healthcosts.net
Perq nl/pl lithotrp cplx>2cm at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$5,980.00
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.
$9,200.00
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 | $689.52 | ↓ -88% |
| Summacare | Preferred | $689.52 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $740.24 | ↓ -88% |
| Summacare | Medicare Advantage CNA | $901.68 | ↓ -85% |
| The Health Plan | Medicare Advantage | $986.98 | ↓ -83% |
| Aetna | Medicare Advantage | $986.98 | ↓ -83% |
| United | Medicare Advantage | $986.98 | ↓ -83% |
| Anthem | Medicare Advantage | $986.98 | ↓ -83% |
| Humana | Medicare Advantage HMO | $986.98 | ↓ -83% |
| Cigna | Medicare Advantage | $986.98 | ↓ -83% |
| Summacare | Medicare Advantage MD | $1,007.76 | ↓ -83% |
| United | Managed Medicaid | $1,011.55 | ↓ -83% |
| MMO | Medicare HMO & PPO | $1,016.59 | ↓ -83% |
| Summacare | Premier | $1,036.33 | ↓ -83% |
| CommuniCare | Medicare Advantage | $1,036.33 | ↓ -83% |
| Caresource | Managed Medicaid | $1,041.90 | ↓ -83% |
| The Health Plan | PPO | $1,056.07 | ↓ -82% |
| Buckeye | Managed Medicaid | $1,062.13 | ↓ -82% |
| Perennial Health | Medicare Advantage | $1,065.94 | ↓ -82% |
| The Health Plan | All Products PCP | $1,085.68 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $1,112.71 | ↓ -81% |
| Molina | Managed Medicaid | $1,112.71 | ↓ -81% |
| The Health Plan | All Products Specialty Physicians | $1,135.03 | ↓ -81% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,283.07 | ↓ -79% |
| Anthem | All Products Mid-Level Non-Facility | $1,494.16 | ↓ -75% |
| Oscar | All Products | $2,337.72 | ↓ -61% |
| United | All Products - Mid-Level | $2,493.22 | ↓ -58% |
| United | HMO & PPO | $2,770.24 | ↓ -54% |
| United | All Products | $2,770.24 | ↓ -54% |
| Aultcare | PPO/HMO | $3,293.60 | ↓ -45% |
| OHCP | All Products | $3,578.80 | ↓ -40% |
| OMAS | All Products | $4,600.00 | ↓ -23% |
| UNITED | Managed Medicaid | $4,626.34 | ↓ -23% |
| CARESOURCE | Managed Medicaid | $4,765.13 | ↓ -20% |
| MOLINA | Managed Medicaid | $4,857.66 | ↓ -19% |
| ANTHEM | Managed Medicaid | $4,857.66 | ↓ -19% |
| AMERIHEALTH | Managed Medicaid | $5,088.97 | ↓ -15% |
| PHPHI | All Products | $5,520.00 | ↓ -8% |
| MMO | Traditional | $6,440.00 | ↑ +8% |
| GMS | All Products | $6,440.00 | ↑ +8% |
| Immergrun | All Products | $6,900.00 | ↑ +15% |
| Aetna | All Products First Health | $6,900.00 | ↑ +15% |
| Aetna | Asa | $7,360.00 | ↑ +23% |
| The Health Plan | MEDICARE ADVANTAGE | $7,689.76 | ↑ +29% |
| Multiplan | All Products | $8,280.00 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $8,544.18 | ↑ +43% |
| HUMANA | Medicare Advantage HMO | $8,544.18 | ↑ +43% |
| Summacare | MEDICARE ADVANTAGE | $8,956.00 | ↑ +50% |
| ANTHEM | MEDICARE ADVANTAGE | $8,956.00 | ↑ +50% |
| AETNA | MEDICARE ADVANTAGE | $8,956.00 | ↑ +50% |
| Aetna | Qhp/Ifp | $9,200.00 | ↑ +54% |
| CIGNA | MEDICARE ADVANTAGE | $9,224.68 | ↑ +54% |
| Perennial Health | MEDICARE ADVANTAGE | $9,227.72 | ↑ +54% |
| CommuniCare | MEDICARE ADVANTAGE | $9,403.80 | ↑ +57% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $9,672.48 | ↑ +62% |
| MMO | ALL PRODUCTS | $13,941.16 | ↑ +133% |
| MMO | SuperMed | $15,728.38 | ↑ +163% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +21245% |
| The Health Plan | POS | $4,036,081.00 | ↑ +67393% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Perq nl/pl lithotrp cplx>2cm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,980.00 | $1.10 – $8,956.00 |
| akron general | Akron | $5,980.00 | $1.10 – $9,227.72 |
| avon hospital | Avon | not published | $4,830.22 – $9,851.60 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $7,886.01 – $9,131.17 |
| euclid hospital | Euclid | not published | $4,948.69 – $9,851.60 |
| fairview hospital | Cleveland | not published | $4,649.04 – $9,851.60 |
| lutheran hospital | Cleveland | not published | $4,426.04 – $9,851.60 |
| hillcrest hospital | Mayfield Heights | not published | $4,843.58 – $9,851.60 |