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Radphm quant measure sgl area add-on at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$388.70
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.
$598.00
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% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Preferred | $13.00 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $13.00 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $15.77 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $17.00 | ↓ -96% |
| Summacare | Medicare Advantage MD | $19.00 | ↓ -95% |
| Cigna | Medicare Advantage | $21.02 | ↓ -95% |
| United | Medicare Advantage | $21.02 | ↓ -95% |
| Aetna | Medicare Advantage | $21.02 | ↓ -95% |
| The Health Plan | Medicare Advantage | $21.02 | ↓ -95% |
| Anthem | Medicare Advantage | $21.02 | ↓ -95% |
| Humana | Medicare Advantage HMO | $21.02 | ↓ -95% |
| MMO | Medicare HMO & PPO | $21.65 | ↓ -94% |
| CommuniCare | Medicare Advantage | $22.07 | ↓ -94% |
| Summacare | Premier | $22.07 | ↓ -94% |
| Perennial Health | Medicare Advantage | $22.70 | ↓ -94% |
| The Health Plan | All Products PCP | $23.12 | ↓ -94% |
| The Health Plan | All Products Specialty Physicians | $24.17 | ↓ -94% |
| The Health Plan | All Products Radiation Oncology Physicians | $27.33 | ↓ -93% |
| Anthem | All Products Mid-Level Non-Facility | $28.53 | ↓ -93% |
| United | All Products - Mid-Level | $35.96 | ↓ -91% |
| United | All Products | $39.96 | ↓ -90% |
| United | HMO & PPO | $39.96 | ↓ -90% |
| Oscar | All Products | $47.77 | ↓ -88% |
| Aultcare | PPO/HMO | $67.30 | ↓ -83% |
| OHCP | All Products | $73.13 | ↓ -81% |
| United | Managed Medicaid | $79.09 | ↓ -80% |
| Caresource | Managed Medicaid | $81.46 | ↓ -79% |
| Buckeye | Managed Medicaid | $83.04 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $87.00 | ↓ -78% |
| Molina | Managed Medicaid | $87.00 | ↓ -78% |
| Aetna | Acop | $87.09 | ↓ -78% |
| The Health Plan | PPO | $89.75 | ↓ -77% |
| OMAS | All Products | $94.00 | ↓ -76% |
| MMO | SuperMed | $101.52 | ↓ -74% |
| PHPHI | All Products | $112.80 | ↓ -71% |
| MMO | Traditional | $131.60 | ↓ -66% |
| GMS | All Products | $131.60 | ↓ -66% |
| Aetna | All Products First Health | $141.00 | ↓ -64% |
| Immergrun | All Products | $141.00 | ↓ -64% |
| Aetna | Asa | $150.40 | ↓ -61% |
| Multiplan | All Products | $169.20 | ↓ -56% |
| Aetna | Qhp/Ifp | $188.00 | ↓ -52% |
| ANTHEM | HPN | $189.52 | ↓ -51% |
| AETNA | International | $234.50 | ↓ -40% |
| UNITED | Managed Medicaid | $253.86 | ↓ -35% |
| ANTHEM | Exchange | $261.31 | ↓ -33% |
| CARESOURCE | Managed Medicaid | $261.48 | ↓ -33% |
| MOLINA | Managed Medicaid | $266.55 | ↓ -31% |
| ANTHEM | Managed Medicaid | $266.55 | ↓ -31% |
| AMERIHEALTH | Managed Medicaid | $279.25 | ↓ -28% |
| ANTHEM | PPO/HMO | $290.35 | ↓ -25% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +328289% |
| The Health Plan | POS | $4,036,081.00 | ↑ +1038254% |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
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Radphm quant measure sgl area add-on at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $388.70 | $1.10 – $369.00 |
| akron general | Akron | $388.70 | $0.87 – $369.00 |
| University Hospitals Ahuja Medical Center | Beachwood | $46.50 | $13.70 – $150.23 |
| University Hospitals Beachwood Medical Center | Beachwood | $46.50 | $24.80 – $150.23 |
| University Hospitals Conneaut Medical Center | Conneaut | $46.50 | $59.00 – $186.63 |
| University Hospitals Elyria Medical Center | Elyria | $46.50 | $83.46 – $150.23 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $46.50 | $52.00 – $150.23 |
| University Hospitals Geneva Medical Center | Geneva | $46.50 | $69.00 – $186.63 |