Transcatheter bx s&i at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$2,601.30
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.
$4,002.00
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.
$1.01 with AETNA vs $3,670.00 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 →
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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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Preferred | $22.95 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $22.95 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $27.20 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $30.01 | ↓ -99% |
| Summacare | Medicare Advantage MD | $33.54 | ↓ -99% |
| Humana | Medicare Advantage HMO | $36.27 | ↓ -99% |
| Cigna | Medicare Advantage | $36.27 | ↓ -99% |
| Aetna | Medicare Advantage | $36.27 | ↓ -99% |
| The Health Plan | Medicare Advantage | $36.27 | ↓ -99% |
| United | Medicare Advantage | $36.27 | ↓ -99% |
| Anthem | Medicare Advantage | $36.27 | ↓ -99% |
| MMO | Medicare HMO & PPO | $37.36 | ↓ -99% |
| Summacare | Premier | $38.08 | ↓ -99% |
| CommuniCare | Medicare Advantage | $38.08 | ↓ -99% |
| Perennial Health | Medicare Advantage | $39.17 | ↓ -98% |
| The Health Plan | All Products PCP | $39.90 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $41.71 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $47.15 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $50.88 | ↓ -98% |
| United | All Products - Mid-Level | $64.47 | ↓ -98% |
| United | All Products | $71.63 | ↓ -97% |
| United | HMO & PPO | $71.63 | ↓ -97% |
| Oscar | All Products | $84.36 | ↓ -97% |
| UNITED | Managed Medicaid | $91.88 | ↓ -96% |
| CARESOURCE | Managed Medicaid | $94.64 | ↓ -96% |
| Buckeye | Managed Medicaid | $94.64 | ↓ -96% |
| MOLINA | Managed Medicaid | $96.47 | ↓ -96% |
| ANTHEM | Managed Medicaid | $96.47 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $101.07 | ↓ -96% |
| Aultcare | PPO/HMO | $118.86 | ↓ -95% |
| OHCP | All Products | $129.15 | ↓ -95% |
| OMAS | All Products | $166.00 | ↓ -94% |
| MMO | SuperMed | $179.28 | ↓ -93% |
| CIGNA | ALL PRODUCTS | $183.40 | ↓ -93% |
| PHPHI | All Products | $199.20 | ↓ -92% |
| GMS | All Products | $232.40 | ↓ -91% |
| MMO | Traditional | $232.40 | ↓ -91% |
| Aetna | All Products First Health | $249.00 | ↓ -90% |
| Immergrun | All Products | $249.00 | ↓ -90% |
| Aetna | Asa | $265.60 | ↓ -90% |
| Multiplan | All Products | $298.80 | ↓ -89% |
| Aetna | Qhp/Ifp | $332.00 | ↓ -87% |
| United | Managed Medicaid | $343.78 | ↓ -87% |
| Caresource | Managed Medicaid | $354.09 | ↓ -86% |
| Molina | Managed Medicaid | $378.15 | ↓ -85% |
| AmeriHealth | Managed Medicaid | $378.15 | ↓ -85% |
| AETNA | MEDICARE ADVANTAGE | $800.06 | ↓ -69% |
| OSCAR | ALL PRODUCTS | $1,037.88 | ↓ -60% |
| PHP | ALL PRODUCTS | $1,174.40 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $1,174.40 | ↓ -55% |
| CC EHP | ALL PRODUCTS | $1,240.46 | ↓ -52% |
| Summacare | PREMIER | $1,401.94 | ↓ -46% |
| MMO | ALL PRODUCTS | $1,644.16 | ↓ -37% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,651.50 | ↓ -37% |
| ANTHEM | HPN | $1,681.96 | ↓ -35% |
| ANTHEM | Exchange | $1,781.05 | ↓ -32% |
| OHCP | ALL PRODUCTS | $1,783.62 | ↓ -31% |
| OMAS | ALL PRODUCTS | $1,835.00 | ↓ -29% |
| Immergrun | ALL PRODUCTS | $1,835.00 | ↓ -29% |
| ANTHEM | PPO/HMO | $1,978.86 | ↓ -24% |
| Ohio Healthy | TRANSPLANT | $1,981.80 | ↓ -24% |
| ANTHEM | TRADITIONAL | $2,029.51 | ↓ -22% |
| The Health Plan | HMO | $2,273.57 | ↓ -13% |
| The Health Plan | POS | $2,273.57 | ↓ -13% |
| The Health Plan | PPO | $2,342.93 | ↓ -10% |
| GMS | ALL PRODUCTS | $2,569.00 | ↓ -1% |
| AETNA | International | $2,569.00 | ↓ -1% |
| Medical Benefit Corp | Transplant SMCP | $2,569.00 | ↓ -1% |
| Consociate Health | ALL PRODUCTS | $2,752.50 | ↑ +6% |
| AETNA | ALL PRODUCTS | $2,752.50 | ↑ +6% |
| The Health Plan | Self-Funded ASO | $3,082.80 | ↑ +19% |
| Managed Care Services | TRANSPLANT | $3,303.00 | ↑ +27% |
| MULTIPLAN | ALL PRODUCTS | $3,303.00 | ↑ +27% |
| FrontPath | TRANSPLANT | $3,303.00 | ↑ +27% |
| Tertiary Care Network | TRANSPLANT | $3,303.00 | ↑ +27% |
| AETNA | Qhp/Ipf | $3,670.00 | ↑ +41% |
| Cigna | All Products Physician | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Transcatheter bx s&i at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $4,576.20 | not published |
| Anderson Hospital | Cincinnati | $4,576.20 | not published |
| Clermont Hospital | Batavia | $3,058.20 | not published |
| Kings Mills Hospital | Mason | $3,058.20 | not published |
| Mercy West Hospital | Cincinnati | $4,576.20 | not published |
| St Ritas Medical Center | Lima | $849.60 | not published |
| Trinity Medical Center East | Steubenville | $539.08 | $652.20 – $836.99 |
| cleveland clinic main campus | Cleveland | $2,601.30 | $1.10 – $3,303.00 |