Rplcm oi implt sk tc esp<100 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$33,453.55
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.
$51,467.00
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 $51,467.00 with The Health Plan — 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 | Medicare Advantage Lower Level | $392.80 | ↓ -99% |
| Summacare | Preferred | $392.80 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $410.22 | ↓ -99% |
| United | Managed Medicaid | $467.92 | ↓ -99% |
| Caresource | Managed Medicaid | $481.96 | ↓ -99% |
| Buckeye | Managed Medicaid | $491.32 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $513.66 | ↓ -98% |
| Molina | Managed Medicaid | $514.71 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $514.71 | ↓ -98% |
| The Health Plan | Medicare Advantage | $546.96 | ↓ -98% |
| Aetna | Medicare Advantage | $546.96 | ↓ -98% |
| United | Medicare Advantage | $546.96 | ↓ -98% |
| Humana | Medicare Advantage HMO | $546.96 | ↓ -98% |
| Cigna | Medicare Advantage | $546.96 | ↓ -98% |
| Anthem | Medicare Advantage | $546.96 | ↓ -98% |
| MMO | Medicare HMO & PPO | $563.37 | ↓ -98% |
| Summacare | Medicare Advantage MD | $574.09 | ↓ -98% |
| CommuniCare | Medicare Advantage | $574.31 | ↓ -98% |
| Summacare | Premier | $574.31 | ↓ -98% |
| Perennial Health | Medicare Advantage | $590.72 | ↓ -98% |
| The Health Plan | All Products PCP | $601.66 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $629.00 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $711.05 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $859.50 | ↓ -97% |
| Oscar | All Products | $1,057.56 | ↓ -97% |
| United | All Products - Mid-Level | $1,427.33 | ↓ -96% |
| Aultcare | PPO/HMO | $1,490.00 | ↓ -96% |
| United | All Products | $1,585.92 | ↓ -95% |
| United | HMO & PPO | $1,585.92 | ↓ -95% |
| OHCP | All Products | $1,619.02 | ↓ -95% |
| OMAS | All Products | $2,081.00 | ↓ -94% |
| PHPHI | All Products | $2,497.20 | ↓ -93% |
| MMO | Traditional | $2,913.40 | ↓ -91% |
| GMS | All Products | $2,913.40 | ↓ -91% |
| Aetna | All Products First Health | $3,121.50 | ↓ -91% |
| Immergrun | All Products | $3,121.50 | ↓ -91% |
| Aetna | Asa | $3,329.60 | ↓ -90% |
| UNITED | Managed Medicaid | $3,702.89 | ↓ -89% |
| Multiplan | All Products | $3,745.80 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $3,813.98 | ↓ -89% |
| ANTHEM | Managed Medicaid | $3,888.03 | ↓ -88% |
| MOLINA | Managed Medicaid | $3,888.03 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $4,073.18 | ↓ -88% |
| Aetna | Qhp/Ifp | $4,162.00 | ↓ -88% |
| ANTHEM | HPN | $5,037.00 | ↓ -85% |
| ANTHEM | Exchange | $5,333.00 | ↓ -84% |
| ANTHEM | PPO/HMO | $5,925.00 | ↓ -82% |
| UNITED | ALL PRODUCTS | $8,434.00 | ↓ -75% |
| AETNA | Asa_Whirlpool_Peia | $10,550.00 | ↓ -68% |
| The Health Plan | MEDICARE ADVANTAGE | $10,699.82 | ↓ -68% |
| AETNA | International | $11,078.00 | ↓ -67% |
| UNITED | MEDICARE ADVANTAGE | $11,888.68 | ↓ -64% |
| HUMANA | Medicare Advantage HMO | $11,888.68 | ↓ -64% |
| ANTHEM | MEDICARE ADVANTAGE | $12,146.38 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $12,146.38 | ↓ -64% |
| Summacare | MEDICARE ADVANTAGE | $12,146.38 | ↓ -64% |
| CIGNA | MEDICARE ADVANTAGE | $12,510.77 | ↓ -63% |
| CommuniCare | MEDICARE ADVANTAGE | $12,753.70 | ↓ -62% |
| Perennial Health | MEDICARE ADVANTAGE | $12,839.78 | ↓ -62% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $13,118.09 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $14,554.87 | ↓ -56% |
| PHP | ALL PRODUCTS | $16,469.44 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $16,469.44 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $17,395.85 | ↓ -48% |
| Summacare | PREMIER | $19,660.39 | ↓ -41% |
| MMO | SuperMed | $22,471.68 | ↓ -33% |
| Amish Community Aid Plan | ALL PRODUCTS | $23,160.15 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $24,292.42 | ↓ -27% |
| OHCP | ALL PRODUCTS | $25,012.96 | ↓ -25% |
| OMAS | ALL PRODUCTS | $25,733.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $25,733.50 | ↓ -23% |
| MMO | ALL PRODUCTS | $26,276.78 | ↓ -21% |
| Ohio Healthy | TRANSPLANT | $27,792.18 | ↓ -17% |
| ANTHEM | TRADITIONAL | $28,461.25 | ↓ -15% |
| The Health Plan | PPO | $32,856.53 | ↓ -2% |
| GMS | ALL PRODUCTS | $36,026.90 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $36,026.90 | ↑ +8% |
| AETNA | ALL PRODUCTS | $38,600.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $38,600.25 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $43,232.28 | ↑ +29% |
| FrontPath | TRANSPLANT | $46,320.30 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $46,320.30 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $46,320.30 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $46,320.30 | ↑ +38% |
| The Health Plan | POS | $51,467.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $51,467.00 | ↑ +54% |
| The Health Plan | HMO | $51,467.00 | ↑ +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
Rplcm oi implt sk tc esp<100 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $33,453.55 | $1.10 – $46,320.30 |
| akron general | Akron | $2,705.30 | $1.10 – $12,839.78 |
| avon hospital | Avon | $33,453.55 | $1,132.20 – $46,320.30 |
| euclid hospital | Euclid | $33,453.55 | $1,132.20 – $46,320.30 |
| fairview hospital | Cleveland | $33,453.55 | $967.10 – $46,320.30 |
| lutheran hospital | Cleveland | $33,453.55 | $1,132.20 – $46,320.30 |
| hillcrest hospital | Mayfield Heights | $33,453.55 | $967.10 – $46,320.30 |
| marymount hospital | Garfield Heights | $33,453.55 | $1,132.20 – $46,320.30 |