Valvuloplasty aortic at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$13,623.35
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.
$20,959.00
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 $20,959.00 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 | $804.10 | ↓ -94% |
| Summacare | Preferred | $804.10 | ↓ -94% |
| Summacare | Medicare Advantage Psych | $864.44 | ↓ -94% |
| United | Managed Medicaid | $935.04 | ↓ -93% |
| Caresource | Managed Medicaid | $963.09 | ↓ -93% |
| Buckeye | Managed Medicaid | $981.79 | ↓ -93% |
| AmeriHealth | Managed Medicaid | $1,028.54 | ↓ -92% |
| Molina | Managed Medicaid | $1,028.54 | ↓ -92% |
| Summacare | Medicare Advantage CNA | $1,051.52 | ↓ -92% |
| Cigna | Medicare Advantage | $1,152.58 | ↓ -92% |
| Aetna | Medicare Advantage | $1,152.58 | ↓ -92% |
| Humana | Medicare Advantage HMO | $1,152.58 | ↓ -92% |
| The Health Plan | Medicare Advantage | $1,152.58 | ↓ -92% |
| Anthem | Medicare Advantage | $1,152.58 | ↓ -92% |
| United | Medicare Advantage | $1,152.58 | ↓ -92% |
| Summacare | Medicare Advantage MD | $1,175.23 | ↓ -91% |
| MMO | Medicare HMO & PPO | $1,187.16 | ↓ -91% |
| CommuniCare | Medicare Advantage | $1,210.21 | ↓ -91% |
| Summacare | Premier | $1,210.21 | ↓ -91% |
| Perennial Health | Medicare Advantage | $1,244.79 | ↓ -91% |
| The Health Plan | All Products PCP | $1,267.84 | ↓ -91% |
| The Health Plan | All Products Specialty Physicians | $1,325.47 | ↓ -90% |
| The Health Plan | All Products Radiation Oncology Physicians | $1,498.35 | ↓ -89% |
| Anthem | All Products Mid-Level Non-Facility | $1,751.84 | ↓ -87% |
| Oscar | All Products | $2,297.06 | ↓ -83% |
| United | All Products - Mid-Level | $2,605.98 | ↓ -81% |
| United | HMO & PPO | $2,895.53 | ↓ -79% |
| United | All Products | $2,895.53 | ↓ -79% |
| Aultcare | PPO/HMO | $3,236.32 | ↓ -76% |
| OHCP | All Products | $3,516.56 | ↓ -74% |
| OMAS | All Products | $4,520.00 | ↓ -67% |
| The Health Plan | MEDICARE ADVANTAGE | $4,741.28 | ↓ -65% |
| UNITED | Managed Medicaid | $4,786.74 | ↓ -65% |
| CARESOURCE | Managed Medicaid | $4,930.34 | ↓ -64% |
| MOLINA | Managed Medicaid | $5,026.08 | ↓ -63% |
| ANTHEM | Managed Medicaid | $5,026.08 | ↓ -63% |
| AMERIHEALTH | Managed Medicaid | $5,265.41 | ↓ -61% |
| HUMANA | Medicare Advantage HMO | $5,268.09 | ↓ -61% |
| UNITED | MEDICARE ADVANTAGE | $5,268.09 | ↓ -61% |
| Summacare | MEDICARE ADVANTAGE | $5,384.66 | ↓ -60% |
| AETNA | MEDICARE ADVANTAGE | $5,384.66 | ↓ -60% |
| ANTHEM | MEDICARE ADVANTAGE | $5,384.66 | ↓ -60% |
| PHPHI | All Products | $5,424.00 | ↓ -60% |
| CIGNA | MEDICARE ADVANTAGE | $5,546.20 | ↓ -59% |
| CommuniCare | MEDICARE ADVANTAGE | $5,653.89 | ↓ -58% |
| Perennial Health | MEDICARE ADVANTAGE | $5,689.54 | ↓ -58% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $5,815.43 | ↓ -57% |
| OSCAR | ALL PRODUCTS | $5,927.21 | ↓ -56% |
| MMO | Traditional | $6,328.00 | ↓ -54% |
| GMS | All Products | $6,328.00 | ↓ -54% |
| PHP | ALL PRODUCTS | $6,706.88 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $6,706.88 | ↓ -51% |
| Aetna | All Products First Health | $6,780.00 | ↓ -50% |
| Immergrun | All Products | $6,780.00 | ↓ -50% |
| CC EHP | ALL PRODUCTS | $7,084.14 | ↓ -48% |
| Aetna | Asa | $7,232.00 | ↓ -47% |
| Summacare | PREMIER | $8,006.34 | ↓ -41% |
| Multiplan | All Products | $8,136.00 | ↓ -40% |
| UNITED | ALL PRODUCTS | $8,434.00 | ↓ -38% |
| AETNA | Asa_Whirlpool_Peia | $8,885.00 | ↓ -35% |
| Aetna | Qhp/Ifp | $9,040.00 | ↓ -34% |
| AETNA | International | $9,329.00 | ↓ -32% |
| Amish Community Aid Plan | ALL PRODUCTS | $9,431.55 | ↓ -31% |
| MMO | SuperMed | $9,759.23 | ↓ -28% |
| CIGNA | ALL PRODUCTS | $9,892.65 | ↓ -27% |
| ANTHEM | HPN | $9,936.66 | ↓ -27% |
| OHCP | ALL PRODUCTS | $10,186.07 | ↓ -25% |
| OMAS | ALL PRODUCTS | $10,479.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $10,479.50 | ↓ -23% |
| ANTHEM | Exchange | $10,519.32 | ↓ -23% |
| Ohio Healthy | TRANSPLANT | $11,317.86 | ↓ -17% |
| MMO | ALL PRODUCTS | $11,411.58 | ↓ -16% |
| ANTHEM | TRADITIONAL | $11,590.33 | ↓ -15% |
| The Health Plan | PPO | $13,380.23 | ↓ -2% |
| ANTHEM | PPO/HMO | $13,784.73 | ↑ +1% |
| Medical Benefit Corp | Transplant SMCP | $14,671.30 | ↑ +8% |
| GMS | ALL PRODUCTS | $14,671.30 | ↑ +8% |
| AETNA | ALL PRODUCTS | $15,719.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $15,719.25 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $17,605.56 | ↑ +29% |
| Managed Care Services | TRANSPLANT | $18,863.10 | ↑ +38% |
| FrontPath | TRANSPLANT | $18,863.10 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $18,863.10 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $18,863.10 | ↑ +38% |
| AETNA | Qhp/Ipf | $20,959.00 | ↑ +54% |
| The Health Plan | POS | $20,959.00 | ↑ +54% |
| The Health Plan | HMO | $20,959.00 | ↑ +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
Valvuloplasty aortic at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $2,961.20 | $3,582.60 – $4,776.80 |
| cleveland clinic main campus | Cleveland | $13,623.35 | $1.10 – $18,863.10 |
| akron general | Akron | $13,623.35 | $1.10 – $18,863.10 |
| avon hospital | Avon | $13,623.35 | $2,353.44 – $18,863.10 |
| euclid hospital | Euclid | $13,623.35 | $1,607.20 – $18,863.10 |
| fairview hospital | Cleveland | $13,623.35 | $1,592.48 – $18,863.10 |
| lutheran hospital | Cleveland | $13,623.35 | $1,592.48 – $18,863.10 |
| hillcrest hospital | Mayfield Heights | $13,623.35 | $1,592.48 – $18,863.10 |