healthcosts.net
Rad resec soft tis tum/ft/toe/<3cm 28046 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,218.80
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.
$4,952.00
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 $4,952.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $437.85 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $437.85 | ↓ -86% |
| United | Managed Medicaid | $462.90 | ↓ -86% |
| Caresource | Managed Medicaid | $476.79 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $485.27 | ↓ -85% |
| Buckeye | Managed Medicaid | $486.05 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $509.19 | ↓ -84% |
| Molina | Managed Medicaid | $509.19 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $572.58 | ↓ -82% |
| Summacare | Medicare Advantage MD | $639.94 | ↓ -80% |
| United | Medicare Advantage | $647.02 | ↓ -80% |
| Humana | Medicare Advantage HMO | $647.02 | ↓ -80% |
| The Health Plan | Medicare Advantage | $647.02 | ↓ -80% |
| Cigna | Medicare Advantage | $647.02 | ↓ -80% |
| Aetna | Medicare Advantage | $647.02 | ↓ -80% |
| Anthem | Medicare Advantage | $647.02 | ↓ -80% |
| MMO | Medicare HMO & PPO | $666.43 | ↓ -79% |
| Summacare | Premier | $679.37 | ↓ -79% |
| CommuniCare | Medicare Advantage | $679.37 | ↓ -79% |
| Perennial Health | Medicare Advantage | $698.78 | ↓ -78% |
| The Health Plan | All Products PCP | $711.72 | ↓ -78% |
| The Health Plan | All Products Specialty Physicians | $744.07 | ↓ -77% |
| The Health Plan | All Products Radiation Oncology Physicians | $841.13 | ↓ -74% |
| Anthem | All Products Mid-Level Non-Facility | $949.12 | ↓ -71% |
| Oscar | All Products | $1,258.30 | ↓ -61% |
| United | All Products - Mid-Level | $1,560.67 | ↓ -52% |
| United | HMO & PPO | $1,734.08 | ↓ -46% |
| United | All Products | $1,734.08 | ↓ -46% |
| Aultcare | PPO/HMO | $1,772.82 | ↓ -45% |
| OHCP | All Products | $1,926.33 | ↓ -40% |
| The Health Plan | MEDICARE ADVANTAGE | $2,380.03 | ↓ -26% |
| OMAS | All Products | $2,476.00 | ↓ -23% |
| UNITED | MEDICARE ADVANTAGE | $2,644.48 | ↓ -18% |
| HUMANA | Medicare Advantage HMO | $2,644.48 | ↓ -18% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↓ -15% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↓ -15% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↓ -15% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↓ -12% |
| Perennial Health | MEDICARE ADVANTAGE | $2,856.04 | ↓ -11% |
| CommuniCare | MEDICARE ADVANTAGE | $2,885.49 | ↓ -10% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↓ -8% |
| PHPHI | All Products | $2,971.20 | ↓ -8% |
| UNITED | Managed Medicaid | $3,335.18 | ↑ +4% |
| CARESOURCE | Managed Medicaid | $3,435.24 | ↑ +7% |
| GMS | All Products | $3,466.40 | ↑ +8% |
| MMO | Traditional | $3,466.40 | ↑ +8% |
| MOLINA | Managed Medicaid | $3,501.94 | ↑ +9% |
| ANTHEM | Managed Medicaid | $3,501.94 | ↑ +9% |
| AMERIHEALTH | Managed Medicaid | $3,668.70 | ↑ +14% |
| Aetna | All Products First Health | $3,714.00 | ↑ +15% |
| Immergrun | All Products | $3,714.00 | ↑ +15% |
| Aetna | Asa | $3,961.60 | ↑ +23% |
| MMO | ALL PRODUCTS | $4,300.08 | ↑ +34% |
| Multiplan | All Products | $4,456.80 | ↑ +38% |
| MMO | SuperMed | $4,850.94 | ↑ +51% |
| Aetna | Qhp/Ifp | $4,952.00 | ↑ +54% |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | 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
Rad resec soft tis tum/ft/toe/<3cm 28046 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,218.80 | $1.10 – $4,736.23 |
| akron general | Akron | $3,218.80 | $1.10 – $4,456.80 |
| avon hospital | Avon | not published | $2,653.23 – $3,548.49 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $5,685.11 – $6,582.76 |
| euclid hospital | Euclid | not published | $2,465.15 – $4,130.87 |
| fairview hospital | Cleveland | not published | $2,465.15 – $3,880.75 |
| lutheran hospital | Cleveland | not published | $2,653.23 – $3,694.60 |
| hillcrest hospital | Mayfield Heights | not published | $2,465.15 – $4,043.13 |