Rpm tx mgmt 1st 20 min at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$158.60
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.
$244.00
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 $254.00 with UNITED — 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 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $15.70 | ↓ -90% |
| Summacare | Medicare Advantage Lower Level | $18.29 | ↓ -88% |
| Summacare | Preferred | $18.29 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $19.59 | ↓ -88% |
| OSCAR | ALL PRODUCTS | $20.36 | ↓ -87% |
| PHPHI | ALL PRODUCTS | $23.04 | ↓ -85% |
| PHP | ALL PRODUCTS | $23.04 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $23.92 | ↓ -85% |
| CC EHP | ALL PRODUCTS | $24.34 | ↓ -85% |
| United | Managed Medicaid | $25.36 | ↓ -84% |
| Aultcare | PPO/HMO | $25.78 | ↓ -84% |
| Humana | Medicare Advantage HMO | $26.12 | ↓ -84% |
| Caresource | Managed Medicaid | $26.12 | ↓ -84% |
| United | Medicare Advantage | $26.12 | ↓ -84% |
| Aetna | Medicare Advantage | $26.12 | ↓ -84% |
| Anthem | Medicare Advantage | $26.12 | ↓ -84% |
| The Health Plan | Medicare Advantage | $26.12 | ↓ -84% |
| Cigna | Medicare Advantage | $26.12 | ↓ -84% |
| Buckeye | Managed Medicaid | $26.63 | ↓ -83% |
| Summacare | Medicare Advantage MD | $26.73 | ↓ -83% |
| MMO | Medicare HMO & PPO | $26.90 | ↓ -83% |
| Summacare | Premier | $27.43 | ↓ -83% |
| CommuniCare | Medicare Advantage | $27.43 | ↓ -83% |
| Summacare | PREMIER | $27.50 | ↓ -83% |
| Molina | Managed Medicaid | $27.90 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $27.90 | ↓ -82% |
| Perennial Health | Medicare Advantage | $28.21 | ↓ -82% |
| The Health Plan | All Products PCP | $28.73 | ↓ -82% |
| The Health Plan | All Products Specialty Physicians | $30.04 | ↓ -81% |
| MMO | ALL PRODUCTS | $32.26 | ↓ -80% |
| Amish Community Aid Plan | ALL PRODUCTS | $32.40 | ↓ -80% |
| ANTHEM | HPN | $33.00 | ↓ -79% |
| The Health Plan | All Products Radiation Oncology Physicians | $33.96 | ↓ -79% |
| CIGNA | ALL PRODUCTS | $33.98 | ↓ -79% |
| ANTHEM | Exchange | $34.94 | ↓ -78% |
| OHCP | ALL PRODUCTS | $34.99 | ↓ -78% |
| Immergrun | ALL PRODUCTS | $36.00 | ↓ -77% |
| OMAS | ALL PRODUCTS | $36.00 | ↓ -77% |
| ANTHEM | PPO/HMO | $38.82 | ↓ -76% |
| Ohio Healthy | TRANSPLANT | $38.88 | ↓ -75% |
| ANTHEM | TRADITIONAL | $39.82 | ↓ -75% |
| MMO | SuperMed | $44.05 | ↓ -72% |
| The Health Plan | PPO | $45.96 | ↓ -71% |
| Medical Benefit Corp | Transplant SMCP | $50.40 | ↓ -68% |
| GMS | ALL PRODUCTS | $50.40 | ↓ -68% |
| AETNA | Asa_Whirlpool_Peia | $50.40 | ↓ -68% |
| AETNA | International | $50.40 | ↓ -68% |
| Consociate Health | ALL PRODUCTS | $54.00 | ↓ -66% |
| AETNA | ALL PRODUCTS | $54.00 | ↓ -66% |
| Anthem | All Products Mid-Level Non-Facility | $54.26 | ↓ -66% |
| Cigna | All Products Mid-Level | $59.18 | ↓ -63% |
| The Health Plan | Self-Funded ASO | $60.48 | ↓ -62% |
| Oscar | All Products | $62.00 | ↓ -61% |
| MULTIPLAN | ALL PRODUCTS | $64.80 | ↓ -59% |
| FrontPath | TRANSPLANT | $64.80 | ↓ -59% |
| Tertiary Care Network | TRANSPLANT | $64.80 | ↓ -59% |
| Managed Care Services | TRANSPLANT | $64.80 | ↓ -59% |
| Aetna | Acop | $68.89 | ↓ -57% |
| Cigna | All Products Physician | $69.93 | ↓ -56% |
| United | All Products - Mid-Level | $70.38 | ↓ -56% |
| The Health Plan | POS | $72.00 | ↓ -55% |
| AETNA | Qhp/Ipf | $72.00 | ↓ -55% |
| The Health Plan | HMO | $72.00 | ↓ -55% |
| United | HMO & PPO | $78.20 | ↓ -51% |
| United | All Products | $78.20 | ↓ -51% |
| OHCP | All Products | $94.92 | ↓ -40% |
| OMAS | All Products | $122.00 | ↓ -23% |
| PHPHI | All Products | $146.40 | ↓ -8% |
| GMS | All Products | $170.80 | ↑ +8% |
| MMO | Traditional | $170.80 | ↑ +8% |
| Aetna | All Products First Health | $183.00 | ↑ +15% |
| Immergrun | All Products | $183.00 | ↑ +15% |
| Aetna | Asa | $195.20 | ↑ +23% |
| Multiplan | All Products | $219.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $244.00 | ↑ +54% |
| UNITED | ALL PRODUCTS | $254.00 | ↑ +60% |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| CARESOURCE | Managed Medicaid | not published by hospital | — |
| MOLINA | Managed Medicaid | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | Managed Medicaid | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | Managed Medicaid | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Rpm tx mgmt 1st 20 min at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $158.60 | $1.10 – $219.60 |
| akron general | Akron | $158.60 | $1.10 – $239.00 |
| avon hospital | Avon | $46.80 | $15.70 – $254.00 |
| euclid hospital | Euclid | $46.80 | $15.70 – $254.00 |
| fairview hospital | Cleveland | $46.80 | $15.70 – $239.00 |
| lutheran hospital | Cleveland | $46.80 | $15.70 – $254.00 |
| hillcrest hospital | Mayfield Heights | $46.80 | $15.70 – $239.00 |
| lodi hospital | Lodi | $46.80 | $20.36 – $64.80 |