Prgrmg eval implantable dfb at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$496.60
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.
$764.00
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 $550.00 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% |
| UNITED | Managed Medicaid | $18.62 | ↓ -96% |
| Buckeye | Managed Medicaid | $19.18 | ↓ -96% |
| CARESOURCE | Managed Medicaid | $19.18 | ↓ -96% |
| ANTHEM | Managed Medicaid | $19.55 | ↓ -96% |
| MOLINA | Managed Medicaid | $19.55 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $20.48 | ↓ -96% |
| The Health Plan | MEDICARE ADVANTAGE | $31.01 | ↓ -94% |
| HUMANA | Medicare Advantage HMO | $34.46 | ↓ -93% |
| UNITED | MEDICARE ADVANTAGE | $34.46 | ↓ -93% |
| ANTHEM | MEDICARE ADVANTAGE | $35.31 | ↓ -93% |
| AETNA | MEDICARE ADVANTAGE | $35.31 | ↓ -93% |
| Summacare | MEDICARE ADVANTAGE | $35.31 | ↓ -93% |
| MMO | Medicare HMO & PPO | $36.18 | ↓ -93% |
| CIGNA | MEDICARE ADVANTAGE | $36.37 | ↓ -93% |
| Summacare | Medicare Advantage Lower Level | $36.54 | ↓ -93% |
| Summacare | Preferred | $36.54 | ↓ -93% |
| CommuniCare | MEDICARE ADVANTAGE | $37.07 | ↓ -93% |
| Perennial Health | MEDICARE ADVANTAGE | $37.21 | ↓ -93% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $38.13 | ↓ -92% |
| Summacare | Medicare Advantage Psych | $43.46 | ↓ -91% |
| Summacare | Medicare Advantage CNA | $47.78 | ↓ -90% |
| Summacare | Medicare Advantage MD | $53.40 | ↓ -89% |
| Humana | Medicare Advantage HMO | $57.94 | ↓ -88% |
| Aetna | Medicare Advantage | $57.94 | ↓ -88% |
| United | Medicare Advantage | $57.94 | ↓ -88% |
| The Health Plan | Medicare Advantage | $57.94 | ↓ -88% |
| Anthem | Medicare Advantage | $57.94 | ↓ -88% |
| Cigna | Medicare Advantage | $57.94 | ↓ -88% |
| OSCAR | ALL PRODUCTS | $60.52 | ↓ -88% |
| Summacare | Premier | $60.84 | ↓ -88% |
| CommuniCare | Medicare Advantage | $60.84 | ↓ -88% |
| Perennial Health | Medicare Advantage | $62.58 | ↓ -87% |
| The Health Plan | All Products PCP | $63.73 | ↓ -87% |
| MMO | SuperMed | $64.51 | ↓ -87% |
| The Health Plan | All Products Specialty Physicians | $66.63 | ↓ -87% |
| PHPHI | ALL PRODUCTS | $68.48 | ↓ -86% |
| PHP | ALL PRODUCTS | $68.48 | ↓ -86% |
| CC EHP | ALL PRODUCTS | $72.33 | ↓ -85% |
| MMO | ALL PRODUCTS | $75.29 | ↓ -85% |
| The Health Plan | All Products Radiation Oncology Physicians | $75.32 | ↓ -85% |
| Aultcare | PPO/HMO | $76.61 | ↓ -85% |
| Anthem | All Products Mid-Level Non-Facility | $80.61 | ↓ -84% |
| Summacare | PREMIER | $81.75 | ↓ -84% |
| United | Managed Medicaid | $83.69 | ↓ -83% |
| Caresource | Managed Medicaid | $86.20 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $92.06 | ↓ -81% |
| Molina | Managed Medicaid | $92.06 | ↓ -81% |
| Amish Community Aid Plan | ALL PRODUCTS | $96.30 | ↓ -81% |
| CIGNA | ALL PRODUCTS | $101.01 | ↓ -80% |
| ANTHEM | HPN | $101.46 | ↓ -80% |
| OHCP | ALL PRODUCTS | $104.00 | ↓ -79% |
| OMAS | ALL PRODUCTS | $107.00 | ↓ -78% |
| Immergrun | ALL PRODUCTS | $107.00 | ↓ -78% |
| ANTHEM | Exchange | $107.41 | ↓ -78% |
| Ohio Healthy | TRANSPLANT | $115.56 | ↓ -77% |
| ANTHEM | TRADITIONAL | $118.34 | ↓ -76% |
| UNITED | ALL PRODUCTS | $129.47 | ↓ -74% |
| The Health Plan | PPO | $136.62 | ↓ -72% |
| United | All Products - Mid-Level | $137.24 | ↓ -72% |
| Oscar | All Products | $139.76 | ↓ -72% |
| ANTHEM | PPO/HMO | $140.75 | ↓ -72% |
| Medical Benefit Corp | Transplant SMCP | $149.80 | ↓ -70% |
| AETNA | Asa_Whirlpool_Peia | $149.80 | ↓ -70% |
| GMS | ALL PRODUCTS | $149.80 | ↓ -70% |
| United | All Products | $152.48 | ↓ -69% |
| United | HMO & PPO | $152.48 | ↓ -69% |
| AETNA | International | $155.15 | ↓ -69% |
| AETNA | ALL PRODUCTS | $160.50 | ↓ -68% |
| Consociate Health | ALL PRODUCTS | $160.50 | ↓ -68% |
| The Health Plan | Self-Funded ASO | $179.76 | ↓ -64% |
| Managed Care Services | TRANSPLANT | $192.60 | ↓ -61% |
| MULTIPLAN | ALL PRODUCTS | $192.60 | ↓ -61% |
| FrontPath | TRANSPLANT | $192.60 | ↓ -61% |
| Tertiary Care Network | TRANSPLANT | $192.60 | ↓ -61% |
| OHCP | All Products | $213.95 | ↓ -57% |
| The Health Plan | POS | $214.00 | ↓ -57% |
| The Health Plan | HMO | $214.00 | ↓ -57% |
| AETNA | Qhp/Ipf | $214.00 | ↓ -57% |
| OMAS | All Products | $275.00 | ↓ -45% |
| PHPHI | All Products | $330.00 | ↓ -34% |
| MMO | Traditional | $385.00 | ↓ -22% |
| GMS | All Products | $385.00 | ↓ -22% |
| Aetna | All Products First Health | $412.50 | ↓ -17% |
| Immergrun | All Products | $412.50 | ↓ -17% |
| Aetna | Asa | $440.00 | ↓ -11% |
| Multiplan | All Products | $495.00 | ↓ -0% |
| Aetna | Qhp/Ifp | $550.00 | ↑ +11% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $540.00 | not published |
| cleveland clinic main campus | Cleveland | $496.60 | $1.10 – $192.60 |
| akron general | Akron | $496.60 | $1.10 – $495.00 |
| avon hospital | Avon | $139.10 | $19.45 – $192.60 |
| euclid hospital | Euclid | $139.10 | $19.92 – $192.60 |
| fairview hospital | Cleveland | $139.10 | $18.72 – $192.60 |
| lutheran hospital | Cleveland | $139.10 | $17.82 – $192.60 |
| hillcrest hospital | Mayfield Heights | $139.10 | $19.50 – $192.60 |