Tx closed distal humerus fx at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,053.65
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.
$1,621.00
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.
$0.01 with Anthem vs $1,621.00 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 |
|---|---|---|---|
| Anthem | All Products Mid-Level Non-Facility | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $199.48 | ↓ -81% |
| HUMANA | Medicare Advantage HMO | $221.64 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $221.64 | ↓ -79% |
| MMO | Medicare HMO & PPO | $232.73 | ↓ -78% |
| Summacare | MEDICARE ADVANTAGE | $233.37 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $233.37 | ↓ -78% |
| ANTHEM | MEDICARE ADVANTAGE | $233.37 | ↓ -78% |
| Perennial Health | MEDICARE ADVANTAGE | $239.38 | ↓ -77% |
| CIGNA | MEDICARE ADVANTAGE | $240.37 | ↓ -77% |
| UNITED | Managed Medicaid | $240.62 | ↓ -77% |
| CommuniCare | MEDICARE ADVANTAGE | $245.03 | ↓ -77% |
| CARESOURCE | Managed Medicaid | $247.84 | ↓ -76% |
| Buckeye | Managed Medicaid | $247.84 | ↓ -76% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $252.04 | ↓ -76% |
| ANTHEM | Managed Medicaid | $252.65 | ↓ -76% |
| MOLINA | Managed Medicaid | $252.65 | ↓ -76% |
| AMERIHEALTH | Managed Medicaid | $264.68 | ↓ -75% |
| MMO | ALL PRODUCTS | $356.88 | ↓ -66% |
| MMO | SuperMed | $403.20 | ↓ -62% |
| Oscar | All Products | $411.90 | ↓ -61% |
| Aultcare | PPO/HMO | $580.32 | ↓ -45% |
| OHCP | All Products | $630.57 | ↓ -40% |
| OMAS | All Products | $810.50 | ↓ -23% |
| PHPHI | All Products | $972.60 | ↓ -8% |
| Summacare | Preferred | $1,134.70 | ↑ +8% |
| GMS | All Products | $1,134.70 | ↑ +8% |
| MMO | Traditional | $1,134.70 | ↑ +8% |
| Summacare | Medicare Advantage CNA | $1,134.70 | ↑ +8% |
| Summacare | Medicare Advantage Lower Level | $1,134.70 | ↑ +8% |
| Summacare | Medicare Advantage MD | $1,134.70 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $1,134.70 | ↑ +8% |
| Summacare | Premier | $1,134.70 | ↑ +8% |
| Aetna | All Products First Health | $1,215.75 | ↑ +15% |
| Immergrun | All Products | $1,215.75 | ↑ +15% |
| Aetna | Asa | $1,296.80 | ↑ +23% |
| Multiplan | All Products | $1,458.90 | ↑ +38% |
| Aetna | Qhp/Ifp | $1,621.00 | ↑ +54% |
| Anthem | Medicare Advantage | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| The Health Plan | All Products PCP | not published by hospital | — |
| The Health Plan | All Products Radiation Oncology Physicians | not published by hospital | — |
| The Health Plan | All Products Specialty Physicians | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| United | All Products | not published by hospital | — |
| United | All Products - Mid-Level | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Tx closed distal humerus fx at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Clermont Hospital | Batavia | $361.80 | not published |
| Kings Mills Hospital | Mason | $361.80 | not published |
| cleveland clinic main campus | Cleveland | $5,051.80 | $0.01 – $3,204.90 |
| akron general | Akron | $1,053.65 | $0.01 – $1,458.90 |
| University Hospitals Ahuja Medical Center | Beachwood | $3,632.25 | $233.37 – $4,358.70 |
| University Hospitals Beachwood Medical Center | Beachwood | $3,632.25 | $233.37 – $4,358.70 |
| University Hospitals Conneaut Medical Center | Conneaut | $2,847.00 | not published |
| University Hospitals Elyria Medical Center | Elyria | $3,632.25 | $233.37 – $420.06 |