Electrophysiology evaluation at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$4,181.45
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.
$6,433.00
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 $9,329.00 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 | $184.73 | ↓ -96% |
| Summacare | Preferred | $184.73 | ↓ -96% |
| Summacare | Medicare Advantage Psych | $221.87 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $241.57 | ↓ -94% |
| Summacare | Medicare Advantage MD | $269.99 | ↓ -94% |
| Humana | Medicare Advantage HMO | $295.82 | ↓ -93% |
| Anthem | Medicare Advantage | $295.82 | ↓ -93% |
| Aetna | Medicare Advantage | $295.82 | ↓ -93% |
| United | Medicare Advantage | $295.82 | ↓ -93% |
| The Health Plan | Medicare Advantage | $295.82 | ↓ -93% |
| Cigna | Medicare Advantage | $295.82 | ↓ -93% |
| MMO | Medicare HMO & PPO | $304.69 | ↓ -93% |
| CommuniCare | Medicare Advantage | $310.61 | ↓ -93% |
| Summacare | Premier | $310.61 | ↓ -93% |
| Perennial Health | Medicare Advantage | $319.49 | ↓ -92% |
| The Health Plan | All Products PCP | $325.40 | ↓ -92% |
| The Health Plan | All Products Specialty Physicians | $340.19 | ↓ -92% |
| The Health Plan | All Products Radiation Oncology Physicians | $384.57 | ↓ -91% |
| Anthem | All Products Mid-Level Non-Facility | $410.87 | ↓ -90% |
| United | Managed Medicaid | $503.52 | ↓ -88% |
| Caresource | Managed Medicaid | $518.63 | ↓ -88% |
| Buckeye | Managed Medicaid | $528.70 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $553.87 | ↓ -87% |
| Molina | Managed Medicaid | $553.87 | ↓ -87% |
| United | All Products - Mid-Level | $601.81 | ↓ -86% |
| Oscar | All Products | $633.98 | ↓ -85% |
| United | All Products | $668.68 | ↓ -84% |
| United | HMO & PPO | $668.68 | ↓ -84% |
| AETNA | MEDICARE ADVANTAGE | $858.48 | ↓ -79% |
| Aultcare | PPO/HMO | $893.21 | ↓ -79% |
| OHCP | All Products | $970.56 | ↓ -77% |
| OSCAR | ALL PRODUCTS | $1,113.67 | ↓ -73% |
| OMAS | All Products | $1,247.50 | ↓ -70% |
| PHPHI | ALL PRODUCTS | $1,260.16 | ↓ -70% |
| PHP | ALL PRODUCTS | $1,260.16 | ↓ -70% |
| UNITED | Managed Medicaid | $1,272.03 | ↓ -70% |
| CARESOURCE | Managed Medicaid | $1,310.19 | ↓ -69% |
| CC EHP | ALL PRODUCTS | $1,331.04 | ↓ -68% |
| ANTHEM | Managed Medicaid | $1,335.63 | ↓ -68% |
| MOLINA | Managed Medicaid | $1,335.63 | ↓ -68% |
| MMO | SuperMed | $1,347.30 | ↓ -68% |
| AMERIHEALTH | Managed Medicaid | $1,399.23 | ↓ -67% |
| PHPHI | All Products | $1,497.00 | ↓ -64% |
| Summacare | PREMIER | $1,504.32 | ↓ -64% |
| MMO | Traditional | $1,746.50 | ↓ -58% |
| GMS | All Products | $1,746.50 | ↓ -58% |
| MMO | ALL PRODUCTS | $1,764.22 | ↓ -58% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,772.10 | ↓ -58% |
| CIGNA | ALL PRODUCTS | $1,858.74 | ↓ -56% |
| ANTHEM | HPN | $1,867.01 | ↓ -55% |
| Immergrun | All Products | $1,871.25 | ↓ -55% |
| Aetna | All Products First Health | $1,871.25 | ↓ -55% |
| OHCP | ALL PRODUCTS | $1,913.87 | ↓ -54% |
| OMAS | ALL PRODUCTS | $1,969.00 | ↓ -53% |
| Immergrun | ALL PRODUCTS | $1,969.00 | ↓ -53% |
| ANTHEM | Exchange | $1,976.48 | ↓ -53% |
| Aetna | Asa | $1,996.00 | ↓ -52% |
| Ohio Healthy | TRANSPLANT | $2,126.52 | ↓ -49% |
| ANTHEM | TRADITIONAL | $2,177.71 | ↓ -48% |
| Multiplan | All Products | $2,245.50 | ↓ -46% |
| UNITED | ALL PRODUCTS | $2,382.49 | ↓ -43% |
| The Health Plan | HMO | $2,439.59 | ↓ -42% |
| The Health Plan | POS | $2,439.59 | ↓ -42% |
| Aetna | Qhp/Ifp | $2,495.00 | ↓ -40% |
| The Health Plan | PPO | $2,514.02 | ↓ -40% |
| ANTHEM | PPO/HMO | $2,590.02 | ↓ -38% |
| Medical Benefit Corp | Transplant SMCP | $2,756.60 | ↓ -34% |
| GMS | ALL PRODUCTS | $2,756.60 | ↓ -34% |
| Consociate Health | ALL PRODUCTS | $2,953.50 | ↓ -29% |
| AETNA | ALL PRODUCTS | $2,953.50 | ↓ -29% |
| The Health Plan | Self-Funded ASO | $3,307.92 | ↓ -21% |
| Tertiary Care Network | TRANSPLANT | $3,544.20 | ↓ -15% |
| MULTIPLAN | ALL PRODUCTS | $3,544.20 | ↓ -15% |
| Managed Care Services | TRANSPLANT | $3,544.20 | ↓ -15% |
| FrontPath | TRANSPLANT | $3,544.20 | ↓ -15% |
| AETNA | Qhp/Ipf | $3,938.00 | ↓ -6% |
| AETNA | Asa_Whirlpool_Peia | $8,885.00 | ↑ +112% |
| AETNA | International | $9,329.00 | ↑ +123% |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | 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
Electrophysiology evaluation at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $2,989.20 | not published |
| Trinity Medical Center East | Steubenville | $997.82 | $1,207.20 – $1,609.60 |
| cleveland clinic main campus | Cleveland | $4,181.45 | $1.10 – $3,544.20 |
| akron general | Akron | $4,181.45 | $1.10 – $3,544.20 |
| avon hospital | Avon | $2,559.70 | $671.04 – $3,544.20 |
| euclid hospital | Euclid | $2,559.70 | $671.04 – $3,544.20 |
| fairview hospital | Cleveland | $2,559.70 | $611.97 – $3,544.20 |
| lutheran hospital | Cleveland | $2,559.70 | $671.04 – $3,544.20 |