healthcosts.net
Treat spinal cord lesion at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$691.60
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.
$1,064.00
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 $1,555.46 with MMO — 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% |
| Summacare | Preferred | $95.64 | ↓ -86% |
| Summacare | Medicare Advantage Lower Level | $95.64 | ↓ -86% |
| United | Managed Medicaid | $98.68 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $99.93 | ↓ -86% |
| Caresource | Managed Medicaid | $101.64 | ↓ -85% |
| Buckeye | Managed Medicaid | $103.61 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $108.55 | ↓ -84% |
| Molina | Managed Medicaid | $108.55 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $125.07 | ↓ -82% |
| Anthem | Medicare Advantage | $133.24 | ↓ -81% |
| The Health Plan | Medicare Advantage | $133.24 | ↓ -81% |
| Cigna | Medicare Advantage | $133.24 | ↓ -81% |
| Humana | Medicare Advantage HMO | $133.24 | ↓ -81% |
| United | Medicare Advantage | $133.24 | ↓ -81% |
| Aetna | Medicare Advantage | $133.24 | ↓ -81% |
| MMO | Medicare HMO & PPO | $137.24 | ↓ -80% |
| Summacare | Medicare Advantage MD | $139.78 | ↓ -80% |
| Summacare | Premier | $139.90 | ↓ -80% |
| CommuniCare | Medicare Advantage | $139.90 | ↓ -80% |
| Perennial Health | Medicare Advantage | $143.90 | ↓ -79% |
| The Health Plan | All Products PCP | $146.56 | ↓ -79% |
| The Health Plan | All Products Specialty Physicians | $153.23 | ↓ -78% |
| The Health Plan | All Products Radiation Oncology Physicians | $173.21 | ↓ -75% |
| Oscar | All Products | $270.36 | ↓ -61% |
| Cigna | All Products Mid-Level | $294.76 | ↓ -57% |
| Anthem | All Products Mid-Level Non-Facility | $315.25 | ↓ -54% |
| Aetna | Acop | $333.30 | ↓ -52% |
| Cigna | All Products Physician | $348.29 | ↓ -50% |
| Aultcare | PPO/HMO | $380.91 | ↓ -45% |
| OHCP | All Products | $413.90 | ↓ -40% |
| UNITED | Managed Medicaid | $461.12 | ↓ -33% |
| CARESOURCE | Managed Medicaid | $474.95 | ↓ -31% |
| MOLINA | Managed Medicaid | $484.18 | ↓ -30% |
| ANTHEM | Managed Medicaid | $484.18 | ↓ -30% |
| AMERIHEALTH | Managed Medicaid | $507.23 | ↓ -27% |
| United | All Products - Mid-Level | $522.02 | ↓ -25% |
| OMAS | All Products | $532.00 | ↓ -23% |
| United | HMO & PPO | $580.02 | ↓ -16% |
| United | All Products | $580.02 | ↓ -16% |
| PHPHI | All Products | $638.40 | ↓ -8% |
| The Health Plan | MEDICARE ADVANTAGE | $740.35 | ↑ +7% |
| GMS | All Products | $744.80 | ↑ +8% |
| MMO | Traditional | $744.80 | ↑ +8% |
| Immergrun | All Products | $798.00 | ↑ +15% |
| Aetna | All Products First Health | $798.00 | ↑ +15% |
| UNITED | MEDICARE ADVANTAGE | $822.61 | ↑ +19% |
| HUMANA | Medicare Advantage HMO | $822.61 | ↑ +19% |
| Summacare | MEDICARE ADVANTAGE | $836.78 | ↑ +21% |
| AETNA | MEDICARE ADVANTAGE | $836.78 | ↑ +21% |
| ANTHEM | MEDICARE ADVANTAGE | $836.78 | ↑ +21% |
| Aetna | Asa | $851.20 | ↑ +23% |
| CIGNA | MEDICARE ADVANTAGE | $861.88 | ↑ +25% |
| CommuniCare | MEDICARE ADVANTAGE | $878.62 | ↑ +27% |
| Perennial Health | MEDICARE ADVANTAGE | $888.42 | ↑ +28% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $903.72 | ↑ +31% |
| Multiplan | All Products | $957.60 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,064.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $1,379.36 | ↑ +99% |
| MMO | SuperMed | $1,555.46 | ↑ +125% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Treat spinal cord lesion at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,992.95 | $0.01 – $5,528.70 |
| akron general | Akron | $3,992.95 | $0.01 – $5,528.70 |
| avon hospital | Avon | not published | $481.45 – $920.46 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $786.02 – $910.13 |
| euclid hospital | Euclid | not published | $493.25 – $920.46 |
| fairview hospital | Cleveland | not published | $463.38 – $920.46 |
| lutheran hospital | Cleveland | not published | $441.15 – $920.46 |
| hillcrest hospital | Mayfield Heights | not published | $482.77 – $920.46 |