Plc pq device breast ea addl lesion Ultrasound guide at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,372.15
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.
$2,111.00
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.
$0.01 with UNITED vs $3,004.00 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 | ALL PRODUCTS | $0.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $25.55 | ↓ -98% |
| Summacare | Preferred | $25.55 | ↓ -98% |
| Summacare | Medicare Advantage Psych | $26.86 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $33.41 | ↓ -98% |
| United | Managed Medicaid | $33.94 | ↓ -98% |
| Caresource | Managed Medicaid | $34.96 | ↓ -97% |
| Buckeye | Managed Medicaid | $35.64 | ↓ -97% |
| Aetna | Medicare Advantage | $35.81 | ↓ -97% |
| Humana | Medicare Advantage HMO | $35.81 | ↓ -97% |
| United | Medicare Advantage | $35.81 | ↓ -97% |
| Cigna | Medicare Advantage | $35.81 | ↓ -97% |
| Anthem | Medicare Advantage | $35.81 | ↓ -97% |
| The Health Plan | Medicare Advantage | $35.81 | ↓ -97% |
| MMO | Medicare HMO & PPO | $36.88 | ↓ -97% |
| AmeriHealth | Managed Medicaid | $37.33 | ↓ -97% |
| Molina | Managed Medicaid | $37.33 | ↓ -97% |
| Summacare | Medicare Advantage MD | $37.34 | ↓ -97% |
| Summacare | Premier | $37.60 | ↓ -97% |
| CommuniCare | Medicare Advantage | $37.60 | ↓ -97% |
| Perennial Health | Medicare Advantage | $38.67 | ↓ -97% |
| The Health Plan | All Products PCP | $39.39 | ↓ -97% |
| The Health Plan | All Products Specialty Physicians | $41.18 | ↓ -97% |
| The Health Plan | All Products Radiation Oncology Physicians | $46.55 | ↓ -97% |
| Oscar | All Products | $95.03 | ↓ -93% |
| Aultcare | PPO/HMO | $133.89 | ↓ -90% |
| OHCP | All Products | $145.49 | ↓ -89% |
| OMAS | All Products | $187.00 | ↓ -86% |
| MMO | SuperMed | $201.96 | ↓ -85% |
| PHPHI | All Products | $224.40 | ↓ -84% |
| MMO | Traditional | $261.80 | ↓ -81% |
| GMS | All Products | $261.80 | ↓ -81% |
| Immergrun | All Products | $280.50 | ↓ -80% |
| Aetna | All Products First Health | $280.50 | ↓ -80% |
| Aetna | Asa | $299.20 | ↓ -78% |
| Multiplan | All Products | $336.60 | ↓ -75% |
| Cigna | All Products Mid-Level | $366.33 | ↓ -73% |
| Aetna | Qhp/Ifp | $374.00 | ↓ -73% |
| Anthem | All Products Mid-Level Non-Facility | $391.79 | ↓ -71% |
| Cigna | All Products Physician | $433.00 | ↓ -68% |
| AETNA | MEDICARE ADVANTAGE | $460.20 | ↓ -66% |
| Aetna | Acop | $555.00 | ↓ -60% |
| OSCAR | ALL PRODUCTS | $596.99 | ↓ -56% |
| United | All Products - Mid-Level | $626.72 | ↓ -54% |
| PHP | ALL PRODUCTS | $675.52 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $675.52 | ↓ -51% |
| United | All Products | $696.35 | ↓ -49% |
| United | HMO & PPO | $696.35 | ↓ -49% |
| CC EHP | ALL PRODUCTS | $713.52 | ↓ -48% |
| Summacare | PREMIER | $806.40 | ↓ -41% |
| UNITED | Managed Medicaid | $841.30 | ↓ -39% |
| CARESOURCE | Managed Medicaid | $866.54 | ↓ -37% |
| MOLINA | Managed Medicaid | $883.37 | ↓ -36% |
| ANTHEM | Managed Medicaid | $883.37 | ↓ -36% |
| AMERIHEALTH | Managed Medicaid | $925.43 | ↓ -33% |
| MMO | ALL PRODUCTS | $945.73 | ↓ -31% |
| Amish Community Aid Plan | ALL PRODUCTS | $949.95 | ↓ -31% |
| ANTHEM | HPN | $960.08 | ↓ -30% |
| CIGNA | ALL PRODUCTS | $996.39 | ↓ -27% |
| ANTHEM | Exchange | $1,016.45 | ↓ -26% |
| OHCP | ALL PRODUCTS | $1,025.95 | ↓ -25% |
| OMAS | ALL PRODUCTS | $1,055.50 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $1,055.50 | ↓ -23% |
| ANTHEM | PPO/HMO | $1,129.39 | ↓ -18% |
| Ohio Healthy | TRANSPLANT | $1,139.94 | ↓ -17% |
| ANTHEM | TRADITIONAL | $1,167.38 | ↓ -15% |
| The Health Plan | PPO | $1,347.66 | ↓ -2% |
| GMS | ALL PRODUCTS | $1,477.70 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $1,477.70 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $1,583.25 | ↑ +15% |
| AETNA | ALL PRODUCTS | $1,583.25 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $1,773.24 | ↑ +29% |
| FrontPath | TRANSPLANT | $1,899.90 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $1,899.90 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $1,899.90 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $1,899.90 | ↑ +38% |
| The Health Plan | HMO | $2,111.00 | ↑ +54% |
| AETNA | Qhp/Ipf | $2,111.00 | ↑ +54% |
| The Health Plan | POS | $2,111.00 | ↑ +54% |
| AETNA | Asa_Whirlpool_Peia | $2,860.00 | ↑ +108% |
| AETNA | International | $3,004.00 | ↑ +119% |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Plc pq device breast ea addl lesion Ultrasound guide at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $1,550.40 | not published |
| Anderson Hospital | Cincinnati | $1,550.40 | not published |
| Clermont Hospital | Batavia | $1,550.40 | not published |
| Mercy West Hospital | Cincinnati | $1,550.40 | not published |
| St Ritas Medical Center | Lima | $2,775.60 | not published |
| Trinity Medical Center East | Steubenville | $712.16 | $861.60 – $1,234.96 |
| cleveland clinic main campus | Cleveland | $1,372.15 | $0.01 – $1,899.90 |
| akron general | Akron | $1,372.15 | $0.01 – $1,899.90 |