healthcosts.net
Artery-vein nonautograft at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,127.80
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.
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What you pay up front if you don't use insurance.
$4,812.00
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 $9,382.91 with MMO — 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% |
| Oscar | All Products | $305.43 | ↓ -90% |
| Summacare | Preferred | $406.12 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $406.12 | ↓ -87% |
| Aultcare | PPO/HMO | $430.32 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $450.74 | ↓ -86% |
| OHCP | All Products | $467.58 | ↓ -85% |
| Summacare | Medicare Advantage CNA | $531.08 | ↓ -83% |
| United | Managed Medicaid | $592.09 | ↓ -81% |
| Summacare | Medicare Advantage MD | $593.56 | ↓ -81% |
| Humana | Medicare Advantage HMO | $600.99 | ↓ -81% |
| United | Medicare Advantage | $600.99 | ↓ -81% |
| Aetna | Medicare Advantage | $600.99 | ↓ -81% |
| The Health Plan | Medicare Advantage | $600.99 | ↓ -81% |
| Anthem | Medicare Advantage | $600.99 | ↓ -81% |
| Cigna | Medicare Advantage | $600.99 | ↓ -81% |
| OMAS | All Products | $601.00 | ↓ -81% |
| Caresource | Managed Medicaid | $609.85 | ↓ -81% |
| MMO | Medicare HMO & PPO | $619.02 | ↓ -80% |
| Buckeye | Managed Medicaid | $621.69 | ↓ -80% |
| Summacare | Premier | $631.04 | ↓ -80% |
| CommuniCare | Medicare Advantage | $631.04 | ↓ -80% |
| Perennial Health | Medicare Advantage | $649.07 | ↓ -79% |
| AmeriHealth | Managed Medicaid | $651.30 | ↓ -79% |
| Molina | Managed Medicaid | $651.30 | ↓ -79% |
| The Health Plan | All Products PCP | $661.09 | ↓ -79% |
| The Health Plan | All Products Specialty Physicians | $691.14 | ↓ -78% |
| PHPHI | All Products | $721.20 | ↓ -77% |
| The Health Plan | All Products Radiation Oncology Physicians | $781.29 | ↓ -75% |
| MMO | Traditional | $841.40 | ↓ -73% |
| GMS | All Products | $841.40 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $889.19 | ↓ -72% |
| Aetna | All Products First Health | $901.50 | ↓ -71% |
| Immergrun | All Products | $901.50 | ↓ -71% |
| Aetna | Asa | $961.60 | ↓ -69% |
| Multiplan | All Products | $1,081.80 | ↓ -65% |
| Aetna | Qhp/Ifp | $1,202.00 | ↓ -62% |
| United | All Products - Mid-Level | $1,472.15 | ↓ -53% |
| United | HMO & PPO | $1,635.72 | ↓ -48% |
| United | All Products | $1,635.72 | ↓ -48% |
| UNITED | Managed Medicaid | $2,571.20 | ↓ -18% |
| CARESOURCE | Managed Medicaid | $2,648.34 | ↓ -15% |
| ANTHEM | Managed Medicaid | $2,699.76 | ↓ -14% |
| MOLINA | Managed Medicaid | $2,699.76 | ↓ -14% |
| AMERIHEALTH | Managed Medicaid | $2,828.32 | ↓ -10% |
| The Health Plan | MEDICARE ADVANTAGE | $4,495.28 | ↑ +44% |
| HUMANA | Medicare Advantage HMO | $4,994.76 | ↑ +60% |
| UNITED | MEDICARE ADVANTAGE | $4,994.76 | ↑ +60% |
| ANTHEM | MEDICARE ADVANTAGE | $5,264.43 | ↑ +68% |
| Summacare | MEDICARE ADVANTAGE | $5,264.43 | ↑ +68% |
| AETNA | MEDICARE ADVANTAGE | $5,264.43 | ↑ +68% |
| Perennial Health | MEDICARE ADVANTAGE | $5,394.34 | ↑ +72% |
| CIGNA | MEDICARE ADVANTAGE | $5,422.37 | ↑ +73% |
| CommuniCare | MEDICARE ADVANTAGE | $5,527.65 | ↑ +77% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $5,685.59 | ↑ +82% |
| MMO | ALL PRODUCTS | $8,316.21 | ↑ +166% |
| MMO | SuperMed | $9,382.91 | ↑ +200% |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Artery-vein nonautograft at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,127.80 | $1.10 – $5,264.43 |
| akron general | Akron | $3,127.80 | $1.10 – $5,422.37 |
| University Hospitals Ahuja Medical Center | Beachwood | $6,325.50 | $900.00 – $9,475.98 |
| University Hospitals Beachwood Medical Center | Beachwood | $6,325.50 | $900.00 – $13,333.32 |
| University Hospitals Conneaut Medical Center | Conneaut | $5,272.50 | not published |
| University Hospitals Elyria Medical Center | Elyria | $6,325.50 | $5,264.43 – $9,475.98 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $6,325.50 | $5,264.43 – $9,475.98 |
| University Hospitals Geneva Medical Center | Geneva | $5,272.50 | not published |