Revasc lithotrip tibi/perone at mercy hospital

1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 13, 2026

$17,438.85

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$26,829.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3,809.55 with UNITED vs $26,829.00 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 →

Payer
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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
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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
UNITED Managed Medicaid $3,809.55 ↓ -78%
CARESOURCE Managed Medicaid $3,923.84 ↓ -77%
Buckeye Managed Medicaid $3,923.84 ↓ -77%
MOLINA Managed Medicaid $4,000.03 ↓ -77%
ANTHEM Managed Medicaid $4,000.03 ↓ -77%
AMERIHEALTH Managed Medicaid $4,190.51 ↓ -76%
ANTHEM HPN $5,037.00 ↓ -71%
ANTHEM Exchange $5,333.00 ↓ -69%
ANTHEM PPO/HMO $5,925.00 ↓ -66%
AETNA Asa_Whirlpool_Peia $7,090.00 ↓ -59%
AETNA International $7,445.00 ↓ -57%
OSCAR ALL PRODUCTS $7,587.24 ↓ -56%
PHPHI ALL PRODUCTS $8,585.28 ↓ -51%
PHP ALL PRODUCTS $8,585.28 ↓ -51%
CC EHP ALL PRODUCTS $9,068.20 ↓ -48%
Summacare Preferred $9,416.98 ↓ -46%
The Health Plan MEDICARE ADVANTAGE $9,430.61 ↓ -46%
Aultcare PPO/HMO $9,604.78 ↓ -45%
Summacare PREMIER $10,248.68 ↓ -41%
UNITED MEDICARE ADVANTAGE $10,478.46 ↓ -40%
HUMANA Medicare Advantage HMO $10,478.46 ↓ -40%
UNITED ALL PRODUCTS $10,529.00 ↓ -40%
Summacare MEDICARE ADVANTAGE $10,921.69 ↓ -37%
ANTHEM MEDICARE ADVANTAGE $10,921.69 ↓ -37%
AETNA MEDICARE ADVANTAGE $10,921.69 ↓ -37%
MMO Medicare HMO & PPO $11,002.38 ↓ -37%
CIGNA MEDICARE ADVANTAGE $11,249.34 ↓ -35%
Perennial Health MEDICARE ADVANTAGE $11,316.74 ↓ -35%
CommuniCare MEDICARE ADVANTAGE $11,467.78 ↓ -34%
Perennial Health HMO I-SNP and HMO C-SNP $11,795.43 ↓ -32%
Zing Health Medicare Advantage $12,013.86 ↓ -31%
Amish Community Aid Plan ALL PRODUCTS $12,073.05 ↓ -31%
CIGNA ALL PRODUCTS $12,663.29 ↓ -27%
OHCP ALL PRODUCTS $13,038.89 ↓ -25%
Immergrun ALL PRODUCTS $13,414.50 ↓ -23%
OMAS ALL PRODUCTS $13,414.50 ↓ -23%
Ohio Healthy TRANSPLANT $14,487.66 ↓ -17%
ANTHEM TRADITIONAL $14,836.44 ↓ -15%
The Health Plan POS $16,620.57 ↓ -5%
The Health Plan HMO $16,620.57 ↓ -5%
The Health Plan PPO $17,127.63 ↓ -2%
GMS ALL PRODUCTS $18,780.30 ↑ +8%
Medical Benefit Corp Transplant SMCP $18,780.30 ↑ +8%
AETNA ALL PRODUCTS $20,121.75 ↑ +15%
Consociate Health ALL PRODUCTS $20,121.75 ↑ +15%
MMO ALL PRODUCTS $21,964.29 ↑ +26%
The Health Plan Self-Funded ASO $22,536.36 ↑ +29%
Managed Care Services TRANSPLANT $24,146.10 ↑ +38%
MULTIPLAN ALL PRODUCTS $24,146.10 ↑ +38%
FrontPath TRANSPLANT $24,146.10 ↑ +38%
Tertiary Care Network TRANSPLANT $24,146.10 ↑ +38%
AETNA Qhp/Ipf $26,829.00 ↑ +54%
AETNA NAP not published by hospital —

Visitor-reported prices

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Revasc lithotrip tibi/perone at other Ohio hospitals

Hospital City Cash price Negotiated range
Kings Mills Hospital Mason $18,811.80 not published
Trinity Medical Center East Steubenville $6,621.67 $8,011.20 – $10,681.60
cleveland clinic main campus Cleveland $17,438.85 $3,924.00 – $24,146.10
akron general Akron $17,438.85 $3,708.64 – $24,146.10
avon hospital Avon $17,438.85 $3,977.44 – $24,146.10
euclid hospital Euclid $17,438.85 $4,075.00 – $24,146.10
fairview hospital Cleveland $17,438.85 $3,828.25 – $24,146.10
lutheran hospital Cleveland $17,438.85 $3,644.62 – $24,146.10

All Ohio hospitals for this procedure →