Inj velmanase alfa-tycv 1 mg at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$10,578.36
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.
$16,274.40
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.
$2.17 with AETNA vs $16,274.40 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $2.17 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $397.80 | ↓ -96% |
| UNITED | MEDICARE ADVANTAGE | $442.00 | ↓ -96% |
| HUMANA | Medicare Advantage HMO | $442.00 | ↓ -96% |
| MMO | Medicare HMO & PPO | $464.10 | ↓ -96% |
| Summacare | MEDICARE ADVANTAGE | $465.23 | ↓ -96% |
| AETNA | MEDICARE ADVANTAGE | $465.23 | ↓ -96% |
| ANTHEM | MEDICARE ADVANTAGE | $465.23 | ↓ -96% |
| Perennial Health | MEDICARE ADVANTAGE | $477.36 | ↓ -95% |
| CIGNA | MEDICARE ADVANTAGE | $479.19 | ↓ -95% |
| CommuniCare | MEDICARE ADVANTAGE | $488.49 | ↓ -95% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $502.45 | ↓ -95% |
| Zing Health | Medicare Advantage | $511.75 | ↓ -95% |
| MMO | ALL PRODUCTS | $742.00 | ↓ -93% |
| Summacare | Preferred | $888.60 | ↓ -92% |
| UNITED | ALL PRODUCTS | $947.74 | ↓ -91% |
| CIGNA | ALL PRODUCTS | $1,000.24 | ↓ -91% |
| AETNA | International | $1,005.05 | ↓ -90% |
| OSCAR | ALL PRODUCTS | $4,602.40 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $5,207.81 | ↓ -51% |
| PHP | ALL PRODUCTS | $5,207.81 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $5,500.75 | ↓ -48% |
| Aultcare | PPO/HMO | $5,826.24 | ↓ -45% |
| Summacare | PREMIER | $6,216.82 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $7,323.48 | ↓ -31% |
| ANTHEM | HPN | $7,458.56 | ↓ -29% |
| ANTHEM | Exchange | $7,897.97 | ↓ -25% |
| OHCP | ALL PRODUCTS | $7,909.36 | ↓ -25% |
| Immergrun | ALL PRODUCTS | $8,137.20 | ↓ -23% |
| OMAS | ALL PRODUCTS | $8,137.20 | ↓ -23% |
| ANTHEM | PPO/HMO | $8,775.16 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $8,788.18 | ↓ -17% |
| ANTHEM | TRADITIONAL | $8,999.74 | ↓ -15% |
| The Health Plan | HMO | $10,081.99 | ↓ -5% |
| The Health Plan | POS | $10,081.99 | ↓ -5% |
| The Health Plan | PPO | $10,389.58 | ↓ -2% |
| GMS | ALL PRODUCTS | $11,392.08 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $11,392.08 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $12,205.80 | ↑ +15% |
| AETNA | ALL PRODUCTS | $12,205.80 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $13,670.50 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $14,646.96 | ↑ +38% |
| FrontPath | TRANSPLANT | $14,646.96 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $14,646.96 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $14,646.96 | ↑ +38% |
| UNITED | Managed Medicaid | $14,742.28 | ↑ +39% |
| Buckeye | Managed Medicaid | $15,184.55 | ↑ +44% |
| CARESOURCE | Managed Medicaid | $15,184.55 | ↑ +44% |
| ANTHEM | Managed Medicaid | $15,479.39 | ↑ +46% |
| MOLINA | Managed Medicaid | $15,479.39 | ↑ +46% |
| AMERIHEALTH | Managed Medicaid | $16,216.51 | ↑ +53% |
| AETNA | Qhp/Ipf | $16,274.40 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
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Inj velmanase alfa-tycv 1 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $10,578.36 | $2.17 – $16,617.81 |
| avon hospital | Avon | $10,578.36 | $442.00 – $15,685.16 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $10,578.36 | $4,602.40 – $29,097.34 |
| euclid hospital | Euclid | $10,578.36 | $424.00 – $18,259.40 |
| fairview hospital | Cleveland | $10,578.36 | $2.17 – $17,153.79 |
| lutheran hospital | Cleveland | $10,578.36 | $442.00 – $16,330.97 |
| hillcrest hospital | Mayfield Heights | $10,578.36 | $2.17 – $17,871.56 |
| lodi hospital | Lodi | $10,578.36 | $442.00 – $27,881.30 |