healthcosts.net
Nrv grf mltst arm/leg >4 cm at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$5,452.20
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.
$8,388.00
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.
$1.10 with Zing Health vs $11,373.82 with MMO — 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $844.97 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $844.97 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $906.09 | ↓ -83% |
| United | Managed Medicaid | $969.03 | ↓ -82% |
| Caresource | Managed Medicaid | $998.10 | ↓ -82% |
| Buckeye | Managed Medicaid | $1,017.48 | ↓ -81% |
| AmeriHealth | Managed Medicaid | $1,065.93 | ↓ -80% |
| Molina | Managed Medicaid | $1,065.93 | ↓ -80% |
| Summacare | Medicare Advantage CNA | $1,104.96 | ↓ -80% |
| Anthem | Medicare Advantage | $1,208.12 | ↓ -78% |
| Humana | Medicare Advantage HMO | $1,208.12 | ↓ -78% |
| United | Medicare Advantage | $1,208.12 | ↓ -78% |
| The Health Plan | Medicare Advantage | $1,208.12 | ↓ -78% |
| Cigna | Medicare Advantage | $1,208.12 | ↓ -78% |
| Aetna | Medicare Advantage | $1,208.12 | ↓ -78% |
| Summacare | Medicare Advantage MD | $1,234.95 | ↓ -77% |
| MMO | Medicare HMO & PPO | $1,244.36 | ↓ -77% |
| Summacare | Premier | $1,268.53 | ↓ -77% |
| CommuniCare | Medicare Advantage | $1,268.53 | ↓ -77% |
| Perennial Health | Medicare Advantage | $1,304.77 | ↓ -76% |
| The Health Plan | All Products PCP | $1,328.93 | ↓ -76% |
| The Health Plan | All Products Specialty Physicians | $1,389.34 | ↓ -75% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,570.56 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $1,834.47 | ↓ -66% |
| Oscar | All Products | $2,131.39 | ↓ -61% |
| UNITED | Managed Medicaid | $2,899.30 | ↓ -47% |
| CARESOURCE | Managed Medicaid | $2,986.28 | ↓ -45% |
| Aultcare | PPO/HMO | $3,002.90 | ↓ -45% |
| ANTHEM | Managed Medicaid | $3,044.27 | ↓ -44% |
| MOLINA | Managed Medicaid | $3,044.27 | ↓ -44% |
| United | All Products - Mid-Level | $3,047.48 | ↓ -44% |
| AMERIHEALTH | Managed Medicaid | $3,189.23 | ↓ -42% |
| OHCP | All Products | $3,262.93 | ↓ -40% |
| United | All Products | $3,386.09 | ↓ -38% |
| United | HMO & PPO | $3,386.09 | ↓ -38% |
| OMAS | All Products | $4,194.00 | ↓ -23% |
| PHPHI | All Products | $5,032.80 | ↓ -8% |
| The Health Plan | MEDICARE ADVANTAGE | $5,325.51 | ↓ -2% |
| GMS | All Products | $5,871.60 | ↑ +8% |
| MMO | Traditional | $5,871.60 | ↑ +8% |
| HUMANA | Medicare Advantage HMO | $5,917.23 | ↑ +9% |
| UNITED | MEDICARE ADVANTAGE | $5,917.23 | ↑ +9% |
| Immergrun | All Products | $6,291.00 | ↑ +15% |
| Aetna | All Products First Health | $6,291.00 | ↑ +15% |
| Perennial Health | MEDICARE ADVANTAGE | $6,390.61 | ↑ +17% |
| Aetna | Asa | $6,710.40 | ↑ +23% |
| Multiplan | All Products | $7,549.20 | ↑ +38% |
| AETNA | MEDICARE ADVANTAGE | $8,302.63 | ↑ +52% |
| Summacare | MEDICARE ADVANTAGE | $8,302.63 | ↑ +52% |
| ANTHEM | MEDICARE ADVANTAGE | $8,302.63 | ↑ +52% |
| Aetna | Qhp/Ifp | $8,388.00 | ↑ +54% |
| CIGNA | MEDICARE ADVANTAGE | $8,551.71 | ↑ +57% |
| CommuniCare | MEDICARE ADVANTAGE | $8,717.76 | ↑ +60% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $8,966.84 | ↑ +64% |
| MMO | ALL PRODUCTS | $10,080.89 | ↑ +85% |
| MMO | SuperMed | $11,373.82 | ↑ +109% |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Nrv grf mltst arm/leg >4 cm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,452.20 | $1.10 – $8,302.63 |
| akron general | Akron | $5,452.20 | $1.10 – $8,551.71 |
| avon hospital | Avon | not published | $3,027.08 – $9,132.89 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,942.12 – $5,722.45 |
| euclid hospital | Euclid | not published | $3,101.31 – $9,132.89 |
| fairview hospital | Cleveland | not published | $2,913.53 – $9,132.89 |
| lutheran hospital | Cleveland | not published | $2,773.77 – $9,132.89 |
| hillcrest hospital | Mayfield Heights | not published | $3,035.44 – $9,132.89 |