healthcosts.net
Gi endoscopic ultrasound at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$210.60
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.
$324.00
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 $1,165.03 with UNITED — 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 | ↓ -99% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -99% |
| United | Managed Medicaid | $72.03 | ↓ -66% |
| Caresource | Managed Medicaid | $74.19 | ↓ -65% |
| Buckeye | Managed Medicaid | $75.63 | ↓ -64% |
| UNITED | Managed Medicaid | $76.00 | ↓ -64% |
| CARESOURCE | Managed Medicaid | $78.28 | ↓ -63% |
| AmeriHealth | Managed Medicaid | $79.23 | ↓ -62% |
| Molina | Managed Medicaid | $79.23 | ↓ -62% |
| ANTHEM | Managed Medicaid | $79.80 | ↓ -62% |
| MOLINA | Managed Medicaid | $79.80 | ↓ -62% |
| Oscar | All Products | $82.33 | ↓ -61% |
| AMERIHEALTH | Managed Medicaid | $83.60 | ↓ -60% |
| Aultcare | PPO/HMO | $115.99 | ↓ -45% |
| OHCP | All Products | $126.04 | ↓ -40% |
| OMAS | All Products | $162.00 | ↓ -23% |
| PHPHI | All Products | $194.40 | ↓ -8% |
| The Health Plan | MEDICARE ADVANTAGE | $201.01 | ↓ -5% |
| HUMANA | Medicare Advantage HMO | $223.34 | ↑ +6% |
| UNITED | MEDICARE ADVANTAGE | $223.34 | ↑ +6% |
| ANTHEM | MEDICARE ADVANTAGE | $225.74 | ↑ +7% |
| Summacare | MEDICARE ADVANTAGE | $225.74 | ↑ +7% |
| AETNA | MEDICARE ADVANTAGE | $225.74 | ↑ +7% |
| Summacare | Premier | $226.80 | ↑ +8% |
| GMS | All Products | $226.80 | ↑ +8% |
| MMO | Traditional | $226.80 | ↑ +8% |
| Summacare | Medicare Advantage CNA | $226.80 | ↑ +8% |
| Summacare | Medicare Advantage Lower Level | $226.80 | ↑ +8% |
| Summacare | Medicare Advantage MD | $226.80 | ↑ +8% |
| Summacare | Medicare Advantage Psych | $226.80 | ↑ +8% |
| Summacare | Preferred | $226.80 | ↑ +8% |
| CIGNA | MEDICARE ADVANTAGE | $232.51 | ↑ +10% |
| MMO | Medicare HMO & PPO | $234.51 | ↑ +11% |
| CommuniCare | MEDICARE ADVANTAGE | $237.02 | ↑ +13% |
| Perennial Health | MEDICARE ADVANTAGE | $241.21 | ↑ +15% |
| Immergrun | All Products | $243.00 | ↑ +15% |
| Aetna | All Products First Health | $243.00 | ↑ +15% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $243.79 | ↑ +16% |
| Aetna | Asa | $259.20 | ↑ +23% |
| Multiplan | All Products | $291.60 | ↑ +38% |
| Anthem | All Products Mid-Level Non-Facility | $305.44 | ↑ +45% |
| Aetna | Qhp/Ifp | $324.00 | ↑ +54% |
| MMO | ALL PRODUCTS | $370.82 | ↑ +76% |
| MMO | SuperMed | $417.54 | ↑ +98% |
| United | All Products - Mid-Level | $452.42 | ↑ +115% |
| United | All Products | $502.68 | ↑ +139% |
| United | HMO & PPO | $502.68 | ↑ +139% |
| CIGNA | ALL PRODUCTS | $531.71 | ↑ +152% |
| UNITED | ALL PRODUCTS | $1,165.03 | ↑ +453% |
| The Health Plan | All Products Radiation Oncology Physicians | not published by hospital | — |
| The Health Plan | All Products Specialty Physicians | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| The Health Plan | All Products PCP | not published by hospital | — |
Visitor-reported prices
Comments
Gi endoscopic ultrasound at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,294.80 | $1.10 – $291.60 |
| akron general | Akron | $210.60 | $1.10 – $305.44 |
| avon hospital | Avon | not published | $79.35 – $248.31 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | not published | $129.56 – $150.02 |
| euclid hospital | Euclid | not published | $81.30 – $248.31 |
| fairview hospital | Cleveland | not published | $76.38 – $248.31 |
| lutheran hospital | Cleveland | not published | $72.71 – $248.31 |
| hillcrest hospital | Mayfield Heights | not published | $79.57 – $248.31 |