Tomosynthesis breast screen bilateral at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$247.00
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.
$380.00
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 $156.45 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $13.79 | ↓ -94% |
| Summacare | Preferred | $13.79 | ↓ -94% |
| Summacare | Medicare Advantage Psych | $16.09 | ↓ -93% |
| Summacare | Medicare Advantage CNA | $18.04 | ↓ -93% |
| Summacare | Medicare Advantage MD | $20.16 | ↓ -92% |
| Humana | Medicare Advantage HMO | $21.45 | ↓ -91% |
| Aetna | Medicare Advantage | $21.45 | ↓ -91% |
| United | Medicare Advantage | $21.45 | ↓ -91% |
| The Health Plan | Medicare Advantage | $21.45 | ↓ -91% |
| Anthem | Medicare Advantage | $21.45 | ↓ -91% |
| Cigna | Medicare Advantage | $21.45 | ↓ -91% |
| MMO | Medicare HMO & PPO | $22.09 | ↓ -91% |
| CommuniCare | Medicare Advantage | $22.52 | ↓ -91% |
| Summacare | Premier | $22.52 | ↓ -91% |
| Perennial Health | Medicare Advantage | $23.17 | ↓ -91% |
| The Health Plan | All Products PCP | $23.60 | ↓ -90% |
| The Health Plan | All Products Specialty Physicians | $24.67 | ↓ -90% |
| The Health Plan | All Products Radiation Oncology Physicians | $27.89 | ↓ -89% |
| Anthem | All Products Mid-Level Non-Facility | $30.28 | ↓ -88% |
| Aetna | Acop | $30.56 | ↓ -88% |
| Oscar | All Products | $35.57 | ↓ -86% |
| United | All Products - Mid-Level | $38.72 | ↓ -84% |
| OSCAR | ALL PRODUCTS | $39.59 | ↓ -84% |
| United | Managed Medicaid | $40.91 | ↓ -83% |
| Caresource | Managed Medicaid | $42.13 | ↓ -83% |
| UNITED | Managed Medicaid | $42.26 | ↓ -83% |
| Buckeye | Managed Medicaid | $42.95 | ↓ -83% |
| United | HMO & PPO | $43.02 | ↓ -83% |
| United | All Products | $43.02 | ↓ -83% |
| CARESOURCE | Managed Medicaid | $43.53 | ↓ -82% |
| MOLINA | Managed Medicaid | $44.37 | ↓ -82% |
| ANTHEM | Managed Medicaid | $44.37 | ↓ -82% |
| PHPHI | ALL PRODUCTS | $44.80 | ↓ -82% |
| PHP | ALL PRODUCTS | $44.80 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $45.00 | ↓ -82% |
| Molina | Managed Medicaid | $45.00 | ↓ -82% |
| AMERIHEALTH | Managed Medicaid | $46.49 | ↓ -81% |
| CC EHP | ALL PRODUCTS | $47.32 | ↓ -81% |
| Aultcare | PPO/HMO | $50.12 | ↓ -80% |
| Summacare | PREMIER | $53.48 | ↓ -78% |
| OHCP | All Products | $54.46 | ↓ -78% |
| The Health Plan | MEDICARE ADVANTAGE | $58.97 | ↓ -76% |
| ANTHEM | HPN | $60.26 | ↓ -76% |
| Amish Community Aid Plan | ALL PRODUCTS | $63.00 | ↓ -74% |
| UNITED | MEDICARE ADVANTAGE | $65.52 | ↓ -73% |
| HUMANA | Medicare Advantage HMO | $65.52 | ↓ -73% |
| CIGNA | ALL PRODUCTS | $66.08 | ↓ -73% |
| ANTHEM | MEDICARE ADVANTAGE | $66.24 | ↓ -73% |
| AETNA | MEDICARE ADVANTAGE | $66.24 | ↓ -73% |
| Summacare | MEDICARE ADVANTAGE | $66.24 | ↓ -73% |
| OHCP | ALL PRODUCTS | $68.04 | ↓ -72% |
| CIGNA | MEDICARE ADVANTAGE | $68.23 | ↓ -72% |
| CommuniCare | MEDICARE ADVANTAGE | $69.55 | ↓ -72% |
| OMAS | ALL PRODUCTS | $70.00 | ↓ -72% |
| Immergrun | ALL PRODUCTS | $70.00 | ↓ -72% |
| OMAS | All Products | $70.00 | ↓ -72% |
| Perennial Health | MEDICARE ADVANTAGE | $70.76 | ↓ -71% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $71.54 | ↓ -71% |
| AETNA | International | $74.56 | ↓ -70% |
| Ohio Healthy | TRANSPLANT | $75.60 | ↓ -69% |
| MMO | SuperMed | $75.60 | ↓ -69% |
| ANTHEM | TRADITIONAL | $77.42 | ↓ -69% |
| ANTHEM | Exchange | $83.09 | ↓ -66% |
| PHPHI | All Products | $84.00 | ↓ -66% |
| ANTHEM | PPO/HMO | $92.32 | ↓ -63% |
| GMS | ALL PRODUCTS | $98.00 | ↓ -60% |
| MMO | Traditional | $98.00 | ↓ -60% |
| Medical Benefit Corp | Transplant SMCP | $98.00 | ↓ -60% |
| GMS | All Products | $98.00 | ↓ -60% |
| Aetna | All Products First Health | $105.00 | ↓ -57% |
| Immergrun | All Products | $105.00 | ↓ -57% |
| Consociate Health | ALL PRODUCTS | $105.00 | ↓ -57% |
| AETNA | ALL PRODUCTS | $105.00 | ↓ -57% |
| Aetna | Asa | $112.00 | ↓ -55% |
| The Health Plan | Self-Funded ASO | $117.60 | ↓ -52% |
| Managed Care Services | TRANSPLANT | $126.00 | ↓ -49% |
| Tertiary Care Network | TRANSPLANT | $126.00 | ↓ -49% |
| MULTIPLAN | ALL PRODUCTS | $126.00 | ↓ -49% |
| FrontPath | TRANSPLANT | $126.00 | ↓ -49% |
| Multiplan | All Products | $126.00 | ↓ -49% |
| UNITED | ALL PRODUCTS | $128.95 | ↓ -48% |
| AETNA | Qhp/Ipf | $140.00 | ↓ -43% |
| Aetna | Qhp/Ifp | $140.00 | ↓ -43% |
| The Health Plan | HMO | $142.00 | ↓ -43% |
| MMO | ALL PRODUCTS | $152.06 | ↓ -38% |
| The Health Plan | PPO | $156.45 | ↓ -37% |
| The Health Plan | POS | $156.45 | ↓ -37% |
| AETNA | NAP | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $57.60 | not published |
| Anderson Hospital | Cincinnati | $60.60 | not published |
| Clermont Hospital | Batavia | $60.60 | not published |
| Mercy West Hospital | Cincinnati | $60.60 | not published |
| Trinity Medical Center East | Steubenville | $70.92 | $85.80 – $110.11 |
| cleveland clinic main campus | Cleveland | $247.00 | $1.10 – $126.00 |
| akron general | Akron | $247.00 | $0.87 – $126.00 |
| avon hospital | Avon | $91.00 | $0.87 – $126.00 |