Ther nma rdctj intus/obstrcj at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
not published by hospital
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.
not published by hospital
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.
$116.28 with UNITED vs $4,036,081.00 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 |
|---|---|---|---|
| UNITED | Managed Medicaid | $116.28 | — |
| CARESOURCE | Managed Medicaid | $119.77 | — |
| Buckeye | Managed Medicaid | $119.77 | — |
| MOLINA | Managed Medicaid | $122.09 | — |
| ANTHEM | Managed Medicaid | $122.09 | — |
| AMERIHEALTH | Managed Medicaid | $127.91 | — |
| The Health Plan | MEDICARE ADVANTAGE | $148.04 | — |
| UNITED | MEDICARE ADVANTAGE | $164.49 | — |
| HUMANA | Medicare Advantage HMO | $164.49 | — |
| Summacare | MEDICARE ADVANTAGE | $165.94 | — |
| AETNA | MEDICARE ADVANTAGE | $165.94 | — |
| ANTHEM | MEDICARE ADVANTAGE | $165.94 | — |
| CIGNA | MEDICARE ADVANTAGE | $170.92 | — |
| MMO | Medicare HMO & PPO | $172.71 | — |
| CommuniCare | MEDICARE ADVANTAGE | $174.24 | — |
| Perennial Health | MEDICARE ADVANTAGE | $177.65 | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | $179.22 | — |
| Zing Health | Medicare Advantage | $182.54 | — |
| MMO | ALL PRODUCTS | $278.05 | — |
| The Health Plan | PPO | $281.73 | — |
| CIGNA | ALL PRODUCTS | $298.38 | — |
| ANTHEM | HPN | $367.58 | — |
| AETNA | International | $454.82 | — |
| ANTHEM | Exchange | $506.81 | — |
| ANTHEM | PPO/HMO | $563.14 | — |
| UNITED | ALL PRODUCTS | $903.92 | — |
| The Health Plan | HMO | $1,276,448.04 | — |
| The Health Plan | POS | $4,036,081.00 | — |
Visitor-reported prices
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Ther nma rdctj intus/obstrcj at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $530.15 | $641.40 – $823.13 |
| cleveland clinic main campus | Cleveland | $1,323.40 | $1.10 – $1,105.20 |
| University Hospitals Ahuja Medical Center | Beachwood | $208.50 | $61.44 – $356.07 |
| University Hospitals Beachwood Medical Center | Beachwood | $208.50 | $127.88 – $420.29 |
| University Hospitals Conneaut Medical Center | Conneaut | $208.50 | $356.07 – $426.78 |
| University Hospitals Elyria Medical Center | Elyria | $208.50 | $165.94 – $356.07 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $208.50 | $165.94 – $356.07 |
| University Hospitals Geneva Medical Center | Geneva | $208.50 | $356.07 – $426.78 |