Gallium ga-68 psma-11, ucla at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$10,617.75
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.
$16,335.00
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.
$105.59 with UNITED vs $16,335.00 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 |
|---|---|---|---|
| UNITED | Managed Medicaid | $105.59 | ↓ -99% |
| CARESOURCE | Managed Medicaid | $108.76 | ↓ -99% |
| Buckeye | Managed Medicaid | $108.76 | ↓ -99% |
| MOLINA | Managed Medicaid | $110.87 | ↓ -99% |
| ANTHEM | Managed Medicaid | $110.87 | ↓ -99% |
| AMERIHEALTH | Managed Medicaid | $116.15 | ↓ -99% |
| The Health Plan | MEDICARE ADVANTAGE | $334.95 | ↓ -97% |
| ANTHEM | MEDICARE ADVANTAGE | $363.50 | ↓ -97% |
| AETNA | MEDICARE ADVANTAGE | $363.50 | ↓ -97% |
| Summacare | MEDICARE ADVANTAGE | $363.50 | ↓ -97% |
| UNITED | MEDICARE ADVANTAGE | $372.17 | ↓ -96% |
| HUMANA | Medicare Advantage HMO | $372.17 | ↓ -96% |
| CIGNA | MEDICARE ADVANTAGE | $374.41 | ↓ -96% |
| CommuniCare | MEDICARE ADVANTAGE | $381.68 | ↓ -96% |
| MMO | Medicare HMO & PPO | $390.78 | ↓ -96% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $392.58 | ↓ -96% |
| Zing Health | Medicare Advantage | $399.85 | ↓ -96% |
| Perennial Health | MEDICARE ADVANTAGE | $401.94 | ↓ -96% |
| UNITED | ALL PRODUCTS | $800.17 | ↓ -92% |
| CIGNA | ALL PRODUCTS | $1,670.21 | ↓ -84% |
| MMO | ALL PRODUCTS | $2,004.57 | ↓ -81% |
| OSCAR | ALL PRODUCTS | $4,619.54 | ↓ -56% |
| PHP | ALL PRODUCTS | $5,227.20 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $5,227.20 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $5,521.23 | ↓ -48% |
| Summacare | Preferred | $5,733.59 | ↓ -46% |
| Aultcare | PPO/HMO | $5,847.93 | ↓ -45% |
| Summacare | PREMIER | $6,239.97 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $7,350.75 | ↓ -31% |
| ANTHEM | HPN | $7,486.33 | ↓ -29% |
| ANTHEM | Exchange | $7,927.38 | ↓ -25% |
| OHCP | ALL PRODUCTS | $7,938.81 | ↓ -25% |
| Immergrun | ALL PRODUCTS | $8,167.50 | ↓ -23% |
| OMAS | ALL PRODUCTS | $8,167.50 | ↓ -23% |
| ANTHEM | PPO/HMO | $8,807.83 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $8,820.90 | ↓ -17% |
| ANTHEM | TRADITIONAL | $9,033.26 | ↓ -15% |
| The Health Plan | POS | $10,119.53 | ↓ -5% |
| The Health Plan | HMO | $10,119.53 | ↓ -5% |
| The Health Plan | PPO | $10,428.26 | ↓ -2% |
| Medical Benefit Corp | Transplant SMCP | $11,434.50 | ↑ +8% |
| GMS | ALL PRODUCTS | $11,434.50 | ↑ +8% |
| AETNA | ALL PRODUCTS | $12,251.25 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $12,251.25 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $13,721.40 | ↑ +29% |
| FrontPath | TRANSPLANT | $14,701.50 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $14,701.50 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $14,701.50 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $14,701.50 | ↑ +38% |
| AETNA | Qhp/Ipf | $16,335.00 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| AETNA | International | not published by hospital | — |
| AETNA | Asa_Whirlpool_Peia | not published by hospital | — |
Visitor-reported prices
Comments
Gallium ga-68 psma-11, ucla at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | not published | $45.44 – $399.85 |
| University Hospitals Ahuja Medical Center | Beachwood | not published | $363.50 – $654.30 |
| University Hospitals Beachwood Medical Center | Beachwood | not published | $363.50 – $654.30 |
| University Hospitals Conneaut Medical Center | Conneaut | not published | $776.84 – $776.84 |
| University Hospitals Elyria Medical Center | Elyria | not published | $363.50 – $654.30 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | not published | $363.50 – $654.30 |
| University Hospitals Geneva Medical Center | Geneva | not published | $2,718.94 – $2,718.94 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | not published | $363.50 – $654.30 |