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Rmv prosth mat/mesh/abd wall/infec 11008 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,300.00
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.
$2,000.00
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% |
| Oscar | All Products | $129.59 | ↓ -90% |
| Summacare | Medicare Advantage Lower Level | $167.85 | ↓ -87% |
| Summacare | Preferred | $167.85 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $181.93 | ↓ -86% |
| Aultcare | PPO/HMO | $182.58 | ↓ -86% |
| OHCP | All Products | $198.39 | ↓ -85% |
| United | Managed Medicaid | $212.89 | ↓ -84% |
| Caresource | Managed Medicaid | $219.28 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $219.50 | ↓ -83% |
| Buckeye | Managed Medicaid | $223.53 | ↓ -83% |
| Molina | Managed Medicaid | $234.18 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $234.18 | ↓ -82% |
| United | Medicare Advantage | $242.57 | ↓ -81% |
| Cigna | Medicare Advantage | $242.57 | ↓ -81% |
| Humana | Medicare Advantage HMO | $242.57 | ↓ -81% |
| The Health Plan | Medicare Advantage | $242.57 | ↓ -81% |
| Aetna | Medicare Advantage | $242.57 | ↓ -81% |
| Anthem | Medicare Advantage | $242.57 | ↓ -81% |
| Summacare | Medicare Advantage MD | $245.32 | ↓ -81% |
| MMO | Medicare HMO & PPO | $249.85 | ↓ -81% |
| Summacare | Premier | $254.70 | ↓ -80% |
| CommuniCare | Medicare Advantage | $254.70 | ↓ -80% |
| OMAS | All Products | $255.00 | ↓ -80% |
| The Health Plan | PPO | $259.55 | ↓ -80% |
| Perennial Health | Medicare Advantage | $261.98 | ↓ -80% |
| The Health Plan | All Products PCP | $266.83 | ↓ -79% |
| The Health Plan | All Products Specialty Physicians | $278.96 | ↓ -79% |
| PHPHI | All Products | $306.00 | ↓ -76% |
| The Health Plan | All Products Radiation Oncology Physicians | $315.34 | ↓ -76% |
| GMS | All Products | $357.00 | ↓ -73% |
| MMO | Traditional | $357.00 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $368.35 | ↓ -72% |
| Immergrun | All Products | $382.50 | ↓ -71% |
| Aetna | All Products First Health | $382.50 | ↓ -71% |
| Aetna | Asa | $408.00 | ↓ -69% |
| UNITED | Managed Medicaid | $456.30 | ↓ -65% |
| Multiplan | All Products | $459.00 | ↓ -65% |
| MMO | SuperMed | $467.71 | ↓ -64% |
| CARESOURCE | Managed Medicaid | $469.99 | ↓ -64% |
| ANTHEM | Managed Medicaid | $479.12 | ↓ -63% |
| MOLINA | Managed Medicaid | $479.12 | ↓ -63% |
| AMERIHEALTH | Managed Medicaid | $501.93 | ↓ -61% |
| Aetna | Qhp/Ifp | $510.00 | ↓ -61% |
| United | All Products - Mid-Level | $607.78 | ↓ -53% |
| United | HMO & PPO | $675.32 | ↓ -48% |
| United | All Products | $675.32 | ↓ -48% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +98088% |
| The Health Plan | POS | $4,036,081.00 | ↑ +310368% |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Rmv prosth mat/mesh/abd wall/infec 11008 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,300.00 | $1.10 – $1,800.00 |
| akron general | Akron | $1,300.00 | $1.10 – $514.35 |
| avon hospital | Avon | not published | $476.42 – $485.49 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $777.81 – $900.63 |
| euclid hospital | Euclid | not published | $488.10 – $565.17 |
| fairview hospital | Cleveland | not published | $458.55 – $530.95 |
| lutheran hospital | Cleveland | not published | $436.54 – $505.47 |
| hillcrest hospital | Mayfield Heights | not published | $477.73 – $553.16 |