healthcosts.net
Repair arm/leg nerve at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$4,113.20
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.
?
What you pay up front if you don't use insurance.
$6,328.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $11,373.82 with MMO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $646.18 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $646.18 | ↓ -84% |
| United | Managed Medicaid | $691.69 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $691.80 | ↓ -83% |
| Caresource | Managed Medicaid | $712.44 | ↓ -83% |
| Buckeye | Managed Medicaid | $726.27 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $760.86 | ↓ -82% |
| Molina | Managed Medicaid | $760.86 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $845.00 | ↓ -79% |
| Anthem | Medicare Advantage | $922.40 | ↓ -78% |
| United | Medicare Advantage | $922.40 | ↓ -78% |
| Humana | Medicare Advantage HMO | $922.40 | ↓ -78% |
| The Health Plan | Medicare Advantage | $922.40 | ↓ -78% |
| Cigna | Medicare Advantage | $922.40 | ↓ -78% |
| Aetna | Medicare Advantage | $922.40 | ↓ -78% |
| Summacare | Medicare Advantage MD | $944.41 | ↓ -77% |
| MMO | Medicare HMO & PPO | $950.07 | ↓ -77% |
| Summacare | Premier | $968.52 | ↓ -76% |
| CommuniCare | Medicare Advantage | $968.52 | ↓ -76% |
| Perennial Health | Medicare Advantage | $996.19 | ↓ -76% |
| The Health Plan | All Products PCP | $1,014.64 | ↓ -75% |
| The Health Plan | All Products Specialty Physicians | $1,060.76 | ↓ -74% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,199.12 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $1,409.94 | ↓ -66% |
| Oscar | All Products | $1,607.94 | ↓ -61% |
| Aultcare | PPO/HMO | $2,265.42 | ↓ -45% |
| United | All Products - Mid-Level | $2,341.29 | ↓ -43% |
| OHCP | All Products | $2,461.59 | ↓ -40% |
| United | HMO & PPO | $2,601.43 | ↓ -37% |
| United | All Products | $2,601.43 | ↓ -37% |
| UNITED | Managed Medicaid | $2,899.30 | ↓ -30% |
| CARESOURCE | Managed Medicaid | $2,986.28 | ↓ -27% |
| MOLINA | Managed Medicaid | $3,044.27 | ↓ -26% |
| ANTHEM | Managed Medicaid | $3,044.27 | ↓ -26% |
| OMAS | All Products | $3,164.00 | ↓ -23% |
| AMERIHEALTH | Managed Medicaid | $3,189.23 | ↓ -22% |
| Summacare | MEDICARE ADVANTAGE | $3,231.94 | ↓ -21% |
| ANTHEM | MEDICARE ADVANTAGE | $3,231.94 | ↓ -21% |
| AETNA | MEDICARE ADVANTAGE | $3,231.94 | ↓ -21% |
| CIGNA | MEDICARE ADVANTAGE | $3,328.90 | ↓ -19% |
| CommuniCare | MEDICARE ADVANTAGE | $3,393.54 | ↓ -17% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,490.49 | ↓ -15% |
| PHPHI | All Products | $3,796.80 | ↓ -8% |
| MMO | Traditional | $4,429.60 | ↑ +8% |
| GMS | All Products | $4,429.60 | ↑ +8% |
| Aetna | All Products First Health | $4,746.00 | ↑ +15% |
| Immergrun | All Products | $4,746.00 | ↑ +15% |
| Aetna | Asa | $5,062.40 | ↑ +23% |
| The Health Plan | MEDICARE ADVANTAGE | $5,325.51 | ↑ +29% |
| Multiplan | All Products | $5,695.20 | ↑ +38% |
| HUMANA | Medicare Advantage HMO | $5,917.23 | ↑ +44% |
| UNITED | MEDICARE ADVANTAGE | $5,917.23 | ↑ +44% |
| Aetna | Qhp/Ifp | $6,328.00 | ↑ +54% |
| Perennial Health | MEDICARE ADVANTAGE | $6,390.61 | ↑ +55% |
| MMO | ALL PRODUCTS | $10,080.89 | ↑ +145% |
| MMO | SuperMed | $11,373.82 | ↑ +177% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Repair arm/leg nerve at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,113.20 | $1.10 – $5,936.83 |
| akron general | Akron | $4,113.20 | $1.10 – $5,917.23 |
| avon hospital | Avon | not published | $3,027.08 – $5,936.83 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $4,942.12 – $5,722.45 |
| euclid hospital | Euclid | not published | $3,101.31 – $5,936.83 |
| fairview hospital | Cleveland | not published | $2,913.53 – $5,936.83 |
| lutheran hospital | Cleveland | not published | $2,773.77 – $5,936.83 |
| hillcrest hospital | Mayfield Heights | not published | $3,035.44 – $5,936.83 |