healthcosts.net
Rev/rplcmt sk-mnt crnl nstm at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,217.50
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.
$4,950.00
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% |
| Summacare | Medicare Advantage Lower Level | $367.17 | ↓ -89% |
| Summacare | Preferred | $367.17 | ↓ -89% |
| United | Managed Medicaid | $459.89 | ↓ -86% |
| Caresource | Managed Medicaid | $473.69 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $480.14 | ↓ -85% |
| Buckeye | Managed Medicaid | $482.88 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $505.88 | ↓ -84% |
| Molina | Managed Medicaid | $505.88 | ↓ -84% |
| Summacare | Medicare Advantage MD | $536.63 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $610.46 | ↓ -81% |
| Summacare | Premier | $677.84 | ↓ -79% |
| Anthem | All Products Mid-Level Non-Facility | $782.05 | ↓ -76% |
| United | Medicare Advantage | $813.94 | ↓ -75% |
| Aetna | Medicare Advantage | $813.94 | ↓ -75% |
| Cigna | Medicare Advantage | $813.94 | ↓ -75% |
| Humana | Medicare Advantage HMO | $813.94 | ↓ -75% |
| The Health Plan | Medicare Advantage | $813.94 | ↓ -75% |
| Anthem | Medicare Advantage | $813.94 | ↓ -75% |
| MMO | Medicare HMO & PPO | $838.36 | ↓ -74% |
| CommuniCare | Medicare Advantage | $854.64 | ↓ -73% |
| The Health Plan | PPO | $870.92 | ↓ -73% |
| Perennial Health | Medicare Advantage | $879.06 | ↓ -73% |
| The Health Plan | All Products PCP | $895.33 | ↓ -72% |
| The Health Plan | All Products Specialty Physicians | $936.03 | ↓ -71% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,058.12 | ↓ -67% |
| Oscar | All Products | $1,257.80 | ↓ -61% |
| United | All Products - Mid-Level | $1,341.20 | ↓ -58% |
| United | All Products | $1,490.22 | ↓ -54% |
| United | HMO & PPO | $1,490.22 | ↓ -54% |
| Aultcare | PPO/HMO | $1,772.10 | ↓ -45% |
| OHCP | All Products | $1,925.55 | ↓ -40% |
| OMAS | All Products | $2,475.00 | ↓ -23% |
| PHPHI | All Products | $2,970.00 | ↓ -8% |
| GMS | All Products | $3,465.00 | ↑ +8% |
| MMO | Traditional | $3,465.00 | ↑ +8% |
| Aetna | All Products First Health | $3,712.50 | ↑ +15% |
| Immergrun | All Products | $3,712.50 | ↑ +15% |
| Aetna | Asa | $3,960.00 | ↑ +23% |
| Multiplan | All Products | $4,455.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $4,950.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $17,832.77 | ↑ +454% |
| HUMANA | Medicare Advantage HMO | $19,814.19 | ↑ +516% |
| UNITED | MEDICARE ADVANTAGE | $19,814.19 | ↑ +516% |
| Perennial Health | MEDICARE ADVANTAGE | $21,399.32 | ↑ +565% |
| ANTHEM | MEDICARE ADVANTAGE | $29,193.76 | ↑ +807% |
| AETNA | MEDICARE ADVANTAGE | $29,193.76 | ↑ +807% |
| Summacare | MEDICARE ADVANTAGE | $29,193.76 | ↑ +807% |
| CIGNA | MEDICARE ADVANTAGE | $30,069.57 | ↑ +835% |
| CommuniCare | MEDICARE ADVANTAGE | $30,653.45 | ↑ +853% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $31,529.26 | ↑ +880% |
| MMO | ALL PRODUCTS | $33,104.68 | ↑ +929% |
| MMO | SuperMed | $37,350.66 | ↑ +1061% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +39572% |
| The Health Plan | POS | $4,036,081.00 | ↑ +125342% |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Rev/rplcmt sk-mnt crnl nstm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,217.50 | $1.10 – $29,193.76 |
| akron general | Akron | $3,217.50 | $1.10 – $30,069.57 |
| avon hospital | Avon | not published | $19,879.81 – $32,113.14 |
| euclid hospital | Euclid | not published | $18,978.24 – $32,113.14 |
| fairview hospital | Cleveland | not published | $18,978.24 – $32,113.14 |
| lutheran hospital | Cleveland | not published | $19,879.81 – $32,113.14 |
| hillcrest hospital | Mayfield Heights | not published | $18,978.24 – $32,113.14 |
| lodi hospital | Lodi | not published | $21,444.39 – $31,526.06 |