Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$10,799.10
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.
$16,614.00
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 $16,614.00 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 | $280.16 | ↓ -97% |
| Summacare | Medicare Advantage Lower Level | $280.16 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $293.81 | ↓ -97% |
| United | Managed Medicaid | $313.81 | ↓ -97% |
| Caresource | Managed Medicaid | $323.22 | ↓ -97% |
| Buckeye | Managed Medicaid | $329.50 | ↓ -97% |
| Molina | Managed Medicaid | $345.19 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $345.19 | ↓ -97% |
| Summacare | Medicare Advantage CNA | $366.37 | ↓ -97% |
| United | Medicare Advantage | $391.75 | ↓ -96% |
| Humana | Medicare Advantage HMO | $391.75 | ↓ -96% |
| The Health Plan | Medicare Advantage | $391.75 | ↓ -96% |
| Anthem | Medicare Advantage | $391.75 | ↓ -96% |
| Cigna | Medicare Advantage | $391.75 | ↓ -96% |
| Aetna | Medicare Advantage | $391.75 | ↓ -96% |
| MMO | Medicare HMO & PPO | $403.50 | ↓ -96% |
| Summacare | Medicare Advantage MD | $409.47 | ↓ -96% |
| Summacare | Premier | $411.34 | ↓ -96% |
| CommuniCare | Medicare Advantage | $411.34 | ↓ -96% |
| Perennial Health | Medicare Advantage | $423.09 | ↓ -96% |
| The Health Plan | All Products PCP | $430.93 | ↓ -96% |
| The Health Plan | All Products Specialty Physicians | $450.51 | ↓ -96% |
| The Health Plan | All Products Radiation Oncology Physicians | $509.28 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $621.06 | ↓ -94% |
| Oscar | All Products | $846.66 | ↓ -92% |
| United | All Products - Mid-Level | $1,014.48 | ↓ -91% |
| United | All Products | $1,127.20 | ↓ -90% |
| United | HMO & PPO | $1,127.20 | ↓ -90% |
| Aultcare | PPO/HMO | $1,192.86 | ↓ -89% |
| OHCP | All Products | $1,296.15 | ↓ -88% |
| OMAS | All Products | $1,666.00 | ↓ -85% |
| MMO | SuperMed | $1,799.28 | ↓ -83% |
| PHPHI | All Products | $1,999.20 | ↓ -81% |
| GMS | All Products | $2,332.40 | ↓ -78% |
| MMO | Traditional | $2,332.40 | ↓ -78% |
| Immergrun | All Products | $2,499.00 | ↓ -77% |
| Aetna | All Products First Health | $2,499.00 | ↓ -77% |
| Aetna | Asa | $2,665.60 | ↓ -75% |
| Multiplan | All Products | $2,998.80 | ↓ -72% |
| Aetna | Qhp/Ifp | $3,332.00 | ↓ -69% |
| AETNA | MEDICARE ADVANTAGE | $3,621.85 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $4,698.44 | ↓ -56% |
| UNITED | Managed Medicaid | $5,139.91 | ↓ -52% |
| CARESOURCE | Managed Medicaid | $5,294.11 | ↓ -51% |
| PHP | ALL PRODUCTS | $5,316.48 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $5,316.48 | ↓ -51% |
| MOLINA | Managed Medicaid | $5,396.91 | ↓ -50% |
| ANTHEM | Managed Medicaid | $5,396.91 | ↓ -50% |
| CC EHP | ALL PRODUCTS | $5,615.53 | ↓ -48% |
| AMERIHEALTH | Managed Medicaid | $5,653.90 | ↓ -48% |
| Summacare | PREMIER | $6,346.55 | ↓ -41% |
| AETNA | Asa_Whirlpool_Peia | $7,090.00 | ↓ -34% |
| MMO | ALL PRODUCTS | $7,443.07 | ↓ -31% |
| AETNA | International | $7,445.00 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $7,476.30 | ↓ -31% |
| ANTHEM | HPN | $7,556.05 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $7,841.81 | ↓ -27% |
| ANTHEM | Exchange | $7,999.64 | ↓ -26% |
| OHCP | ALL PRODUCTS | $8,074.40 | ↓ -25% |
| OMAS | ALL PRODUCTS | $8,307.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $8,307.00 | ↓ -23% |
| ANTHEM | PPO/HMO | $8,888.49 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $8,971.56 | ↓ -17% |
| ANTHEM | TRADITIONAL | $9,187.54 | ↓ -15% |
| The Health Plan | PPO | $10,606.38 | ↓ -2% |
| UNITED | ALL PRODUCTS | $11,179.00 | ↑ +4% |
| Medical Benefit Corp | Transplant SMCP | $11,629.80 | ↑ +8% |
| GMS | ALL PRODUCTS | $11,629.80 | ↑ +8% |
| AETNA | ALL PRODUCTS | $12,460.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $12,460.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $13,955.76 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $14,952.60 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $14,952.60 | ↑ +38% |
| FrontPath | TRANSPLANT | $14,952.60 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $14,952.60 | ↑ +38% |
| The Health Plan | HMO | $16,614.00 | ↑ +54% |
| The Health Plan | POS | $16,614.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $16,614.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $10,309.20 | not published |
| Anderson Hospital | Cincinnati | $10,309.20 | not published |
| Kings Mills Hospital | Mason | $10,309.20 | not published |
| Mercy West Hospital | Cincinnati | $10,309.20 | not published |
| St Ritas Medical Center | Lima | $10,666.20 | not published |
| Trinity Medical Center East | Steubenville | $5,708.16 | $6,906.00 – $8,862.70 |
| cleveland clinic main campus | Cleveland | $10,799.10 | $1.10 – $14,952.60 |
| akron general | Akron | $10,799.10 | $1.10 – $14,952.60 |