healthcosts.net
Unlisted procedure spine at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$8,660.60
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.
$13,324.00
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 $13,324.00 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% |
| Oscar | All Products | $152.71 | ↓ -98% |
| The Health Plan | MEDICARE ADVANTAGE | $199.48 | ↓ -98% |
| Aultcare | PPO/HMO | $215.16 | ↓ -98% |
| HUMANA | Medicare Advantage HMO | $221.64 | ↓ -97% |
| UNITED | MEDICARE ADVANTAGE | $221.64 | ↓ -97% |
| MMO | Medicare HMO & PPO | $232.73 | ↓ -97% |
| ANTHEM | MEDICARE ADVANTAGE | $233.37 | ↓ -97% |
| Summacare | MEDICARE ADVANTAGE | $233.37 | ↓ -97% |
| AETNA | MEDICARE ADVANTAGE | $233.37 | ↓ -97% |
| OHCP | All Products | $233.79 | ↓ -97% |
| Perennial Health | MEDICARE ADVANTAGE | $239.38 | ↓ -97% |
| CIGNA | MEDICARE ADVANTAGE | $240.37 | ↓ -97% |
| CommuniCare | MEDICARE ADVANTAGE | $245.03 | ↓ -97% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $252.04 | ↓ -97% |
| OMAS | All Products | $300.50 | ↓ -97% |
| PHPHI | All Products | $360.60 | ↓ -96% |
| MMO | SuperMed | $403.20 | ↓ -95% |
| Summacare | Medicare Advantage Lower Level | $420.70 | ↓ -95% |
| MMO | Traditional | $420.70 | ↓ -95% |
| Summacare | Premier | $420.70 | ↓ -95% |
| GMS | All Products | $420.70 | ↓ -95% |
| Summacare | Preferred | $420.70 | ↓ -95% |
| Summacare | Medicare Advantage Psych | $420.70 | ↓ -95% |
| Summacare | Medicare Advantage MD | $420.70 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $420.70 | ↓ -95% |
| Aetna | All Products First Health | $450.75 | ↓ -95% |
| Immergrun | All Products | $450.75 | ↓ -95% |
| MMO | ALL PRODUCTS | $470.83 | ↓ -95% |
| Aetna | Asa | $480.80 | ↓ -94% |
| Multiplan | All Products | $540.90 | ↓ -94% |
| Aetna | Qhp/Ifp | $601.00 | ↓ -93% |
| UNITED | ALL PRODUCTS | $2,833.00 | ↓ -67% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↓ -67% |
| AETNA | International | $3,004.00 | ↓ -65% |
| UNITED | Managed Medicaid | $3,108.34 | ↓ -64% |
| Buckeye | Managed Medicaid | $3,201.59 | ↓ -63% |
| CARESOURCE | Managed Medicaid | $3,201.59 | ↓ -63% |
| MOLINA | Managed Medicaid | $3,263.76 | ↓ -62% |
| ANTHEM | Managed Medicaid | $3,263.76 | ↓ -62% |
| AMERIHEALTH | Managed Medicaid | $3,419.17 | ↓ -61% |
| OSCAR | ALL PRODUCTS | $3,768.03 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $4,263.68 | ↓ -51% |
| PHP | ALL PRODUCTS | $4,263.68 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $4,503.51 | ↓ -48% |
| Summacare | PREMIER | $5,089.77 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $5,995.80 | ↓ -31% |
| ANTHEM | HPN | $6,059.76 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $6,288.93 | ↓ -27% |
| ANTHEM | Exchange | $6,415.51 | ↓ -26% |
| OHCP | ALL PRODUCTS | $6,475.46 | ↓ -25% |
| OMAS | ALL PRODUCTS | $6,662.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $6,662.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $7,128.34 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $7,194.96 | ↓ -17% |
| ANTHEM | TRADITIONAL | $7,368.17 | ↓ -15% |
| The Health Plan | HMO | $8,254.22 | ↓ -5% |
| The Health Plan | POS | $8,254.22 | ↓ -5% |
| The Health Plan | PPO | $8,506.04 | ↓ -2% |
| GMS | ALL PRODUCTS | $9,326.80 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $9,326.80 | ↑ +8% |
| AETNA | ALL PRODUCTS | $9,993.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $9,993.00 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $11,192.16 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $11,991.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $11,991.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $11,991.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $11,991.60 | ↑ +38% |
| AETNA | Qhp/Ipf | $13,324.00 | ↑ +54% |
| United | All Products | not published by hospital | — |
| United | All Products - Mid-Level | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| Cigna | Medicare Advantage | 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 | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| AmeriHealth | Managed Medicaid | 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 | — |
Visitor-reported prices
Comments
Unlisted procedure spine at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $8,660.60 | $0.01 – $4,414.09 |
| akron general | Akron | $8,660.60 | $0.01 – $11,991.60 |
| avon hospital | Avon | $8,660.60 | $222.38 – $11,991.60 |
| euclid hospital | Euclid | $8,660.60 | $204.59 – $11,991.60 |
| fairview hospital | Cleveland | $8,660.60 | $204.59 – $11,991.60 |
| lutheran hospital | Cleveland | $8,660.60 | $222.38 – $11,991.60 |
| hillcrest hospital | Mayfield Heights | $8,660.60 | $204.59 – $11,991.60 |
| marymount hospital | Garfield Heights | $8,660.60 | $204.59 – $11,991.60 |