healthcosts.net
Replace aortic valve w/byp cntrl aprch 33369 at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$4,940.00
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.
$7,600.00
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 | $593.56 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $593.56 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $666.53 | ↓ -87% |
| United | Managed Medicaid | $751.36 | ↓ -85% |
| Caresource | Managed Medicaid | $773.90 | ↓ -84% |
| Summacare | Medicare Advantage CNA | $776.19 | ↓ -84% |
| Buckeye | Managed Medicaid | $788.93 | ↓ -84% |
| Molina | Managed Medicaid | $826.50 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $826.50 | ↓ -83% |
| Summacare | Medicare Advantage MD | $867.51 | ↓ -82% |
| Anthem | Medicare Advantage | $888.70 | ↓ -82% |
| United | Medicare Advantage | $888.70 | ↓ -82% |
| The Health Plan | Medicare Advantage | $888.70 | ↓ -82% |
| Cigna | Medicare Advantage | $888.70 | ↓ -82% |
| Aetna | Medicare Advantage | $888.70 | ↓ -82% |
| Humana | Medicare Advantage HMO | $888.70 | ↓ -82% |
| MMO | Medicare HMO & PPO | $915.36 | ↓ -81% |
| CommuniCare | Medicare Advantage | $933.14 | ↓ -81% |
| Summacare | Premier | $933.14 | ↓ -81% |
| The Health Plan | PPO | $950.91 | ↓ -81% |
| Perennial Health | Medicare Advantage | $959.80 | ↓ -81% |
| The Health Plan | All Products PCP | $977.57 | ↓ -80% |
| The Health Plan | All Products Specialty Physicians | $1,022.01 | ↓ -79% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,155.31 | ↓ -77% |
| Anthem | All Products Mid-Level Non-Facility | $1,304.71 | ↓ -74% |
| MMO | SuperMed | $1,652.22 | ↓ -67% |
| Oscar | All Products | $1,931.16 | ↓ -61% |
| United | All Products - Mid-Level | $2,150.78 | ↓ -56% |
| United | All Products | $2,389.76 | ↓ -52% |
| United | HMO & PPO | $2,389.76 | ↓ -52% |
| Aultcare | PPO/HMO | $2,720.80 | ↓ -45% |
| OHCP | All Products | $2,956.40 | ↓ -40% |
| OMAS | All Products | $3,800.00 | ↓ -23% |
| PHPHI | All Products | $4,560.00 | ↓ -8% |
| MMO | Traditional | $5,320.00 | ↑ +8% |
| GMS | All Products | $5,320.00 | ↑ +8% |
| Aetna | All Products First Health | $5,700.00 | ↑ +15% |
| Immergrun | All Products | $5,700.00 | ↑ +15% |
| Aetna | Asa | $6,080.00 | ↑ +23% |
| Multiplan | All Products | $6,840.00 | ↑ +38% |
| Aetna | Qhp/Ifp | $7,600.00 | ↑ +54% |
| UNITED | Managed Medicaid | $11,652.62 | ↑ +136% |
| CARESOURCE | Managed Medicaid | $12,002.20 | ↑ +143% |
| ANTHEM | Managed Medicaid | $12,235.25 | ↑ +148% |
| MOLINA | Managed Medicaid | $12,235.25 | ↑ +148% |
| AMERIHEALTH | Managed Medicaid | $12,817.88 | ↑ +159% |
| The Health Plan | HMO | $1,276,448.04 | ↑ +25739% |
| The Health Plan | POS | $4,036,081.00 | ↑ +81602% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Replace aortic valve w/byp cntrl aprch 33369 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $4,940.00 | $1.10 – $16,547.65 |
| akron general | Akron | $4,940.00 | $1.10 – $13,135.08 |
| avon hospital | Avon | not published | $12,166.16 – $12,397.90 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $19,862.91 – $22,999.16 |
| euclid hospital | Euclid | not published | $12,464.53 – $14,432.62 |
| fairview hospital | Cleveland | not published | $11,709.80 – $13,558.72 |
| lutheran hospital | Cleveland | not published | $11,148.13 – $12,908.36 |
| hillcrest hospital | Mayfield Heights | not published | $12,199.79 – $14,126.07 |