Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$208.00
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.
$320.00
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 $320.00 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 | ↓ -99% |
| Summacare | Preferred | $30.62 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $30.62 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $35.55 | ↓ -83% |
| United | All Products - Mid-Level | $39.75 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $40.04 | ↓ -81% |
| United | Managed Medicaid | $42.83 | ↓ -79% |
| Caresource | Managed Medicaid | $44.11 | ↓ -79% |
| United | HMO & PPO | $44.16 | ↓ -79% |
| United | All Products | $44.16 | ↓ -79% |
| Summacare | Medicare Advantage MD | $44.75 | ↓ -78% |
| Buckeye | Managed Medicaid | $44.97 | ↓ -78% |
| Molina | Managed Medicaid | $47.11 | ↓ -77% |
| AmeriHealth | Managed Medicaid | $47.11 | ↓ -77% |
| The Health Plan | Medicare Advantage | $47.40 | ↓ -77% |
| United | Medicare Advantage | $47.40 | ↓ -77% |
| Aetna | Medicare Advantage | $47.40 | ↓ -77% |
| Anthem | Medicare Advantage | $47.40 | ↓ -77% |
| Cigna | Medicare Advantage | $47.40 | ↓ -77% |
| Humana | Medicare Advantage HMO | $47.40 | ↓ -77% |
| Oscar | All Products | $48.79 | ↓ -77% |
| MMO | Medicare HMO & PPO | $48.82 | ↓ -77% |
| CommuniCare | Medicare Advantage | $49.77 | ↓ -76% |
| Summacare | Premier | $49.77 | ↓ -76% |
| Perennial Health | Medicare Advantage | $51.19 | ↓ -75% |
| The Health Plan | All Products PCP | $52.14 | ↓ -75% |
| The Health Plan | All Products Specialty Physicians | $54.51 | ↓ -74% |
| The Health Plan | MEDICARE ADVANTAGE | $59.81 | ↓ -71% |
| The Health Plan | All Products Radiation Oncology Physicians | $61.62 | ↓ -70% |
| UNITED | MEDICARE ADVANTAGE | $66.46 | ↓ -68% |
| HUMANA | Medicare Advantage HMO | $66.46 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $66.62 | ↓ -68% |
| ANTHEM | MEDICARE ADVANTAGE | $66.62 | ↓ -68% |
| Summacare | MEDICARE ADVANTAGE | $66.62 | ↓ -68% |
| CIGNA | MEDICARE ADVANTAGE | $68.62 | ↓ -67% |
| Aultcare | PPO/HMO | $68.74 | ↓ -67% |
| Anthem | All Products Mid-Level Non-Facility | $68.87 | ↓ -67% |
| UNITED | Managed Medicaid | $69.37 | ↓ -67% |
| CommuniCare | MEDICARE ADVANTAGE | $69.95 | ↓ -66% |
| CARESOURCE | Managed Medicaid | $71.45 | ↓ -66% |
| Perennial Health | MEDICARE ADVANTAGE | $71.78 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $71.95 | ↓ -65% |
| ANTHEM | Managed Medicaid | $72.84 | ↓ -65% |
| MOLINA | Managed Medicaid | $72.84 | ↓ -65% |
| OHCP | All Products | $74.69 | ↓ -64% |
| AMERIHEALTH | Managed Medicaid | $76.31 | ↓ -63% |
| MMO | SuperMed | $86.02 | ↓ -59% |
| OSCAR | ALL PRODUCTS | $90.50 | ↓ -56% |
| OMAS | All Products | $96.00 | ↓ -54% |
| PHP | ALL PRODUCTS | $102.40 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $102.40 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $108.16 | ↓ -48% |
| PHPHI | All Products | $115.20 | ↓ -45% |
| Summacare | PREMIER | $122.24 | ↓ -41% |
| AETNA | Asa_Whirlpool_Peia | $124.16 | ↓ -40% |
| AETNA | International | $130.24 | ↓ -37% |
| GMS | All Products | $134.40 | ↓ -35% |
| MMO | Traditional | $134.40 | ↓ -35% |
| Amish Community Aid Plan | ALL PRODUCTS | $144.00 | ↓ -31% |
| Immergrun | All Products | $144.00 | ↓ -31% |
| Aetna | All Products First Health | $144.00 | ↓ -31% |
| ANTHEM | HPN | $146.66 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $151.04 | ↓ -27% |
| Aetna | Asa | $153.60 | ↓ -26% |
| ANTHEM | Exchange | $155.30 | ↓ -25% |
| OHCP | ALL PRODUCTS | $155.52 | ↓ -25% |
| MMO | ALL PRODUCTS | $157.51 | ↓ -24% |
| OMAS | ALL PRODUCTS | $160.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $160.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $172.54 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $172.80 | ↓ -17% |
| Multiplan | All Products | $172.80 | ↓ -17% |
| ANTHEM | TRADITIONAL | $176.96 | ↓ -15% |
| Aetna | Qhp/Ifp | $192.00 | ↓ -8% |
| The Health Plan | PPO | $204.29 | ↓ -2% |
| GMS | ALL PRODUCTS | $224.00 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $224.00 | ↑ +8% |
| AETNA | ALL PRODUCTS | $240.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $240.00 | ↑ +15% |
| UNITED | ALL PRODUCTS | $254.00 | ↑ +22% |
| The Health Plan | Self-Funded ASO | $268.80 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $288.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $288.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $288.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $288.00 | ↑ +38% |
| AETNA | Qhp/Ipf | $320.00 | ↑ +54% |
| The Health Plan | HMO | $320.00 | ↑ +54% |
| The Health Plan | POS | $320.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $81.00 | not published |
| Anderson Hospital | Cincinnati | $85.20 | not published |
| Clermont Hospital | Batavia | $81.00 | not published |
| Kings Mills Hospital | Mason | $81.00 | not published |
| Mercy West Hospital | Cincinnati | $85.20 | not published |
| cleveland clinic main campus | Cleveland | $208.00 | $1.10 – $288.00 |
| akron general | Akron | $208.00 | $1.10 – $288.00 |
| avon hospital | Avon | $208.00 | $66.46 – $288.00 |