healthcosts.net
Perq trluml angp nt/recr coa at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,810.60
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.
$4,324.00
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 | Preferred | $352.16 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $352.16 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $374.36 | ↓ -87% |
| United | Managed Medicaid | $449.83 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $460.51 | ↓ -84% |
| Caresource | Managed Medicaid | $463.32 | ↓ -84% |
| Buckeye | Managed Medicaid | $472.32 | ↓ -83% |
| Molina | Managed Medicaid | $494.81 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $494.81 | ↓ -82% |
| United | Medicare Advantage | $499.14 | ↓ -82% |
| Anthem | Medicare Advantage | $499.14 | ↓ -82% |
| The Health Plan | Medicare Advantage | $499.14 | ↓ -82% |
| Cigna | Medicare Advantage | $499.14 | ↓ -82% |
| Aetna | Medicare Advantage | $499.14 | ↓ -82% |
| Humana | Medicare Advantage HMO | $499.14 | ↓ -82% |
| MMO | Medicare HMO & PPO | $514.11 | ↓ -82% |
| Summacare | Medicare Advantage MD | $514.69 | ↓ -82% |
| Summacare | Premier | $524.10 | ↓ -81% |
| CommuniCare | Medicare Advantage | $524.10 | ↓ -81% |
| The Health Plan | PPO | $534.08 | ↓ -81% |
| Perennial Health | Medicare Advantage | $539.07 | ↓ -81% |
| The Health Plan | All Products PCP | $549.05 | ↓ -80% |
| The Health Plan | All Products Specialty Physicians | $574.01 | ↓ -80% |
| The Health Plan | All Products Radiation Oncology Physicians | $648.88 | ↓ -77% |
| Anthem | All Products Mid-Level Non-Facility | $773.06 | ↓ -72% |
| MMO | SuperMed | $982.02 | ↓ -65% |
| Oscar | All Products | $1,098.73 | ↓ -61% |
| United | All Products - Mid-Level | $1,278.43 | ↓ -55% |
| United | All Products | $1,420.48 | ↓ -49% |
| United | HMO & PPO | $1,420.48 | ↓ -49% |
| Aultcare | PPO/HMO | $1,547.99 | ↓ -45% |
| OHCP | All Products | $1,682.04 | ↓ -40% |
| OMAS | All Products | $2,162.00 | ↓ -23% |
| PHPHI | All Products | $2,594.40 | ↓ -8% |
| MMO | Traditional | $3,026.80 | ↑ +8% |
| GMS | All Products | $3,026.80 | ↑ +8% |
| Aetna | All Products First Health | $3,243.00 | ↑ +15% |
| Immergrun | All Products | $3,243.00 | ↑ +15% |
| Aetna | Asa | $3,459.20 | ↑ +23% |
| Multiplan | All Products | $3,891.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $4,324.00 | ↑ +54% |
| UNITED | Managed Medicaid | $4,786.74 | ↑ +70% |
| CARESOURCE | Managed Medicaid | $4,930.34 | ↑ +75% |
| ANTHEM | Managed Medicaid | $5,026.08 | ↑ +79% |
| MOLINA | Managed Medicaid | $5,026.08 | ↑ +79% |
| AMERIHEALTH | Managed Medicaid | $5,265.41 | ↑ +87% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +45315% |
| The Health Plan | POS | $4,036,081.00 | ↑ +143502% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Perq trluml angp nt/recr coa at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,373.20 | $1.10 – $6,797.55 |
| akron general | Akron | $2,810.60 | $1.10 – $5,395.71 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $1,138.50 | $496.66 – $893.99 |
| avon hospital | Avon | not published | $4,997.70 – $5,092.89 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $8,159.42 – $9,447.75 |
| euclid hospital | Euclid | not published | $5,120.26 – $5,928.73 |
| fairview hospital | Cleveland | not published | $4,810.23 – $5,569.74 |
| lutheran hospital | Cleveland | not published | $4,579.50 – $5,302.58 |