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Plc pq device breast ea addl lesion MRI guide at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$332.80
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.
$512.00
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 | $38.52 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $38.52 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $39.80 | ↓ -88% |
| United | Managed Medicaid | $48.33 | ↓ -85% |
| Caresource | Managed Medicaid | $49.78 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $50.37 | ↓ -85% |
| Buckeye | Managed Medicaid | $50.75 | ↓ -85% |
| Humana | Medicare Advantage HMO | $53.07 | ↓ -84% |
| Anthem | Medicare Advantage | $53.07 | ↓ -84% |
| Aetna | Medicare Advantage | $53.07 | ↓ -84% |
| Cigna | Medicare Advantage | $53.07 | ↓ -84% |
| United | Medicare Advantage | $53.07 | ↓ -84% |
| The Health Plan | Medicare Advantage | $53.07 | ↓ -84% |
| Molina | Managed Medicaid | $53.16 | ↓ -84% |
| AmeriHealth | Managed Medicaid | $53.16 | ↓ -84% |
| MMO | Medicare HMO & PPO | $54.66 | ↓ -84% |
| Summacare | Premier | $55.72 | ↓ -83% |
| CommuniCare | Medicare Advantage | $55.72 | ↓ -83% |
| Summacare | Medicare Advantage MD | $56.30 | ↓ -83% |
| The Health Plan | PPO | $56.78 | ↓ -83% |
| Perennial Health | Medicare Advantage | $57.32 | ↓ -83% |
| The Health Plan | All Products PCP | $58.38 | ↓ -82% |
| The Health Plan | All Products Specialty Physicians | $61.03 | ↓ -82% |
| The Health Plan | All Products Radiation Oncology Physicians | $68.99 | ↓ -79% |
| Oscar | All Products | $130.10 | ↓ -61% |
| Aultcare | PPO/HMO | $183.30 | ↓ -45% |
| OHCP | All Products | $199.17 | ↓ -40% |
| OMAS | All Products | $256.00 | ↓ -23% |
| MMO | SuperMed | $276.48 | ↓ -17% |
| PHPHI | All Products | $307.20 | ↓ -8% |
| GMS | All Products | $358.40 | ↑ +8% |
| MMO | Traditional | $358.40 | ↑ +8% |
| Aetna | All Products First Health | $384.00 | ↑ +15% |
| Immergrun | All Products | $384.00 | ↑ +15% |
| Aetna | Asa | $409.60 | ↑ +23% |
| Multiplan | All Products | $460.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $512.00 | ↑ +54% |
| Cigna | All Products Mid-Level | $594.85 | ↑ +79% |
| Anthem | All Products Mid-Level Non-Facility | $636.20 | ↑ +91% |
| Cigna | All Products Physician | $702.87 | ↑ +111% |
| UNITED | Managed Medicaid | $841.30 | ↑ +153% |
| CARESOURCE | Managed Medicaid | $866.54 | ↑ +160% |
| Aetna | Acop | $869.19 | ↑ +161% |
| ANTHEM | Managed Medicaid | $883.37 | ↑ +165% |
| MOLINA | Managed Medicaid | $883.37 | ↑ +165% |
| AMERIHEALTH | Managed Medicaid | $925.43 | ↑ +178% |
| United | All Products - Mid-Level | $1,018.18 | ↑ +206% |
| United | HMO & PPO | $1,131.31 | ↑ +240% |
| United | All Products | $1,131.31 | ↑ +240% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +383448% |
| The Health Plan | POS | $4,036,081.00 | ↑ +1212665% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
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Plc pq device breast ea addl lesion MRI guide at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,372.15 | $1.10 – $1,899.90 |
| akron general | Akron | $1,372.15 | $1.10 – $1,899.90 |
| University Hospitals Ahuja Medical Center | Beachwood | $4,497.00 | $421.19 – $5,396.40 |
| University Hospitals Beachwood Medical Center | Beachwood | $4,497.00 | $198.80 – $5,396.40 |
| University Hospitals Conneaut Medical Center | Conneaut | $2,954.25 | not published |
| University Hospitals Elyria Medical Center | Elyria | $4,497.00 | $421.19 – $758.13 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $4,497.00 | $421.19 – $758.13 |
| University Hospitals Geneva Medical Center | Geneva | $2,954.25 | not published |