healthcosts.net
Repair blood vessel dir lower extr at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$3,978.00
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.
$6,120.00
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 $7,445.00 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 | $505.23 | ↓ -87% |
| Summacare | Medicare Advantage Lower Level | $505.23 | ↓ -87% |
| United | Managed Medicaid | $539.52 | ↓ -86% |
| Caresource | Managed Medicaid | $555.71 | ↓ -86% |
| Summacare | Medicare Advantage Psych | $562.27 | ↓ -86% |
| Buckeye | Managed Medicaid | $566.50 | ↓ -86% |
| The Health Plan | MEDICARE ADVANTAGE | $585.09 | ↓ -85% |
| Molina | Managed Medicaid | $593.47 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $593.47 | ↓ -85% |
| UNITED | MEDICARE ADVANTAGE | $650.10 | ↓ -84% |
| HUMANA | Medicare Advantage HMO | $650.10 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $660.69 | ↓ -83% |
| AETNA | MEDICARE ADVANTAGE | $669.95 | ↓ -83% |
| Summacare | MEDICARE ADVANTAGE | $669.95 | ↓ -83% |
| ANTHEM | MEDICARE ADVANTAGE | $669.95 | ↓ -83% |
| MMO | Medicare HMO & PPO | $682.61 | ↓ -83% |
| CIGNA | MEDICARE ADVANTAGE | $690.05 | ↓ -83% |
| Perennial Health | MEDICARE ADVANTAGE | $702.11 | ↓ -82% |
| CommuniCare | MEDICARE ADVANTAGE | $703.45 | ↓ -82% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $723.54 | ↓ -82% |
| Summacare | Medicare Advantage MD | $738.42 | ↓ -81% |
| Aetna | Medicare Advantage | $749.69 | ↓ -81% |
| Cigna | Medicare Advantage | $749.69 | ↓ -81% |
| The Health Plan | Medicare Advantage | $749.69 | ↓ -81% |
| Humana | Medicare Advantage HMO | $749.69 | ↓ -81% |
| United | Medicare Advantage | $749.69 | ↓ -81% |
| Anthem | Medicare Advantage | $749.69 | ↓ -81% |
| CommuniCare | Medicare Advantage | $787.17 | ↓ -80% |
| Summacare | Premier | $787.17 | ↓ -80% |
| Perennial Health | Medicare Advantage | $809.67 | ↓ -80% |
| The Health Plan | All Products PCP | $824.66 | ↓ -79% |
| The Health Plan | All Products Specialty Physicians | $862.14 | ↓ -78% |
| The Health Plan | All Products Radiation Oncology Physicians | $974.60 | ↓ -76% |
| UNITED | Managed Medicaid | $1,014.77 | ↓ -74% |
| CARESOURCE | Managed Medicaid | $1,045.21 | ↓ -74% |
| ANTHEM | Managed Medicaid | $1,065.51 | ↓ -73% |
| MOLINA | Managed Medicaid | $1,065.51 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $1,112.09 | ↓ -72% |
| AMERIHEALTH | Managed Medicaid | $1,116.25 | ↓ -72% |
| OSCAR | ALL PRODUCTS | $1,144.21 | ↓ -71% |
| MMO | SuperMed | $1,200.64 | ↓ -70% |
| PHP | ALL PRODUCTS | $1,294.72 | ↓ -67% |
| PHPHI | ALL PRODUCTS | $1,294.72 | ↓ -67% |
| CC EHP | ALL PRODUCTS | $1,367.55 | ↓ -66% |
| ANTHEM | HPN | $1,379.00 | ↓ -65% |
| MMO | ALL PRODUCTS | $1,404.72 | ↓ -65% |
| Aultcare | PPO/HMO | $1,448.47 | ↓ -64% |
| ANTHEM | Exchange | $1,459.00 | ↓ -63% |
| Summacare | PREMIER | $1,545.57 | ↓ -61% |
| Oscar | All Products | $1,555.09 | ↓ -61% |
| ANTHEM | PPO/HMO | $1,622.00 | ↓ -59% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,820.70 | ↓ -54% |
| United | All Products - Mid-Level | $1,833.36 | ↓ -54% |
| CIGNA | ALL PRODUCTS | $1,909.71 | ↓ -52% |
| OHCP | ALL PRODUCTS | $1,966.36 | ↓ -51% |
| OMAS | ALL PRODUCTS | $2,023.00 | ↓ -49% |
| Immergrun | ALL PRODUCTS | $2,023.00 | ↓ -49% |
| United | HMO & PPO | $2,037.07 | ↓ -49% |
| United | All Products | $2,037.07 | ↓ -49% |
| Ohio Healthy | TRANSPLANT | $2,184.84 | ↓ -45% |
| ANTHEM | TRADITIONAL | $2,237.44 | ↓ -44% |
| OHCP | All Products | $2,380.68 | ↓ -40% |
| The Health Plan | PPO | $2,582.97 | ↓ -35% |
| GMS | ALL PRODUCTS | $2,832.20 | ↓ -29% |
| Medical Benefit Corp | Transplant SMCP | $2,832.20 | ↓ -29% |
| Consociate Health | ALL PRODUCTS | $3,034.50 | ↓ -24% |
| AETNA | ALL PRODUCTS | $3,034.50 | ↓ -24% |
| OMAS | All Products | $3,060.00 | ↓ -23% |
| UNITED | ALL PRODUCTS | $3,107.00 | ↓ -22% |
| The Health Plan | Self-Funded ASO | $3,398.64 | ↓ -15% |
| Managed Care Services | TRANSPLANT | $3,641.40 | ↓ -8% |
| FrontPath | TRANSPLANT | $3,641.40 | ↓ -8% |
| MULTIPLAN | ALL PRODUCTS | $3,641.40 | ↓ -8% |
| Tertiary Care Network | TRANSPLANT | $3,641.40 | ↓ -8% |
| PHPHI | All Products | $3,672.00 | ↓ -8% |
| The Health Plan | HMO | $4,046.00 | ↑ +2% |
| AETNA | Qhp/Ipf | $4,046.00 | ↑ +2% |
| The Health Plan | POS | $4,046.00 | ↑ +2% |
| GMS | All Products | $4,284.00 | ↑ +8% |
| MMO | Traditional | $4,284.00 | ↑ +8% |
| Aetna | All Products First Health | $4,590.00 | ↑ +15% |
| Immergrun | All Products | $4,590.00 | ↑ +15% |
| Aetna | Asa | $4,896.00 | ↑ +23% |
| Multiplan | All Products | $5,508.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $6,120.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $7,090.00 | ↑ +78% |
| AETNA | International | $7,445.00 | ↑ +87% |
| 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
Repair blood vessel dir lower extr at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $3,978.00 | $0.01 – $5,508.00 |
| akron general | Akron | $3,978.00 | $1.10 – $5,508.00 |
| avon hospital | Avon | $2,629.90 | $652.26 – $3,641.40 |
| euclid hospital | Euclid | $2,629.90 | $610.39 – $3,641.40 |
| fairview hospital | Cleveland | $2,629.90 | $610.39 – $3,641.40 |
| lutheran hospital | Cleveland | $2,629.90 | $652.26 – $3,641.40 |
| hillcrest hospital | Mayfield Heights | $2,629.90 | $610.39 – $3,641.40 |
| lodi hospital | Lodi | $2,629.90 | $703.59 – $3,641.40 |