Repos lv lead pm/icd at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$11,763.70
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.
$18,098.00
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 $18,098.00 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% |
| Summacare | Medicare Advantage Lower Level | $297.14 | ↓ -97% |
| Summacare | Preferred | $297.14 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $314.57 | ↓ -97% |
| United | Managed Medicaid | $340.79 | ↓ -97% |
| Caresource | Managed Medicaid | $351.01 | ↓ -97% |
| Buckeye | Managed Medicaid | $357.83 | ↓ -97% |
| Molina | Managed Medicaid | $374.87 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $374.87 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $388.57 | ↓ -97% |
| Anthem | Medicare Advantage | $419.42 | ↓ -96% |
| The Health Plan | Medicare Advantage | $419.42 | ↓ -96% |
| Aetna | Medicare Advantage | $419.42 | ↓ -96% |
| Humana | Medicare Advantage HMO | $419.42 | ↓ -96% |
| United | Medicare Advantage | $419.42 | ↓ -96% |
| Cigna | Medicare Advantage | $419.42 | ↓ -96% |
| MMO | Medicare HMO & PPO | $432.00 | ↓ -96% |
| Summacare | Medicare Advantage MD | $434.28 | ↓ -96% |
| Summacare | Premier | $440.39 | ↓ -96% |
| CommuniCare | Medicare Advantage | $440.39 | ↓ -96% |
| Perennial Health | Medicare Advantage | $452.97 | ↓ -96% |
| The Health Plan | All Products PCP | $461.36 | ↓ -96% |
| The Health Plan | All Products Specialty Physicians | $482.33 | ↓ -96% |
| The Health Plan | All Products Radiation Oncology Physicians | $545.25 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $653.17 | ↓ -94% |
| Oscar | All Products | $882.24 | ↓ -93% |
| United | All Products - Mid-Level | $1,076.36 | ↓ -91% |
| United | HMO & PPO | $1,195.95 | ↓ -90% |
| United | All Products | $1,195.95 | ↓ -90% |
| Aultcare | PPO/HMO | $1,242.98 | ↓ -89% |
| OHCP | All Products | $1,350.61 | ↓ -89% |
| OMAS | All Products | $1,736.00 | ↓ -85% |
| PHPHI | All Products | $2,083.20 | ↓ -82% |
| MMO | Traditional | $2,430.40 | ↓ -79% |
| GMS | All Products | $2,430.40 | ↓ -79% |
| UNITED | Managed Medicaid | $2,451.83 | ↓ -79% |
| CARESOURCE | Managed Medicaid | $2,525.38 | ↓ -79% |
| MOLINA | Managed Medicaid | $2,574.42 | ↓ -78% |
| ANTHEM | Managed Medicaid | $2,574.42 | ↓ -78% |
| Immergrun | All Products | $2,604.00 | ↓ -78% |
| Aetna | All Products First Health | $2,604.00 | ↓ -78% |
| The Health Plan | MEDICARE ADVANTAGE | $2,617.40 | ↓ -78% |
| AMERIHEALTH | Managed Medicaid | $2,697.01 | ↓ -77% |
| Aetna | Asa | $2,777.60 | ↓ -76% |
| ANTHEM | HPN | $2,892.00 | ↓ -75% |
| HUMANA | Medicare Advantage HMO | $2,908.23 | ↓ -75% |
| UNITED | MEDICARE ADVANTAGE | $2,908.23 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $2,987.22 | ↓ -75% |
| Summacare | MEDICARE ADVANTAGE | $2,987.22 | ↓ -75% |
| ANTHEM | MEDICARE ADVANTAGE | $2,987.22 | ↓ -75% |
| ANTHEM | Exchange | $3,062.00 | ↓ -74% |
| CIGNA | MEDICARE ADVANTAGE | $3,076.84 | ↓ -74% |
| Multiplan | All Products | $3,124.80 | ↓ -73% |
| CommuniCare | MEDICARE ADVANTAGE | $3,136.58 | ↓ -73% |
| Perennial Health | MEDICARE ADVANTAGE | $3,140.89 | ↓ -73% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,226.20 | ↓ -73% |
| ANTHEM | PPO/HMO | $3,402.00 | ↓ -71% |
| Aetna | Qhp/Ifp | $3,472.00 | ↓ -70% |
| OSCAR | ALL PRODUCTS | $5,118.11 | ↓ -56% |
| MMO | SuperMed | $5,442.30 | ↓ -54% |
| PHP | ALL PRODUCTS | $5,791.36 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $5,791.36 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $6,117.12 | ↓ -48% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↓ -47% |
| MMO | ALL PRODUCTS | $6,363.95 | ↓ -46% |
| AETNA | International | $6,561.00 | ↓ -44% |
| UNITED | ALL PRODUCTS | $6,757.00 | ↓ -43% |
| Summacare | PREMIER | $6,913.44 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $8,144.10 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $8,542.26 | ↓ -27% |
| OHCP | ALL PRODUCTS | $8,795.63 | ↓ -25% |
| OMAS | ALL PRODUCTS | $9,049.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $9,049.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $9,772.92 | ↓ -17% |
| ANTHEM | TRADITIONAL | $10,008.19 | ↓ -15% |
| The Health Plan | PPO | $11,553.76 | ↓ -2% |
| GMS | ALL PRODUCTS | $12,668.60 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $12,668.60 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $13,573.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $13,573.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $15,202.32 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $16,288.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $16,288.20 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $16,288.20 | ↑ +38% |
| FrontPath | TRANSPLANT | $16,288.20 | ↑ +38% |
| AETNA | Qhp/Ipf | $18,098.00 | ↑ +54% |
| The Health Plan | HMO | $18,098.00 | ↑ +54% |
| The Health Plan | POS | $18,098.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Repos lv lead pm/icd at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $2,934.60 | not published |
| cleveland clinic main campus | Cleveland | $11,763.70 | $1.10 – $16,288.20 |
| akron general | Akron | $11,763.70 | $1.10 – $16,288.20 |
| avon hospital | Avon | $11,763.70 | $859.93 – $16,288.20 |
| euclid hospital | Euclid | $11,763.70 | $859.93 – $16,288.20 |
| fairview hospital | Cleveland | $11,763.70 | $734.54 – $16,288.20 |
| lutheran hospital | Cleveland | $11,763.70 | $859.93 – $16,288.20 |
| hillcrest hospital | Mayfield Heights | $11,763.70 | $734.54 – $16,288.20 |