healthcosts.net
Quan puplmtry phy/qhp uni/bi at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$46.80
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.
$72.00
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 | ↓ -98% |
| Summacare | Preferred | $9.58 | ↓ -80% |
| Summacare | Medicare Advantage Lower Level | $9.58 | ↓ -80% |
| United | Managed Medicaid | $11.59 | ↓ -75% |
| Summacare | Medicare Advantage Psych | $11.93 | ↓ -75% |
| Caresource | Managed Medicaid | $11.94 | ↓ -74% |
| Buckeye | Managed Medicaid | $12.17 | ↓ -74% |
| Summacare | Medicare Advantage CNA | $12.53 | ↓ -73% |
| Molina | Managed Medicaid | $12.75 | ↓ -73% |
| AmeriHealth | Managed Medicaid | $12.75 | ↓ -73% |
| Summacare | Medicare Advantage MD | $14.00 | ↓ -70% |
| United | Medicare Advantage | $15.91 | ↓ -66% |
| Aetna | Medicare Advantage | $15.91 | ↓ -66% |
| Cigna | Medicare Advantage | $15.91 | ↓ -66% |
| Anthem | Medicare Advantage | $15.91 | ↓ -66% |
| Humana | Medicare Advantage HMO | $15.91 | ↓ -66% |
| The Health Plan | Medicare Advantage | $15.91 | ↓ -66% |
| MMO | Medicare HMO & PPO | $16.39 | ↓ -65% |
| Summacare | Premier | $16.71 | ↓ -64% |
| CommuniCare | Medicare Advantage | $16.71 | ↓ -64% |
| The Health Plan | PPO | $17.02 | ↓ -64% |
| Perennial Health | Medicare Advantage | $17.18 | ↓ -63% |
| The Health Plan | All Products PCP | $17.50 | ↓ -63% |
| The Health Plan | All Products Specialty Physicians | $18.30 | ↓ -61% |
| Oscar | All Products | $18.30 | ↓ -61% |
| Anthem | All Products Mid-Level Non-Facility | $20.21 | ↓ -57% |
| The Health Plan | All Products Radiation Oncology Physicians | $20.68 | ↓ -56% |
| Aultcare | PPO/HMO | $25.78 | ↓ -45% |
| United | All Products - Mid-Level | $26.77 | ↓ -43% |
| OHCP | All Products | $28.01 | ↓ -40% |
| United | All Products | $29.74 | ↓ -36% |
| United | HMO & PPO | $29.74 | ↓ -36% |
| OMAS | All Products | $36.00 | ↓ -23% |
| PHPHI | All Products | $43.20 | ↓ -8% |
| MMO | Traditional | $50.40 | ↑ +8% |
| GMS | All Products | $50.40 | ↑ +8% |
| Immergrun | All Products | $54.00 | ↑ +15% |
| Aetna | All Products First Health | $54.00 | ↑ +15% |
| Aetna | Asa | $57.60 | ↑ +23% |
| Multiplan | All Products | $64.80 | ↑ +38% |
| Aetna | Qhp/Ifp | $72.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $107.19 | ↑ +129% |
| HUMANA | Medicare Advantage HMO | $119.10 | ↑ +154% |
| UNITED | MEDICARE ADVANTAGE | $119.10 | ↑ +154% |
| ANTHEM | MEDICARE ADVANTAGE | $125.87 | ↑ +169% |
| Summacare | MEDICARE ADVANTAGE | $125.87 | ↑ +169% |
| AETNA | MEDICARE ADVANTAGE | $125.87 | ↑ +169% |
| Perennial Health | MEDICARE ADVANTAGE | $128.63 | ↑ +175% |
| CIGNA | MEDICARE ADVANTAGE | $129.65 | ↑ +177% |
| CommuniCare | MEDICARE ADVANTAGE | $132.17 | ↑ +182% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $135.94 | ↑ +190% |
| MMO | ALL PRODUCTS | $193.31 | ↑ +313% |
| MMO | SuperMed | $218.62 | ↑ +367% |
| UNITED | Managed Medicaid | $319.42 | ↑ +583% |
| CARESOURCE | Managed Medicaid | $329.00 | ↑ +603% |
| ANTHEM | Managed Medicaid | $335.39 | ↑ +617% |
| MOLINA | Managed Medicaid | $335.39 | ↑ +617% |
| AMERIHEALTH | Managed Medicaid | $351.36 | ↑ +651% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +2727353% |
| The Health Plan | POS | $4,036,081.00 | ↑ +8624005% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Quan puplmtry phy/qhp uni/bi at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $624.65 | $1.10 – $453.61 |
| akron general | Akron | $46.80 | $1.10 – $360.06 |
| avon hospital | Avon | not published | $119.50 – $339.85 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $544.48 – $630.45 |
| euclid hospital | Euclid | not published | $110.82 – $395.63 |
| fairview hospital | Cleveland | not published | $110.82 – $371.67 |
| lutheran hospital | Cleveland | not published | $119.50 – $353.85 |
| hillcrest hospital | Mayfield Heights | not published | $110.82 – $387.22 |