Oral everolimus at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$51.32
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.
$78.96
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.
$2.17 with AETNA vs $20.08 with AETNA — 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $2.17 | ↓ -96% |
| Summacare | Preferred | $2.25 | ↓ -96% |
| CIGNA | ALL PRODUCTS | $2.54 | ↓ -95% |
| AETNA | MEDICARE ADVANTAGE | $4.38 | ↓ -91% |
| UNITED | ALL PRODUCTS | $4.99 | ↓ -90% |
| AETNA | International | $5.29 | ↓ -90% |
| OSCAR | ALL PRODUCTS | $5.68 | ↓ -89% |
| Zing Health | Medicare Advantage | $6.02 | ↓ -88% |
| PHP | ALL PRODUCTS | $6.43 | ↓ -87% |
| PHPHI | ALL PRODUCTS | $6.43 | ↓ -87% |
| CC EHP | ALL PRODUCTS | $6.79 | ↓ -87% |
| Aultcare | PPO/HMO | $7.19 | ↓ -86% |
| Summacare | PREMIER | $7.67 | ↓ -85% |
| MMO | ALL PRODUCTS | $9.00 | ↓ -82% |
| Amish Community Aid Plan | ALL PRODUCTS | $9.04 | ↓ -82% |
| ANTHEM | HPN | $9.20 | ↓ -82% |
| ANTHEM | Exchange | $9.74 | ↓ -81% |
| OHCP | ALL PRODUCTS | $9.76 | ↓ -81% |
| OMAS | ALL PRODUCTS | $10.04 | ↓ -80% |
| Immergrun | ALL PRODUCTS | $10.04 | ↓ -80% |
| ANTHEM | PPO/HMO | $10.83 | ↓ -79% |
| Ohio Healthy | TRANSPLANT | $10.84 | ↓ -79% |
| ANTHEM | TRADITIONAL | $11.10 | ↓ -78% |
| The Health Plan | HMO | $12.44 | ↓ -76% |
| The Health Plan | POS | $12.44 | ↓ -76% |
| The Health Plan | PPO | $12.82 | ↓ -75% |
| GMS | ALL PRODUCTS | $14.06 | ↓ -73% |
| Medical Benefit Corp | Transplant SMCP | $14.06 | ↓ -73% |
| AETNA | ALL PRODUCTS | $15.06 | ↓ -71% |
| Consociate Health | ALL PRODUCTS | $15.06 | ↓ -71% |
| The Health Plan | Self-Funded ASO | $16.87 | ↓ -67% |
| Tertiary Care Network | TRANSPLANT | $18.07 | ↓ -65% |
| MULTIPLAN | ALL PRODUCTS | $18.07 | ↓ -65% |
| FrontPath | TRANSPLANT | $18.07 | ↓ -65% |
| Managed Care Services | TRANSPLANT | $18.07 | ↓ -65% |
| AETNA | Qhp/Ipf | $20.08 | ↓ -61% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CARESOURCE | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | Managed Medicaid | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| UNITED | Managed Medicaid | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Oral everolimus at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Ritas Medical Center | Lima | $88.50 | not published |
| akron general | Akron | $51.32 | $2.10 – $18.07 |
| avon hospital | Avon | $51.32 | $2.10 – $18.07 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $51.32 | $5.68 – $18.07 |
| euclid hospital | Euclid | $51.32 | $2.10 – $18.07 |
| fairview hospital | Cleveland | $51.32 | $2.10 – $18.07 |
| lutheran hospital | Cleveland | $51.32 | $2.10 – $18.07 |
| hillcrest hospital | Mayfield Heights | $51.32 | $2.10 – $18.07 |