Prcrd drg 6+yr without anomly at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,518.45
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.
$5,413.00
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 UNITED vs $10,496.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $150.13 | ↓ -96% |
| Summacare | Medicare Advantage Lower Level | $150.13 | ↓ -96% |
| Summacare | Medicare Advantage Psych | $159.68 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $196.32 | ↓ -94% |
| United | Managed Medicaid | $201.28 | ↓ -94% |
| Caresource | Managed Medicaid | $207.32 | ↓ -94% |
| Buckeye | Managed Medicaid | $211.34 | ↓ -94% |
| Cigna | Medicare Advantage | $212.91 | ↓ -94% |
| The Health Plan | Medicare Advantage | $212.91 | ↓ -94% |
| Humana | Medicare Advantage HMO | $212.91 | ↓ -94% |
| Anthem | Medicare Advantage | $212.91 | ↓ -94% |
| Aetna | Medicare Advantage | $212.91 | ↓ -94% |
| United | Medicare Advantage | $212.91 | ↓ -94% |
| MMO | Medicare HMO & PPO | $219.30 | ↓ -94% |
| Summacare | Medicare Advantage MD | $219.42 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $221.41 | ↓ -94% |
| Molina | Managed Medicaid | $221.41 | ↓ -94% |
| Summacare | Premier | $223.56 | ↓ -94% |
| CommuniCare | Medicare Advantage | $223.56 | ↓ -94% |
| Perennial Health | Medicare Advantage | $229.94 | ↓ -93% |
| The Health Plan | All Products PCP | $234.20 | ↓ -93% |
| The Health Plan | All Products Specialty Physicians | $244.85 | ↓ -93% |
| The Health Plan | All Products Radiation Oncology Physicians | $276.78 | ↓ -92% |
| Anthem | All Products Mid-Level Non-Facility | $328.28 | ↓ -91% |
| MMO | SuperMed | $419.33 | ↓ -88% |
| Oscar | All Products | $516.59 | ↓ -85% |
| United | All Products - Mid-Level | $545.68 | ↓ -84% |
| United | All Products | $606.31 | ↓ -83% |
| United | HMO & PPO | $606.31 | ↓ -83% |
| UNITED | Managed Medicaid | $620.13 | ↓ -82% |
| CARESOURCE | Managed Medicaid | $638.73 | ↓ -82% |
| MOLINA | Managed Medicaid | $651.14 | ↓ -81% |
| ANTHEM | Managed Medicaid | $651.14 | ↓ -81% |
| AMERIHEALTH | Managed Medicaid | $682.14 | ↓ -81% |
| Aultcare | PPO/HMO | $727.81 | ↓ -79% |
| OHCP | All Products | $790.84 | ↓ -78% |
| OMAS | All Products | $1,016.50 | ↓ -71% |
| AETNA | MEDICARE ADVANTAGE | $1,180.03 | ↓ -66% |
| PHPHI | All Products | $1,219.80 | ↓ -65% |
| MMO | Traditional | $1,423.10 | ↓ -60% |
| GMS | All Products | $1,423.10 | ↓ -60% |
| Immergrun | All Products | $1,524.75 | ↓ -57% |
| Aetna | All Products First Health | $1,524.75 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $1,530.80 | ↓ -56% |
| Aetna | Asa | $1,626.40 | ↓ -54% |
| PHP | ALL PRODUCTS | $1,732.16 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,732.16 | ↓ -51% |
| ANTHEM | HPN | $1,789.00 | ↓ -49% |
| CC EHP | ALL PRODUCTS | $1,829.59 | ↓ -48% |
| Multiplan | All Products | $1,829.70 | ↓ -48% |
| ANTHEM | Exchange | $1,894.00 | ↓ -46% |
| Aetna | Qhp/Ifp | $2,033.00 | ↓ -42% |
| Summacare | PREMIER | $2,067.77 | ↓ -41% |
| ANTHEM | PPO/HMO | $2,104.00 | ↓ -40% |
| MMO | ALL PRODUCTS | $2,425.02 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,435.85 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $2,554.94 | ↓ -27% |
| OHCP | ALL PRODUCTS | $2,630.72 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,706.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $2,706.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $2,923.02 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,993.39 | ↓ -15% |
| The Health Plan | PPO | $3,455.66 | ↓ -2% |
| GMS | ALL PRODUCTS | $3,789.10 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $3,789.10 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $4,059.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $4,059.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $4,546.92 | ↑ +29% |
| FrontPath | TRANSPLANT | $4,871.70 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $4,871.70 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $4,871.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $4,871.70 | ↑ +38% |
| The Health Plan | POS | $5,413.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $5,413.00 | ↑ +54% |
| The Health Plan | HMO | $5,413.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $9,996.00 | ↑ +184% |
| AETNA | International | $10,496.00 | ↑ +198% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Prcrd drg 6+yr without anomly at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $3,162.00 | not published |
| Anderson Hospital | Cincinnati | $3,162.00 | not published |
| Kings Mills Hospital | Mason | $3,162.00 | not published |
| Mercy West Hospital | Cincinnati | $3,162.00 | not published |
| St Ritas Medical Center | Lima | $2,887.80 | not published |
| cleveland clinic main campus | Cleveland | $3,518.45 | $0.01 – $4,871.70 |
| akron general | Akron | $3,518.45 | $0.01 – $4,871.70 |
| avon hospital | Avon | $3,518.45 | $0.01 – $4,871.70 |