healthcosts.net
Xcpsl ctrc rmvl cplx insj 1+ at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,153.80
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.
$4,852.00
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.
$1.10 with Zing Health vs $4,036,081.00 with The Health Plan — 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $510.61 | ↓ -84% |
| Summacare | Preferred | $510.61 | ↓ -84% |
| Summacare | Medicare Advantage Psych | $522.76 | ↓ -83% |
| United | Managed Medicaid | $640.26 | ↓ -80% |
| Caresource | Managed Medicaid | $659.47 | ↓ -79% |
| Summacare | Medicare Advantage CNA | $667.73 | ↓ -79% |
| Buckeye | Managed Medicaid | $672.27 | ↓ -79% |
| Humana | Medicare Advantage HMO | $697.01 | ↓ -78% |
| United | Medicare Advantage | $697.01 | ↓ -78% |
| Aetna | Medicare Advantage | $697.01 | ↓ -78% |
| Anthem | Medicare Advantage | $697.01 | ↓ -78% |
| The Health Plan | Medicare Advantage | $697.01 | ↓ -78% |
| Cigna | Medicare Advantage | $697.01 | ↓ -78% |
| Molina | Managed Medicaid | $704.29 | ↓ -78% |
| AmeriHealth | Managed Medicaid | $704.29 | ↓ -78% |
| MMO | Medicare HMO & PPO | $717.92 | ↓ -77% |
| Summacare | Premier | $731.86 | ↓ -77% |
| CommuniCare | Medicare Advantage | $731.86 | ↓ -77% |
| The Health Plan | PPO | $745.80 | ↓ -76% |
| Summacare | Medicare Advantage MD | $746.28 | ↓ -76% |
| Perennial Health | Medicare Advantage | $752.77 | ↓ -76% |
| The Health Plan | All Products PCP | $766.71 | ↓ -76% |
| The Health Plan | All Products Specialty Physicians | $801.56 | ↓ -75% |
| The Health Plan | All Products Radiation Oncology Physicians | $906.11 | ↓ -71% |
| Anthem | All Products Mid-Level Non-Facility | $1,110.85 | ↓ -65% |
| Oscar | All Products | $1,232.89 | ↓ -61% |
| Aultcare | PPO/HMO | $1,737.02 | ↓ -45% |
| United | All Products - Mid-Level | $1,856.98 | ↓ -41% |
| OHCP | All Products | $1,887.43 | ↓ -40% |
| UNITED | Managed Medicaid | $1,973.88 | ↓ -37% |
| CARESOURCE | Managed Medicaid | $2,033.10 | ↓ -36% |
| United | HMO & PPO | $2,063.31 | ↓ -35% |
| United | All Products | $2,063.31 | ↓ -35% |
| MOLINA | Managed Medicaid | $2,072.57 | ↓ -34% |
| ANTHEM | Managed Medicaid | $2,072.57 | ↓ -34% |
| AMERIHEALTH | Managed Medicaid | $2,171.27 | ↓ -31% |
| OMAS | All Products | $2,426.00 | ↓ -23% |
| PHPHI | All Products | $2,911.20 | ↓ -8% |
| MMO | Traditional | $3,396.40 | ↑ +8% |
| GMS | All Products | $3,396.40 | ↑ +8% |
| Immergrun | All Products | $3,639.00 | ↑ +15% |
| Aetna | All Products First Health | $3,639.00 | ↑ +15% |
| Aetna | Asa | $3,881.60 | ↑ +23% |
| The Health Plan | MEDICARE ADVANTAGE | $4,290.72 | ↑ +36% |
| Multiplan | All Products | $4,366.80 | ↑ +38% |
| HUMANA | Medicare Advantage HMO | $4,767.47 | ↑ +51% |
| UNITED | MEDICARE ADVANTAGE | $4,767.47 | ↑ +51% |
| Aetna | Qhp/Ifp | $4,852.00 | ↑ +54% |
| ANTHEM | MEDICARE ADVANTAGE | $5,034.36 | ↑ +60% |
| Summacare | MEDICARE ADVANTAGE | $5,034.36 | ↑ +60% |
| AETNA | MEDICARE ADVANTAGE | $5,034.36 | ↑ +60% |
| Perennial Health | MEDICARE ADVANTAGE | $5,148.87 | ↑ +63% |
| CIGNA | MEDICARE ADVANTAGE | $5,185.39 | ↑ +64% |
| CommuniCare | MEDICARE ADVANTAGE | $5,286.08 | ↑ +68% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $5,437.11 | ↑ +72% |
| MMO | ALL PRODUCTS | $7,909.42 | ↑ +151% |
| MMO | SuperMed | $8,924.16 | ↑ +183% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +40373% |
| The Health Plan | POS | $4,036,081.00 | ↑ +127875% |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Xcpsl ctrc rmvl cplx insj 1+ at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $15,427.75 | $1.10 – $21,361.50 |
| akron general | Akron | $3,153.80 | $1.10 – $5,185.39 |
| avon hospital | Avon | not published | $2,060.88 – $5,537.80 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $3,364.66 – $3,895.93 |
| euclid hospital | Euclid | not published | $2,111.42 – $5,537.80 |
| fairview hospital | Cleveland | not published | $1,983.57 – $5,537.80 |
| lutheran hospital | Cleveland | not published | $1,888.43 – $5,537.80 |
| hillcrest hospital | Mayfield Heights | not published | $2,066.57 – $5,537.80 |