Thrombectomy/inf pq dialysis circuit w/stent plcmnt at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$34,570.25
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.
$53,185.00
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.
$6,720.00 with ANTHEM vs $53,185.00 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 |
|---|---|---|---|
| ANTHEM | HPN | $6,720.00 | ↓ -81% |
| UNITED | Managed Medicaid | $6,878.18 | ↓ -80% |
| CARESOURCE | Managed Medicaid | $7,084.53 | ↓ -80% |
| Buckeye | Managed Medicaid | $7,084.53 | ↓ -80% |
| ANTHEM | Exchange | $7,116.00 | ↓ -79% |
| MOLINA | Managed Medicaid | $7,222.09 | ↓ -79% |
| ANTHEM | Managed Medicaid | $7,222.09 | ↓ -79% |
| AMERIHEALTH | Managed Medicaid | $7,566.00 | ↓ -78% |
| ANTHEM | PPO/HMO | $7,906.00 | ↓ -77% |
| AETNA | Asa_Whirlpool_Peia | $8,885.00 | ↓ -74% |
| AETNA | International | $9,329.00 | ↓ -73% |
| UNITED | ALL PRODUCTS | $12,742.00 | ↓ -63% |
| The Health Plan | MEDICARE ADVANTAGE | $14,932.49 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $15,040.72 | ↓ -56% |
| HUMANA | Medicare Advantage HMO | $16,591.65 | ↓ -52% |
| UNITED | MEDICARE ADVANTAGE | $16,591.65 | ↓ -52% |
| PHPHI | ALL PRODUCTS | $17,019.20 | ↓ -51% |
| PHP | ALL PRODUCTS | $17,019.20 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $17,343.14 | ↓ -50% |
| Summacare | MEDICARE ADVANTAGE | $17,343.14 | ↓ -50% |
| ANTHEM | MEDICARE ADVANTAGE | $17,343.14 | ↓ -50% |
| MMO | Medicare HMO & PPO | $17,421.23 | ↓ -50% |
| CIGNA | MEDICARE ADVANTAGE | $17,863.44 | ↓ -48% |
| Perennial Health | MEDICARE ADVANTAGE | $17,918.98 | ↓ -48% |
| CC EHP | ALL PRODUCTS | $17,976.53 | ↓ -48% |
| CommuniCare | MEDICARE ADVANTAGE | $18,210.30 | ↓ -47% |
| Summacare | Preferred | $18,667.94 | ↓ -46% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $18,730.59 | ↓ -46% |
| Aultcare | PPO/HMO | $19,040.23 | ↓ -45% |
| Zing Health | Medicare Advantage | $19,077.46 | ↓ -45% |
| Summacare | PREMIER | $20,316.67 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $23,933.25 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $25,103.32 | ↓ -27% |
| OHCP | ALL PRODUCTS | $25,847.91 | ↓ -25% |
| OMAS | ALL PRODUCTS | $26,592.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $26,592.50 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $28,719.90 | ↓ -17% |
| ANTHEM | TRADITIONAL | $29,411.31 | ↓ -15% |
| The Health Plan | PPO | $33,953.30 | ↓ -2% |
| MMO | ALL PRODUCTS | $35,009.61 | ↑ +1% |
| GMS | ALL PRODUCTS | $37,229.50 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $37,229.50 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $39,888.75 | ↑ +15% |
| AETNA | ALL PRODUCTS | $39,888.75 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $44,675.40 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $47,866.50 | ↑ +38% |
| FrontPath | TRANSPLANT | $47,866.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $47,866.50 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $47,866.50 | ↑ +38% |
| The Health Plan | HMO | $53,185.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $53,185.00 | ↑ +54% |
| The Health Plan | POS | $53,185.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/stent plcmnt at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $25,210.20 | not published |
| Anderson Hospital | Cincinnati | $25,210.20 | not published |
| Clermont Hospital | Batavia | $25,210.20 | not published |
| Kings Mills Hospital | Mason | $25,210.20 | not published |
| Mercy West Hospital | Cincinnati | $25,210.20 | not published |
| St Ritas Medical Center | Lima | $52,770.60 | not published |
| Trinity Medical Center East | Steubenville | $18,149.07 | $21,957.60 – $29,276.80 |
| cleveland clinic main campus | Cleveland | $34,570.25 | $1.10 – $47,866.50 |