Surgical pathology level 1 gross examination only at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$109.85
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.
$169.00
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 $169.00 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 | ↓ -99% |
| AETNA | Asa_Whirlpool_Peia | $1.11 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $2.67 | ↓ -98% |
| Summacare | Preferred | $2.67 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $3.19 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $3.49 | ↓ -97% |
| Summacare | Medicare Advantage MD | $3.90 | ↓ -96% |
| Anthem | Medicare Advantage | $4.25 | ↓ -96% |
| Aetna | Medicare Advantage | $4.25 | ↓ -96% |
| United | Medicare Advantage | $4.25 | ↓ -96% |
| Humana | Medicare Advantage HMO | $4.25 | ↓ -96% |
| Cigna | Medicare Advantage | $4.25 | ↓ -96% |
| The Health Plan | Medicare Advantage | $4.25 | ↓ -96% |
| MMO | Medicare HMO & PPO | $4.38 | ↓ -96% |
| Summacare | Premier | $4.46 | ↓ -96% |
| CommuniCare | Medicare Advantage | $4.46 | ↓ -96% |
| Perennial Health | Medicare Advantage | $4.59 | ↓ -96% |
| United | All Products | $4.60 | ↓ -96% |
| United | HMO & PPO | $4.60 | ↓ -96% |
| United | All Products - Mid-Level | $4.60 | ↓ -96% |
| The Health Plan | All Products PCP | $4.68 | ↓ -96% |
| The Health Plan | All Products Specialty Physicians | $4.89 | ↓ -96% |
| The Health Plan | All Products Radiation Oncology Physicians | $5.53 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $5.86 | ↓ -95% |
| Oscar | All Products | $8.89 | ↓ -92% |
| Aultcare | PPO/HMO | $12.53 | ↓ -89% |
| OHCP | All Products | $13.62 | ↓ -88% |
| OMAS | All Products | $17.50 | ↓ -84% |
| MMO | SuperMed | $18.90 | ↓ -83% |
| The Health Plan | MEDICARE ADVANTAGE | $20.37 | ↓ -81% |
| PHPHI | All Products | $21.00 | ↓ -81% |
| HUMANA | Medicare Advantage HMO | $22.63 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $22.63 | ↓ -79% |
| CC EHP | ALL PRODUCTS | $22.88 | ↓ -79% |
| Perennial Health | MEDICARE ADVANTAGE | $24.44 | ↓ -78% |
| MMO | Traditional | $24.50 | ↓ -78% |
| GMS | All Products | $24.50 | ↓ -78% |
| Aetna | All Products First Health | $26.25 | ↓ -76% |
| Immergrun | All Products | $26.25 | ↓ -76% |
| Summacare | MEDICARE ADVANTAGE | $27.36 | ↓ -75% |
| ANTHEM | MEDICARE ADVANTAGE | $27.36 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $27.36 | ↓ -75% |
| Aetna | Asa | $28.00 | ↓ -75% |
| CIGNA | MEDICARE ADVANTAGE | $28.18 | ↓ -74% |
| CommuniCare | MEDICARE ADVANTAGE | $28.73 | ↓ -74% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $29.55 | ↓ -73% |
| UNITED | Managed Medicaid | $30.49 | ↓ -72% |
| Buckeye | Managed Medicaid | $31.40 | ↓ -71% |
| CARESOURCE | Managed Medicaid | $31.40 | ↓ -71% |
| Multiplan | All Products | $31.50 | ↓ -71% |
| MOLINA | Managed Medicaid | $32.01 | ↓ -71% |
| ANTHEM | Managed Medicaid | $32.01 | ↓ -71% |
| AMERIHEALTH | Managed Medicaid | $33.54 | ↓ -69% |
| Aetna | Qhp/Ifp | $35.00 | ↓ -68% |
| OSCAR | ALL PRODUCTS | $47.79 | ↓ -56% |
| AETNA | International | $52.02 | ↓ -53% |
| CIGNA | ALL PRODUCTS | $52.79 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $54.08 | ↓ -51% |
| PHP | ALL PRODUCTS | $54.08 | ↓ -51% |
| UNITED | ALL PRODUCTS | $55.52 | ↓ -49% |
| MMO | ALL PRODUCTS | $59.45 | ↓ -46% |
| Summacare | PREMIER | $64.56 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $76.05 | ↓ -31% |
| ANTHEM | HPN | $77.45 | ↓ -29% |
| ANTHEM | Exchange | $82.02 | ↓ -25% |
| OHCP | ALL PRODUCTS | $82.13 | ↓ -25% |
| OMAS | ALL PRODUCTS | $84.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $84.50 | ↓ -23% |
| ANTHEM | PPO/HMO | $91.12 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $91.26 | ↓ -17% |
| ANTHEM | TRADITIONAL | $93.46 | ↓ -15% |
| The Health Plan | PPO | $107.89 | ↓ -2% |
| GMS | ALL PRODUCTS | $118.30 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $118.30 | ↑ +8% |
| AETNA | ALL PRODUCTS | $126.75 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $126.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $141.96 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $152.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $152.10 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $152.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $152.10 | ↑ +38% |
| AETNA | Qhp/Ipf | $169.00 | ↑ +54% |
| The Health Plan | HMO | $169.00 | ↑ +54% |
| The Health Plan | POS | $169.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Surgical pathology level 1 gross examination only at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $79.20 | not published |
| Anderson Hospital | Cincinnati | $79.20 | not published |
| Clermont Hospital | Batavia | $79.20 | not published |
| Kings Mills Hospital | Mason | $79.20 | not published |
| Mercy West Hospital | Cincinnati | $79.20 | not published |
| St Ritas Medical Center | Lima | $124.20 | not published |
| Trinity Medical Center East | Steubenville | $113.08 | $9.53 – $175.56 |
| cleveland clinic main campus | Cleveland | $109.85 | $1.10 – $152.10 |