healthcosts.net
Unlisted px ant segment eye at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,561.65
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.
?
What you pay up front if you don't use insurance.
$3,941.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$310.77 with UNITED vs $4,652.67 with MMO — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UNITED | Managed Medicaid | $310.77 | ↓ -88% |
| CARESOURCE | Managed Medicaid | $320.09 | ↓ -88% |
| Buckeye | Managed Medicaid | $320.09 | ↓ -88% |
| MOLINA | Managed Medicaid | $326.31 | ↓ -87% |
| ANTHEM | Managed Medicaid | $326.31 | ↓ -87% |
| AMERIHEALTH | Managed Medicaid | $341.85 | ↓ -87% |
| OSCAR | ALL PRODUCTS | $1,114.51 | ↓ -56% |
| PHP | ALL PRODUCTS | $1,261.12 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,261.12 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $1,332.06 | ↓ -48% |
| Summacare | Preferred | $1,383.29 | ↓ -46% |
| Aultcare | PPO/HMO | $1,410.88 | ↓ -45% |
| Summacare | PREMIER | $1,505.46 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,773.45 | ↓ -31% |
| ANTHEM | HPN | $1,792.37 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $1,860.15 | ↓ -27% |
| The Health Plan | MEDICARE ADVANTAGE | $1,896.61 | ↓ -26% |
| ANTHEM | Exchange | $1,897.59 | ↓ -26% |
| OHCP | ALL PRODUCTS | $1,915.33 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,970.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $1,970.50 | ↓ -23% |
| HUMANA | Medicare Advantage HMO | $2,107.35 | ↓ -18% |
| UNITED | MEDICARE ADVANTAGE | $2,107.35 | ↓ -18% |
| ANTHEM | PPO/HMO | $2,108.44 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $2,128.14 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,179.37 | ↓ -15% |
| AETNA | MEDICARE ADVANTAGE | $2,183.38 | ↓ -15% |
| ANTHEM | MEDICARE ADVANTAGE | $2,183.38 | ↓ -15% |
| Summacare | MEDICARE ADVANTAGE | $2,183.38 | ↓ -15% |
| MMO | Medicare HMO & PPO | $2,212.72 | ↓ -14% |
| CIGNA | MEDICARE ADVANTAGE | $2,248.88 | ↓ -12% |
| Perennial Health | MEDICARE ADVANTAGE | $2,275.94 | ↓ -11% |
| CommuniCare | MEDICARE ADVANTAGE | $2,292.55 | ↓ -11% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $2,358.05 | ↓ -8% |
| Zing Health | Medicare Advantage | $2,401.72 | ↓ -6% |
| The Health Plan | POS | $2,441.45 | ↓ -5% |
| The Health Plan | HMO | $2,441.45 | ↓ -5% |
| The Health Plan | PPO | $2,515.93 | ↓ -2% |
| Medical Benefit Corp | Transplant SMCP | $2,758.70 | ↑ +8% |
| GMS | ALL PRODUCTS | $2,758.70 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +12% |
| Consociate Health | ALL PRODUCTS | $2,955.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $2,955.75 | ↑ +15% |
| AETNA | International | $3,004.00 | ↑ +17% |
| The Health Plan | Self-Funded ASO | $3,310.44 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $3,546.90 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $3,546.90 | ↑ +38% |
| FrontPath | TRANSPLANT | $3,546.90 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $3,546.90 | ↑ +38% |
| AETNA | Qhp/Ipf | $3,941.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $4,652.67 | ↑ +82% |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px ant segment eye at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $6,234.80 | $0.01 – $2,401.72 |
| avon hospital | Avon | $2,561.65 | $324.47 – $3,546.90 |
| euclid hospital | Euclid | $2,561.65 | $332.43 – $3,546.90 |
| fairview hospital | Cleveland | $2,561.65 | $312.30 – $3,546.90 |
| lutheran hospital | Cleveland | $2,561.65 | $297.32 – $3,546.90 |
| hillcrest hospital | Mayfield Heights | $2,561.65 | $325.37 – $3,546.90 |
| marymount hospital | Garfield Heights | $2,561.65 | $293.57 – $3,546.90 |
| medina hospital | Medina | $2,561.65 | $304.50 – $3,546.90 |