Oth resp proc, group at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$102.05
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.
?
What you pay up front if you don't use insurance.
$157.00
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.
$27.99 with UNITED vs $157.00 with The Health Plan — 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 |
|---|---|---|---|
| UNITED | Managed Medicaid | $27.99 | ↓ -73% |
| Buckeye | Managed Medicaid | $28.83 | ↓ -72% |
| CARESOURCE | Managed Medicaid | $28.83 | ↓ -72% |
| ANTHEM | Managed Medicaid | $29.39 | ↓ -71% |
| MOLINA | Managed Medicaid | $29.39 | ↓ -71% |
| AMERIHEALTH | Managed Medicaid | $30.79 | ↓ -70% |
| The Health Plan | MEDICARE ADVANTAGE | $32.64 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $35.34 | ↓ -65% |
| Summacare | MEDICARE ADVANTAGE | $35.34 | ↓ -65% |
| ANTHEM | MEDICARE ADVANTAGE | $35.34 | ↓ -65% |
| HUMANA | Medicare Advantage HMO | $36.27 | ↓ -64% |
| UNITED | MEDICARE ADVANTAGE | $36.27 | ↓ -64% |
| CIGNA | MEDICARE ADVANTAGE | $36.40 | ↓ -64% |
| CommuniCare | MEDICARE ADVANTAGE | $37.10 | ↓ -64% |
| MMO | Medicare HMO & PPO | $38.08 | ↓ -63% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $38.16 | ↓ -63% |
| Zing Health | Medicare Advantage | $38.87 | ↓ -62% |
| Perennial Health | MEDICARE ADVANTAGE | $39.17 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $44.40 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $50.24 | ↓ -51% |
| PHP | ALL PRODUCTS | $50.24 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $53.07 | ↓ -48% |
| Summacare | Preferred | $55.11 | ↓ -46% |
| Aultcare | PPO/HMO | $56.21 | ↓ -45% |
| Summacare | PREMIER | $59.97 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $70.65 | ↓ -31% |
| ANTHEM | HPN | $71.95 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $74.10 | ↓ -27% |
| ANTHEM | Exchange | $76.19 | ↓ -25% |
| OHCP | ALL PRODUCTS | $76.30 | ↓ -25% |
| Immergrun | ALL PRODUCTS | $78.50 | ↓ -23% |
| OMAS | ALL PRODUCTS | $78.50 | ↓ -23% |
| MMO | ALL PRODUCTS | $80.07 | ↓ -22% |
| ANTHEM | PPO/HMO | $84.65 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $84.78 | ↓ -17% |
| ANTHEM | TRADITIONAL | $86.82 | ↓ -15% |
| UNITED | ALL PRODUCTS | $94.99 | ↓ -7% |
| The Health Plan | PPO | $100.23 | ↓ -2% |
| AETNA | International | $109.90 | ↑ +8% |
| GMS | ALL PRODUCTS | $109.90 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $109.90 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $109.90 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $117.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $117.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $131.88 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $141.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $141.30 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $141.30 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $141.30 | ↑ +38% |
| The Health Plan | POS | $157.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $157.00 | ↑ +54% |
| The Health Plan | HMO | $157.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Oth resp proc, group at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $274.80 | not published |
| Anderson Hospital | Cincinnati | $274.80 | not published |
| Clermont Hospital | Batavia | $274.80 | not published |
| Mercy West Hospital | Cincinnati | $274.80 | not published |
| Trinity Medical Center East | Steubenville | $84.31 | $102.00 – $130.90 |
| cleveland clinic main campus | Cleveland | $102.05 | $18.04 – $141.30 |
| akron general | Akron | $102.05 | $24.67 – $141.30 |
| avon hospital | Avon | $102.05 | $29.22 – $141.30 |