X-ray sinus tract/fistula/abscess at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,599.35
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.
$3,999.00
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.
$1.01 with AETNA vs $3,783.00 with AETNA — 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Preferred | $15.29 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $15.29 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $17.81 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $19.99 | ↓ -99% |
| Summacare | Medicare Advantage MD | $22.34 | ↓ -99% |
| United | Medicare Advantage | $23.74 | ↓ -99% |
| Aetna | Medicare Advantage | $23.74 | ↓ -99% |
| The Health Plan | Medicare Advantage | $23.74 | ↓ -99% |
| Anthem | Medicare Advantage | $23.74 | ↓ -99% |
| Humana | Medicare Advantage HMO | $23.74 | ↓ -99% |
| Cigna | Medicare Advantage | $23.74 | ↓ -99% |
| MMO | Medicare HMO & PPO | $24.45 | ↓ -99% |
| CommuniCare | Medicare Advantage | $24.93 | ↓ -99% |
| Summacare | Premier | $24.93 | ↓ -99% |
| Perennial Health | Medicare Advantage | $25.64 | ↓ -99% |
| The Health Plan | All Products PCP | $26.11 | ↓ -99% |
| The Health Plan | All Products Specialty Physicians | $27.30 | ↓ -99% |
| The Health Plan | All Products Radiation Oncology Physicians | $30.86 | ↓ -99% |
| Anthem | All Products Mid-Level Non-Facility | $33.58 | ↓ -99% |
| United | All Products - Mid-Level | $42.37 | ↓ -98% |
| United | All Products | $47.09 | ↓ -98% |
| United | HMO & PPO | $47.09 | ↓ -98% |
| United | Managed Medicaid | $49.22 | ↓ -98% |
| Caresource | Managed Medicaid | $50.70 | ↓ -98% |
| Buckeye | Managed Medicaid | $51.68 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $54.14 | ↓ -98% |
| Molina | Managed Medicaid | $54.14 | ↓ -98% |
| Oscar | All Products | $54.89 | ↓ -98% |
| Aultcare | PPO/HMO | $77.33 | ↓ -97% |
| OHCP | All Products | $84.02 | ↓ -97% |
| CIGNA | ALL PRODUCTS | $96.95 | ↓ -96% |
| OMAS | All Products | $108.00 | ↓ -96% |
| UNITED | Managed Medicaid | $116.28 | ↓ -96% |
| MMO | SuperMed | $116.64 | ↓ -96% |
| CARESOURCE | Managed Medicaid | $119.77 | ↓ -95% |
| ANTHEM | Managed Medicaid | $122.09 | ↓ -95% |
| MOLINA | Managed Medicaid | $122.09 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $127.91 | ↓ -95% |
| PHPHI | All Products | $129.60 | ↓ -95% |
| GMS | All Products | $151.20 | ↓ -94% |
| MMO | Traditional | $151.20 | ↓ -94% |
| Aetna | All Products First Health | $162.00 | ↓ -94% |
| Immergrun | All Products | $162.00 | ↓ -94% |
| Aetna | Asa | $172.80 | ↓ -93% |
| Multiplan | All Products | $194.40 | ↓ -93% |
| Aetna | Qhp/Ifp | $216.00 | ↓ -92% |
| The Health Plan | MEDICARE ADVANTAGE | $455.96 | ↓ -82% |
| HUMANA | Medicare Advantage HMO | $506.62 | ↓ -81% |
| UNITED | MEDICARE ADVANTAGE | $506.62 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $516.95 | ↓ -80% |
| ANTHEM | MEDICARE ADVANTAGE | $516.95 | ↓ -80% |
| Summacare | MEDICARE ADVANTAGE | $516.95 | ↓ -80% |
| CIGNA | MEDICARE ADVANTAGE | $532.46 | ↓ -80% |
| CommuniCare | MEDICARE ADVANTAGE | $542.80 | ↓ -79% |
| Perennial Health | MEDICARE ADVANTAGE | $547.15 | ↓ -79% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $558.31 | ↓ -79% |
| ANTHEM | HPN | $994.30 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $1,069.83 | ↓ -59% |
| MMO | ALL PRODUCTS | $1,101.44 | ↓ -58% |
| PHP | ALL PRODUCTS | $1,210.56 | ↓ -53% |
| PHPHI | ALL PRODUCTS | $1,210.56 | ↓ -53% |
| AETNA | International | $1,230.30 | ↓ -53% |
| CC EHP | ALL PRODUCTS | $1,278.65 | ↓ -51% |
| ANTHEM | Exchange | $1,370.92 | ↓ -47% |
| Summacare | PREMIER | $1,445.11 | ↓ -44% |
| ANTHEM | PPO/HMO | $1,523.30 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,702.35 | ↓ -35% |
| OHCP | ALL PRODUCTS | $1,838.54 | ↓ -29% |
| OMAS | ALL PRODUCTS | $1,891.50 | ↓ -27% |
| Immergrun | ALL PRODUCTS | $1,891.50 | ↓ -27% |
| Ohio Healthy | TRANSPLANT | $2,042.82 | ↓ -21% |
| ANTHEM | TRADITIONAL | $2,092.00 | ↓ -20% |
| The Health Plan | PPO | $2,415.07 | ↓ -7% |
| UNITED | ALL PRODUCTS | $2,444.63 | ↓ -6% |
| GMS | ALL PRODUCTS | $2,648.10 | ↑ +2% |
| Medical Benefit Corp | Transplant SMCP | $2,648.10 | ↑ +2% |
| Consociate Health | ALL PRODUCTS | $2,837.25 | ↑ +9% |
| AETNA | ALL PRODUCTS | $2,837.25 | ↑ +9% |
| The Health Plan | Self-Funded ASO | $3,177.72 | ↑ +22% |
| MULTIPLAN | ALL PRODUCTS | $3,404.70 | ↑ +31% |
| Tertiary Care Network | TRANSPLANT | $3,404.70 | ↑ +31% |
| FrontPath | TRANSPLANT | $3,404.70 | ↑ +31% |
| Managed Care Services | TRANSPLANT | $3,404.70 | ↑ +31% |
| The Health Plan | POS | $3,783.00 | ↑ +46% |
| The Health Plan | HMO | $3,783.00 | ↑ +46% |
| AETNA | Qhp/Ipf | $3,783.00 | ↑ +46% |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $845.40 | not published |
| Anderson Hospital | Cincinnati | $845.40 | not published |
| Clermont Hospital | Batavia | $563.40 | not published |
| Kings Mills Hospital | Mason | $845.40 | not published |
| Mercy West Hospital | Cincinnati | $845.40 | not published |
| St Ritas Medical Center | Lima | $636.60 | not published |
| Trinity Medical Center East | Steubenville | $268.80 | $325.20 – $417.34 |
| cleveland clinic main campus | Cleveland | $2,599.35 | $1.10 – $3,404.70 |