Drill hole implt ventricular cath/device 61107 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$5,633.55
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.
$8,667.00
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.
$0.01 with UNITED vs $8,667.00 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 |
|---|---|---|---|
| UNITED | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Preferred | $195.33 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $195.33 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $213.45 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $255.43 | ↓ -95% |
| United | Managed Medicaid | $276.45 | ↓ -95% |
| United | Medicare Advantage | $284.60 | ↓ -95% |
| Humana | Medicare Advantage HMO | $284.60 | ↓ -95% |
| Cigna | Medicare Advantage | $284.60 | ↓ -95% |
| Aetna | Medicare Advantage | $284.60 | ↓ -95% |
| The Health Plan | Medicare Advantage | $284.60 | ↓ -95% |
| Anthem | Medicare Advantage | $284.60 | ↓ -95% |
| Caresource | Managed Medicaid | $284.74 | ↓ -95% |
| Summacare | Medicare Advantage MD | $285.48 | ↓ -95% |
| Buckeye | Managed Medicaid | $290.27 | ↓ -95% |
| MMO | Medicare HMO & PPO | $293.14 | ↓ -95% |
| CommuniCare | Medicare Advantage | $298.83 | ↓ -95% |
| Summacare | Premier | $298.83 | ↓ -95% |
| Molina | Managed Medicaid | $304.10 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $304.10 | ↓ -95% |
| Perennial Health | Medicare Advantage | $307.37 | ↓ -95% |
| The Health Plan | All Products PCP | $313.06 | ↓ -94% |
| The Health Plan | All Products Specialty Physicians | $327.29 | ↓ -94% |
| The Health Plan | All Products Radiation Oncology Physicians | $369.98 | ↓ -93% |
| Anthem | All Products Mid-Level Non-Facility | $427.07 | ↓ -92% |
| Oscar | All Products | $507.18 | ↓ -91% |
| MMO | SuperMed | $542.98 | ↓ -90% |
| United | All Products - Mid-Level | $707.85 | ↓ -87% |
| Aultcare | PPO/HMO | $714.57 | ↓ -87% |
| OHCP | All Products | $776.44 | ↓ -86% |
| United | HMO & PPO | $786.50 | ↓ -86% |
| United | All Products | $786.50 | ↓ -86% |
| OMAS | All Products | $998.00 | ↓ -82% |
| PHPHI | All Products | $1,197.60 | ↓ -79% |
| MMO | Traditional | $1,397.20 | ↓ -75% |
| GMS | All Products | $1,397.20 | ↓ -75% |
| Aetna | All Products First Health | $1,497.00 | ↓ -73% |
| Immergrun | All Products | $1,497.00 | ↓ -73% |
| Aetna | Asa | $1,596.80 | ↓ -72% |
| Multiplan | All Products | $1,796.40 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $1,889.41 | ↓ -66% |
| Aetna | Qhp/Ifp | $1,996.00 | ↓ -65% |
| OSCAR | ALL PRODUCTS | $2,451.03 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $2,773.44 | ↓ -51% |
| PHP | ALL PRODUCTS | $2,773.44 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $2,929.45 | ↓ -48% |
| Summacare | PREMIER | $3,310.79 | ↓ -41% |
| MMO | ALL PRODUCTS | $3,882.82 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,900.15 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $4,090.82 | ↓ -27% |
| UNITED | Managed Medicaid | $4,106.57 | ↓ -27% |
| ANTHEM | HPN | $4,174.89 | ↓ -26% |
| OHCP | ALL PRODUCTS | $4,212.16 | ↓ -25% |
| CARESOURCE | Managed Medicaid | $4,229.77 | ↓ -25% |
| MOLINA | Managed Medicaid | $4,311.90 | ↓ -23% |
| ANTHEM | Managed Medicaid | $4,311.90 | ↓ -23% |
| OMAS | ALL PRODUCTS | $4,333.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $4,333.50 | ↓ -23% |
| ANTHEM | Exchange | $4,420.17 | ↓ -22% |
| AMERIHEALTH | Managed Medicaid | $4,517.23 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $4,680.18 | ↓ -17% |
| ANTHEM | TRADITIONAL | $4,792.85 | ↓ -15% |
| ANTHEM | PPO/HMO | $4,911.59 | ↓ -13% |
| The Health Plan | PPO | $5,533.01 | ↓ -2% |
| GMS | ALL PRODUCTS | $6,066.90 | ↑ +8% |
| AETNA | International | $6,066.90 | ↑ +8% |
| AETNA | Asa_Whirlpool_Peia | $6,066.90 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $6,066.90 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $6,500.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $6,500.25 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $7,280.28 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $7,800.30 | ↑ +38% |
| FrontPath | TRANSPLANT | $7,800.30 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $7,800.30 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $7,800.30 | ↑ +38% |
| AETNA | Qhp/Ipf | $8,667.00 | ↑ +54% |
| The Health Plan | HMO | $8,667.00 | ↑ +54% |
| The Health Plan | POS | $8,667.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Drill hole implt ventricular cath/device 61107 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $5,064.60 | not published |
| Anderson Hospital | Cincinnati | $5,064.60 | not published |
| Clermont Hospital | Batavia | $5,064.60 | not published |
| Kings Mills Hospital | Mason | $5,064.60 | not published |
| Mercy West Hospital | Cincinnati | $5,064.60 | not published |
| St Ritas Medical Center | Lima | $7,060.20 | not published |
| cleveland clinic main campus | Cleveland | $5,633.55 | $0.01 – $7,800.30 |
| akron general | Akron | $5,633.55 | $0.01 – $7,800.30 |