Rmvl icd pulse gen only at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$13,601.90
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.
$20,926.00
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 $20,926.00 with The Health Plan — 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 | Medicare Advantage Lower Level | $130.05 | ↓ -99% |
| Summacare | Preferred | $130.05 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $144.23 | ↓ -99% |
| United | Managed Medicaid | $166.04 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $170.06 | ↓ -99% |
| Caresource | Managed Medicaid | $171.02 | ↓ -99% |
| Buckeye | Managed Medicaid | $174.34 | ↓ -99% |
| AmeriHealth | Managed Medicaid | $182.64 | ↓ -99% |
| Molina | Managed Medicaid | $182.64 | ↓ -99% |
| Summacare | Medicare Advantage MD | $190.07 | ↓ -99% |
| Cigna | Medicare Advantage | $192.31 | ↓ -99% |
| Aetna | Medicare Advantage | $192.31 | ↓ -99% |
| Anthem | Medicare Advantage | $192.31 | ↓ -99% |
| The Health Plan | Medicare Advantage | $192.31 | ↓ -99% |
| Humana | Medicare Advantage HMO | $192.31 | ↓ -99% |
| United | Medicare Advantage | $192.31 | ↓ -99% |
| MMO | Medicare HMO & PPO | $198.08 | ↓ -99% |
| Summacare | Premier | $201.93 | ↓ -99% |
| CommuniCare | Medicare Advantage | $201.93 | ↓ -99% |
| Perennial Health | Medicare Advantage | $207.69 | ↓ -98% |
| The Health Plan | All Products PCP | $211.54 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $221.16 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $250.00 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $284.82 | ↓ -98% |
| Oscar | All Products | $308.99 | ↓ -98% |
| Aultcare | PPO/HMO | $435.33 | ↓ -97% |
| United | All Products - Mid-Level | $470.52 | ↓ -97% |
| OHCP | All Products | $473.02 | ↓ -97% |
| United | HMO & PPO | $522.80 | ↓ -96% |
| United | All Products | $522.80 | ↓ -96% |
| OMAS | All Products | $608.00 | ↓ -96% |
| PHPHI | All Products | $729.60 | ↓ -95% |
| GMS | All Products | $851.20 | ↓ -94% |
| MMO | Traditional | $851.20 | ↓ -94% |
| Aetna | All Products First Health | $912.00 | ↓ -93% |
| Immergrun | All Products | $912.00 | ↓ -93% |
| Aetna | Asa | $972.80 | ↓ -93% |
| Multiplan | All Products | $1,094.40 | ↓ -92% |
| Aetna | Qhp/Ifp | $1,216.00 | ↓ -91% |
| UNITED | Managed Medicaid | $2,451.83 | ↓ -82% |
| CARESOURCE | Managed Medicaid | $2,525.38 | ↓ -81% |
| MOLINA | Managed Medicaid | $2,574.42 | ↓ -81% |
| ANTHEM | Managed Medicaid | $2,574.42 | ↓ -81% |
| AMERIHEALTH | Managed Medicaid | $2,697.01 | ↓ -80% |
| ANTHEM | HPN | $2,892.00 | ↓ -79% |
| The Health Plan | MEDICARE ADVANTAGE | $3,026.38 | ↓ -78% |
| ANTHEM | Exchange | $3,062.00 | ↓ -77% |
| HUMANA | Medicare Advantage HMO | $3,362.64 | ↓ -75% |
| UNITED | MEDICARE ADVANTAGE | $3,362.64 | ↓ -75% |
| ANTHEM | PPO/HMO | $3,402.00 | ↓ -75% |
| Summacare | MEDICARE ADVANTAGE | $3,535.45 | ↓ -74% |
| ANTHEM | MEDICARE ADVANTAGE | $3,535.45 | ↓ -74% |
| AETNA | MEDICARE ADVANTAGE | $3,535.45 | ↓ -74% |
| Perennial Health | MEDICARE ADVANTAGE | $3,631.65 | ↓ -73% |
| CIGNA | MEDICARE ADVANTAGE | $3,641.52 | ↓ -73% |
| CommuniCare | MEDICARE ADVANTAGE | $3,712.22 | ↓ -73% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $3,818.29 | ↓ -72% |
| OSCAR | ALL PRODUCTS | $5,917.87 | ↓ -56% |
| PHP | ALL PRODUCTS | $6,696.32 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $6,696.32 | ↓ -51% |
| MMO | SuperMed | $6,705.66 | ↓ -51% |
| UNITED | ALL PRODUCTS | $6,757.00 | ↓ -50% |
| CC EHP | ALL PRODUCTS | $7,072.99 | ↓ -48% |
| AETNA | Asa_Whirlpool_Peia | $7,090.00 | ↓ -48% |
| AETNA | International | $7,445.00 | ↓ -45% |
| MMO | ALL PRODUCTS | $7,840.44 | ↓ -42% |
| Summacare | PREMIER | $7,993.73 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $9,416.70 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $9,877.07 | ↓ -27% |
| OHCP | ALL PRODUCTS | $10,170.04 | ↓ -25% |
| OMAS | ALL PRODUCTS | $10,463.00 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $10,463.00 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $11,300.04 | ↓ -17% |
| ANTHEM | TRADITIONAL | $11,572.08 | ↓ -15% |
| The Health Plan | PPO | $13,359.16 | ↓ -2% |
| GMS | ALL PRODUCTS | $14,648.20 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $14,648.20 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $15,694.50 | ↑ +15% |
| AETNA | ALL PRODUCTS | $15,694.50 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $17,577.84 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $18,833.40 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $18,833.40 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $18,833.40 | ↑ +38% |
| FrontPath | TRANSPLANT | $18,833.40 | ↑ +38% |
| AETNA | Qhp/Ipf | $20,926.00 | ↑ +54% |
| The Health Plan | HMO | $20,926.00 | ↑ +54% |
| The Health Plan | POS | $20,926.00 | ↑ +54% |
| 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
Rmvl icd pulse gen only 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 |
| avon hospital | Avon | $13,601.90 | $385.34 – $18,833.40 |
| euclid hospital | Euclid | $13,601.90 | $255.98 – $18,833.40 |
| fairview hospital | Cleveland | $13,601.90 | $254.07 – $18,833.40 |
| lutheran hospital | Cleveland | $13,601.90 | $254.07 – $18,833.40 |
| hillcrest hospital | Mayfield Heights | $13,601.90 | $254.07 – $18,833.40 |
| marymount hospital | Garfield Heights | $13,601.90 | $254.07 – $18,833.40 |