Electrophysiology evaluation at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$5,861.05
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.
$9,017.00
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 | Preferred | $151.48 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $151.48 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $181.69 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $198.09 | ↓ -97% |
| Summacare | Medicare Advantage MD | $221.40 | ↓ -96% |
| Anthem | Medicare Advantage | $242.25 | ↓ -96% |
| Aetna | Medicare Advantage | $242.25 | ↓ -96% |
| United | Medicare Advantage | $242.25 | ↓ -96% |
| The Health Plan | Medicare Advantage | $242.25 | ↓ -96% |
| Humana | Medicare Advantage HMO | $242.25 | ↓ -96% |
| Cigna | Medicare Advantage | $242.25 | ↓ -96% |
| MMO | Medicare HMO & PPO | $249.52 | ↓ -96% |
| CommuniCare | Medicare Advantage | $254.36 | ↓ -96% |
| Summacare | Premier | $254.36 | ↓ -96% |
| Perennial Health | Medicare Advantage | $261.63 | ↓ -96% |
| The Health Plan | All Products PCP | $266.48 | ↓ -95% |
| The Health Plan | All Products Specialty Physicians | $278.59 | ↓ -95% |
| The Health Plan | All Products Radiation Oncology Physicians | $314.93 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $334.99 | ↓ -94% |
| United | Managed Medicaid | $339.07 | ↓ -94% |
| Caresource | Managed Medicaid | $349.24 | ↓ -94% |
| Buckeye | Managed Medicaid | $356.02 | ↓ -94% |
| AmeriHealth | Managed Medicaid | $372.98 | ↓ -94% |
| Molina | Managed Medicaid | $372.98 | ↓ -94% |
| United | All Products - Mid-Level | $491.06 | ↓ -92% |
| Oscar | All Products | $517.60 | ↓ -91% |
| United | HMO & PPO | $545.63 | ↓ -91% |
| United | All Products | $545.63 | ↓ -91% |
| Aultcare | PPO/HMO | $729.25 | ↓ -88% |
| OHCP | All Products | $792.39 | ↓ -86% |
| The Health Plan | MEDICARE ADVANTAGE | $1,009.53 | ↓ -83% |
| OMAS | All Products | $1,018.50 | ↓ -83% |
| MMO | SuperMed | $1,099.98 | ↓ -81% |
| HUMANA | Medicare Advantage HMO | $1,121.70 | ↓ -81% |
| UNITED | MEDICARE ADVANTAGE | $1,121.70 | ↓ -81% |
| Summacare | MEDICARE ADVANTAGE | $1,151.89 | ↓ -80% |
| ANTHEM | MEDICARE ADVANTAGE | $1,151.89 | ↓ -80% |
| AETNA | MEDICARE ADVANTAGE | $1,151.89 | ↓ -80% |
| CIGNA | MEDICARE ADVANTAGE | $1,186.44 | ↓ -80% |
| CommuniCare | MEDICARE ADVANTAGE | $1,209.48 | ↓ -79% |
| Perennial Health | MEDICARE ADVANTAGE | $1,211.44 | ↓ -79% |
| PHPHI | All Products | $1,222.20 | ↓ -79% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,244.04 | ↓ -79% |
| UNITED | Managed Medicaid | $1,272.03 | ↓ -78% |
| CARESOURCE | Managed Medicaid | $1,310.19 | ↓ -78% |
| ANTHEM | Managed Medicaid | $1,335.63 | ↓ -77% |
| MOLINA | Managed Medicaid | $1,335.63 | ↓ -77% |
| AMERIHEALTH | Managed Medicaid | $1,399.23 | ↓ -76% |
| MMO | Traditional | $1,425.90 | ↓ -76% |
| GMS | All Products | $1,425.90 | ↓ -76% |
| Aetna | All Products First Health | $1,527.75 | ↓ -74% |
| Immergrun | All Products | $1,527.75 | ↓ -74% |
| Aetna | Asa | $1,629.60 | ↓ -72% |
| Multiplan | All Products | $1,833.30 | ↓ -69% |
| OSCAR | ALL PRODUCTS | $1,973.94 | ↓ -66% |
| Aetna | Qhp/Ifp | $2,037.00 | ↓ -65% |
| PHPHI | ALL PRODUCTS | $2,233.60 | ↓ -62% |
| PHP | ALL PRODUCTS | $2,233.60 | ↓ -62% |
| CC EHP | ALL PRODUCTS | $2,359.24 | ↓ -60% |
| MMO | ALL PRODUCTS | $2,376.15 | ↓ -59% |
| Summacare | PREMIER | $2,666.36 | ↓ -55% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,141.00 | ↓ -46% |
| CIGNA | ALL PRODUCTS | $3,294.56 | ↓ -44% |
| ANTHEM | HPN | $3,309.22 | ↓ -44% |
| OHCP | ALL PRODUCTS | $3,392.28 | ↓ -42% |
| OMAS | ALL PRODUCTS | $3,490.00 | ↓ -40% |
| Immergrun | ALL PRODUCTS | $3,490.00 | ↓ -40% |
| ANTHEM | Exchange | $3,503.26 | ↓ -40% |
| Ohio Healthy | TRANSPLANT | $3,769.20 | ↓ -36% |
| ANTHEM | TRADITIONAL | $3,859.94 | ↓ -34% |
| UNITED | ALL PRODUCTS | $4,222.90 | ↓ -28% |
| The Health Plan | PPO | $4,456.03 | ↓ -24% |
| ANTHEM | PPO/HMO | $4,590.75 | ↓ -22% |
| GMS | ALL PRODUCTS | $4,886.00 | ↓ -17% |
| Medical Benefit Corp | Transplant SMCP | $4,886.00 | ↓ -17% |
| AETNA | ALL PRODUCTS | $5,235.00 | ↓ -11% |
| Consociate Health | ALL PRODUCTS | $5,235.00 | ↓ -11% |
| The Health Plan | Self-Funded ASO | $5,863.20 | ↑ +0% |
| MULTIPLAN | ALL PRODUCTS | $6,282.00 | ↑ +7% |
| FrontPath | TRANSPLANT | $6,282.00 | ↑ +7% |
| Tertiary Care Network | TRANSPLANT | $6,282.00 | ↑ +7% |
| Managed Care Services | TRANSPLANT | $6,282.00 | ↑ +7% |
| The Health Plan | HMO | $6,980.00 | ↑ +19% |
| The Health Plan | POS | $6,980.00 | ↑ +19% |
| AETNA | Qhp/Ipf | $6,980.00 | ↑ +19% |
| AETNA | Asa_Whirlpool_Peia | $8,885.00 | ↑ +52% |
| AETNA | International | $9,329.00 | ↑ +59% |
| 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 |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $1,028.56 | $1,244.40 – $1,596.98 |
| cleveland clinic main campus | Cleveland | $5,861.05 | $1.10 – $6,282.00 |
| akron general | Akron | $5,861.05 | $1.10 – $6,282.00 |
| avon hospital | Avon | $4,537.00 | $639.38 – $6,282.00 |
| euclid hospital | Euclid | $4,537.00 | $639.38 – $6,282.00 |
| fairview hospital | Cleveland | $4,537.00 | $546.14 – $6,282.00 |
| lutheran hospital | Cleveland | $4,537.00 | $639.38 – $6,282.00 |
| hillcrest hospital | Mayfield Heights | $4,537.00 | $546.14 – $6,282.00 |