Unlisted px vestibule mouth at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,409.20
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.
$2,168.00
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.
$0.01 with Anthem vs $2,168.00 with Aetna — 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 |
|---|---|---|---|
| Anthem | All Products Mid-Level Non-Facility | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $193.11 | ↓ -86% |
| UNITED | MEDICARE ADVANTAGE | $214.57 | ↓ -85% |
| HUMANA | Medicare Advantage HMO | $214.57 | ↓ -85% |
| ANTHEM | MEDICARE ADVANTAGE | $224.08 | ↓ -84% |
| Summacare | MEDICARE ADVANTAGE | $224.08 | ↓ -84% |
| AETNA | MEDICARE ADVANTAGE | $224.08 | ↓ -84% |
| MMO | Medicare HMO & PPO | $225.29 | ↓ -84% |
| CIGNA | MEDICARE ADVANTAGE | $230.80 | ↓ -84% |
| Perennial Health | MEDICARE ADVANTAGE | $231.73 | ↓ -84% |
| CommuniCare | MEDICARE ADVANTAGE | $235.28 | ↓ -83% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $242.00 | ↓ -83% |
| MMO | ALL PRODUCTS | $369.64 | ↓ -74% |
| MMO | SuperMed | $417.54 | ↓ -70% |
| Oscar | All Products | $550.89 | ↓ -61% |
| Aultcare | PPO/HMO | $776.14 | ↓ -45% |
| OHCP | All Products | $843.35 | ↓ -40% |
| OMAS | All Products | $1,084.00 | ↓ -23% |
| PHPHI | All Products | $1,300.80 | ↓ -8% |
| UNITED | Managed Medicaid | $1,430.00 | ↑ +1% |
| CARESOURCE | Managed Medicaid | $1,472.90 | ↑ +5% |
| Buckeye | Managed Medicaid | $1,472.90 | ↑ +5% |
| MOLINA | Managed Medicaid | $1,501.50 | ↑ +7% |
| ANTHEM | Managed Medicaid | $1,501.50 | ↑ +7% |
| Summacare | Preferred | $1,517.60 | ↑ +8% |
| GMS | All Products | $1,517.60 | ↑ +8% |
| MMO | Traditional | $1,517.60 | ↑ +8% |
| Summacare | Medicare Advantage CNA | $1,517.60 | ↑ +8% |
| Summacare | Medicare Advantage Lower Level | $1,517.60 | ↑ +8% |
| Summacare | Medicare Advantage MD | $1,517.60 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $1,517.60 | ↑ +8% |
| Summacare | Premier | $1,517.60 | ↑ +8% |
| AMERIHEALTH | Managed Medicaid | $1,573.00 | ↑ +12% |
| Immergrun | All Products | $1,626.00 | ↑ +15% |
| Aetna | All Products First Health | $1,626.00 | ↑ +15% |
| Aetna | Asa | $1,734.40 | ↑ +23% |
| Multiplan | All Products | $1,951.20 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,168.00 | ↑ +54% |
| 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 | — |
| Aetna | ALL PRODUCTS | 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 | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| United | HMO & PPO | not published by hospital | — |
| Molina | Managed Medicaid | 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 | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted px vestibule mouth at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $384.60 | not published |
| cleveland clinic main campus | Cleveland | $1,409.20 | $0.01 – $1,573.00 |
| akron general | Akron | $1,409.20 | $0.01 – $1,951.20 |
| Allen Hospital | Oberlin | $380.40 | not published |
| Urbana Hospital | Urbana | $366.00 | not published |
| Tiffin Hospital | Tiffin | $384.60 | not published |
| St Anne Hospital | Toledo | $384.60 | not published |
| Willard Hospital | Willard | $384.60 | not published |