Rmvl icd gen w/rplc icd gen dual lead sys at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$26,317.20
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.
?
What you pay up front if you don't use insurance.
$40,488.00
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 $47,061.36 with MMO — 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% |
| United | Managed Medicaid | $199.33 | ↓ -99% |
| Caresource | Managed Medicaid | $205.31 | ↓ -99% |
| Buckeye | Managed Medicaid | $209.30 | ↓ -99% |
| Molina | Managed Medicaid | $219.26 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $219.26 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $234.42 | ↓ -99% |
| Summacare | Preferred | $234.42 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $251.94 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $306.55 | ↓ -99% |
| The Health Plan | Medicare Advantage | $335.92 | ↓ -99% |
| Aetna | Medicare Advantage | $335.92 | ↓ -99% |
| United | Medicare Advantage | $335.92 | ↓ -99% |
| Anthem | Medicare Advantage | $335.92 | ↓ -99% |
| Humana | Medicare Advantage HMO | $335.92 | ↓ -99% |
| Cigna | Medicare Advantage | $335.92 | ↓ -99% |
| Summacare | Medicare Advantage MD | $342.62 | ↓ -99% |
| MMO | Medicare HMO & PPO | $346.00 | ↓ -99% |
| CommuniCare | Medicare Advantage | $352.72 | ↓ -99% |
| Summacare | Premier | $352.72 | ↓ -99% |
| Perennial Health | Medicare Advantage | $362.79 | ↓ -99% |
| The Health Plan | All Products PCP | $369.51 | ↓ -99% |
| The Health Plan | All Products Specialty Physicians | $386.31 | ↓ -99% |
| The Health Plan | All Products Radiation Oncology Physicians | $436.70 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $515.81 | ↓ -98% |
| Oscar | All Products | $617.97 | ↓ -98% |
| United | All Products - Mid-Level | $849.08 | ↓ -97% |
| Aultcare | PPO/HMO | $870.66 | ↓ -97% |
| United | All Products | $943.42 | ↓ -96% |
| United | HMO & PPO | $943.42 | ↓ -96% |
| OHCP | All Products | $946.05 | ↓ -96% |
| OMAS | All Products | $1,216.00 | ↓ -95% |
| PHPHI | All Products | $1,459.20 | ↓ -94% |
| GMS | All Products | $1,702.40 | ↓ -94% |
| MMO | Traditional | $1,702.40 | ↓ -94% |
| Immergrun | All Products | $1,824.00 | ↓ -93% |
| Aetna | All Products First Health | $1,824.00 | ↓ -93% |
| Aetna | Asa | $1,945.60 | ↓ -93% |
| Multiplan | All Products | $2,188.80 | ↓ -92% |
| Aetna | Qhp/Ifp | $2,432.00 | ↓ -91% |
| AETNA | Asa_Whirlpool_Peia | $6,249.00 | ↓ -76% |
| AETNA | International | $6,561.00 | ↓ -75% |
| ANTHEM | HPN | $6,720.00 | ↓ -74% |
| ANTHEM | Exchange | $7,116.00 | ↓ -73% |
| ANTHEM | PPO/HMO | $7,906.00 | ↓ -70% |
| OSCAR | ALL PRODUCTS | $11,450.01 | ↓ -56% |
| PHP | ALL PRODUCTS | $12,956.16 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $12,956.16 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $13,684.94 | ↓ -48% |
| UNITED | ALL PRODUCTS | $14,502.00 | ↓ -45% |
| Summacare | PREMIER | $15,466.42 | ↓ -41% |
| UNITED | Managed Medicaid | $17,801.85 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $18,219.60 | ↓ -31% |
| CARESOURCE | Managed Medicaid | $18,335.91 | ↓ -30% |
| The Health Plan | MEDICARE ADVANTAGE | $18,665.85 | ↓ -29% |
| MOLINA | Managed Medicaid | $18,691.94 | ↓ -29% |
| ANTHEM | Managed Medicaid | $18,691.94 | ↓ -29% |
| CIGNA | ALL PRODUCTS | $19,110.34 | ↓ -27% |
| AMERIHEALTH | Managed Medicaid | $19,582.04 | ↓ -26% |
| OHCP | ALL PRODUCTS | $19,677.17 | ↓ -25% |
| OMAS | ALL PRODUCTS | $20,244.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $20,244.00 | ↓ -23% |
| UNITED | MEDICARE ADVANTAGE | $20,739.83 | ↓ -21% |
| HUMANA | Medicare Advantage HMO | $20,739.83 | ↓ -21% |
| Summacare | MEDICARE ADVANTAGE | $21,044.14 | ↓ -20% |
| AETNA | MEDICARE ADVANTAGE | $21,044.14 | ↓ -20% |
| ANTHEM | MEDICARE ADVANTAGE | $21,044.14 | ↓ -20% |
| CIGNA | MEDICARE ADVANTAGE | $21,675.46 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $21,863.52 | ↓ -17% |
| CommuniCare | MEDICARE ADVANTAGE | $22,096.34 | ↓ -16% |
| ANTHEM | TRADITIONAL | $22,389.86 | ↓ -15% |
| Perennial Health | MEDICARE ADVANTAGE | $22,399.02 | ↓ -15% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $22,727.67 | ↓ -14% |
| The Health Plan | PPO | $25,847.54 | ↓ -2% |
| GMS | ALL PRODUCTS | $28,341.60 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $28,341.60 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $30,366.00 | ↑ +15% |
| AETNA | ALL PRODUCTS | $30,366.00 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $34,009.92 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $36,439.20 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $36,439.20 | ↑ +38% |
| FrontPath | TRANSPLANT | $36,439.20 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $36,439.20 | ↑ +38% |
| MMO | SuperMed | $40,246.53 | ↑ +53% |
| AETNA | Qhp/Ipf | $40,488.00 | ↑ +54% |
| The Health Plan | HMO | $40,488.00 | ↑ +54% |
| The Health Plan | POS | $40,488.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $47,061.36 | ↑ +79% |
| AETNA | NAP | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen dual lead sys at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Kings Mills Hospital | Mason | $28,788.00 | not published |
| cleveland clinic main campus | Cleveland | $26,317.20 | $1.10 – $36,439.20 |
| akron general | Akron | $26,317.20 | $1.10 – $36,439.20 |
| avon hospital | Avon | $26,317.20 | $680.69 – $36,439.20 |
| euclid hospital | Euclid | $26,317.20 | $465.39 – $36,439.20 |
| fairview hospital | Cleveland | $26,317.20 | $461.29 – $36,439.20 |
| lutheran hospital | Cleveland | $26,317.20 | $461.29 – $36,439.20 |
| hillcrest hospital | Mayfield Heights | $26,317.20 | $461.29 – $36,439.20 |