Opn exc/dstr ntra-abd 5.1-10 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$8,193.90
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.
$12,606.00
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% |
| Summacare | Medicare Advantage Lower Level | $1,036.61 | ↓ -87% |
| Summacare | Preferred | $1,036.61 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $1,140.75 | ↓ -86% |
| United | Managed Medicaid | $1,263.23 | ↓ -85% |
| Caresource | Managed Medicaid | $1,301.13 | ↓ -84% |
| Buckeye | Managed Medicaid | $1,326.39 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $1,355.57 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $1,389.55 | ↓ -83% |
| Molina | Managed Medicaid | $1,389.55 | ↓ -83% |
| Summacare | Medicare Advantage MD | $1,515.05 | ↓ -82% |
| Aetna | Medicare Advantage | $1,521.00 | ↓ -81% |
| Cigna | Medicare Advantage | $1,521.00 | ↓ -81% |
| Humana | Medicare Advantage HMO | $1,521.00 | ↓ -81% |
| Anthem | Medicare Advantage | $1,521.00 | ↓ -81% |
| United | Medicare Advantage | $1,521.00 | ↓ -81% |
| The Health Plan | Medicare Advantage | $1,521.00 | ↓ -81% |
| MMO | Medicare HMO & PPO | $1,566.63 | ↓ -81% |
| CommuniCare | Medicare Advantage | $1,597.05 | ↓ -81% |
| Summacare | Premier | $1,597.05 | ↓ -81% |
| The Health Plan | PPO | $1,627.47 | ↓ -80% |
| Perennial Health | Medicare Advantage | $1,642.68 | ↓ -80% |
| UNITED | Managed Medicaid | $1,655.18 | ↓ -80% |
| The Health Plan | All Products PCP | $1,673.10 | ↓ -80% |
| CARESOURCE | Managed Medicaid | $1,704.84 | ↓ -79% |
| ANTHEM | Managed Medicaid | $1,737.94 | ↓ -79% |
| MOLINA | Managed Medicaid | $1,737.94 | ↓ -79% |
| The Health Plan | All Products Specialty Physicians | $1,749.15 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $1,820.70 | ↓ -78% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,977.30 | ↓ -76% |
| Anthem | All Products Mid-Level Non-Facility | $2,169.58 | ↓ -74% |
| Oscar | All Products | $3,203.18 | ↓ -61% |
| Aultcare | PPO/HMO | $4,512.95 | ↓ -45% |
| United | All Products - Mid-Level | $4,598.59 | ↓ -44% |
| OHCP | All Products | $4,903.73 | ↓ -40% |
| United | All Products | $4,956.36 | ↓ -40% |
| OMAS | All Products | $6,303.00 | ↓ -23% |
| MMO | SuperMed | $6,807.24 | ↓ -17% |
| PHPHI | All Products | $7,563.60 | ↓ -8% |
| GMS | All Products | $8,824.20 | ↑ +8% |
| MMO | Traditional | $8,824.20 | ↑ +8% |
| Immergrun | All Products | $9,454.50 | ↑ +15% |
| Aetna | All Products First Health | $9,454.50 | ↑ +15% |
| Aetna | Asa | $10,084.80 | ↑ +23% |
| Multiplan | All Products | $11,345.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $12,606.00 | ↑ +54% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +15478% |
| The Health Plan | POS | $4,036,081.00 | ↑ +49157% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Opn exc/dstr ntra-abd 5.1-10 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $8,193.90 | $1.10 – $11,345.40 |
| akron general | Akron | $8,193.90 | $1.10 – $11,345.40 |
| avon hospital | Avon | not published | $1,728.12 – $1,761.04 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,821.41 – $3,266.89 |
| euclid hospital | Euclid | not published | $1,770.51 – $2,050.06 |
| fairview hospital | Cleveland | not published | $1,663.31 – $1,925.94 |
| lutheran hospital | Cleveland | not published | $1,583.52 – $1,833.55 |
| hillcrest hospital | Mayfield Heights | not published | $1,732.90 – $2,006.52 |