X-ray exam of middle ear at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
not published by hospital
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.
not published by hospital
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.
$46.30 with UNITED vs $4,036,081.00 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 | Managed Medicaid | $46.30 | — |
| Buckeye | Managed Medicaid | $47.69 | — |
| CARESOURCE | Managed Medicaid | $47.69 | — |
| ANTHEM | Managed Medicaid | $48.62 | — |
| MOLINA | Managed Medicaid | $48.62 | — |
| AMERIHEALTH | Managed Medicaid | $50.93 | — |
| The Health Plan | PPO | $61.11 | — |
| CIGNA | ALL PRODUCTS | $106.92 | — |
| The Health Plan | MEDICARE ADVANTAGE | $455.96 | — |
| HUMANA | Medicare Advantage HMO | $506.62 | — |
| UNITED | MEDICARE ADVANTAGE | $506.62 | — |
| ANTHEM | MEDICARE ADVANTAGE | $516.95 | — |
| AETNA | MEDICARE ADVANTAGE | $516.95 | — |
| Summacare | MEDICARE ADVANTAGE | $516.95 | — |
| MMO | Medicare HMO & PPO | $531.95 | — |
| CIGNA | MEDICARE ADVANTAGE | $532.46 | — |
| CommuniCare | MEDICARE ADVANTAGE | $542.80 | — |
| Perennial Health | MEDICARE ADVANTAGE | $547.15 | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | $558.31 | — |
| Zing Health | Medicare Advantage | $568.65 | — |
| MMO | ALL PRODUCTS | $834.86 | — |
| ANTHEM | HPN | $994.30 | — |
| AETNA | International | $1,230.30 | — |
| ANTHEM | Exchange | $1,370.92 | — |
| ANTHEM | PPO/HMO | $1,523.30 | — |
| UNITED | ALL PRODUCTS | $2,444.63 | — |
| The Health Plan | HMO | $1,276,448.04 | — |
| The Health Plan | POS | $4,036,081.00 | — |
Visitor-reported prices
Comments
X-ray exam of middle ear at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $157.71 | $190.80 – $244.86 |
| Dublin Methodist Hospital | Dublin | $1,223.95 | $526.87 – $526.87 |
| Shelby Hospital | Shelby | $326.95 | not published |
| Berger Hospital | Circleville | $341.25 | $98.75 – $98.75 |
| Grant Medical Center | Columbus | $1,223.95 | $526.87 – $526.87 |
| Southeastern Medical Center | Cambridge | $213.85 | $516.95 – $537.63 |
| Doctors Hospital | Columbus | $1,223.95 | $538.39 – $538.39 |
| Hardin Memorial Hospital | Kenton | $408.20 | not published |