Pr management transitional care moderate w/in 14 days of discharge at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$722.80
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.
$1,112.00
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.
$0.01 with CIGNA vs $889.00 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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | ↓ -100% |
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Oscar | All Products | $6.35 | ↓ -99% |
| Aultcare | PPO/HMO | $8.95 | ↓ -99% |
| OHCP | All Products | $9.73 | ↓ -99% |
| OMAS | All Products | $12.50 | ↓ -98% |
| PHPHI | All Products | $15.00 | ↓ -98% |
| MMO | Traditional | $17.50 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $17.50 | ↓ -98% |
| Summacare | Preferred | $17.50 | ↓ -98% |
| GMS | All Products | $17.50 | ↓ -98% |
| UNITED | Managed Medicaid | $17.82 | ↓ -98% |
| Buckeye | Managed Medicaid | $18.35 | ↓ -97% |
| CARESOURCE | Managed Medicaid | $18.35 | ↓ -97% |
| ANTHEM | Managed Medicaid | $18.71 | ↓ -97% |
| MOLINA | Managed Medicaid | $18.71 | ↓ -97% |
| Aetna | All Products First Health | $18.75 | ↓ -97% |
| Immergrun | All Products | $18.75 | ↓ -97% |
| AMERIHEALTH | Managed Medicaid | $19.60 | ↓ -97% |
| Aetna | Asa | $20.00 | ↓ -97% |
| Multiplan | All Products | $22.50 | ↓ -97% |
| Aetna | Qhp/Ifp | $25.00 | ↓ -97% |
| AETNA | Asa_Whirlpool_Peia | $56.71 | ↓ -92% |
| AETNA | International | $60.00 | ↓ -92% |
| Summacare | Medicare Advantage Psych | $90.67 | ↓ -87% |
| The Health Plan | MEDICARE ADVANTAGE | $107.17 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $111.32 | ↓ -85% |
| HUMANA | Medicare Advantage HMO | $119.07 | ↓ -84% |
| UNITED | MEDICARE ADVANTAGE | $119.07 | ↓ -84% |
| Anthem | Medicare Advantage | $120.89 | ↓ -83% |
| Aetna | Medicare Advantage | $120.89 | ↓ -83% |
| United | Medicare Advantage | $120.89 | ↓ -83% |
| Cigna | Medicare Advantage | $120.89 | ↓ -83% |
| The Health Plan | Medicare Advantage | $120.89 | ↓ -83% |
| Humana | Medicare Advantage HMO | $120.89 | ↓ -83% |
| Summacare | Medicare Advantage MD | $124.41 | ↓ -83% |
| MMO | Medicare HMO & PPO | $124.52 | ↓ -83% |
| Summacare | MEDICARE ADVANTAGE | $125.96 | ↓ -83% |
| AETNA | MEDICARE ADVANTAGE | $125.96 | ↓ -83% |
| ANTHEM | MEDICARE ADVANTAGE | $125.96 | ↓ -83% |
| CommuniCare | Medicare Advantage | $126.93 | ↓ -82% |
| Summacare | Premier | $126.93 | ↓ -82% |
| Perennial Health | MEDICARE ADVANTAGE | $128.60 | ↓ -82% |
| CIGNA | MEDICARE ADVANTAGE | $129.74 | ↓ -82% |
| Perennial Health | Medicare Advantage | $130.56 | ↓ -82% |
| CommuniCare | MEDICARE ADVANTAGE | $132.26 | ↓ -82% |
| The Health Plan | All Products PCP | $132.98 | ↓ -82% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $136.03 | ↓ -81% |
| The Health Plan | All Products Specialty Physicians | $139.02 | ↓ -81% |
| The Health Plan | All Products Radiation Oncology Physicians | $157.16 | ↓ -78% |
| MMO | SuperMed | $194.72 | ↓ -73% |
| Aetna | Acop | $223.16 | ↓ -69% |
| Anthem | All Products Mid-Level Non-Facility | $229.13 | ↓ -68% |
| Cigna | All Products Mid-Level | $249.94 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $251.41 | ↓ -65% |
| MMO | ALL PRODUCTS | $263.92 | ↓ -63% |
| PHP | ALL PRODUCTS | $284.48 | ↓ -61% |
| PHPHI | ALL PRODUCTS | $284.48 | ↓ -61% |
| Cigna | All Products Physician | $295.33 | ↓ -59% |
| United | All Products - Mid-Level | $298.29 | ↓ -59% |
| CC EHP | ALL PRODUCTS | $300.48 | ↓ -58% |
| United | HMO & PPO | $331.43 | ↓ -54% |
| United | All Products | $331.43 | ↓ -54% |
| Summacare | PREMIER | $339.60 | ↓ -53% |
| Amish Community Aid Plan | ALL PRODUCTS | $400.05 | ↓ -45% |
| ANTHEM | HPN | $407.43 | ↓ -44% |
| ANTHEM | Exchange | $431.43 | ↓ -40% |
| OHCP | ALL PRODUCTS | $432.05 | ↓ -40% |
| OMAS | ALL PRODUCTS | $444.50 | ↓ -39% |
| Immergrun | ALL PRODUCTS | $444.50 | ↓ -39% |
| ANTHEM | PPO/HMO | $479.35 | ↓ -34% |
| Ohio Healthy | TRANSPLANT | $480.06 | ↓ -34% |
| ANTHEM | TRADITIONAL | $491.62 | ↓ -32% |
| The Health Plan | PPO | $567.54 | ↓ -21% |
| GMS | ALL PRODUCTS | $622.30 | ↓ -14% |
| Medical Benefit Corp | Transplant SMCP | $622.30 | ↓ -14% |
| AETNA | ALL PRODUCTS | $666.75 | ↓ -8% |
| Consociate Health | ALL PRODUCTS | $666.75 | ↓ -8% |
| The Health Plan | Self-Funded ASO | $746.76 | ↑ +3% |
| MULTIPLAN | ALL PRODUCTS | $800.10 | ↑ +11% |
| FrontPath | TRANSPLANT | $800.10 | ↑ +11% |
| Tertiary Care Network | TRANSPLANT | $800.10 | ↑ +11% |
| Managed Care Services | TRANSPLANT | $800.10 | ↑ +11% |
| The Health Plan | POS | $889.00 | ↑ +23% |
| AETNA | Qhp/Ipf | $889.00 | ↑ +23% |
| The Health Plan | HMO | $889.00 | ↑ +23% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Pr management transitional care moderate w/in 14 days of discharge at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $722.80 | $0.01 – $1,000.80 |
| akron general | Akron | $722.80 | $0.01 – $800.10 |
| avon hospital | Avon | $577.85 | $0.01 – $800.10 |
| euclid hospital | Euclid | $577.85 | $0.01 – $800.10 |
| fairview hospital | Cleveland | $577.85 | $0.01 – $800.10 |
| lutheran hospital | Cleveland | $577.85 | $0.01 – $800.10 |
| hillcrest hospital | Mayfield Heights | $577.85 | $0.01 – $800.10 |
| lodi hospital | Lodi | $577.85 | $0.01 – $800.10 |