healthcosts.net
Cabg/vein only/2 cor venous gfts 33511 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$9,997.00
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.
$15,380.00
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% |
| Summacare | Preferred | $1,296.46 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $1,296.46 | ↓ -87% |
| Summacare | Medicare Advantage Psych | $1,476.95 | ↓ -85% |
| United | Managed Medicaid | $1,654.04 | ↓ -83% |
| Summacare | Medicare Advantage CNA | $1,695.38 | ↓ -83% |
| Caresource | Managed Medicaid | $1,703.66 | ↓ -83% |
| Buckeye | Managed Medicaid | $1,736.74 | ↓ -83% |
| Molina | Managed Medicaid | $1,819.44 | ↓ -82% |
| AmeriHealth | Managed Medicaid | $1,819.44 | ↓ -82% |
| Summacare | Medicare Advantage MD | $1,894.83 | ↓ -81% |
| Anthem | Medicare Advantage | $1,969.26 | ↓ -80% |
| United | Medicare Advantage | $1,969.26 | ↓ -80% |
| The Health Plan | Medicare Advantage | $1,969.26 | ↓ -80% |
| Cigna | Medicare Advantage | $1,969.26 | ↓ -80% |
| Aetna | Medicare Advantage | $1,969.26 | ↓ -80% |
| Humana | Medicare Advantage HMO | $1,969.26 | ↓ -80% |
| MMO | Medicare HMO & PPO | $2,028.34 | ↓ -80% |
| CommuniCare | Medicare Advantage | $2,067.72 | ↓ -79% |
| Summacare | Premier | $2,067.72 | ↓ -79% |
| The Health Plan | PPO | $2,107.11 | ↓ -79% |
| Perennial Health | Medicare Advantage | $2,126.80 | ↓ -79% |
| The Health Plan | All Products PCP | $2,166.19 | ↓ -78% |
| The Health Plan | All Products Specialty Physicians | $2,264.65 | ↓ -77% |
| The Health Plan | All Products Radiation Oncology Physicians | $2,560.04 | ↓ -74% |
| Anthem | All Products Mid-Level Non-Facility | $2,834.48 | ↓ -72% |
| MMO | SuperMed | $3,605.50 | ↓ -64% |
| Oscar | All Products | $3,908.06 | ↓ -61% |
| UNITED | Managed Medicaid | $3,915.98 | ↓ -61% |
| CARESOURCE | Managed Medicaid | $4,033.46 | ↓ -60% |
| ANTHEM | Managed Medicaid | $4,111.78 | ↓ -59% |
| MOLINA | Managed Medicaid | $4,111.78 | ↓ -59% |
| AMERIHEALTH | Managed Medicaid | $4,307.58 | ↓ -57% |
| United | All Products - Mid-Level | $4,694.03 | ↓ -53% |
| United | All Products | $5,215.59 | ↓ -48% |
| United | HMO & PPO | $5,215.59 | ↓ -48% |
| Aultcare | PPO/HMO | $5,506.04 | ↓ -45% |
| OHCP | All Products | $5,982.82 | ↓ -40% |
| OMAS | All Products | $7,690.00 | ↓ -23% |
| PHPHI | All Products | $9,228.00 | ↓ -8% |
| MMO | Traditional | $10,766.00 | ↑ +8% |
| GMS | All Products | $10,766.00 | ↑ +8% |
| Aetna | All Products First Health | $11,535.00 | ↑ +15% |
| Immergrun | All Products | $11,535.00 | ↑ +15% |
| Aetna | Asa | $12,304.00 | ↑ +23% |
| Multiplan | All Products | $13,842.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $15,380.00 | ↑ +54% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +12668% |
| The Health Plan | POS | $4,036,081.00 | ↑ +40273% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| 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
Cabg/vein only/2 cor venous gfts 33511 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $9,997.00 | $1.10 – $13,842.00 |
| akron general | Akron | $9,997.00 | $1.10 – $13,842.00 |
| avon hospital | Avon | not published | $4,088.56 – $4,166.44 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $6,675.14 – $7,729.11 |
| euclid hospital | Euclid | not published | $4,188.84 – $4,850.23 |
| fairview hospital | Cleveland | not published | $3,935.20 – $4,556.55 |
| lutheran hospital | Cleveland | not published | $3,746.44 – $4,337.98 |
| hillcrest hospital | Mayfield Heights | not published | $4,099.86 – $4,747.20 |