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Treatment fx radial distal open w/internal fixation left (restricted method ii cah) at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,733.90
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.
$4,206.00
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 $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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| United | Managed Medicaid | $413.24 | ↓ -85% |
| Caresource | Managed Medicaid | $425.64 | ↓ -84% |
| Buckeye | Managed Medicaid | $433.90 | ↓ -84% |
| Molina | Managed Medicaid | $454.56 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $454.56 | ↓ -83% |
| Summacare | Preferred | $460.79 | ↓ -83% |
| Summacare | Medicare Advantage Lower Level | $460.79 | ↓ -83% |
| Summacare | Medicare Advantage Psych | $504.85 | ↓ -82% |
| Summacare | Medicare Advantage CNA | $602.57 | ↓ -78% |
| Anthem | Medicare Advantage | $673.13 | ↓ -75% |
| The Health Plan | Medicare Advantage | $673.13 | ↓ -75% |
| Cigna | Medicare Advantage | $673.13 | ↓ -75% |
| Aetna | Medicare Advantage | $673.13 | ↓ -75% |
| Humana | Medicare Advantage HMO | $673.13 | ↓ -75% |
| United | Medicare Advantage | $673.13 | ↓ -75% |
| Summacare | Medicare Advantage MD | $673.46 | ↓ -75% |
| MMO | Medicare HMO & PPO | $693.32 | ↓ -75% |
| Summacare | Premier | $706.79 | ↓ -74% |
| CommuniCare | Medicare Advantage | $706.79 | ↓ -74% |
| The Health Plan | PPO | $720.25 | ↓ -74% |
| Perennial Health | Medicare Advantage | $726.98 | ↓ -73% |
| The Health Plan | All Products PCP | $740.44 | ↓ -73% |
| The Health Plan | All Products Specialty Physicians | $774.10 | ↓ -72% |
| The Health Plan | All Products Radiation Oncology Physicians | $875.07 | ↓ -68% |
| Anthem | All Products Mid-Level Non-Facility | $992.18 | ↓ -64% |
| Oscar | All Products | $1,068.74 | ↓ -61% |
| Aultcare | PPO/HMO | $1,505.75 | ↓ -45% |
| OHCP | All Products | $1,636.13 | ↓ -40% |
| United | All Products - Mid-Level | $1,655.29 | ↓ -39% |
| United | All Products | $1,839.21 | ↓ -33% |
| United | HMO & PPO | $1,839.21 | ↓ -33% |
| OMAS | All Products | $2,103.00 | ↓ -23% |
| PHPHI | All Products | $2,523.60 | ↓ -8% |
| UNITED | Managed Medicaid | $2,937.95 | ↑ +7% |
| GMS | All Products | $2,944.20 | ↑ +8% |
| MMO | Traditional | $2,944.20 | ↑ +8% |
| CARESOURCE | Managed Medicaid | $3,026.09 | ↑ +11% |
| ANTHEM | Managed Medicaid | $3,084.85 | ↑ +13% |
| MOLINA | Managed Medicaid | $3,084.85 | ↑ +13% |
| Aetna | All Products First Health | $3,154.50 | ↑ +15% |
| Immergrun | All Products | $3,154.50 | ↑ +15% |
| AMERIHEALTH | Managed Medicaid | $3,231.75 | ↑ +18% |
| Aetna | Asa | $3,364.80 | ↑ +23% |
| Multiplan | All Products | $3,785.40 | ↑ +38% |
| Aetna | Qhp/Ifp | $4,206.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $5,940.60 | ↑ +117% |
| HUMANA | Medicare Advantage HMO | $6,600.66 | ↑ +141% |
| UNITED | MEDICARE ADVANTAGE | $6,600.66 | ↑ +141% |
| Summacare | MEDICARE ADVANTAGE | $6,864.94 | ↑ +151% |
| ANTHEM | MEDICARE ADVANTAGE | $6,864.94 | ↑ +151% |
| AETNA | MEDICARE ADVANTAGE | $6,864.94 | ↑ +151% |
| CIGNA | MEDICARE ADVANTAGE | $7,070.89 | ↑ +159% |
| Perennial Health | MEDICARE ADVANTAGE | $7,128.72 | ↑ +161% |
| CommuniCare | MEDICARE ADVANTAGE | $7,208.19 | ↑ +164% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,414.13 | ↑ +171% |
| MMO | ALL PRODUCTS | $10,826.38 | ↑ +296% |
| MMO | SuperMed | $12,214.27 | ↑ +347% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +46590% |
| The Health Plan | POS | $4,036,081.00 | ↑ +147531% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | 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
Treatment fx radial distal open w/internal fixation left (restricted method ii cah) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,733.90 | $1.10 – $6,864.94 |
| akron general | Akron | $2,733.90 | $1.10 – $7,128.72 |
| University Hospitals Ahuja Medical Center | Beachwood | $8,370.75 | $900.00 – $12,356.89 |
| University Hospitals Beachwood Medical Center | Beachwood | $8,370.75 | $900.00 – $17,386.96 |
| University Hospitals Elyria Medical Center | Elyria | $8,370.75 | $6,864.94 – $12,356.89 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $8,370.75 | $6,864.94 – $12,356.89 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $8,370.75 | $6,864.94 – $12,356.89 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $8,370.75 | $6,864.94 – $12,356.89 |