healthcosts.net
X-ray head for orthodontia at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$439.40
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.
$676.00
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.
$1.10 with Zing Health 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Preferred | $5.32 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $5.32 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $6.38 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $6.96 | ↓ -98% |
| Summacare | Medicare Advantage MD | $7.78 | ↓ -98% |
| Aetna | Medicare Advantage | $8.50 | ↓ -98% |
| United | Medicare Advantage | $8.50 | ↓ -98% |
| Cigna | Medicare Advantage | $8.50 | ↓ -98% |
| The Health Plan | Medicare Advantage | $8.50 | ↓ -98% |
| Anthem | Medicare Advantage | $8.50 | ↓ -98% |
| Humana | Medicare Advantage HMO | $8.50 | ↓ -98% |
| MMO | Medicare HMO & PPO | $8.76 | ↓ -98% |
| CommuniCare | Medicare Advantage | $8.93 | ↓ -98% |
| Summacare | Premier | $8.93 | ↓ -98% |
| Perennial Health | Medicare Advantage | $9.18 | ↓ -98% |
| The Health Plan | All Products PCP | $9.35 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $9.78 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $11.05 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $11.26 | ↓ -97% |
| United | All Products - Mid-Level | $14.41 | ↓ -97% |
| United | Managed Medicaid | $15.75 | ↓ -96% |
| United | HMO & PPO | $16.02 | ↓ -96% |
| United | All Products | $16.02 | ↓ -96% |
| Caresource | Managed Medicaid | $16.22 | ↓ -96% |
| Buckeye | Managed Medicaid | $16.54 | ↓ -96% |
| Oscar | All Products | $17.28 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $17.33 | ↓ -96% |
| Molina | Managed Medicaid | $17.33 | ↓ -96% |
| The Health Plan | PPO | $18.64 | ↓ -96% |
| Aultcare | PPO/HMO | $24.34 | ↓ -94% |
| OHCP | All Products | $26.45 | ↓ -94% |
| CIGNA | ALL PRODUCTS | $33.12 | ↓ -92% |
| OMAS | All Products | $34.00 | ↓ -92% |
| MMO | SuperMed | $36.72 | ↓ -92% |
| PHPHI | All Products | $40.80 | ↓ -91% |
| UNITED | Managed Medicaid | $46.30 | ↓ -89% |
| MMO | Traditional | $47.60 | ↓ -89% |
| GMS | All Products | $47.60 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $47.69 | ↓ -89% |
| MOLINA | Managed Medicaid | $48.62 | ↓ -89% |
| ANTHEM | Managed Medicaid | $48.62 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $50.93 | ↓ -88% |
| Aetna | All Products First Health | $51.00 | ↓ -88% |
| Immergrun | All Products | $51.00 | ↓ -88% |
| Aetna | Asa | $54.40 | ↓ -88% |
| Multiplan | All Products | $61.20 | ↓ -86% |
| Aetna | Qhp/Ifp | $68.00 | ↓ -85% |
| The Health Plan | MEDICARE ADVANTAGE | $73.22 | ↓ -83% |
| UNITED | MEDICARE ADVANTAGE | $81.36 | ↓ -81% |
| HUMANA | Medicare Advantage HMO | $81.36 | ↓ -81% |
| Summacare | MEDICARE ADVANTAGE | $82.33 | ↓ -81% |
| ANTHEM | MEDICARE ADVANTAGE | $82.33 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $82.33 | ↓ -81% |
| CIGNA | MEDICARE ADVANTAGE | $84.80 | ↓ -81% |
| CommuniCare | MEDICARE ADVANTAGE | $86.45 | ↓ -80% |
| Perennial Health | MEDICARE ADVANTAGE | $87.86 | ↓ -80% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $88.92 | ↓ -80% |
| MMO | ALL PRODUCTS | $137.52 | ↓ -69% |
| ANTHEM | HPN | $166.45 | ↓ -62% |
| AETNA | International | $205.96 | ↓ -53% |
| ANTHEM | Exchange | $229.50 | ↓ -48% |
| ANTHEM | PPO/HMO | $255.01 | ↓ -42% |
| UNITED | ALL PRODUCTS | $409.57 | ↓ -7% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +290398% |
| The Health Plan | POS | $4,036,081.00 | ↑ +918444% |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
X-ray head for orthodontia at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $439.40 | $1.10 – $547.20 |
| akron general | Akron | $439.40 | $1.10 – $87.86 |
| avon hospital | Avon | not published | $33.12 – $90.57 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $78.92 – $91.38 |
| euclid hospital | Euclid | not published | $33.12 – $90.57 |
| fairview hospital | Cleveland | not published | $46.52 – $90.57 |
| lutheran hospital | Cleveland | not published | $33.12 – $90.57 |
| hillcrest hospital | Mayfield Heights | not published | $48.47 – $90.57 |