 | ↓ -46% |
| Summacare | PREMIER | $608.14 | ↓ -41% |
| PHPHI | All Products | $675.60 | ↓ -35% |
| Amish Community Aid Plan | ALL PRODUCTS | $716.40 | ↓ -31% |
| ANTHEM | HPN | $729.61 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $751.42 | ↓ -27% |
| ANTHEM | Exchange | $772.60 | ↓ -25% |
| OHCP | ALL PRODUCTS | $773.71 | ↓ -25% |
| MMO | Traditional | $788.20 | ↓ -24% |
| GMS | All Products | $788.20 | ↓ -24% |
| OMAS | ALL PRODUCTS | $796.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $796.00 | ↓ -23% |
| Immergrun | All Products | $844.50 | ↓ -18% |
| Aetna | All Products First Health | $844.50 | ↓ -18% |
| ANTHEM | PPO/HMO | $858.41 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $859.68 | ↓ -17% |
| ANTHEM | TRADITIONAL | $880.38 | ↓ -15% |
| Aetna | Asa | $900.80 | ↓ -13% |
| MMO | SuperMed | $915.71 | ↓ -12% |
| UNITED | ALL PRODUCTS | $963.16 | ↓ -7% |
| Multiplan | All Products | $1,013.40 | ↓ -2% |
| The Health Plan | PPO | $1,016.33 | ↓ -2% |
| MMO | ALL PRODUCTS | $1,070.11 | ↑ +3% |
| AETNA | International | $1,114.40 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $1,114.40 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,114.40 | ↑ +8% |
| GMS | ALL PRODUCTS | $1,114.40 | ↑ +8% |
| Aetna | Qhp/Ifp | $1,126.00 | ↑ +9% |
| Consociate Health | ALL PRODUCTS | $1,194.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $1,194.00 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $1,337.28 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $1,432.80 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,432.80 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,432.80 | ↑ +38% |
| FrontPath | TRANSPLANT | $1,432.80 | ↑ +38% |
| The Health Plan | POS | $1,592.00 | ↑ +54% |
| The Health Plan | HMO | $1,592.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $1,592.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Npsy tst eval phsy/qhp 1st hr at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,034.80 | $1.10 – $1,432.80 |
| akron general | Akron | $1,034.80 | $1.10 – $1,432.80 |
| avon hospital | Avon | $1,034.80 | $175.69 – $1,432.80 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1,034.80 | $170.98 – $1,432.80 |
| euclid hospital | Euclid | $1,034.80 | $180.00 – $1,432.80 |
| fairview hospital | Cleveland | $1,034.80 | $169.10 – $1,432.80 |
| lutheran hospital | Cleveland | $1,034.80 | $160.99 – $1,432.80 |
| hillcrest hospital | Mayfield Heights | $1,034.80 | $176.17 – $1,432.80 |