healthcosts.net
Rad resect tumor/neck/ant thor/<5cm21557 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,328.60
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.
$2,044.00
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 | ↓ -100% |
| United | Managed Medicaid | $502.27 | ↓ -62% |
| Caresource | Managed Medicaid | $517.34 | ↓ -61% |
| Oscar | All Products | $519.38 | ↓ -61% |
| Buckeye | Managed Medicaid | $527.38 | ↓ -60% |
| Molina | Managed Medicaid | $552.50 | ↓ -58% |
| AmeriHealth | Managed Medicaid | $552.50 | ↓ -58% |
| Summacare | Preferred | $588.21 | ↓ -56% |
| Summacare | Medicare Advantage Lower Level | $588.21 | ↓ -56% |
| Summacare | Medicare Advantage Psych | $646.23 | ↓ -51% |
| Aultcare | PPO/HMO | $731.75 | ↓ -45% |
| Summacare | Medicare Advantage CNA | $769.20 | ↓ -42% |
| OHCP | All Products | $795.12 | ↓ -40% |
| Summacare | Medicare Advantage MD | $859.69 | ↓ -35% |
| The Health Plan | Medicare Advantage | $861.64 | ↓ -35% |
| Anthem | Medicare Advantage | $861.64 | ↓ -35% |
| Aetna | Medicare Advantage | $861.64 | ↓ -35% |
| Cigna | Medicare Advantage | $861.64 | ↓ -35% |
| Humana | Medicare Advantage HMO | $861.64 | ↓ -35% |
| United | Medicare Advantage | $861.64 | ↓ -35% |
| MMO | Medicare HMO & PPO | $887.49 | ↓ -33% |
| CommuniCare | Medicare Advantage | $904.72 | ↓ -32% |
| Summacare | Premier | $904.72 | ↓ -32% |
| The Health Plan | PPO | $921.95 | ↓ -31% |
| Perennial Health | Medicare Advantage | $930.57 | ↓ -30% |
| The Health Plan | All Products PCP | $947.80 | ↓ -29% |
| The Health Plan | All Products Specialty Physicians | $990.89 | ↓ -25% |
| OMAS | All Products | $1,022.00 | ↓ -23% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,120.13 | ↓ -16% |
| PHPHI | All Products | $1,226.40 | ↓ -8% |
| Anthem | All Products Mid-Level Non-Facility | $1,282.75 | ↓ -3% |
| UNITED | Managed Medicaid | $1,404.27 | ↑ +6% |
| GMS | All Products | $1,430.80 | ↑ +8% |
| MMO | Traditional | $1,430.80 | ↑ +8% |
| CARESOURCE | Managed Medicaid | $1,446.40 | ↑ +9% |
| ANTHEM | Managed Medicaid | $1,474.48 | ↑ +11% |
| MOLINA | Managed Medicaid | $1,474.48 | ↑ +11% |
| Immergrun | All Products | $1,533.00 | ↑ +15% |
| Aetna | All Products First Health | $1,533.00 | ↑ +15% |
| AMERIHEALTH | Managed Medicaid | $1,544.70 | ↑ +16% |
| Aetna | Asa | $1,635.20 | ↑ +23% |
| Multiplan | All Products | $1,839.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,044.00 | ↑ +54% |
| United | All Products - Mid-Level | $2,139.77 | ↑ +61% |
| United | HMO & PPO | $2,377.52 | ↑ +79% |
| United | All Products | $2,377.52 | ↑ +79% |
| The Health Plan | MEDICARE ADVANTAGE | $2,380.03 | ↑ +79% |
| UNITED | MEDICARE ADVANTAGE | $2,644.48 | ↑ +99% |
| HUMANA | Medicare Advantage HMO | $2,644.48 | ↑ +99% |
| ANTHEM | MEDICARE ADVANTAGE | $2,748.08 | ↑ +107% |
| Summacare | MEDICARE ADVANTAGE | $2,748.08 | ↑ +107% |
| AETNA | MEDICARE ADVANTAGE | $2,748.08 | ↑ +107% |
| CIGNA | MEDICARE ADVANTAGE | $2,830.53 | ↑ +113% |
| Perennial Health | MEDICARE ADVANTAGE | $2,856.04 | ↑ +115% |
| CommuniCare | MEDICARE ADVANTAGE | $2,885.49 | ↑ +117% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,967.93 | ↑ +123% |
| MMO | ALL PRODUCTS | $4,300.08 | ↑ +224% |
| MMO | SuperMed | $4,850.94 | ↑ +265% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +95975% |
| The Health Plan | POS | $4,036,081.00 | ↑ +303685% |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Rad resect tumor/neck/ant thor/<5cm21557 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,835.00 | $1.10 – $5,310.00 |
| akron general | Akron | $1,328.60 | $1.10 – $2,856.04 |
| avon hospital | Avon | not published | $1,466.16 – $3,022.89 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $2,393.72 – $2,771.67 |
| euclid hospital | Euclid | not published | $1,502.12 – $3,022.89 |
| fairview hospital | Cleveland | not published | $1,411.17 – $3,022.89 |
| lutheran hospital | Cleveland | not published | $1,343.48 – $3,022.89 |
| hillcrest hospital | Mayfield Heights | not published | $1,470.21 – $3,022.89 |