healthcosts.net
Repair pm/icd lead dual at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,534.00
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.
?
What you pay up front if you don't use insurance.
$2,360.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.10 with Zing Health vs $4,036,081.00 with The Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $231.16 | ↓ -85% |
| Summacare | Medicare Advantage Lower Level | $231.16 | ↓ -85% |
| Summacare | Medicare Advantage Psych | $250.76 | ↓ -84% |
| United | Managed Medicaid | $289.19 | ↓ -81% |
| Caresource | Managed Medicaid | $297.87 | ↓ -81% |
| Summacare | Medicare Advantage CNA | $302.29 | ↓ -80% |
| Buckeye | Managed Medicaid | $303.65 | ↓ -80% |
| AmeriHealth | Managed Medicaid | $318.11 | ↓ -79% |
| Molina | Managed Medicaid | $318.11 | ↓ -79% |
| The Health Plan | Medicare Advantage | $334.34 | ↓ -78% |
| United | Medicare Advantage | $334.34 | ↓ -78% |
| Aetna | Medicare Advantage | $334.34 | ↓ -78% |
| Cigna | Medicare Advantage | $334.34 | ↓ -78% |
| Humana | Medicare Advantage HMO | $334.34 | ↓ -78% |
| Anthem | Medicare Advantage | $334.34 | ↓ -78% |
| Summacare | Medicare Advantage MD | $337.85 | ↓ -78% |
| MMO | Medicare HMO & PPO | $344.37 | ↓ -78% |
| Summacare | Premier | $351.06 | ↓ -77% |
| CommuniCare | Medicare Advantage | $351.06 | ↓ -77% |
| The Health Plan | PPO | $357.74 | ↓ -77% |
| Perennial Health | Medicare Advantage | $361.09 | ↓ -76% |
| The Health Plan | All Products PCP | $367.77 | ↓ -76% |
| The Health Plan | All Products Specialty Physicians | $384.49 | ↓ -75% |
| The Health Plan | All Products Radiation Oncology Physicians | $434.64 | ↓ -72% |
| Anthem | All Products Mid-Level Non-Facility | $501.49 | ↓ -67% |
| Oscar | All Products | $599.68 | ↓ -61% |
| UNITED | Managed Medicaid | $657.34 | ↓ -57% |
| CARESOURCE | Managed Medicaid | $677.06 | ↓ -56% |
| MOLINA | Managed Medicaid | $690.21 | ↓ -55% |
| ANTHEM | Managed Medicaid | $690.21 | ↓ -55% |
| AMERIHEALTH | Managed Medicaid | $723.07 | ↓ -53% |
| United | All Products - Mid-Level | $836.44 | ↓ -45% |
| Aultcare | PPO/HMO | $844.88 | ↓ -45% |
| OHCP | All Products | $918.04 | ↓ -40% |
| United | All Products | $929.37 | ↓ -39% |
| United | HMO & PPO | $929.37 | ↓ -39% |
| OMAS | All Products | $1,180.00 | ↓ -23% |
| PHPHI | All Products | $1,416.00 | ↓ -8% |
| GMS | All Products | $1,652.00 | ↑ +8% |
| MMO | Traditional | $1,652.00 | ↑ +8% |
| Immergrun | All Products | $1,770.00 | ↑ +15% |
| Aetna | All Products First Health | $1,770.00 | ↑ +15% |
| Aetna | Asa | $1,888.00 | ↑ +23% |
| Multiplan | All Products | $2,124.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $2,360.00 | ↑ +54% |
| The Health Plan | MEDICARE ADVANTAGE | $3,026.38 | ↑ +97% |
| HUMANA | Medicare Advantage HMO | $3,362.64 | ↑ +119% |
| UNITED | MEDICARE ADVANTAGE | $3,362.64 | ↑ +119% |
| AETNA | MEDICARE ADVANTAGE | $3,535.45 | ↑ +130% |
| ANTHEM | MEDICARE ADVANTAGE | $3,535.45 | ↑ +130% |
| Summacare | MEDICARE ADVANTAGE | $3,535.45 | ↑ +130% |
| Perennial Health | MEDICARE ADVANTAGE | $3,631.65 | ↑ +137% |
| CIGNA | MEDICARE ADVANTAGE | $3,641.52 | ↑ +137% |
| CommuniCare | MEDICARE ADVANTAGE | $3,712.22 | ↑ +142% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,818.29 | ↑ +149% |
| MMO | ALL PRODUCTS | $5,942.82 | ↑ +287% |
| MMO | SuperMed | $6,705.66 | ↑ +337% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +83110% |
| The Health Plan | POS | $4,036,081.00 | ↑ +263008% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
Visitor-reported prices
Comments
Repair pm/icd lead dual at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $13,601.90 | $1.10 – $18,833.40 |
| akron general | Akron | $13,601.90 | $1.10 – $18,833.40 |
| University Hospitals Ahuja Medical Center | Beachwood | $6,205.50 | $900.00 – $7,446.60 |
| University Hospitals Beachwood Medical Center | Beachwood | $6,205.50 | $900.00 – $8,954.31 |
| University Hospitals Elyria Medical Center | Elyria | $6,205.50 | $3,535.45 – $6,363.81 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $6,205.50 | $3,535.45 – $6,363.81 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $6,205.50 | $3,535.45 – $6,363.81 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard | $6,205.50 | $3,535.45 – $6,363.81 |