Electrophysiology evaluation at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$31,598.45
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.
$48,613.00
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 $43,632.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $371.61 | ↓ -99% |
| Summacare | Preferred | $371.61 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $444.53 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $485.95 | ↓ -98% |
| Summacare | Medicare Advantage MD | $543.12 | ↓ -98% |
| Anthem | Medicare Advantage | $592.71 | ↓ -98% |
| Cigna | Medicare Advantage | $592.71 | ↓ -98% |
| Aetna | Medicare Advantage | $592.71 | ↓ -98% |
| The Health Plan | Medicare Advantage | $592.71 | ↓ -98% |
| Humana | Medicare Advantage HMO | $592.71 | ↓ -98% |
| United | Medicare Advantage | $592.71 | ↓ -98% |
| MMO | Medicare HMO & PPO | $610.49 | ↓ -98% |
| CommuniCare | Medicare Advantage | $622.35 | ↓ -98% |
| Summacare | Premier | $622.35 | ↓ -98% |
| Perennial Health | Medicare Advantage | $640.13 | ↓ -98% |
| The Health Plan | All Products PCP | $651.98 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $681.62 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $770.52 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $824.42 | ↓ -97% |
| United | Managed Medicaid | $842.78 | ↓ -97% |
| Caresource | Managed Medicaid | $868.06 | ↓ -97% |
| Buckeye | Managed Medicaid | $884.92 | ↓ -97% |
| Molina | Managed Medicaid | $927.06 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $927.06 | ↓ -97% |
| United | All Products - Mid-Level | $1,204.95 | ↓ -96% |
| Oscar | All Products | $1,265.67 | ↓ -96% |
| UNITED | Managed Medicaid | $1,272.03 | ↓ -96% |
| CARESOURCE | Managed Medicaid | $1,310.19 | ↓ -96% |
| MOLINA | Managed Medicaid | $1,335.63 | ↓ -96% |
| ANTHEM | Managed Medicaid | $1,335.63 | ↓ -96% |
| United | HMO & PPO | $1,338.84 | ↓ -96% |
| United | All Products | $1,338.84 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $1,399.23 | ↓ -96% |
| Aultcare | PPO/HMO | $1,783.20 | ↓ -94% |
| OHCP | All Products | $1,937.61 | ↓ -94% |
| OMAS | All Products | $2,490.50 | ↓ -92% |
| MMO | SuperMed | $2,689.74 | ↓ -91% |
| PHPHI | All Products | $2,988.60 | ↓ -91% |
| GMS | All Products | $3,486.70 | ↓ -89% |
| MMO | Traditional | $3,486.70 | ↓ -89% |
| Aetna | All Products First Health | $3,735.75 | ↓ -88% |
| Immergrun | All Products | $3,735.75 | ↓ -88% |
| Aetna | Asa | $3,984.80 | ↓ -87% |
| Multiplan | All Products | $4,482.90 | ↓ -86% |
| Aetna | Qhp/Ifp | $4,981.00 | ↓ -84% |
| The Health Plan | MEDICARE ADVANTAGE | $6,310.13 | ↓ -80% |
| UNITED | MEDICARE ADVANTAGE | $7,011.25 | ↓ -78% |
| HUMANA | Medicare Advantage HMO | $7,011.25 | ↓ -78% |
| AETNA | MEDICARE ADVANTAGE | $7,379.08 | ↓ -77% |
| Summacare | MEDICARE ADVANTAGE | $7,379.08 | ↓ -77% |
| ANTHEM | MEDICARE ADVANTAGE | $7,379.08 | ↓ -77% |
| Perennial Health | MEDICARE ADVANTAGE | $7,572.15 | ↓ -76% |
| CIGNA | MEDICARE ADVANTAGE | $7,600.46 | ↓ -76% |
| CommuniCare | MEDICARE ADVANTAGE | $7,748.04 | ↓ -75% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $7,969.41 | ↓ -75% |
| AETNA | Asa_Whirlpool_Peia | $8,885.00 | ↓ -72% |
| AETNA | International | $9,329.00 | ↓ -70% |
| OSCAR | ALL PRODUCTS | $12,339.13 | ↓ -61% |
| PHP | ALL PRODUCTS | $13,962.24 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $13,962.24 | ↓ -56% |
| CC EHP | ALL PRODUCTS | $14,747.62 | ↓ -53% |
| MMO | ALL PRODUCTS | $14,910.55 | ↓ -53% |
| Summacare | PREMIER | $16,667.42 | ↓ -47% |
| Amish Community Aid Plan | ALL PRODUCTS | $19,634.40 | ↓ -38% |
| CIGNA | ALL PRODUCTS | $20,594.30 | ↓ -35% |
| ANTHEM | HPN | $20,685.93 | ↓ -35% |
| OHCP | ALL PRODUCTS | $21,205.15 | ↓ -33% |
| OMAS | ALL PRODUCTS | $21,816.00 | ↓ -31% |
| Immergrun | ALL PRODUCTS | $21,816.00 | ↓ -31% |
| ANTHEM | Exchange | $21,898.90 | ↓ -31% |
| Ohio Healthy | TRANSPLANT | $23,561.28 | ↓ -25% |
| ANTHEM | TRADITIONAL | $24,128.50 | ↓ -24% |
| UNITED | ALL PRODUCTS | $26,397.36 | ↓ -16% |
| The Health Plan | POS | $27,030.02 | ↓ -14% |
| The Health Plan | HMO | $27,030.02 | ↓ -14% |
| The Health Plan | PPO | $27,854.67 | ↓ -12% |
| ANTHEM | PPO/HMO | $28,696.77 | ↓ -9% |
| GMS | ALL PRODUCTS | $30,542.40 | ↓ -3% |
| Medical Benefit Corp | Transplant SMCP | $30,542.40 | ↓ -3% |
| Consociate Health | ALL PRODUCTS | $32,724.00 | ↑ +4% |
| AETNA | ALL PRODUCTS | $32,724.00 | ↑ +4% |
| The Health Plan | Self-Funded ASO | $36,650.88 | ↑ +16% |
| MULTIPLAN | ALL PRODUCTS | $39,268.80 | ↑ +24% |
| FrontPath | TRANSPLANT | $39,268.80 | ↑ +24% |
| Managed Care Services | TRANSPLANT | $39,268.80 | ↑ +24% |
| Tertiary Care Network | TRANSPLANT | $39,268.80 | ↑ +24% |
| AETNA | Qhp/Ipf | $43,632.00 | ↑ +38% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $5,719.80 | not published |
| Trinity Medical Center East | Steubenville | $4,967.24 | $6,009.60 – $7,712.32 |
| cleveland clinic main campus | Cleveland | $31,598.45 | $1.10 – $39,268.80 |
| akron general | Akron | $31,598.45 | $1.10 – $39,268.80 |
| avon hospital | Avon | $28,360.80 | $1,328.08 – $39,268.80 |
| euclid hospital | Euclid | $28,360.80 | $1,360.66 – $39,268.80 |
| fairview hospital | Cleveland | $28,360.80 | $1,278.27 – $39,268.80 |
| lutheran hospital | Cleveland | $28,360.80 | $1,216.96 – $39,268.80 |