healthcosts.net
Egd Ultrasound fine needle bx/aspir at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,189.50
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.
$1,830.00
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 $3,248.90 with MMO — 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 | Preferred | $140.85 | ↓ -88% |
| Summacare | Medicare Advantage Lower Level | $140.85 | ↓ -88% |
| Summacare | Medicare Advantage Psych | $150.62 | ↓ -87% |
| Summacare | Medicare Advantage CNA | $184.19 | ↓ -85% |
| United | Managed Medicaid | $186.30 | ↓ -84% |
| Caresource | Managed Medicaid | $191.89 | ↓ -84% |
| Buckeye | Managed Medicaid | $195.62 | ↓ -84% |
| Aetna | Medicare Advantage | $200.82 | ↓ -83% |
| United | Medicare Advantage | $200.82 | ↓ -83% |
| The Health Plan | Medicare Advantage | $200.82 | ↓ -83% |
| Humana | Medicare Advantage HMO | $200.82 | ↓ -83% |
| Cigna | Medicare Advantage | $200.82 | ↓ -83% |
| Anthem | Medicare Advantage | $200.82 | ↓ -83% |
| AmeriHealth | Managed Medicaid | $204.93 | ↓ -83% |
| Molina | Managed Medicaid | $204.93 | ↓ -83% |
| Summacare | Medicare Advantage MD | $205.86 | ↓ -83% |
| MMO | Medicare HMO & PPO | $206.84 | ↓ -83% |
| Summacare | Premier | $210.86 | ↓ -82% |
| CommuniCare | Medicare Advantage | $210.86 | ↓ -82% |
| Perennial Health | Medicare Advantage | $216.89 | ↓ -82% |
| The Health Plan | All Products PCP | $220.90 | ↓ -81% |
| The Health Plan | All Products Specialty Physicians | $230.94 | ↓ -81% |
| The Health Plan | All Products Radiation Oncology Physicians | $261.07 | ↓ -78% |
| Anthem | All Products Mid-Level Non-Facility | $306.05 | ↓ -74% |
| Oscar | All Products | $465.00 | ↓ -61% |
| United | All Products - Mid-Level | $508.80 | ↓ -57% |
| United | HMO & PPO | $565.34 | ↓ -52% |
| United | All Products | $565.34 | ↓ -52% |
| UNITED | Managed Medicaid | $636.22 | ↓ -47% |
| Aultcare | PPO/HMO | $655.14 | ↓ -45% |
| CARESOURCE | Managed Medicaid | $655.31 | ↓ -45% |
| MOLINA | Managed Medicaid | $668.03 | ↓ -44% |
| ANTHEM | Managed Medicaid | $668.03 | ↓ -44% |
| AMERIHEALTH | Managed Medicaid | $699.84 | ↓ -41% |
| OHCP | All Products | $711.87 | ↓ -40% |
| OMAS | All Products | $915.00 | ↓ -23% |
| PHPHI | All Products | $1,098.00 | ↓ -8% |
| MMO | Traditional | $1,281.00 | ↑ +8% |
| GMS | All Products | $1,281.00 | ↑ +8% |
| Immergrun | All Products | $1,372.50 | ↑ +15% |
| Aetna | All Products First Health | $1,372.50 | ↑ +15% |
| Aetna | Asa | $1,464.00 | ↑ +23% |
| The Health Plan | MEDICARE ADVANTAGE | $1,577.50 | ↑ +33% |
| Multiplan | All Products | $1,647.00 | ↑ +38% |
| UNITED | MEDICARE ADVANTAGE | $1,752.78 | ↑ +47% |
| HUMANA | Medicare Advantage HMO | $1,752.78 | ↑ +47% |
| AETNA | MEDICARE ADVANTAGE | $1,815.43 | ↑ +53% |
| Summacare | MEDICARE ADVANTAGE | $1,815.43 | ↑ +53% |
| ANTHEM | MEDICARE ADVANTAGE | $1,815.43 | ↑ +53% |
| Aetna | Qhp/Ifp | $1,830.00 | ↑ +54% |
| CIGNA | MEDICARE ADVANTAGE | $1,869.90 | ↑ +57% |
| Perennial Health | MEDICARE ADVANTAGE | $1,893.00 | ↑ +59% |
| CommuniCare | MEDICARE ADVANTAGE | $1,906.21 | ↑ +60% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $1,960.67 | ↑ +65% |
| MMO | ALL PRODUCTS | $2,879.57 | ↑ +142% |
| MMO | SuperMed | $3,248.90 | ↑ +173% |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
Visitor-reported prices
Comments
Egd Ultrasound fine needle bx/aspir at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,671.90 | $1.10 – $7,853.40 |
| akron general | Akron | $1,189.50 | $1.10 – $1,893.00 |
| University Hospitals Ahuja Medical Center | Beachwood | $4,259.25 | $900.00 – $5,111.10 |
| University Hospitals Beachwood Medical Center | Beachwood | $4,259.25 | $900.00 – $5,111.10 |
| University Hospitals Conneaut Medical Center | Conneaut | $4,013.25 | not published |
| University Hospitals Elyria Medical Center | Elyria | $4,259.25 | $1,815.43 – $3,267.78 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $4,259.25 | $1,815.43 – $3,267.78 |
| University Hospitals Geneva Medical Center | Geneva | $4,013.25 | not published |