Peri-proc device eval icd at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$349.05
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.
$537.00
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 $339.00 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 | $13.12 | ↓ -96% |
| Summacare | Medicare Advantage Lower Level | $13.12 | ↓ -96% |
| Summacare | Medicare Advantage Psych | $15.95 | ↓ -95% |
| Summacare | Medicare Advantage CNA | $17.16 | ↓ -95% |
| UNITED | Managed Medicaid | $18.62 | ↓ -95% |
| Summacare | Medicare Advantage MD | $19.18 | ↓ -95% |
| CARESOURCE | Managed Medicaid | $19.18 | ↓ -95% |
| Buckeye | Managed Medicaid | $19.18 | ↓ -95% |
| ANTHEM | Managed Medicaid | $19.55 | ↓ -94% |
| MOLINA | Managed Medicaid | $19.55 | ↓ -94% |
| AMERIHEALTH | Managed Medicaid | $20.48 | ↓ -94% |
| Cigna | Medicare Advantage | $21.27 | ↓ -94% |
| Aetna | Medicare Advantage | $21.27 | ↓ -94% |
| United | Medicare Advantage | $21.27 | ↓ -94% |
| Humana | Medicare Advantage HMO | $21.27 | ↓ -94% |
| Anthem | Medicare Advantage | $21.27 | ↓ -94% |
| The Health Plan | Medicare Advantage | $21.27 | ↓ -94% |
| MMO | Medicare HMO & PPO | $21.91 | ↓ -94% |
| CommuniCare | Medicare Advantage | $22.33 | ↓ -94% |
| Summacare | Premier | $22.33 | ↓ -94% |
| Perennial Health | Medicare Advantage | $22.97 | ↓ -93% |
| The Health Plan | All Products PCP | $23.40 | ↓ -93% |
| The Health Plan | All Products Specialty Physicians | $24.46 | ↓ -93% |
| The Health Plan | All Products Radiation Oncology Physicians | $27.65 | ↓ -92% |
| Anthem | All Products Mid-Level Non-Facility | $29.22 | ↓ -92% |
| United | Managed Medicaid | $31.38 | ↓ -91% |
| Caresource | Managed Medicaid | $32.32 | ↓ -91% |
| AmeriHealth | Managed Medicaid | $34.52 | ↓ -90% |
| Molina | Managed Medicaid | $34.52 | ↓ -90% |
| United | All Products - Mid-Level | $48.85 | ↓ -86% |
| Oscar | All Products | $50.31 | ↓ -86% |
| United | HMO & PPO | $54.27 | ↓ -84% |
| United | All Products | $54.27 | ↓ -84% |
| Aultcare | PPO/HMO | $70.88 | ↓ -80% |
| AETNA | MEDICARE ADVANTAGE | $73.90 | ↓ -79% |
| OHCP | All Products | $77.02 | ↓ -78% |
| OSCAR | ALL PRODUCTS | $95.87 | ↓ -73% |
| OMAS | All Products | $99.00 | ↓ -72% |
| MMO | SuperMed | $106.92 | ↓ -69% |
| PHP | ALL PRODUCTS | $108.48 | ↓ -69% |
| PHPHI | ALL PRODUCTS | $108.48 | ↓ -69% |
| CC EHP | ALL PRODUCTS | $114.58 | ↓ -67% |
| PHPHI | All Products | $118.80 | ↓ -66% |
| Summacare | PREMIER | $129.50 | ↓ -63% |
| GMS | All Products | $138.60 | ↓ -60% |
| MMO | Traditional | $138.60 | ↓ -60% |
| Immergrun | All Products | $148.50 | ↓ -57% |
| Aetna | All Products First Health | $148.50 | ↓ -57% |
| MMO | ALL PRODUCTS | $151.87 | ↓ -56% |
| Amish Community Aid Plan | ALL PRODUCTS | $152.55 | ↓ -56% |
| Aetna | Asa | $158.40 | ↓ -55% |
| CIGNA | ALL PRODUCTS | $160.01 | ↓ -54% |
| ANTHEM | HPN | $160.72 | ↓ -54% |
| OHCP | ALL PRODUCTS | $164.75 | ↓ -53% |
| OMAS | ALL PRODUCTS | $169.50 | ↓ -51% |
| Immergrun | ALL PRODUCTS | $169.50 | ↓ -51% |
| ANTHEM | Exchange | $170.14 | ↓ -51% |
| Multiplan | All Products | $178.20 | ↓ -49% |
| Ohio Healthy | TRANSPLANT | $183.06 | ↓ -48% |
| ANTHEM | TRADITIONAL | $187.47 | ↓ -46% |
| Aetna | Qhp/Ifp | $198.00 | ↓ -43% |
| UNITED | ALL PRODUCTS | $205.10 | ↓ -41% |
| The Health Plan | PPO | $216.42 | ↓ -38% |
| ANTHEM | PPO/HMO | $222.96 | ↓ -36% |
| AETNA | Asa_Whirlpool_Peia | $237.30 | ↓ -32% |
| Medical Benefit Corp | Transplant SMCP | $237.30 | ↓ -32% |
| GMS | ALL PRODUCTS | $237.30 | ↓ -32% |
| AETNA | International | $245.78 | ↓ -30% |
| Consociate Health | ALL PRODUCTS | $254.25 | ↓ -27% |
| AETNA | ALL PRODUCTS | $254.25 | ↓ -27% |
| The Health Plan | Self-Funded ASO | $284.76 | ↓ -18% |
| MULTIPLAN | ALL PRODUCTS | $305.10 | ↓ -13% |
| Managed Care Services | TRANSPLANT | $305.10 | ↓ -13% |
| Tertiary Care Network | TRANSPLANT | $305.10 | ↓ -13% |
| FrontPath | TRANSPLANT | $305.10 | ↓ -13% |
| The Health Plan | HMO | $339.00 | ↓ -3% |
| The Health Plan | POS | $339.00 | ↓ -3% |
| AETNA | Qhp/Ipf | $339.00 | ↓ -3% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | 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 | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Peri-proc device eval icd at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $251.40 | not published |
| cleveland clinic main campus | Cleveland | $349.05 | $1.10 – $305.10 |
| akron general | Akron | $349.05 | $1.10 – $305.10 |
| avon hospital | Avon | $220.35 | $19.45 – $305.10 |
| euclid hospital | Euclid | $220.35 | $19.92 – $305.10 |
| fairview hospital | Cleveland | $220.35 | $18.72 – $305.10 |
| lutheran hospital | Cleveland | $220.35 | $17.82 – $305.10 |
| hillcrest hospital | Mayfield Heights | $220.35 | $19.50 – $305.10 |