Treat hip socket fracture at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,668.60
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.
$5,644.00
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 $5,644.00 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% |
| OSCAR | ALL PRODUCTS | $150.17 | ↓ -96% |
| PHP | ALL PRODUCTS | $169.92 | ↓ -95% |
| PHPHI | ALL PRODUCTS | $169.92 | ↓ -95% |
| CC EHP | ALL PRODUCTS | $179.48 | ↓ -95% |
| Summacare | Preferred | $186.38 | ↓ -95% |
| Aultcare | PPO/HMO | $190.10 | ↓ -95% |
| Summacare | PREMIER | $202.84 | ↓ -94% |
| AETNA | MEDICARE ADVANTAGE | $233.37 | ↓ -94% |
| Summacare | MEDICARE ADVANTAGE | $233.37 | ↓ -94% |
| ANTHEM | MEDICARE ADVANTAGE | $233.37 | ↓ -94% |
| MMO | ALL PRODUCTS | $237.89 | ↓ -94% |
| Amish Community Aid Plan | ALL PRODUCTS | $238.95 | ↓ -93% |
| CIGNA | MEDICARE ADVANTAGE | $240.37 | ↓ -93% |
| UNITED | Managed Medicaid | $240.62 | ↓ -93% |
| CommuniCare | MEDICARE ADVANTAGE | $245.03 | ↓ -93% |
| Buckeye | Managed Medicaid | $247.84 | ↓ -93% |
| CARESOURCE | Managed Medicaid | $247.84 | ↓ -93% |
| CIGNA | ALL PRODUCTS | $250.63 | ↓ -93% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $252.04 | ↓ -93% |
| MOLINA | Managed Medicaid | $252.65 | ↓ -93% |
| ANTHEM | Managed Medicaid | $252.65 | ↓ -93% |
| OHCP | ALL PRODUCTS | $258.07 | ↓ -93% |
| AMERIHEALTH | Managed Medicaid | $264.68 | ↓ -93% |
| Immergrun | ALL PRODUCTS | $265.50 | ↓ -93% |
| OMAS | ALL PRODUCTS | $265.50 | ↓ -93% |
| Ohio Healthy | TRANSPLANT | $286.74 | ↓ -92% |
| ANTHEM | TRADITIONAL | $293.64 | ↓ -92% |
| The Health Plan | PPO | $338.99 | ↓ -91% |
| GMS | ALL PRODUCTS | $371.70 | ↓ -90% |
| Medical Benefit Corp | Transplant SMCP | $371.70 | ↓ -90% |
| AETNA | ALL PRODUCTS | $398.25 | ↓ -89% |
| Consociate Health | ALL PRODUCTS | $398.25 | ↓ -89% |
| The Health Plan | Self-Funded ASO | $446.04 | ↓ -88% |
| Managed Care Services | TRANSPLANT | $477.90 | ↓ -87% |
| Tertiary Care Network | TRANSPLANT | $477.90 | ↓ -87% |
| FrontPath | TRANSPLANT | $477.90 | ↓ -87% |
| MULTIPLAN | ALL PRODUCTS | $477.90 | ↓ -87% |
| The Health Plan | POS | $531.00 | ↓ -86% |
| AETNA | Qhp/Ipf | $531.00 | ↓ -86% |
| The Health Plan | HMO | $531.00 | ↓ -86% |
| United | Managed Medicaid | $564.60 | ↓ -85% |
| Caresource | Managed Medicaid | $581.54 | ↓ -84% |
| Summacare | Medicare Advantage Lower Level | $606.61 | ↓ -83% |
| Molina | Managed Medicaid | $621.06 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $621.06 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $667.27 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $793.26 | ↓ -78% |
| Summacare | Medicare Advantage MD | $886.59 | ↓ -76% |
| The Health Plan | Medicare Advantage | $889.69 | ↓ -76% |
| Humana | Medicare Advantage HMO | $889.69 | ↓ -76% |
| Aetna | Medicare Advantage | $889.69 | ↓ -76% |
| Anthem | Medicare Advantage | $889.69 | ↓ -76% |
| Cigna | Medicare Advantage | $889.69 | ↓ -76% |
| United | Medicare Advantage | $889.69 | ↓ -76% |
| MMO | Medicare HMO & PPO | $916.38 | ↓ -75% |
| Summacare | Premier | $934.17 | ↓ -75% |
| CommuniCare | Medicare Advantage | $934.17 | ↓ -75% |
| Perennial Health | Medicare Advantage | $960.87 | ↓ -74% |
| The Health Plan | All Products PCP | $978.66 | ↓ -73% |
| The Health Plan | All Products Specialty Physicians | $1,023.14 | ↓ -72% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,156.60 | ↓ -68% |
| Anthem | All Products Mid-Level Non-Facility | $1,322.06 | ↓ -64% |
| ANTHEM | HPN | $1,379.00 | ↓ -62% |
| Oscar | All Products | $1,434.14 | ↓ -61% |
| ANTHEM | Exchange | $1,459.00 | ↓ -60% |
| ANTHEM | PPO/HMO | $1,622.00 | ↓ -56% |
| MMO | SuperMed | $1,679.10 | ↓ -54% |
| United | All Products - Mid-Level | $2,185.51 | ↓ -40% |
| OHCP | All Products | $2,195.52 | ↓ -40% |
| United | All Products | $2,428.34 | ↓ -34% |
| United | HMO & PPO | $2,428.34 | ↓ -34% |
| OMAS | All Products | $2,822.00 | ↓ -23% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↓ -22% |
| AETNA | International | $3,004.00 | ↓ -18% |
| PHPHI | All Products | $3,386.40 | ↓ -8% |
| GMS | All Products | $3,950.80 | ↑ +8% |
| MMO | Traditional | $3,950.80 | ↑ +8% |
| Immergrun | All Products | $4,233.00 | ↑ +15% |
| Aetna | All Products First Health | $4,233.00 | ↑ +15% |
| Aetna | Asa | $4,515.20 | ↑ +23% |
| Multiplan | All Products | $5,079.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $5,644.00 | ↑ +54% |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Treat hip socket fracture at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,668.60 | $1.10 – $5,079.60 |
| akron general | Akron | $3,668.60 | $1.10 – $5,079.60 |
| avon hospital | Avon | $345.15 | $150.17 – $477.90 |
| euclid hospital | Euclid | $345.15 | $150.17 – $477.90 |
| fairview hospital | Cleveland | $345.15 | $150.17 – $477.90 |
| lutheran hospital | Cleveland | $345.15 | $150.17 – $477.90 |
| hillcrest hospital | Mayfield Heights | $345.15 | $150.17 – $477.90 |
| marymount hospital | Garfield Heights | $345.15 | $150.17 – $477.90 |