Ins lv lead exist pm/icd at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$19,181.50
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.
?
What you pay up front if you don't use insurance.
$29,510.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $29,510.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $310.17 | ↓ -98% |
| Summacare | Preferred | $310.17 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $328.14 | ↓ -98% |
| United | Managed Medicaid | $353.86 | ↓ -98% |
| Caresource | Managed Medicaid | $364.48 | ↓ -98% |
| Buckeye | Managed Medicaid | $371.55 | ↓ -98% |
| AmeriHealth | Managed Medicaid | $389.25 | ↓ -98% |
| Molina | Managed Medicaid | $389.25 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $405.61 | ↓ -98% |
| United | Medicare Advantage | $437.52 | ↓ -98% |
| Anthem | Medicare Advantage | $437.52 | ↓ -98% |
| Aetna | Medicare Advantage | $437.52 | ↓ -98% |
| Humana | Medicare Advantage HMO | $437.52 | ↓ -98% |
| Cigna | Medicare Advantage | $437.52 | ↓ -98% |
| The Health Plan | Medicare Advantage | $437.52 | ↓ -98% |
| MMO | Medicare HMO & PPO | $450.65 | ↓ -98% |
| Summacare | Medicare Advantage MD | $453.33 | ↓ -98% |
| Summacare | Premier | $459.40 | ↓ -98% |
| CommuniCare | Medicare Advantage | $459.40 | ↓ -98% |
| Perennial Health | Medicare Advantage | $472.52 | ↓ -98% |
| The Health Plan | All Products PCP | $481.27 | ↓ -97% |
| The Health Plan | All Products Specialty Physicians | $503.15 | ↓ -97% |
| The Health Plan | All Products Radiation Oncology Physicians | $568.78 | ↓ -97% |
| Anthem | All Products Mid-Level Non-Facility | $685.95 | ↓ -96% |
| Oscar | All Products | $918.83 | ↓ -95% |
| United | All Products - Mid-Level | $1,123.82 | ↓ -94% |
| United | All Products | $1,248.68 | ↓ -93% |
| United | HMO & PPO | $1,248.68 | ↓ -93% |
| Aultcare | PPO/HMO | $1,294.53 | ↓ -93% |
| OHCP | All Products | $1,406.62 | ↓ -93% |
| OMAS | All Products | $1,808.00 | ↓ -91% |
| PHPHI | All Products | $2,169.60 | ↓ -89% |
| MMO | Traditional | $2,531.20 | ↓ -87% |
| GMS | All Products | $2,531.20 | ↓ -87% |
| Immergrun | All Products | $2,712.00 | ↓ -86% |
| Aetna | All Products First Health | $2,712.00 | ↓ -86% |
| Aetna | Asa | $2,892.80 | ↓ -85% |
| Multiplan | All Products | $3,254.40 | ↓ -83% |
| Aetna | Qhp/Ifp | $3,616.00 | ↓ -81% |
| ANTHEM | HPN | $5,037.00 | ↓ -74% |
| UNITED | Managed Medicaid | $5,139.91 | ↓ -73% |
| CARESOURCE | Managed Medicaid | $5,294.11 | ↓ -72% |
| ANTHEM | Exchange | $5,333.00 | ↓ -72% |
| ANTHEM | Managed Medicaid | $5,396.91 | ↓ -72% |
| MOLINA | Managed Medicaid | $5,396.91 | ↓ -72% |
| AMERIHEALTH | Managed Medicaid | $5,653.90 | ↓ -71% |
| ANTHEM | PPO/HMO | $5,925.00 | ↓ -69% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↓ -67% |
| AETNA | International | $6,561.00 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $8,345.43 | ↓ -56% |
| The Health Plan | MEDICARE ADVANTAGE | $8,702.78 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $9,443.20 | ↓ -51% |
| PHP | ALL PRODUCTS | $9,443.20 | ↓ -51% |
| HUMANA | Medicare Advantage HMO | $9,669.76 | ↓ -50% |
| UNITED | MEDICARE ADVANTAGE | $9,669.76 | ↓ -50% |
| Summacare | MEDICARE ADVANTAGE | $9,888.39 | ↓ -48% |
| ANTHEM | MEDICARE ADVANTAGE | $9,888.39 | ↓ -48% |
| AETNA | MEDICARE ADVANTAGE | $9,888.39 | ↓ -48% |
| CC EHP | ALL PRODUCTS | $9,974.38 | ↓ -48% |
| CIGNA | MEDICARE ADVANTAGE | $10,185.05 | ↓ -47% |
| CommuniCare | MEDICARE ADVANTAGE | $10,382.81 | ↓ -46% |
| Perennial Health | MEDICARE ADVANTAGE | $10,443.34 | ↓ -46% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $10,679.46 | ↓ -44% |
| UNITED | ALL PRODUCTS | $11,179.00 | ↓ -42% |
| Summacare | PREMIER | $11,272.82 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $13,279.50 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $13,928.72 | ↓ -27% |
| OHCP | ALL PRODUCTS | $14,341.86 | ↓ -25% |
| OMAS | ALL PRODUCTS | $14,755.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $14,755.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $15,935.40 | ↓ -17% |
| ANTHEM | TRADITIONAL | $16,319.03 | ↓ -15% |
| MMO | SuperMed | $18,231.81 | ↓ -5% |
| The Health Plan | PPO | $18,839.18 | ↓ -2% |
| Medical Benefit Corp | Transplant SMCP | $20,657.00 | ↑ +8% |
| GMS | ALL PRODUCTS | $20,657.00 | ↑ +8% |
| MMO | ALL PRODUCTS | $21,319.62 | ↑ +11% |
| Consociate Health | ALL PRODUCTS | $22,132.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $22,132.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $24,788.40 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $26,559.00 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $26,559.00 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $26,559.00 | ↑ +38% |
| FrontPath | TRANSPLANT | $26,559.00 | ↑ +38% |
| The Health Plan | POS | $29,510.00 | ↑ +54% |
| The Health Plan | HMO | $29,510.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $29,510.00 | ↑ +54% |
| 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
Ins lv lead exist pm/icd at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $10,309.20 | not published |
| cleveland clinic main campus | Cleveland | $19,181.50 | $1.10 – $26,559.00 |
| akron general | Akron | $19,181.50 | $1.10 – $26,559.00 |
| avon hospital | Avon | $19,181.50 | $897.34 – $26,559.00 |
| euclid hospital | Euclid | $19,181.50 | $621.80 – $26,559.00 |
| fairview hospital | Cleveland | $19,181.50 | $616.47 – $26,559.00 |
| lutheran hospital | Cleveland | $19,181.50 | $616.47 – $26,559.00 |
| hillcrest hospital | Mayfield Heights | $19,181.50 | $616.47 – $26,559.00 |