Pul art balloon repr percut at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$42,385.20
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.
$65,208.00
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 $65,208.00 with The Health Plan — 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 | $383.57 | ↓ -99% |
| Summacare | Preferred | $383.57 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $407.93 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $501.59 | ↓ -99% |
| United | Medicare Advantage | $543.91 | ↓ -99% |
| Humana | Medicare Advantage HMO | $543.91 | ↓ -99% |
| The Health Plan | Medicare Advantage | $543.91 | ↓ -99% |
| Anthem | Medicare Advantage | $543.91 | ↓ -99% |
| Aetna | Medicare Advantage | $543.91 | ↓ -99% |
| Cigna | Medicare Advantage | $543.91 | ↓ -99% |
| MMO | Medicare HMO & PPO | $560.23 | ↓ -99% |
| Summacare | Medicare Advantage MD | $560.60 | ↓ -99% |
| United | Managed Medicaid | $562.84 | ↓ -99% |
| Summacare | Premier | $571.11 | ↓ -99% |
| CommuniCare | Medicare Advantage | $571.11 | ↓ -99% |
| Caresource | Managed Medicaid | $579.73 | ↓ -99% |
| Perennial Health | Medicare Advantage | $587.42 | ↓ -99% |
| Buckeye | Managed Medicaid | $590.98 | ↓ -99% |
| The Health Plan | All Products PCP | $598.30 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $619.12 | ↓ -99% |
| Molina | Managed Medicaid | $619.12 | ↓ -99% |
| The Health Plan | All Products Specialty Physicians | $625.50 | ↓ -99% |
| The Health Plan | All Products Radiation Oncology Physicians | $707.08 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $846.63 | ↓ -98% |
| Oscar | All Products | $1,217.65 | ↓ -97% |
| United | All Products - Mid-Level | $1,245.30 | ↓ -97% |
| United | HMO & PPO | $1,383.66 | ↓ -97% |
| United | All Products | $1,383.66 | ↓ -97% |
| Aultcare | PPO/HMO | $1,715.54 | ↓ -96% |
| OHCP | All Products | $1,864.09 | ↓ -96% |
| OMAS | All Products | $2,396.00 | ↓ -94% |
| PHPHI | All Products | $2,875.20 | ↓ -93% |
| MMO | Traditional | $3,354.40 | ↓ -92% |
| GMS | All Products | $3,354.40 | ↓ -92% |
| Aetna | All Products First Health | $3,594.00 | ↓ -92% |
| Immergrun | All Products | $3,594.00 | ↓ -92% |
| Aetna | Asa | $3,833.60 | ↓ -91% |
| Multiplan | All Products | $4,312.80 | ↓ -90% |
| UNITED | Managed Medicaid | $4,786.74 | ↓ -89% |
| Aetna | Qhp/Ifp | $4,792.00 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $4,930.34 | ↓ -88% |
| ANTHEM | Managed Medicaid | $5,026.08 | ↓ -88% |
| MOLINA | Managed Medicaid | $5,026.08 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $5,265.41 | ↓ -88% |
| UNITED | ALL PRODUCTS | $8,434.00 | ↓ -80% |
| AETNA | Asa_Whirlpool_Peia | $8,885.00 | ↓ -79% |
| AETNA | International | $9,329.00 | ↓ -78% |
| The Health Plan | MEDICARE ADVANTAGE | $9,430.61 | ↓ -78% |
| HUMANA | Medicare Advantage HMO | $10,478.46 | ↓ -75% |
| UNITED | MEDICARE ADVANTAGE | $10,478.46 | ↓ -75% |
| Summacare | MEDICARE ADVANTAGE | $10,921.69 | ↓ -74% |
| AETNA | MEDICARE ADVANTAGE | $10,921.69 | ↓ -74% |
| ANTHEM | MEDICARE ADVANTAGE | $10,921.69 | ↓ -74% |
| CIGNA | MEDICARE ADVANTAGE | $11,249.34 | ↓ -73% |
| Perennial Health | MEDICARE ADVANTAGE | $11,316.74 | ↓ -73% |
| CommuniCare | MEDICARE ADVANTAGE | $11,467.78 | ↓ -73% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $11,795.43 | ↓ -72% |
| OSCAR | ALL PRODUCTS | $18,440.82 | ↓ -56% |
| MMO | SuperMed | $18,783.74 | ↓ -56% |
| PHP | ALL PRODUCTS | $20,866.56 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $20,866.56 | ↓ -51% |
| MMO | ALL PRODUCTS | $21,964.29 | ↓ -48% |
| CC EHP | ALL PRODUCTS | $22,040.30 | ↓ -48% |
| Summacare | PREMIER | $24,909.46 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $29,343.60 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $30,778.18 | ↓ -27% |
| ANTHEM | HPN | $30,915.11 | ↓ -27% |
| OHCP | ALL PRODUCTS | $31,691.09 | ↓ -25% |
| OMAS | ALL PRODUCTS | $32,604.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $32,604.00 | ↓ -23% |
| ANTHEM | Exchange | $32,727.90 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $35,212.32 | ↓ -17% |
| ANTHEM | TRADITIONAL | $36,060.02 | ↓ -15% |
| The Health Plan | PPO | $41,628.79 | ↓ -2% |
| ANTHEM | PPO/HMO | $42,887.30 | ↑ +1% |
| Medical Benefit Corp | Transplant SMCP | $45,645.60 | ↑ +8% |
| GMS | ALL PRODUCTS | $45,645.60 | ↑ +8% |
| AETNA | ALL PRODUCTS | $48,906.00 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $48,906.00 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $54,774.72 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $58,687.20 | ↑ +38% |
| FrontPath | TRANSPLANT | $58,687.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $58,687.20 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $58,687.20 | ↑ +38% |
| AETNA | Qhp/Ipf | $65,208.00 | ↑ +54% |
| The Health Plan | POS | $65,208.00 | ↑ +54% |
| The Health Plan | HMO | $65,208.00 | ↑ +54% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Pul art balloon repr percut at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $42,385.20 | $1.10 – $58,687.20 |
| akron general | Akron | $42,385.20 | $1.10 – $58,687.20 |
| avon hospital | Avon | $42,385.20 | $1,136.32 – $58,687.20 |
| euclid hospital | Euclid | $42,385.20 | $782.95 – $58,687.20 |
| fairview hospital | Cleveland | $42,385.20 | $774.93 – $58,687.20 |
| lutheran hospital | Cleveland | $42,385.20 | $774.93 – $58,687.20 |
| hillcrest hospital | Mayfield Heights | $42,385.20 | $774.93 – $58,687.20 |
| marymount hospital | Garfield Heights | $42,385.20 | $774.93 – $58,687.20 |