healthcosts.net
Heart first pass multiple at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,796.30
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.
$4,302.00
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% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $41.54 | ↓ -99% |
| Summacare | Preferred | $41.54 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $49.46 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $54.32 | ↓ -98% |
| Summacare | Medicare Advantage MD | $60.71 | ↓ -98% |
| Aetna | Medicare Advantage | $65.94 | ↓ -98% |
| United | Medicare Advantage | $65.94 | ↓ -98% |
| Cigna | Medicare Advantage | $65.94 | ↓ -98% |
| Anthem | Medicare Advantage | $65.94 | ↓ -98% |
| The Health Plan | Medicare Advantage | $65.94 | ↓ -98% |
| Humana | Medicare Advantage HMO | $65.94 | ↓ -98% |
| MMO | Medicare HMO & PPO | $67.92 | ↓ -98% |
| CommuniCare | Medicare Advantage | $69.24 | ↓ -98% |
| Summacare | Premier | $69.24 | ↓ -98% |
| Perennial Health | Medicare Advantage | $71.22 | ↓ -97% |
| The Health Plan | All Products PCP | $72.53 | ↓ -97% |
| The Health Plan | All Products Specialty Physicians | $75.83 | ↓ -97% |
| The Health Plan | All Products Radiation Oncology Physicians | $85.72 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $91.18 | ↓ -97% |
| United | All Products - Mid-Level | $116.68 | ↓ -96% |
| United | HMO & PPO | $129.65 | ↓ -95% |
| United | All Products | $129.65 | ↓ -95% |
| Oscar | All Products | $149.41 | ↓ -95% |
| United | Managed Medicaid | $202.60 | ↓ -93% |
| Caresource | Managed Medicaid | $208.67 | ↓ -93% |
| Aultcare | PPO/HMO | $210.50 | ↓ -92% |
| Buckeye | Managed Medicaid | $212.73 | ↓ -92% |
| The Health Plan | PPO | $220.18 | ↓ -92% |
| Molina | Managed Medicaid | $222.86 | ↓ -92% |
| AmeriHealth | Managed Medicaid | $222.86 | ↓ -92% |
| OHCP | All Products | $228.73 | ↓ -92% |
| OMAS | All Products | $294.00 | ↓ -89% |
| MMO | SuperMed | $317.52 | ↓ -89% |
| PHPHI | All Products | $352.80 | ↓ -87% |
| MMO | Traditional | $411.60 | ↓ -85% |
| GMS | All Products | $411.60 | ↓ -85% |
| Aetna | All Products First Health | $441.00 | ↓ -84% |
| Immergrun | All Products | $441.00 | ↓ -84% |
| The Health Plan | MEDICARE ADVANTAGE | $447.62 | ↓ -84% |
| Aetna | Asa | $470.40 | ↓ -83% |
| CIGNA | ALL PRODUCTS | $482.29 | ↓ -83% |
| HUMANA | Medicare Advantage HMO | $497.35 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $497.35 | ↓ -82% |
| ANTHEM | MEDICARE ADVANTAGE | $513.69 | ↓ -82% |
| Summacare | MEDICARE ADVANTAGE | $513.69 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $513.69 | ↓ -82% |
| CIGNA | MEDICARE ADVANTAGE | $529.10 | ↓ -81% |
| Multiplan | All Products | $529.20 | ↓ -81% |
| Perennial Health | MEDICARE ADVANTAGE | $537.14 | ↓ -81% |
| CommuniCare | MEDICARE ADVANTAGE | $539.38 | ↓ -81% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $554.79 | ↓ -80% |
| Aetna | Qhp/Ifp | $588.00 | ↓ -79% |
| UNITED | Managed Medicaid | $724.62 | ↓ -74% |
| CARESOURCE | Managed Medicaid | $746.36 | ↓ -73% |
| ANTHEM | Managed Medicaid | $760.85 | ↓ -73% |
| MOLINA | Managed Medicaid | $760.85 | ↓ -73% |
| AMERIHEALTH | Managed Medicaid | $797.08 | ↓ -71% |
| MMO | ALL PRODUCTS | $817.96 | ↓ -71% |
| ANTHEM | HPN | $1,007.00 | ↓ -64% |
| AETNA | International | $1,246.01 | ↓ -55% |
| ANTHEM | Exchange | $1,388.43 | ↓ -50% |
| ANTHEM | PPO/HMO | $1,542.76 | ↓ -45% |
| UNITED | ALL PRODUCTS | $2,477.59 | ↓ -11% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +45548% |
| The Health Plan | POS | $4,036,081.00 | ↑ +144236% |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Heart first pass multiple at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $2,796.30 | $1.10 – $3,342.60 |
| akron general | Akron | $2,796.30 | $1.10 – $816.81 |
| avon hospital | Avon | not published | $482.29 – $770.97 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $1,235.19 – $1,430.22 |
| euclid hospital | Euclid | not published | $468.92 – $897.50 |
| fairview hospital | Cleveland | not published | $468.92 – $843.15 |
| lutheran hospital | Cleveland | not published | $482.29 – $802.71 |
| hillcrest hospital | Mayfield Heights | not published | $468.92 – $878.44 |