Ustekinumab 45 mg/0.5 ml subcutaneous solution at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$68,214.47
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.
$104,945.34
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 $104,945.25 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 |
|---|---|---|---|
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| AETNA | Asa_Whirlpool_Peia | $2.17 | ↓ -100% |
| Oscar | All Products | $102.15 | ↓ -100% |
| Aultcare | PPO/HMO | $143.92 | ↓ -100% |
| The Health Plan | MEDICARE ADVANTAGE | $143.92 | ↓ -100% |
| OHCP | All Products | $156.38 | ↓ -100% |
| UNITED | MEDICARE ADVANTAGE | $159.91 | ↓ -100% |
| HUMANA | Medicare Advantage HMO | $159.91 | ↓ -100% |
| MMO | Medicare HMO & PPO | $167.91 | ↓ -100% |
| Perennial Health | MEDICARE ADVANTAGE | $172.70 | ↓ -100% |
| United | All Products - Mid-Level | $186.47 | ↓ -100% |
| OMAS | All Products | $201.00 | ↓ -100% |
| United | HMO & PPO | $207.19 | ↓ -100% |
| United | All Products | $207.19 | ↓ -100% |
| PHPHI | All Products | $241.20 | ↓ -100% |
| MMO | ALL PRODUCTS | $267.00 | ↓ -100% |
| Aetna | Acop | $267.95 | ↓ -100% |
| MMO | SuperMed | $275.97 | ↓ -100% |
| Summacare | Premier | $281.40 | ↓ -100% |
| MMO | Traditional | $281.40 | ↓ -100% |
| Summacare | Preferred | $281.40 | ↓ -100% |
| Summacare | Medicare Advantage Psych | $281.40 | ↓ -100% |
| Summacare | Medicare Advantage MD | $281.40 | ↓ -100% |
| Summacare | Medicare Advantage Lower Level | $281.40 | ↓ -100% |
| Summacare | Medicare Advantage CNA | $281.40 | ↓ -100% |
| GMS | All Products | $281.40 | ↓ -100% |
| Aetna | All Products First Health | $301.50 | ↓ -100% |
| Immergrun | All Products | $301.50 | ↓ -100% |
| Aetna | Asa | $321.60 | ↓ -100% |
| UNITED | ALL PRODUCTS | $335.14 | ↓ -100% |
| AETNA | International | $355.41 | ↓ -99% |
| Multiplan | All Products | $361.80 | ↓ -99% |
| Aetna | Qhp/Ifp | $402.00 | ↓ -99% |
| CIGNA | ALL PRODUCTS | $621.54 | ↓ -99% |
| UNITED | Managed Medicaid | $6,219.94 | ↓ -91% |
| CARESOURCE | Managed Medicaid | $6,406.54 | ↓ -91% |
| Buckeye | Managed Medicaid | $6,406.54 | ↓ -91% |
| ANTHEM | Managed Medicaid | $6,530.94 | ↓ -90% |
| MOLINA | Managed Medicaid | $6,530.94 | ↓ -90% |
| AMERIHEALTH | Managed Medicaid | $6,841.93 | ↓ -90% |
| AETNA | MEDICARE ADVANTAGE | $22,878.06 | ↓ -66% |
| OSCAR | ALL PRODUCTS | $29,678.52 | ↓ -56% |
| PHPHI | ALL PRODUCTS | $33,582.48 | ↓ -51% |
| PHP | ALL PRODUCTS | $33,582.48 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $35,471.49 | ↓ -48% |
| Summacare | PREMIER | $40,089.09 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $47,225.36 | ↓ -31% |
| ANTHEM | HPN | $48,096.41 | ↓ -29% |
| ANTHEM | Exchange | $50,929.93 | ↓ -25% |
| OHCP | ALL PRODUCTS | $51,003.39 | ↓ -25% |
| OMAS | ALL PRODUCTS | $52,472.63 | ↓ -23% |
| Immergrun | ALL PRODUCTS | $52,472.63 | ↓ -23% |
| ANTHEM | PPO/HMO | $56,586.48 | ↓ -17% |
| Ohio Healthy | TRANSPLANT | $56,670.44 | ↓ -17% |
| ANTHEM | TRADITIONAL | $58,034.72 | ↓ -15% |
| The Health Plan | POS | $65,013.58 | ↓ -5% |
| The Health Plan | HMO | $65,013.58 | ↓ -5% |
| The Health Plan | PPO | $66,997.05 | ↓ -2% |
| GMS | ALL PRODUCTS | $73,461.68 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $73,461.68 | ↑ +8% |
| Consociate Health | ALL PRODUCTS | $78,708.94 | ↑ +15% |
| AETNA | ALL PRODUCTS | $78,708.94 | ↑ +15% |
| The Health Plan | Self-Funded ASO | $88,154.01 | ↑ +29% |
| FrontPath | TRANSPLANT | $94,450.73 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $94,450.73 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $94,450.73 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $94,450.73 | ↑ +38% |
| AETNA | Qhp/Ipf | $104,945.25 | ↑ +54% |
| The Health Plan | All Products Specialty Physicians | not published by hospital | — |
| The Health Plan | Medicare Advantage | not published by hospital | — |
| Anthem | Medicare Advantage | not published by hospital | — |
| Anthem | All Products Mid-Level Non-Facility | not published by hospital | — |
| AmeriHealth | Managed Medicaid | not published by hospital | — |
| United | Managed Medicaid | not published by hospital | — |
| United | Medicare Advantage | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna | ALL PRODUCTS | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Humana | Medicare Advantage HMO | not published by hospital | — |
| Perennial Health | HMO I-SNP and HMO C-SNP | not published by hospital | — |
| Perennial Health | Medicare Advantage | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | Medicare Advantage | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| Summacare | MEDICARE ADVANTAGE | not published by hospital | — |
| Cigna | Medicare Advantage | not published by hospital | — |
| Cigna | All Products Physician | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| Caresource | Managed Medicaid | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| The Health Plan | All Products PCP | not published by hospital | — |
| The Health Plan | All Products Radiation Oncology Physicians | not published by hospital | — |
Visitor-reported prices
Comments
Ustekinumab 45 mg/0.5 ml subcutaneous solution at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $53,347.20 | not published |
| St Ritas Medical Center | Lima | $56,408.16 | not published |
| akron general | Akron | $68,214.47 | $1.10 – $94,450.73 |
| avon hospital | Avon | $68,214.47 | $159.91 – $94,450.73 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $68,214.47 | $10,602.44 – $94,450.73 |
| euclid hospital | Euclid | $68,214.47 | $152.57 – $94,450.73 |
| fairview hospital | Cleveland | $68,214.47 | $2.17 – $94,450.73 |
| lutheran hospital | Cleveland | $68,214.47 | $159.91 – $94,450.73 |