Peri-proc device eval pm at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$282.10
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.
$434.00
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 $302.00 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 | Medicare Advantage Lower Level | $8.82 | ↓ -97% |
| Summacare | Preferred | $8.82 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $10.55 | ↓ -96% |
| Summacare | Medicare Advantage CNA | $11.53 | ↓ -96% |
| Summacare | Medicare Advantage MD | $12.89 | ↓ -95% |
| The Health Plan | Medicare Advantage | $14.06 | ↓ -95% |
| United | Medicare Advantage | $14.06 | ↓ -95% |
| Anthem | Medicare Advantage | $14.06 | ↓ -95% |
| Aetna | Medicare Advantage | $14.06 | ↓ -95% |
| Humana | Medicare Advantage HMO | $14.06 | ↓ -95% |
| Cigna | Medicare Advantage | $14.06 | ↓ -95% |
| MMO | Medicare HMO & PPO | $14.48 | ↓ -95% |
| Summacare | Premier | $14.76 | ↓ -95% |
| CommuniCare | Medicare Advantage | $14.76 | ↓ -95% |
| Perennial Health | Medicare Advantage | $15.18 | ↓ -95% |
| The Health Plan | All Products PCP | $15.47 | ↓ -95% |
| The Health Plan | All Products Specialty Physicians | $16.17 | ↓ -94% |
| The Health Plan | All Products Radiation Oncology Physicians | $18.28 | ↓ -94% |
| UNITED | Managed Medicaid | $18.62 | ↓ -93% |
| Buckeye | Managed Medicaid | $19.18 | ↓ -93% |
| CARESOURCE | Managed Medicaid | $19.18 | ↓ -93% |
| Anthem | All Products Mid-Level Non-Facility | $19.35 | ↓ -93% |
| MOLINA | Managed Medicaid | $19.55 | ↓ -93% |
| ANTHEM | Managed Medicaid | $19.55 | ↓ -93% |
| AMERIHEALTH | Managed Medicaid | $20.48 | ↓ -93% |
| United | Managed Medicaid | $24.57 | ↓ -91% |
| Caresource | Managed Medicaid | $25.31 | ↓ -91% |
| Molina | Managed Medicaid | $27.03 | ↓ -90% |
| AmeriHealth | Managed Medicaid | $27.03 | ↓ -90% |
| United | All Products - Mid-Level | $33.32 | ↓ -88% |
| Oscar | All Products | $33.54 | ↓ -88% |
| United | HMO & PPO | $37.02 | ↓ -87% |
| United | All Products | $37.02 | ↓ -87% |
| Aultcare | PPO/HMO | $47.26 | ↓ -83% |
| OHCP | All Products | $51.35 | ↓ -82% |
| AETNA | MEDICARE ADVANTAGE | $65.84 | ↓ -77% |
| OMAS | All Products | $66.00 | ↓ -77% |
| MMO | SuperMed | $71.28 | ↓ -75% |
| PHPHI | All Products | $79.20 | ↓ -72% |
| OSCAR | ALL PRODUCTS | $85.41 | ↓ -70% |
| GMS | All Products | $92.40 | ↓ -67% |
| MMO | Traditional | $92.40 | ↓ -67% |
| PHPHI | ALL PRODUCTS | $96.64 | ↓ -66% |
| PHP | ALL PRODUCTS | $96.64 | ↓ -66% |
| Aetna | All Products First Health | $99.00 | ↓ -65% |
| Immergrun | All Products | $99.00 | ↓ -65% |
| CC EHP | ALL PRODUCTS | $102.08 | ↓ -64% |
| Aetna | Asa | $105.60 | ↓ -63% |
| Summacare | PREMIER | $115.36 | ↓ -59% |
| Multiplan | All Products | $118.80 | ↓ -58% |
| Aetna | Qhp/Ifp | $132.00 | ↓ -53% |
| MMO | ALL PRODUCTS | $135.30 | ↓ -52% |
| Amish Community Aid Plan | ALL PRODUCTS | $135.90 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $142.54 | ↓ -49% |
| ANTHEM | HPN | $143.18 | ↓ -49% |
| OHCP | ALL PRODUCTS | $146.77 | ↓ -48% |
| OMAS | ALL PRODUCTS | $151.00 | ↓ -46% |
| Immergrun | ALL PRODUCTS | $151.00 | ↓ -46% |
| ANTHEM | Exchange | $151.57 | ↓ -46% |
| Ohio Healthy | TRANSPLANT | $163.08 | ↓ -42% |
| ANTHEM | TRADITIONAL | $167.01 | ↓ -41% |
| UNITED | ALL PRODUCTS | $182.71 | ↓ -35% |
| The Health Plan | PPO | $192.80 | ↓ -32% |
| ANTHEM | PPO/HMO | $198.63 | ↓ -30% |
| GMS | ALL PRODUCTS | $211.40 | ↓ -25% |
| AETNA | Asa_Whirlpool_Peia | $211.40 | ↓ -25% |
| Medical Benefit Corp | Transplant SMCP | $211.40 | ↓ -25% |
| AETNA | International | $218.95 | ↓ -22% |
| Consociate Health | ALL PRODUCTS | $226.50 | ↓ -20% |
| AETNA | ALL PRODUCTS | $226.50 | ↓ -20% |
| The Health Plan | Self-Funded ASO | $253.68 | ↓ -10% |
| Managed Care Services | TRANSPLANT | $271.80 | ↓ -4% |
| FrontPath | TRANSPLANT | $271.80 | ↓ -4% |
| Tertiary Care Network | TRANSPLANT | $271.80 | ↓ -4% |
| MULTIPLAN | ALL PRODUCTS | $271.80 | ↓ -4% |
| The Health Plan | POS | $302.00 | ↑ +7% |
| The Health Plan | HMO | $302.00 | ↑ +7% |
| AETNA | Qhp/Ipf | $302.00 | ↑ +7% |
| 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 | — |
| 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 | — |
| 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 pm at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $251.40 | not published |
| cleveland clinic main campus | Cleveland | $282.10 | $1.10 – $271.80 |
| akron general | Akron | $282.10 | $1.10 – $271.80 |
| avon hospital | Avon | $196.30 | $19.45 – $271.80 |
| euclid hospital | Euclid | $196.30 | $19.92 – $271.80 |
| fairview hospital | Cleveland | $196.30 | $18.72 – $271.80 |
| lutheran hospital | Cleveland | $196.30 | $17.82 – $271.80 |
| hillcrest hospital | Mayfield Heights | $196.30 | $19.50 – $271.80 |