Lithotripsy transluminal coronary percutaneous at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,290.30
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.
$5,062.00
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 $5,265.41 with AMERIHEALTH — 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 | Medicare Advantage Lower Level | $88.83 | ↓ -97% |
| Summacare | Preferred | $88.83 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $90.98 | ↓ -97% |
| United | Managed Medicaid | $109.86 | ↓ -97% |
| Caresource | Managed Medicaid | $113.16 | ↓ -97% |
| Buckeye | Managed Medicaid | $115.35 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $116.16 | ↓ -96% |
| Molina | Managed Medicaid | $120.85 | ↓ -96% |
| AmeriHealth | Managed Medicaid | $120.85 | ↓ -96% |
| United | Medicare Advantage | $121.31 | ↓ -96% |
| Aetna | Medicare Advantage | $121.31 | ↓ -96% |
| The Health Plan | Medicare Advantage | $121.31 | ↓ -96% |
| Anthem | Medicare Advantage | $121.31 | ↓ -96% |
| Cigna | Medicare Advantage | $121.31 | ↓ -96% |
| Humana | Medicare Advantage HMO | $121.31 | ↓ -96% |
| MMO | Medicare HMO & PPO | $124.95 | ↓ -96% |
| Summacare | Premier | $127.38 | ↓ -96% |
| CommuniCare | Medicare Advantage | $127.38 | ↓ -96% |
| Summacare | Medicare Advantage MD | $129.83 | ↓ -96% |
| Perennial Health | Medicare Advantage | $131.01 | ↓ -96% |
| The Health Plan | All Products PCP | $133.44 | ↓ -96% |
| The Health Plan | All Products Specialty Physicians | $139.51 | ↓ -96% |
| The Health Plan | All Products Radiation Oncology Physicians | $157.70 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $186.82 | ↓ -94% |
| United | All Products - Mid-Level | $286.46 | ↓ -91% |
| United | HMO & PPO | $318.29 | ↓ -90% |
| United | All Products | $318.29 | ↓ -90% |
| Oscar | All Products | $332.11 | ↓ -90% |
| Aultcare | PPO/HMO | $467.91 | ↓ -86% |
| OHCP | All Products | $508.42 | ↓ -85% |
| OMAS | All Products | $653.50 | ↓ -80% |
| MMO | SuperMed | $705.78 | ↓ -79% |
| PHPHI | All Products | $784.20 | ↓ -76% |
| GMS | All Products | $914.90 | ↓ -72% |
| MMO | Traditional | $914.90 | ↓ -72% |
| Immergrun | All Products | $980.25 | ↓ -70% |
| Aetna | All Products First Health | $980.25 | ↓ -70% |
| Aetna | Asa | $1,045.60 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $1,103.52 | ↓ -66% |
| Multiplan | All Products | $1,176.30 | ↓ -64% |
| Aetna | Qhp/Ifp | $1,307.00 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $1,431.53 | ↓ -56% |
| PHP | ALL PRODUCTS | $1,619.84 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $1,619.84 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $1,710.96 | ↓ -48% |
| Summacare | PREMIER | $1,933.68 | ↓ -41% |
| MMO | ALL PRODUCTS | $2,267.78 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,277.90 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $2,389.26 | ↓ -27% |
| ANTHEM | HPN | $2,399.89 | ↓ -27% |
| OHCP | ALL PRODUCTS | $2,460.13 | ↓ -25% |
| OMAS | ALL PRODUCTS | $2,531.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $2,531.00 | ↓ -23% |
| ANTHEM | Exchange | $2,540.62 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $2,733.48 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,799.29 | ↓ -15% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↓ -13% |
| AETNA | International | $3,004.00 | ↓ -9% |
| The Health Plan | PPO | $3,231.58 | ↓ -2% |
| ANTHEM | PPO/HMO | $3,329.28 | ↑ +1% |
| Medical Benefit Corp | Transplant SMCP | $3,543.40 | ↑ +8% |
| GMS | ALL PRODUCTS | $3,543.40 | ↑ +8% |
| AETNA | ALL PRODUCTS | $3,796.50 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $3,796.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $4,252.08 | ↑ +29% |
| MULTIPLAN | ALL PRODUCTS | $4,555.80 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $4,555.80 | ↑ +38% |
| FrontPath | TRANSPLANT | $4,555.80 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $4,555.80 | ↑ +38% |
| UNITED | Managed Medicaid | $4,786.74 | ↑ +45% |
| CARESOURCE | Managed Medicaid | $4,930.34 | ↑ +50% |
| ANTHEM | Managed Medicaid | $5,026.08 | ↑ +53% |
| MOLINA | Managed Medicaid | $5,026.08 | ↑ +53% |
| AETNA | Qhp/Ipf | $5,062.00 | ↑ +54% |
| The Health Plan | POS | $5,062.00 | ↑ +54% |
| The Health Plan | HMO | $5,062.00 | ↑ +54% |
| AMERIHEALTH | Managed Medicaid | $5,265.41 | ↑ +60% |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Lithotripsy transluminal coronary percutaneous at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $3,319.76 | $4,016.40 – $5,355.20 |
| cleveland clinic main campus | Cleveland | $3,290.30 | $1.10 – $6,797.55 |
| akron general | Akron | $3,290.30 | $1.10 – $5,395.71 |
| avon hospital | Avon | $3,290.30 | $269.13 – $5,092.89 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $3,290.30 | $1,431.53 – $9,447.75 |
| euclid hospital | Euclid | $3,290.30 | $188.24 – $5,928.73 |
| fairview hospital | Cleveland | $3,290.30 | $186.53 – $5,569.74 |
| lutheran hospital | Cleveland | $3,290.30 | $186.53 – $5,302.58 |