Rp loclzj tum spect w/ct 1 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$6,242.60
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.
$9,604.00
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.
$1.01 with AETNA vs $9,008.00 with AETNA — 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Preferred | $41.03 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $41.03 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $48.14 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $53.66 | ↓ -99% |
| Summacare | Medicare Advantage MD | $59.97 | ↓ -99% |
| United | Medicare Advantage | $64.19 | ↓ -99% |
| Aetna | Medicare Advantage | $64.19 | ↓ -99% |
| The Health Plan | Medicare Advantage | $64.19 | ↓ -99% |
| Anthem | Medicare Advantage | $64.19 | ↓ -99% |
| Humana | Medicare Advantage HMO | $64.19 | ↓ -99% |
| Cigna | Medicare Advantage | $64.19 | ↓ -99% |
| MMO | Medicare HMO & PPO | $66.12 | ↓ -99% |
| CommuniCare | Medicare Advantage | $67.40 | ↓ -99% |
| Summacare | Premier | $67.40 | ↓ -99% |
| Perennial Health | Medicare Advantage | $69.33 | ↓ -99% |
| The Health Plan | All Products PCP | $70.61 | ↓ -99% |
| The Health Plan | All Products Specialty Physicians | $73.82 | ↓ -99% |
| The Health Plan | All Products Radiation Oncology Physicians | $83.45 | ↓ -99% |
| Anthem | All Products Mid-Level Non-Facility | $90.54 | ↓ -99% |
| United | All Products - Mid-Level | $114.71 | ↓ -98% |
| United | HMO & PPO | $127.46 | ↓ -98% |
| United | All Products | $127.46 | ↓ -98% |
| Oscar | All Products | $151.44 | ↓ -98% |
| Aultcare | PPO/HMO | $213.37 | ↓ -97% |
| OHCP | All Products | $231.84 | ↓ -96% |
| OMAS | All Products | $298.00 | ↓ -95% |
| MMO | SuperMed | $321.84 | ↓ -95% |
| PHPHI | All Products | $357.60 | ↓ -94% |
| United | Managed Medicaid | $375.41 | ↓ -94% |
| Caresource | Managed Medicaid | $386.67 | ↓ -94% |
| Buckeye | Managed Medicaid | $394.18 | ↓ -94% |
| Molina | Managed Medicaid | $412.95 | ↓ -93% |
| AmeriHealth | Managed Medicaid | $412.95 | ↓ -93% |
| GMS | All Products | $417.20 | ↓ -93% |
| MMO | Traditional | $417.20 | ↓ -93% |
| Immergrun | All Products | $447.00 | ↓ -93% |
| Aetna | All Products First Health | $447.00 | ↓ -93% |
| Aetna | Asa | $476.80 | ↓ -92% |
| Multiplan | All Products | $536.40 | ↓ -91% |
| Aetna | Qhp/Ifp | $596.00 | ↓ -90% |
| UNITED | Managed Medicaid | $724.62 | ↓ -88% |
| CARESOURCE | Managed Medicaid | $746.36 | ↓ -88% |
| MOLINA | Managed Medicaid | $760.85 | ↓ -88% |
| ANTHEM | Managed Medicaid | $760.85 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $797.08 | ↓ -87% |
| The Health Plan | MEDICARE ADVANTAGE | $1,085.61 | ↓ -83% |
| HUMANA | Medicare Advantage HMO | $1,206.24 | ↓ -81% |
| UNITED | MEDICARE ADVANTAGE | $1,206.24 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $1,224.84 | ↓ -80% |
| ANTHEM | MEDICARE ADVANTAGE | $1,224.84 | ↓ -80% |
| Summacare | MEDICARE ADVANTAGE | $1,224.84 | ↓ -80% |
| CIGNA | MEDICARE ADVANTAGE | $1,261.58 | ↓ -80% |
| CommuniCare | MEDICARE ADVANTAGE | $1,286.08 | ↓ -79% |
| Perennial Health | MEDICARE ADVANTAGE | $1,302.74 | ↓ -79% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,322.82 | ↓ -79% |
| OSCAR | ALL PRODUCTS | $2,547.46 | ↓ -59% |
| ANTHEM | HPN | $2,689.11 | ↓ -57% |
| MMO | ALL PRODUCTS | $2,835.02 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $2,882.56 | ↓ -54% |
| PHP | ALL PRODUCTS | $2,882.56 | ↓ -54% |
| CC EHP | ALL PRODUCTS | $3,044.70 | ↓ -51% |
| AETNA | International | $3,327.37 | ↓ -47% |
| Summacare | PREMIER | $3,441.06 | ↓ -45% |
| ANTHEM | Exchange | $3,707.68 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $4,053.60 | ↓ -35% |
| ANTHEM | PPO/HMO | $4,119.81 | ↓ -34% |
| CIGNA | ALL PRODUCTS | $4,251.78 | ↓ -32% |
| OHCP | ALL PRODUCTS | $4,377.89 | ↓ -30% |
| OMAS | ALL PRODUCTS | $4,504.00 | ↓ -28% |
| Immergrun | ALL PRODUCTS | $4,504.00 | ↓ -28% |
| Ohio Healthy | TRANSPLANT | $4,864.32 | ↓ -22% |
| ANTHEM | TRADITIONAL | $4,981.42 | ↓ -20% |
| The Health Plan | PPO | $5,750.71 | ↓ -8% |
| GMS | ALL PRODUCTS | $6,305.60 | ↑ +1% |
| Medical Benefit Corp | Transplant SMCP | $6,305.60 | ↑ +1% |
| UNITED | ALL PRODUCTS | $6,611.33 | ↑ +6% |
| Consociate Health | ALL PRODUCTS | $6,756.00 | ↑ +8% |
| AETNA | ALL PRODUCTS | $6,756.00 | ↑ +8% |
| The Health Plan | Self-Funded ASO | $7,566.72 | ↑ +21% |
| MULTIPLAN | ALL PRODUCTS | $8,107.20 | ↑ +30% |
| Tertiary Care Network | TRANSPLANT | $8,107.20 | ↑ +30% |
| FrontPath | TRANSPLANT | $8,107.20 | ↑ +30% |
| Managed Care Services | TRANSPLANT | $8,107.20 | ↑ +30% |
| The Health Plan | POS | $9,008.00 | ↑ +44% |
| The Health Plan | HMO | $9,008.00 | ↑ +44% |
| AETNA | Qhp/Ipf | $9,008.00 | ↑ +44% |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Rp loclzj tum spect w/ct 1 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $2,332.80 | not published |
| Anderson Hospital | Cincinnati | $2,332.80 | not published |
| Clermont Hospital | Batavia | $2,332.80 | not published |
| Kings Mills Hospital | Mason | $2,332.80 | not published |
| Mercy West Hospital | Cincinnati | $2,332.80 | not published |
| St Ritas Medical Center | Lima | $2,556.60 | not published |
| cleveland clinic main campus | Cleveland | $6,242.60 | $0.01 – $8,107.20 |
| akron general | Akron | $6,242.60 | $0.87 – $8,107.20 |