healthcosts.net
Transplt allo hct/donor at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$85,293.00
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.
$131,220.00
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 $131,220.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $123.03 | ↓ -100% |
| Caresource | Managed Medicaid | $126.72 | ↓ -100% |
| Buckeye | Managed Medicaid | $129.18 | ↓ -100% |
| AmeriHealth | Managed Medicaid | $135.33 | ↓ -100% |
| Molina | Managed Medicaid | $135.33 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $146.28 | ↓ -100% |
| Summacare | Preferred | $146.28 | ↓ -100% |
| Summacare | Medicare Advantage Psych | $147.98 | ↓ -100% |
| Summacare | Medicare Advantage CNA | $191.28 | ↓ -100% |
| The Health Plan | Medicare Advantage | $197.30 | ↓ -100% |
| Aetna | Medicare Advantage | $197.30 | ↓ -100% |
| United | Medicare Advantage | $197.30 | ↓ -100% |
| Anthem | Medicare Advantage | $197.30 | ↓ -100% |
| Cigna | Medicare Advantage | $197.30 | ↓ -100% |
| Humana | Medicare Advantage HMO | $197.30 | ↓ -100% |
| MMO | Medicare HMO & PPO | $203.22 | ↓ -100% |
| Summacare | Premier | $207.17 | ↓ -100% |
| CommuniCare | Medicare Advantage | $207.17 | ↓ -100% |
| Perennial Health | Medicare Advantage | $213.08 | ↓ -100% |
| Summacare | Medicare Advantage MD | $213.79 | ↓ -100% |
| The Health Plan | All Products PCP | $217.03 | ↓ -100% |
| The Health Plan | All Products Specialty Physicians | $226.90 | ↓ -100% |
| The Health Plan | All Products Radiation Oncology Physicians | $256.49 | ↓ -100% |
| Anthem | All Products Mid-Level Non-Facility | $315.29 | ↓ -100% |
| Oscar | All Products | $447.22 | ↓ -99% |
| United | All Products - Mid-Level | $527.92 | ↓ -99% |
| United | All Products | $586.58 | ↓ -99% |
| United | HMO & PPO | $586.58 | ↓ -99% |
| Aultcare | PPO/HMO | $630.08 | ↓ -99% |
| OHCP | All Products | $684.64 | ↓ -99% |
| OMAS | All Products | $880.00 | ↓ -99% |
| PHPHI | All Products | $1,056.00 | ↓ -99% |
| GMS | All Products | $1,232.00 | ↓ -99% |
| MMO | Traditional | $1,232.00 | ↓ -99% |
| Immergrun | All Products | $1,320.00 | ↓ -98% |
| Aetna | All Products First Health | $1,320.00 | ↓ -98% |
| Aetna | Asa | $1,408.00 | ↓ -98% |
| UNITED | Managed Medicaid | $1,410.11 | ↓ -98% |
| CARESOURCE | Managed Medicaid | $1,452.41 | ↓ -98% |
| MOLINA | Managed Medicaid | $1,480.62 | ↓ -98% |
| ANTHEM | Managed Medicaid | $1,480.62 | ↓ -98% |
| AMERIHEALTH | Managed Medicaid | $1,551.12 | ↓ -98% |
| Multiplan | All Products | $1,584.00 | ↓ -98% |
| Aetna | Qhp/Ifp | $1,760.00 | ↓ -98% |
| ANTHEM | HPN | $6,720.00 | ↓ -92% |
| ANTHEM | Exchange | $7,116.00 | ↓ -92% |
| ANTHEM | PPO/HMO | $7,906.00 | ↓ -91% |
| AETNA | Asa_Whirlpool_Peia | $9,828.00 | ↓ -88% |
| AETNA | International | $10,320.00 | ↓ -88% |
| OSCAR | ALL PRODUCTS | $37,109.02 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $41,990.40 | ↓ -51% |
| PHP | ALL PRODUCTS | $41,990.40 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $44,352.36 | ↓ -48% |
| The Health Plan | MEDICARE ADVANTAGE | $49,181.70 | ↓ -42% |
| Summacare | PREMIER | $50,126.04 | ↓ -41% |
| HUMANA | Medicare Advantage HMO | $54,646.33 | ↓ -36% |
| UNITED | MEDICARE ADVANTAGE | $54,646.33 | ↓ -36% |
| Perennial Health | MEDICARE ADVANTAGE | $59,018.04 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $59,049.00 | ↓ -31% |
| AETNA | MEDICARE ADVANTAGE | $59,509.30 | ↓ -30% |
| ANTHEM | MEDICARE ADVANTAGE | $59,509.30 | ↓ -30% |
| Summacare | MEDICARE ADVANTAGE | $59,509.30 | ↓ -30% |
| CIGNA | MEDICARE ADVANTAGE | $61,294.58 | ↓ -28% |
| CIGNA | ALL PRODUCTS | $61,935.84 | ↓ -27% |
| CommuniCare | MEDICARE ADVANTAGE | $62,484.77 | ↓ -27% |
| OHCP | ALL PRODUCTS | $63,772.92 | ↓ -25% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $64,270.05 | ↓ -25% |
| OMAS | ALL PRODUCTS | $65,610.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $65,610.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $70,858.80 | ↓ -17% |
| ANTHEM | TRADITIONAL | $72,564.66 | ↓ -15% |
| UNITED | ALL PRODUCTS | $79,388.10 | ↓ -7% |
| The Health Plan | PPO | $83,770.85 | ↓ -2% |
| GMS | ALL PRODUCTS | $91,854.00 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $91,854.00 | ↑ +8% |
| MMO | SuperMed | $93,302.27 | ↑ +9% |
| Consociate Health | ALL PRODUCTS | $98,415.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $98,415.00 | ↑ +15% |
| MMO | ALL PRODUCTS | $109,102.93 | ↑ +28% |
| The Health Plan | Self-Funded ASO | $110,224.80 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $118,098.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $118,098.00 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $118,098.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $118,098.00 | ↑ +38% |
| The Health Plan | HMO | $131,220.00 | ↑ +54% |
| The Health Plan | POS | $131,220.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $131,220.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Transplt allo hct/donor at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $85,293.00 | $1.10 – $118,098.00 |
| akron general | Akron | $85,293.00 | $1.10 – $118,098.00 |
| avon hospital | Avon | $85,293.00 | $426.26 – $118,098.00 |
| euclid hospital | Euclid | $85,293.00 | $426.26 – $118,098.00 |
| fairview hospital | Cleveland | $85,293.00 | $364.10 – $118,098.00 |
| lutheran hospital | Cleveland | $85,293.00 | $426.26 – $118,098.00 |
| hillcrest hospital | Mayfield Heights | $85,293.00 | $364.10 – $118,098.00 |
| marymount hospital | Garfield Heights | $85,293.00 | $426.26 – $118,098.00 |