Ultrasound Guidance for a Needle Procedure at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$752.70
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.
$1,158.00
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.
$1.01 with AETNA vs $863.00 with The Health Plan — 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Preferred | $16.69 | ↓ -98% |
| Summacare | Medicare Advantage Lower Level | $16.69 | ↓ -98% |
| Oscar | All Products | $16.77 | ↓ -98% |
| Summacare | Medicare Advantage CNA | $21.83 | ↓ -97% |
| Summacare | Medicare Advantage Psych | $22.55 | ↓ -97% |
| Aultcare | PPO/HMO | $23.63 | ↓ -97% |
| Summacare | Medicare Advantage MD | $24.40 | ↓ -97% |
| OHCP | All Products | $25.67 | ↓ -97% |
| United | Medicare Advantage | $30.07 | ↓ -96% |
| The Health Plan | Medicare Advantage | $30.07 | ↓ -96% |
| Cigna | Medicare Advantage | $30.07 | ↓ -96% |
| Aetna | Medicare Advantage | $30.07 | ↓ -96% |
| Anthem | Medicare Advantage | $30.07 | ↓ -96% |
| Humana | Medicare Advantage HMO | $30.07 | ↓ -96% |
| Summacare | Premier | $30.82 | ↓ -96% |
| MMO | Medicare HMO & PPO | $30.97 | ↓ -96% |
| CommuniCare | Medicare Advantage | $31.57 | ↓ -96% |
| Perennial Health | Medicare Advantage | $32.48 | ↓ -96% |
| OMAS | All Products | $33.00 | ↓ -96% |
| The Health Plan | All Products PCP | $33.08 | ↓ -96% |
| The Health Plan | All Products Specialty Physicians | $34.58 | ↓ -95% |
| Anthem | All Products Mid-Level Non-Facility | $35.39 | ↓ -95% |
| MMO | SuperMed | $35.64 | ↓ -95% |
| Aetna | Acop | $36.15 | ↓ -95% |
| The Health Plan | All Products Radiation Oncology Physicians | $39.09 | ↓ -95% |
| PHPHI | All Products | $39.60 | ↓ -95% |
| United | All Products - Mid-Level | $45.76 | ↓ -94% |
| GMS | All Products | $46.20 | ↓ -94% |
| MMO | Traditional | $46.20 | ↓ -94% |
| Aetna | All Products First Health | $49.50 | ↓ -93% |
| Immergrun | All Products | $49.50 | ↓ -93% |
| United | All Products | $50.84 | ↓ -93% |
| United | HMO & PPO | $50.84 | ↓ -93% |
| United | Managed Medicaid | $52.25 | ↓ -93% |
| Aetna | Asa | $52.80 | ↓ -93% |
| Caresource | Managed Medicaid | $53.82 | ↓ -93% |
| Buckeye | Managed Medicaid | $54.87 | ↓ -93% |
| AmeriHealth | Managed Medicaid | $57.48 | ↓ -92% |
| Molina | Managed Medicaid | $57.48 | ↓ -92% |
| Multiplan | All Products | $59.40 | ↓ -92% |
| Aetna | Qhp/Ifp | $66.00 | ↓ -91% |
| ANTHEM | HPN | $70.74 | ↓ -91% |
| UNITED | Managed Medicaid | $76.00 | ↓ -90% |
| CARESOURCE | Managed Medicaid | $78.28 | ↓ -90% |
| MOLINA | Managed Medicaid | $79.80 | ↓ -89% |
| ANTHEM | Managed Medicaid | $79.80 | ↓ -89% |
| AMERIHEALTH | Managed Medicaid | $83.60 | ↓ -89% |
| AETNA | International | $87.53 | ↓ -88% |
| ANTHEM | Exchange | $97.54 | ↓ -87% |
| ANTHEM | PPO/HMO | $108.39 | ↓ -86% |
| CIGNA | ALL PRODUCTS | $111.90 | ↓ -85% |
| AETNA | MEDICARE ADVANTAGE | $188.13 | ↓ -75% |
| OSCAR | ALL PRODUCTS | $244.06 | ↓ -68% |
| PHPHI | ALL PRODUCTS | $276.16 | ↓ -63% |
| PHP | ALL PRODUCTS | $276.16 | ↓ -63% |
| CC EHP | ALL PRODUCTS | $291.69 | ↓ -61% |
| Summacare | PREMIER | $329.67 | ↓ -56% |
| MMO | ALL PRODUCTS | $386.62 | ↓ -49% |
| Amish Community Aid Plan | ALL PRODUCTS | $388.35 | ↓ -48% |
| OHCP | ALL PRODUCTS | $419.42 | ↓ -44% |
| OMAS | ALL PRODUCTS | $431.50 | ↓ -43% |
| Immergrun | ALL PRODUCTS | $431.50 | ↓ -43% |
| Ohio Healthy | TRANSPLANT | $466.02 | ↓ -38% |
| ANTHEM | TRADITIONAL | $477.24 | ↓ -37% |
| The Health Plan | PPO | $550.94 | ↓ -27% |
| Medical Benefit Corp | Transplant SMCP | $604.10 | ↓ -20% |
| GMS | ALL PRODUCTS | $604.10 | ↓ -20% |
| AETNA | ALL PRODUCTS | $647.25 | ↓ -14% |
| Consociate Health | ALL PRODUCTS | $647.25 | ↓ -14% |
| The Health Plan | Self-Funded ASO | $724.92 | ↓ -4% |
| Tertiary Care Network | TRANSPLANT | $776.70 | ↑ +3% |
| Managed Care Services | TRANSPLANT | $776.70 | ↑ +3% |
| FrontPath | TRANSPLANT | $776.70 | ↑ +3% |
| MULTIPLAN | ALL PRODUCTS | $776.70 | ↑ +3% |
| AETNA | Qhp/Ipf | $863.00 | ↑ +15% |
| The Health Plan | HMO | $863.00 | ↑ +15% |
| The Health Plan | POS | $863.00 | ↑ +15% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| HUMANA | Medicare Advantage HMO | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| Perennial Health | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED | ALL PRODUCTS | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| UNITED | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ultrasound Guidance for a Needle Procedure at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $1,441.80 | not published |
| Anderson Hospital | Cincinnati | $1,441.80 | not published |
| Clermont Hospital | Batavia | $1,441.80 | not published |
| Kings Mills Hospital | Mason | $1,373.40 | not published |
| Mercy West Hospital | Cincinnati | $1,441.80 | not published |
| Trinity Medical Center East | Steubenville | $525.20 | $616.20 – $790.79 |
| cleveland clinic main campus | Cleveland | $926.25 | $0.01 – $776.70 |
| akron general | Akron | $752.70 | $0.87 – $776.70 |