Porfimer sodium injection at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$72,767.76
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.
$111,950.40
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.
$2.17 with AETNA vs $111,950.40 with AETNA — 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $2.17 | ↓ -100% |
| UNITED | Managed Medicaid | $14,742.28 | ↓ -80% |
| Buckeye | Managed Medicaid | $15,184.55 | ↓ -79% |
| CARESOURCE | Managed Medicaid | $15,184.55 | ↓ -79% |
| ANTHEM | Managed Medicaid | $15,479.39 | ↓ -79% |
| MOLINA | Managed Medicaid | $15,479.39 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $16,216.51 | ↓ -78% |
| The Health Plan | MEDICARE ADVANTAGE | $21,483.13 | ↓ -70% |
| UNITED | MEDICARE ADVANTAGE | $23,870.14 | ↓ -67% |
| HUMANA | Medicare Advantage HMO | $23,870.14 | ↓ -67% |
| AETNA | MEDICARE ADVANTAGE | $24,228.42 | ↓ -67% |
| ANTHEM | MEDICARE ADVANTAGE | $24,228.42 | ↓ -67% |
| Summacare | MEDICARE ADVANTAGE | $24,228.42 | ↓ -67% |
| CIGNA | MEDICARE ADVANTAGE | $24,955.27 | ↓ -66% |
| MMO | Medicare HMO & PPO | $25,063.65 | ↓ -66% |
| CommuniCare | MEDICARE ADVANTAGE | $25,439.84 | ↓ -65% |
| Perennial Health | MEDICARE ADVANTAGE | $25,779.75 | ↓ -65% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $26,166.69 | ↓ -64% |
| Zing Health | Medicare Advantage | $26,651.26 | ↓ -63% |
| OSCAR | ALL PRODUCTS | $31,659.57 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $35,824.13 | ↓ -51% |
| PHP | ALL PRODUCTS | $35,824.13 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $37,839.24 | ↓ -48% |
| Summacare | Preferred | $39,294.59 | ↓ -46% |
| Aultcare | PPO/HMO | $40,078.24 | ↓ -45% |
| MMO | ALL PRODUCTS | $40,548.45 | ↓ -44% |
| Summacare | PREMIER | $42,765.05 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $50,377.68 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $51,147.34 | ↓ -30% |
| ANTHEM | HPN | $51,306.87 | ↓ -29% |
| UNITED | ALL PRODUCTS | $52,091.10 | ↓ -28% |
| ANTHEM | Exchange | $54,329.53 | ↓ -25% |
| OHCP | ALL PRODUCTS | $54,407.89 | ↓ -25% |
| Immergrun | ALL PRODUCTS | $55,975.20 | ↓ -23% |
| OMAS | ALL PRODUCTS | $55,975.20 | ↓ -23% |
| ANTHEM | PPO/HMO | $60,363.66 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $60,453.22 | ↓ -17% |
| ANTHEM | TRADITIONAL | $61,908.57 | ↓ -15% |
| AETNA | International | $63,811.73 | ↓ -12% |
| The Health Plan | HMO | $69,353.27 | ↓ -5% |
| The Health Plan | POS | $69,353.27 | ↓ -5% |
| The Health Plan | PPO | $71,469.14 | ↓ -2% |
| Medical Benefit Corp | Transplant SMCP | $78,365.28 | ↑ +8% |
| GMS | ALL PRODUCTS | $78,365.28 | ↑ +8% |
| AETNA | ALL PRODUCTS | $83,962.80 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $83,962.80 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $94,038.34 | ↑ +29% |
| FrontPath | TRANSPLANT | $100,755.36 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $100,755.36 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $100,755.36 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $100,755.36 | ↑ +38% |
| AETNA | Qhp/Ipf | $111,950.40 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Porfimer sodium injection at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $72,767.76 | $2.17 – $100,755.36 |
| avon hospital | Avon | $72,767.76 | $15,391.98 – $100,755.36 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $72,767.76 | $25,129.52 – $100,755.36 |
| euclid hospital | Euclid | $72,767.76 | $15,769.48 – $100,755.36 |
| fairview hospital | Cleveland | $72,767.76 | $2.17 – $100,755.36 |
| lutheran hospital | Cleveland | $72,767.76 | $14,104.02 – $100,755.36 |
| hillcrest hospital | Mayfield Heights | $72,767.76 | $2.17 – $100,755.36 |
| lodi hospital | Lodi | $72,767.76 | $23,870.14 – $100,755.36 |