Ortho elbow without jnt cstm w/fit&adj at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$206.05
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.
$317.00
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.
$54.94 with AETNA vs $315.17 with AMERIHEALTH — 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 |
|---|---|---|---|
| AETNA | MEDICARE ADVANTAGE | $54.94 | ↓ -73% |
| OSCAR | ALL PRODUCTS | $71.27 | ↓ -65% |
| Zing Health | Medicare Advantage | $75.60 | ↓ -63% |
| PHPHI | ALL PRODUCTS | $80.64 | ↓ -61% |
| PHP | ALL PRODUCTS | $80.64 | ↓ -61% |
| Summacare | Preferred | $88.45 | ↓ -57% |
| Aultcare | PPO/HMO | $90.22 | ↓ -56% |
| Summacare | PREMIER | $96.26 | ↓ -53% |
| CC EHP | ALL PRODUCTS | $97.52 | ↓ -53% |
| MMO | ALL PRODUCTS | $112.90 | ↓ -45% |
| Amish Community Aid Plan | ALL PRODUCTS | $113.40 | ↓ -45% |
| ANTHEM | HPN | $115.49 | ↓ -44% |
| CIGNA | ALL PRODUCTS | $118.94 | ↓ -42% |
| ANTHEM | Exchange | $122.30 | ↓ -41% |
| OHCP | ALL PRODUCTS | $122.47 | ↓ -41% |
| OMAS | ALL PRODUCTS | $126.00 | ↓ -39% |
| Immergrun | ALL PRODUCTS | $126.00 | ↓ -39% |
| ANTHEM | PPO/HMO | $135.88 | ↓ -34% |
| Ohio Healthy | TRANSPLANT | $136.08 | ↓ -34% |
| ANTHEM | TRADITIONAL | $139.36 | ↓ -32% |
| The Health Plan | POS | $156.11 | ↓ -24% |
| The Health Plan | HMO | $156.11 | ↓ -24% |
| The Health Plan | PPO | $160.88 | ↓ -22% |
| AETNA | International | $176.40 | ↓ -14% |
| GMS | ALL PRODUCTS | $176.40 | ↓ -14% |
| AETNA | Asa_Whirlpool_Peia | $176.40 | ↓ -14% |
| Medical Benefit Corp | Transplant SMCP | $176.40 | ↓ -14% |
| AETNA | ALL PRODUCTS | $189.00 | ↓ -8% |
| Consociate Health | ALL PRODUCTS | $189.00 | ↓ -8% |
| The Health Plan | Self-Funded ASO | $211.68 | ↑ +3% |
| Managed Care Services | TRANSPLANT | $226.80 | ↑ +10% |
| Tertiary Care Network | TRANSPLANT | $226.80 | ↑ +10% |
| MULTIPLAN | ALL PRODUCTS | $226.80 | ↑ +10% |
| FrontPath | TRANSPLANT | $226.80 | ↑ +10% |
| AETNA | Qhp/Ipf | $252.00 | ↑ +22% |
| UNITED | Managed Medicaid | $286.52 | ↑ +39% |
| Buckeye | Managed Medicaid | $295.12 | ↑ +43% |
| CARESOURCE | Managed Medicaid | $295.12 | ↑ +43% |
| MOLINA | Managed Medicaid | $300.85 | ↑ +46% |
| ANTHEM | Managed Medicaid | $300.85 | ↑ +46% |
| AMERIHEALTH | Managed Medicaid | $315.17 | ↑ +53% |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | 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 | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| MMO | Medicare HMO & PPO | not published by hospital | — |
Visitor-reported prices
Comments
Ortho elbow without jnt cstm w/fit&adj at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $621.81 | not published |
| Anderson Hospital | Cincinnati | $621.81 | not published |
| Clermont Hospital | Batavia | $621.81 | not published |
| Kings Mills Hospital | Mason | $621.81 | not published |
| Mercy West Hospital | Cincinnati | $621.81 | not published |
| St Ritas Medical Center | Lima | $2,289.32 | not published |
| cleveland clinic main campus | Cleveland | $268.45 | $1.10 – $410.00 |
| akron general | Akron | $523.90 | $175.71 – $725.40 |