healthcosts.net
Carotid Artery Ultrasound (Duplex) at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,132.30
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.
$1,742.00
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 $1,390.00 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Oscar | All Products | $13.47 | ↓ -99% |
| Aultcare | PPO/HMO | $18.97 | ↓ -98% |
| OHCP | All Products | $20.62 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $23.10 | ↓ -98% |
| Summacare | Preferred | $23.10 | ↓ -98% |
| OMAS | All Products | $26.50 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $27.62 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $30.21 | ↓ -97% |
| PHPHI | All Products | $31.80 | ↓ -97% |
| Summacare | Medicare Advantage MD | $33.76 | ↓ -97% |
| United | Medicare Advantage | $36.83 | ↓ -97% |
| Anthem | Medicare Advantage | $36.83 | ↓ -97% |
| Cigna | Medicare Advantage | $36.83 | ↓ -97% |
| Humana | Medicare Advantage HMO | $36.83 | ↓ -97% |
| Aetna | Medicare Advantage | $36.83 | ↓ -97% |
| The Health Plan | Medicare Advantage | $36.83 | ↓ -97% |
| MMO | Traditional | $37.10 | ↓ -97% |
| GMS | All Products | $37.10 | ↓ -97% |
| MMO | Medicare HMO & PPO | $37.93 | ↓ -97% |
| Summacare | Premier | $38.67 | ↓ -97% |
| CommuniCare | Medicare Advantage | $38.67 | ↓ -97% |
| Aetna | All Products First Health | $39.75 | ↓ -96% |
| Immergrun | All Products | $39.75 | ↓ -96% |
| Perennial Health | Medicare Advantage | $39.78 | ↓ -96% |
| The Health Plan | All Products PCP | $40.51 | ↓ -96% |
| The Health Plan | All Products Specialty Physicians | $42.35 | ↓ -96% |
| Aetna | Asa | $42.40 | ↓ -96% |
| Multiplan | All Products | $47.70 | ↓ -96% |
| The Health Plan | All Products Radiation Oncology Physicians | $47.88 | ↓ -96% |
| Anthem | All Products Mid-Level Non-Facility | $51.25 | ↓ -95% |
| Aetna | Qhp/Ifp | $53.00 | ↓ -95% |
| United | All Products - Mid-Level | $87.34 | ↓ -92% |
| United | All Products | $97.04 | ↓ -91% |
| United | HMO & PPO | $97.04 | ↓ -91% |
| UNITED | Managed Medicaid | $122.52 | ↓ -89% |
| CARESOURCE | Managed Medicaid | $126.20 | ↓ -89% |
| Buckeye | Managed Medicaid | $126.20 | ↓ -89% |
| ANTHEM | Managed Medicaid | $128.65 | ↓ -89% |
| MOLINA | Managed Medicaid | $128.65 | ↓ -89% |
| United | Managed Medicaid | $134.48 | ↓ -88% |
| AMERIHEALTH | Managed Medicaid | $134.77 | ↓ -88% |
| Caresource | Managed Medicaid | $138.51 | ↓ -88% |
| Molina | Managed Medicaid | $147.93 | ↓ -87% |
| AmeriHealth | Managed Medicaid | $147.93 | ↓ -87% |
| MMO | SuperMed | $190.08 | ↓ -83% |
| The Health Plan | MEDICARE ADVANTAGE | $201.01 | ↓ -82% |
| UNITED | MEDICARE ADVANTAGE | $223.34 | ↓ -80% |
| HUMANA | Medicare Advantage HMO | $223.34 | ↓ -80% |
| Summacare | MEDICARE ADVANTAGE | $225.74 | ↓ -80% |
| ANTHEM | MEDICARE ADVANTAGE | $225.74 | ↓ -80% |
| AETNA | MEDICARE ADVANTAGE | $225.74 | ↓ -80% |
| CIGNA | MEDICARE ADVANTAGE | $232.51 | ↓ -79% |
| CommuniCare | MEDICARE ADVANTAGE | $237.02 | ↓ -79% |
| Perennial Health | MEDICARE ADVANTAGE | $241.21 | ↓ -79% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $243.79 | ↓ -78% |
| OSCAR | ALL PRODUCTS | $393.09 | ↓ -65% |
| PHP | ALL PRODUCTS | $444.80 | ↓ -61% |
| PHPHI | ALL PRODUCTS | $444.80 | ↓ -61% |
| CC EHP | ALL PRODUCTS | $469.82 | ↓ -59% |
| MMO | ALL PRODUCTS | $489.23 | ↓ -57% |
| Summacare | PREMIER | $530.98 | ↓ -53% |
| Amish Community Aid Plan | ALL PRODUCTS | $625.50 | ↓ -45% |
| CIGNA | ALL PRODUCTS | $656.08 | ↓ -42% |
| ANTHEM | HPN | $659.00 | ↓ -42% |
| OHCP | ALL PRODUCTS | $675.54 | ↓ -40% |
| Immergrun | ALL PRODUCTS | $695.00 | ↓ -39% |
| OMAS | ALL PRODUCTS | $695.00 | ↓ -39% |
| ANTHEM | Exchange | $697.64 | ↓ -38% |
| Ohio Healthy | TRANSPLANT | $750.60 | ↓ -34% |
| ANTHEM | TRADITIONAL | $768.67 | ↓ -32% |
| UNITED | ALL PRODUCTS | $840.95 | ↓ -26% |
| The Health Plan | PPO | $887.38 | ↓ -22% |
| ANTHEM | PPO/HMO | $914.20 | ↓ -19% |
| Medical Benefit Corp | Transplant SMCP | $973.00 | ↓ -14% |
| AETNA | International | $973.00 | ↓ -14% |
| GMS | ALL PRODUCTS | $973.00 | ↓ -14% |
| AETNA | Asa_Whirlpool_Peia | $973.00 | ↓ -14% |
| AETNA | ALL PRODUCTS | $1,042.50 | ↓ -8% |
| Consociate Health | ALL PRODUCTS | $1,042.50 | ↓ -8% |
| The Health Plan | Self-Funded ASO | $1,167.60 | ↑ +3% |
| MULTIPLAN | ALL PRODUCTS | $1,251.00 | ↑ +10% |
| Tertiary Care Network | TRANSPLANT | $1,251.00 | ↑ +10% |
| FrontPath | TRANSPLANT | $1,251.00 | ↑ +10% |
| Managed Care Services | TRANSPLANT | $1,251.00 | ↑ +10% |
| The Health Plan | POS | $1,390.00 | ↑ +23% |
| The Health Plan | HMO | $1,390.00 | ↑ +23% |
| AETNA | Qhp/Ipf | $1,390.00 | ↑ +23% |
| Aetna | ALL PRODUCTS | 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 | — |
| Cigna | All Products Physician | not published by hospital | — |
Visitor-reported prices
Comments
Carotid Artery Ultrasound (Duplex) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,132.30 | $1.10 – $1,251.00 |
| akron general | Akron | $1,132.30 | $1.10 – $1,251.00 |
| avon hospital | Avon | $903.50 | $127.92 – $1,251.00 |
| euclid hospital | Euclid | $903.50 | $131.06 – $1,251.00 |
| fairview hospital | Cleveland | $903.50 | $123.12 – $1,251.00 |
| lutheran hospital | Cleveland | $903.50 | $117.22 – $1,251.00 |
| hillcrest hospital | Mayfield Heights | $903.50 | $128.28 – $1,251.00 |
| lodi hospital | Lodi | $903.50 | $200.13 – $1,251.00 |