Tbs techl calculation only at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$395.20
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.
$608.00
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 $608.00 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% |
| United | Managed Medicaid | $3.24 | ↓ -99% |
| Caresource | Managed Medicaid | $3.34 | ↓ -99% |
| Buckeye | Managed Medicaid | $3.40 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $3.56 | ↓ -99% |
| Molina | Managed Medicaid | $3.56 | ↓ -99% |
| Summacare | Preferred | $15.73 | ↓ -96% |
| Summacare | Medicare Advantage Lower Level | $15.73 | ↓ -96% |
| Summacare | Medicare Advantage Psych | $18.41 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $20.57 | ↓ -95% |
| Summacare | Medicare Advantage MD | $22.99 | ↓ -94% |
| Aetna | Medicare Advantage | $24.55 | ↓ -94% |
| Anthem | Medicare Advantage | $24.55 | ↓ -94% |
| Cigna | Medicare Advantage | $24.55 | ↓ -94% |
| Humana | Medicare Advantage HMO | $24.55 | ↓ -94% |
| The Health Plan | Medicare Advantage | $24.55 | ↓ -94% |
| United | Medicare Advantage | $24.55 | ↓ -94% |
| MMO | Medicare HMO & PPO | $25.29 | ↓ -94% |
| Summacare | Premier | $25.78 | ↓ -93% |
| CommuniCare | Medicare Advantage | $25.78 | ↓ -93% |
| Perennial Health | Medicare Advantage | $26.51 | ↓ -93% |
| The Health Plan | All Products PCP | $27.01 | ↓ -93% |
| The Health Plan | All Products Specialty Physicians | $28.23 | ↓ -93% |
| The Health Plan | All Products Radiation Oncology Physicians | $31.92 | ↓ -92% |
| Anthem | All Products Mid-Level Non-Facility | $35.39 | ↓ -91% |
| Oscar | All Products | $40.15 | ↓ -90% |
| United | All Products - Mid-Level | $45.23 | ↓ -89% |
| United | All Products | $50.25 | ↓ -87% |
| United | HMO & PPO | $50.25 | ↓ -87% |
| Aultcare | PPO/HMO | $56.56 | ↓ -86% |
| OHCP | All Products | $61.46 | ↓ -84% |
| The Health Plan | MEDICARE ADVANTAGE | $73.22 | ↓ -81% |
| OMAS | All Products | $79.00 | ↓ -80% |
| UNITED | MEDICARE ADVANTAGE | $81.36 | ↓ -79% |
| HUMANA | Medicare Advantage HMO | $81.36 | ↓ -79% |
| ANTHEM | MEDICARE ADVANTAGE | $82.33 | ↓ -79% |
| Summacare | MEDICARE ADVANTAGE | $82.33 | ↓ -79% |
| AETNA | MEDICARE ADVANTAGE | $82.33 | ↓ -79% |
| CIGNA | MEDICARE ADVANTAGE | $84.80 | ↓ -79% |
| CommuniCare | MEDICARE ADVANTAGE | $86.45 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $87.86 | ↓ -78% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $88.92 | ↓ -78% |
| PHPHI | All Products | $94.80 | ↓ -76% |
| GMS | All Products | $110.60 | ↓ -72% |
| MMO | Traditional | $110.60 | ↓ -72% |
| Aetna | All Products First Health | $118.50 | ↓ -70% |
| Immergrun | All Products | $118.50 | ↓ -70% |
| Aetna | Asa | $126.40 | ↓ -68% |
| Multiplan | All Products | $142.20 | ↓ -64% |
| MMO | SuperMed | $155.90 | ↓ -61% |
| Aetna | Qhp/Ifp | $158.00 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $171.94 | ↓ -56% |
| MMO | ALL PRODUCTS | $181.43 | ↓ -54% |
| PHPHI | ALL PRODUCTS | $194.56 | ↓ -51% |
| PHP | ALL PRODUCTS | $194.56 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $205.50 | ↓ -48% |
| Summacare | PREMIER | $232.26 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $273.60 | ↓ -31% |
| ANTHEM | HPN | $278.65 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $286.98 | ↓ -27% |
| ANTHEM | Exchange | $295.06 | ↓ -25% |
| OHCP | ALL PRODUCTS | $295.49 | ↓ -25% |
| OMAS | ALL PRODUCTS | $304.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $304.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $327.83 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $328.32 | ↓ -17% |
| ANTHEM | TRADITIONAL | $336.22 | ↓ -15% |
| The Health Plan | PPO | $388.15 | ↓ -2% |
| UNITED | ALL PRODUCTS | $418.21 | ↑ +6% |
| AETNA | International | $425.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $425.60 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $425.60 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $456.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $456.00 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $510.72 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $547.20 | ↑ +38% |
| FrontPath | TRANSPLANT | $547.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $547.20 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $547.20 | ↑ +38% |
| The Health Plan | POS | $608.00 | ↑ +54% |
| The Health Plan | HMO | $608.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $608.00 | ↑ +54% |
| CARESOURCE | Managed Medicaid | 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 | — |
| Aetna | Acop | not published by hospital | — |
| ANTHEM | Managed Medicaid | not published by hospital | — |
| AMERIHEALTH | Managed Medicaid | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Tbs techl calculation only at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $395.20 | $1.10 – $547.20 |
| akron general | Akron | $395.20 | $0.87 – $547.20 |
| avon hospital | Avon | $395.20 | $0.87 – $547.20 |
| euclid hospital | Euclid | $395.20 | $0.87 – $547.20 |
| fairview hospital | Cleveland | $395.20 | $0.87 – $547.20 |
| lutheran hospital | Cleveland | $395.20 | $0.87 – $547.20 |
| hillcrest hospital | Mayfield Heights | $395.20 | $0.87 – $547.20 |
| lodi hospital | Lodi | $395.20 | $88.05 – $547.20 |