healthcosts.net
Photopheresis at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$500.50
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.
$770.00
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.
$1.10 with Zing Health vs $4,036,081.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Psych | $57.84 | ↓ -88% |
| Summacare | Preferred | $58.44 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $58.44 | ↓ -88% |
| United | Managed Medicaid | $71.57 | ↓ -86% |
| Caresource | Managed Medicaid | $73.72 | ↓ -85% |
| Buckeye | Managed Medicaid | $75.15 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $76.42 | ↓ -85% |
| Aetna | Medicare Advantage | $77.12 | ↓ -85% |
| United | Medicare Advantage | $77.12 | ↓ -85% |
| Cigna | Medicare Advantage | $77.12 | ↓ -85% |
| The Health Plan | Medicare Advantage | $77.12 | ↓ -85% |
| Humana | Medicare Advantage HMO | $77.12 | ↓ -85% |
| Anthem | Medicare Advantage | $77.12 | ↓ -85% |
| Molina | Managed Medicaid | $78.73 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $78.73 | ↓ -84% |
| MMO | Medicare HMO & PPO | $79.43 | ↓ -84% |
| CommuniCare | Medicare Advantage | $80.98 | ↓ -84% |
| Summacare | Premier | $80.98 | ↓ -84% |
| The Health Plan | PPO | $82.52 | ↓ -84% |
| Perennial Health | Medicare Advantage | $83.29 | ↓ -83% |
| The Health Plan | All Products PCP | $84.83 | ↓ -83% |
| Summacare | Medicare Advantage MD | $85.41 | ↓ -83% |
| The Health Plan | All Products Specialty Physicians | $88.69 | ↓ -82% |
| The Health Plan | All Products Radiation Oncology Physicians | $100.26 | ↓ -80% |
| Oscar | All Products | $195.66 | ↓ -61% |
| Aultcare | PPO/HMO | $275.66 | ↓ -45% |
| OHCP | All Products | $299.53 | ↓ -40% |
| OMAS | All Products | $385.00 | ↓ -23% |
| PHPHI | All Products | $462.00 | ↓ -8% |
| MMO | Traditional | $539.00 | ↑ +8% |
| GMS | All Products | $539.00 | ↑ +8% |
| Aetna | All Products First Health | $577.50 | ↑ +15% |
| Immergrun | All Products | $577.50 | ↑ +15% |
| Aetna | Asa | $616.00 | ↑ +23% |
| Multiplan | All Products | $693.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $770.00 | ↑ +54% |
| UNITED | Managed Medicaid | $1,410.11 | ↑ +182% |
| CARESOURCE | Managed Medicaid | $1,452.41 | ↑ +190% |
| ANTHEM | Managed Medicaid | $1,480.62 | ↑ +196% |
| MOLINA | Managed Medicaid | $1,480.62 | ↑ +196% |
| AMERIHEALTH | Managed Medicaid | $1,551.12 | ↑ +210% |
| Cigna | All Products Mid-Level | $1,606.60 | ↑ +221% |
| Anthem | All Products Mid-Level Non-Facility | $1,718.28 | ↑ +243% |
| Cigna | All Products Physician | $1,898.37 | ↑ +279% |
| United | All Products - Mid-Level | $2,790.58 | ↑ +458% |
| Aetna | Acop | $2,840.32 | ↑ +467% |
| United | All Products | $3,100.65 | ↑ +520% |
| United | HMO & PPO | $3,100.65 | ↑ +520% |
| The Health Plan | MEDICARE ADVANTAGE | $3,896.10 | ↑ +678% |
| ANTHEM | MEDICARE ADVANTAGE | $4,120.64 | ↑ +723% |
| Summacare | MEDICARE ADVANTAGE | $4,120.64 | ↑ +723% |
| AETNA | MEDICARE ADVANTAGE | $4,120.64 | ↑ +723% |
| CIGNA | MEDICARE ADVANTAGE | $4,244.26 | ↑ +748% |
| CommuniCare | MEDICARE ADVANTAGE | $4,326.67 | ↑ +764% |
| HUMANA | Medicare Advantage HMO | $4,329.00 | ↑ +765% |
| UNITED | MEDICARE ADVANTAGE | $4,329.00 | ↑ +765% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $4,450.29 | ↑ +789% |
| Perennial Health | MEDICARE ADVANTAGE | $4,675.32 | ↑ +834% |
| MMO | ALL PRODUCTS | $7,003.35 | ↑ +1299% |
| MMO | SuperMed | $7,900.93 | ↑ +1479% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +254935% |
| The Health Plan | POS | $4,036,081.00 | ↑ +806310% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Photopheresis at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $17,511.00 | $1.10 – $24,246.00 |
| akron general | Akron | $500.50 | $1.10 – $4,450.29 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road | $8,200.50 | $4,120.64 – $7,417.15 |
| avon hospital | Avon | not published | $1,472.26 – $4,532.70 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,403.66 – $2,783.19 |
| euclid hospital | Euclid | not published | $1,508.36 – $4,532.70 |
| fairview hospital | Cleveland | not published | $1,417.03 – $4,532.70 |
| lutheran hospital | Cleveland | not published | $1,349.07 – $4,532.70 |