Version cephalic external at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$8,266.70
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.
$12,718.00
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 UNITED vs $12,718.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $63.72 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $63.72 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $69.86 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $83.33 | ↓ -99% |
| United | Managed Medicaid | $87.39 | ↓ -99% |
| Caresource | Managed Medicaid | $90.01 | ↓ -99% |
| Buckeye | Managed Medicaid | $91.76 | ↓ -99% |
| Summacare | Medicare Advantage MD | $93.13 | ↓ -99% |
| Cigna | Medicare Advantage | $93.14 | ↓ -99% |
| Anthem | Medicare Advantage | $93.14 | ↓ -99% |
| The Health Plan | Medicare Advantage | $93.14 | ↓ -99% |
| Humana | Medicare Advantage HMO | $93.14 | ↓ -99% |
| United | Medicare Advantage | $93.14 | ↓ -99% |
| Aetna | Medicare Advantage | $93.14 | ↓ -99% |
| MMO | Medicare HMO & PPO | $95.93 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $96.13 | ↓ -99% |
| Molina | Managed Medicaid | $96.13 | ↓ -99% |
| Summacare | Premier | $97.80 | ↓ -99% |
| CommuniCare | Medicare Advantage | $97.80 | ↓ -99% |
| Perennial Health | Medicare Advantage | $100.59 | ↓ -99% |
| The Health Plan | All Products PCP | $102.45 | ↓ -99% |
| The Health Plan | All Products Specialty Physicians | $107.11 | ↓ -99% |
| The Health Plan | All Products Radiation Oncology Physicians | $121.08 | ↓ -99% |
| Anthem | All Products Mid-Level Non-Facility | $139.56 | ↓ -98% |
| Oscar | All Products | $173.80 | ↓ -98% |
| United | All Products - Mid-Level | $231.52 | ↓ -97% |
| Aultcare | PPO/HMO | $244.87 | ↓ -97% |
| United | All Products | $257.24 | ↓ -97% |
| United | HMO & PPO | $257.24 | ↓ -97% |
| OHCP | All Products | $266.08 | ↓ -97% |
| OMAS | All Products | $342.00 | ↓ -96% |
| PHPHI | All Products | $410.40 | ↓ -95% |
| MMO | Traditional | $478.80 | ↓ -94% |
| GMS | All Products | $478.80 | ↓ -94% |
| Aetna | All Products First Health | $513.00 | ↓ -94% |
| Immergrun | All Products | $513.00 | ↓ -94% |
| UNITED | Managed Medicaid | $538.53 | ↓ -93% |
| Aetna | Asa | $547.20 | ↓ -93% |
| CARESOURCE | Managed Medicaid | $554.69 | ↓ -93% |
| MOLINA | Managed Medicaid | $565.46 | ↓ -93% |
| ANTHEM | Managed Medicaid | $565.46 | ↓ -93% |
| AMERIHEALTH | Managed Medicaid | $592.38 | ↓ -93% |
| Multiplan | All Products | $615.60 | ↓ -93% |
| Aetna | Qhp/Ifp | $684.00 | ↓ -92% |
| ANTHEM | HPN | $1,789.00 | ↓ -78% |
| ANTHEM | Exchange | $1,894.00 | ↓ -77% |
| ANTHEM | PPO/HMO | $2,104.00 | ↓ -75% |
| CIGNA | ALL PRODUCTS | $2,123.00 | ↓ -74% |
| The Health Plan | MEDICARE ADVANTAGE | $2,644.04 | ↓ -68% |
| UNITED | MEDICARE ADVANTAGE | $2,937.82 | ↓ -64% |
| HUMANA | Medicare Advantage HMO | $2,937.82 | ↓ -64% |
| AETNA | MEDICARE ADVANTAGE | $3,062.57 | ↓ -63% |
| ANTHEM | MEDICARE ADVANTAGE | $3,062.57 | ↓ -63% |
| Summacare | MEDICARE ADVANTAGE | $3,062.57 | ↓ -63% |
| CIGNA | MEDICARE ADVANTAGE | $3,154.45 | ↓ -62% |
| Perennial Health | MEDICARE ADVANTAGE | $3,172.85 | ↓ -62% |
| CommuniCare | MEDICARE ADVANTAGE | $3,215.70 | ↓ -61% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,307.58 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $3,596.65 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $4,069.76 | ↓ -51% |
| PHP | ALL PRODUCTS | $4,069.76 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $4,298.68 | ↓ -48% |
| Summacare | PREMIER | $4,858.28 | ↓ -41% |
| MMO | SuperMed | $5,338.37 | ↓ -35% |
| Amish Community Aid Plan | ALL PRODUCTS | $5,723.10 | ↓ -31% |
| OHCP | ALL PRODUCTS | $6,180.95 | ↓ -25% |
| MMO | ALL PRODUCTS | $6,241.91 | ↓ -24% |
| OMAS | ALL PRODUCTS | $6,359.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $6,359.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $6,867.72 | ↓ -17% |
| ANTHEM | TRADITIONAL | $7,033.05 | ↓ -15% |
| The Health Plan | PPO | $8,119.17 | ↓ -2% |
| AETNA | International | $8,902.60 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $8,902.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $8,902.60 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $8,902.60 | ↑ +8% |
| AETNA | ALL PRODUCTS | $9,538.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $9,538.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $10,683.12 | ↑ +29% |
| Tertiary Care Network | TRANSPLANT | $11,446.20 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $11,446.20 | ↑ +38% |
| FrontPath | TRANSPLANT | $11,446.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $11,446.20 | ↑ +38% |
| AETNA | Qhp/Ipf | $12,718.00 | ↑ +54% |
| The Health Plan | HMO | $12,718.00 | ↑ +54% |
| The Health Plan | POS | $12,718.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Version cephalic external at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $4,384.80 | not published |
| St Ritas Medical Center | Lima | $9,119.70 | $3,209.41 – $3,273.60 |
| Trinity Medical Center East | Steubenville | $1,061.30 | $1,284.00 – $1,647.80 |
| cleveland clinic main campus | Cleveland | $444.60 | $1.10 – $3,062.57 |
| akron general | Akron | $8,266.70 | $0.01 – $11,446.20 |
| avon hospital | Avon | $8,266.70 | $0.01 – $11,446.20 |
| euclid hospital | Euclid | $8,266.70 | $0.01 – $11,446.20 |
| fairview hospital | Cleveland | $8,266.70 | $0.01 – $11,446.20 |