Quant diff pulm perf w/imaging at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,802.45
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.
$2,773.00
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.
$1.01 with AETNA vs $2,773.00 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $20.64 | ↓ -99% |
| Summacare | Preferred | $20.64 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $24.43 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $26.99 | ↓ -99% |
| Summacare | Medicare Advantage MD | $30.16 | ↓ -98% |
| Cigna | Medicare Advantage | $32.57 | ↓ -98% |
| Aetna | Medicare Advantage | $32.57 | ↓ -98% |
| United | Medicare Advantage | $32.57 | ↓ -98% |
| Humana | Medicare Advantage HMO | $32.57 | ↓ -98% |
| Anthem | Medicare Advantage | $32.57 | ↓ -98% |
| The Health Plan | Medicare Advantage | $32.57 | ↓ -98% |
| MMO | Medicare HMO & PPO | $33.55 | ↓ -98% |
| CommuniCare | Medicare Advantage | $34.20 | ↓ -98% |
| Summacare | Premier | $34.20 | ↓ -98% |
| Perennial Health | Medicare Advantage | $35.18 | ↓ -98% |
| The Health Plan | All Products PCP | $35.83 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $37.46 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $42.34 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $45.79 | ↓ -97% |
| United | All Products - Mid-Level | $57.39 | ↓ -97% |
| United | HMO & PPO | $63.77 | ↓ -96% |
| United | All Products | $63.77 | ↓ -96% |
| Oscar | All Products | $76.23 | ↓ -96% |
| Aultcare | PPO/HMO | $107.40 | ↓ -94% |
| OHCP | All Products | $116.70 | ↓ -94% |
| OMAS | All Products | $150.00 | ↓ -92% |
| MMO | SuperMed | $162.00 | ↓ -91% |
| PHPHI | All Products | $180.00 | ↓ -90% |
| MMO | Traditional | $210.00 | ↓ -88% |
| GMS | All Products | $210.00 | ↓ -88% |
| Aetna | All Products First Health | $225.00 | ↓ -88% |
| Immergrun | All Products | $225.00 | ↓ -88% |
| Aetna | Asa | $240.00 | ↓ -87% |
| Multiplan | All Products | $270.00 | ↓ -85% |
| Aetna | Qhp/Ifp | $300.00 | ↓ -83% |
| The Health Plan | MEDICARE ADVANTAGE | $334.15 | ↓ -81% |
| UNITED | MEDICARE ADVANTAGE | $371.28 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $371.28 | ↓ -79% |
| Summacare | MEDICARE ADVANTAGE | $378.21 | ↓ -79% |
| ANTHEM | MEDICARE ADVANTAGE | $378.21 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $378.21 | ↓ -79% |
| CIGNA | MEDICARE ADVANTAGE | $389.56 | ↓ -78% |
| CommuniCare | MEDICARE ADVANTAGE | $397.13 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $400.99 | ↓ -78% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $408.47 | ↓ -77% |
| CIGNA | ALL PRODUCTS | $475.09 | ↓ -74% |
| UNITED | Managed Medicaid | $724.62 | ↓ -60% |
| CARESOURCE | Managed Medicaid | $746.36 | ↓ -59% |
| Buckeye | Managed Medicaid | $746.36 | ↓ -59% |
| ANTHEM | Managed Medicaid | $760.85 | ↓ -58% |
| MOLINA | Managed Medicaid | $760.85 | ↓ -58% |
| ANTHEM | HPN | $775.71 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $784.20 | ↓ -56% |
| AMERIHEALTH | Managed Medicaid | $797.08 | ↓ -56% |
| MMO | ALL PRODUCTS | $823.46 | ↓ -54% |
| PHP | ALL PRODUCTS | $887.36 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $887.36 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $937.27 | ↓ -48% |
| AETNA | International | $959.83 | ↓ -47% |
| Summacare | PREMIER | $1,059.29 | ↓ -41% |
| ANTHEM | Exchange | $1,069.54 | ↓ -41% |
| ANTHEM | PPO/HMO | $1,188.42 | ↓ -34% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,247.85 | ↓ -31% |
| OHCP | ALL PRODUCTS | $1,347.68 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,386.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $1,386.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $1,497.42 | ↓ -17% |
| ANTHEM | TRADITIONAL | $1,533.47 | ↓ -15% |
| The Health Plan | PPO | $1,770.28 | ↓ -2% |
| UNITED | ALL PRODUCTS | $1,909.17 | ↑ +6% |
| Medical Benefit Corp | Transplant SMCP | $1,941.10 | ↑ +8% |
| GMS | ALL PRODUCTS | $1,941.10 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $2,079.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $2,079.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $2,329.32 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $2,495.70 | ↑ +38% |
| FrontPath | TRANSPLANT | $2,495.70 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $2,495.70 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $2,495.70 | ↑ +38% |
| The Health Plan | POS | $2,773.00 | ↑ +54% |
| The Health Plan | HMO | $2,773.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $2,773.00 | ↑ +54% |
| Caresource | Managed Medicaid | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $974.40 | not published |
| Anderson Hospital | Cincinnati | $974.40 | not published |
| Clermont Hospital | Batavia | $974.40 | not published |
| Kings Mills Hospital | Mason | $974.40 | not published |
| Mercy West Hospital | Cincinnati | $974.40 | not published |
| St Ritas Medical Center | Lima | $895.20 | not published |
| Trinity Medical Center East | Steubenville | $689.35 | $834.00 – $1,070.30 |
| cleveland clinic main campus | Cleveland | $1,997.45 | $1.10 – $2,495.70 |