X-ray arthrogram shoulder supervision & interpretation (both sides) at mercy hospital
1320 Mercy Drive Northwest, Canton, OH · Cleveland Clinic · · NPI 1366433195
$1,756.30
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.
$2,702.00
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 $2,464.00 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 |
|---|---|---|---|
| AETNA | Asa_Whirlpool_Peia | $1.01 | ↓ -100% |
| Zing Health | Medicare Advantage | $1.10 | ↓ -100% |
| Aetna | ALL PRODUCTS | $1.65 | ↓ -100% |
| Summacare | Preferred | $16.41 | ↓ -99% |
| Summacare | Medicare Advantage Lower Level | $16.41 | ↓ -99% |
| Summacare | Medicare Advantage Psych | $19.62 | ↓ -99% |
| Summacare | Medicare Advantage CNA | $21.46 | ↓ -99% |
| Summacare | Medicare Advantage MD | $23.99 | ↓ -99% |
| United | Medicare Advantage | $26.16 | ↓ -99% |
| Aetna | Medicare Advantage | $26.16 | ↓ -99% |
| The Health Plan | Medicare Advantage | $26.16 | ↓ -99% |
| Anthem | Medicare Advantage | $26.16 | ↓ -99% |
| Humana | Medicare Advantage HMO | $26.16 | ↓ -99% |
| Cigna | Medicare Advantage | $26.16 | ↓ -99% |
| MMO | Medicare HMO & PPO | $26.94 | ↓ -98% |
| CommuniCare | Medicare Advantage | $27.47 | ↓ -98% |
| Summacare | Premier | $27.47 | ↓ -98% |
| Perennial Health | Medicare Advantage | $28.25 | ↓ -98% |
| The Health Plan | All Products PCP | $28.78 | ↓ -98% |
| The Health Plan | All Products Specialty Physicians | $30.08 | ↓ -98% |
| The Health Plan | All Products Radiation Oncology Physicians | $34.01 | ↓ -98% |
| Anthem | All Products Mid-Level Non-Facility | $36.11 | ↓ -98% |
| United | All Products - Mid-Level | $45.53 | ↓ -97% |
| United | HMO & PPO | $50.59 | ↓ -97% |
| United | All Products | $50.59 | ↓ -97% |
| Oscar | All Products | $60.48 | ↓ -97% |
| United | Managed Medicaid | $81.41 | ↓ -95% |
| Caresource | Managed Medicaid | $83.85 | ↓ -95% |
| Aultcare | PPO/HMO | $85.20 | ↓ -95% |
| Buckeye | Managed Medicaid | $85.48 | ↓ -95% |
| AmeriHealth | Managed Medicaid | $89.55 | ↓ -95% |
| Molina | Managed Medicaid | $89.55 | ↓ -95% |
| OHCP | All Products | $92.58 | ↓ -95% |
| UNITED | Managed Medicaid | $116.28 | ↓ -93% |
| OMAS | All Products | $119.00 | ↓ -93% |
| CARESOURCE | Managed Medicaid | $119.77 | ↓ -93% |
| MOLINA | Managed Medicaid | $122.09 | ↓ -93% |
| ANTHEM | Managed Medicaid | $122.09 | ↓ -93% |
| AMERIHEALTH | Managed Medicaid | $127.91 | ↓ -93% |
| MMO | SuperMed | $128.52 | ↓ -93% |
| PHPHI | All Products | $142.80 | ↓ -92% |
| GMS | All Products | $166.60 | ↓ -91% |
| MMO | Traditional | $166.60 | ↓ -91% |
| Immergrun | All Products | $178.50 | ↓ -90% |
| Aetna | All Products First Health | $178.50 | ↓ -90% |
| Aetna | Asa | $190.40 | ↓ -89% |
| Multiplan | All Products | $214.20 | ↓ -88% |
| CIGNA | ALL PRODUCTS | $220.59 | ↓ -87% |
| Aetna | Qhp/Ifp | $238.00 | ↓ -86% |
| The Health Plan | MEDICARE ADVANTAGE | $296.98 | ↓ -83% |
| UNITED | MEDICARE ADVANTAGE | $329.98 | ↓ -81% |
| HUMANA | Medicare Advantage HMO | $329.98 | ↓ -81% |
| ANTHEM | MEDICARE ADVANTAGE | $330.06 | ↓ -81% |
| AETNA | MEDICARE ADVANTAGE | $330.06 | ↓ -81% |
| Summacare | MEDICARE ADVANTAGE | $330.06 | ↓ -81% |
| CIGNA | MEDICARE ADVANTAGE | $339.96 | ↓ -81% |
| CommuniCare | MEDICARE ADVANTAGE | $346.56 | ↓ -80% |
| Perennial Health | MEDICARE ADVANTAGE | $356.38 | ↓ -80% |
| Perennial Health | HMO I-SNP and HMO C-SNP | $356.47 | ↓ -80% |
| OSCAR | ALL PRODUCTS | $696.82 | ↓ -60% |
| ANTHEM | HPN | $757.78 | ↓ -57% |
| MMO | ALL PRODUCTS | $767.82 | ↓ -56% |
| PHP | ALL PRODUCTS | $788.48 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $788.48 | ↓ -55% |
| CC EHP | ALL PRODUCTS | $832.83 | ↓ -53% |
| AETNA | International | $937.63 | ↓ -47% |
| Summacare | PREMIER | $941.25 | ↓ -46% |
| ANTHEM | Exchange | $1,044.81 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,108.80 | ↓ -37% |
| ANTHEM | PPO/HMO | $1,160.94 | ↓ -34% |
| OHCP | ALL PRODUCTS | $1,197.50 | ↓ -32% |
| OMAS | ALL PRODUCTS | $1,232.00 | ↓ -30% |
| Immergrun | ALL PRODUCTS | $1,232.00 | ↓ -30% |
| Ohio Healthy | TRANSPLANT | $1,330.56 | ↓ -24% |
| ANTHEM | TRADITIONAL | $1,362.59 | ↓ -22% |
| The Health Plan | PPO | $1,573.02 | ↓ -10% |
| GMS | ALL PRODUCTS | $1,724.80 | ↓ -2% |
| Medical Benefit Corp | Transplant SMCP | $1,724.80 | ↓ -2% |
| Consociate Health | ALL PRODUCTS | $1,848.00 | ↑ +5% |
| AETNA | ALL PRODUCTS | $1,848.00 | ↑ +5% |
| UNITED | ALL PRODUCTS | $1,863.61 | ↑ +6% |
| The Health Plan | Self-Funded ASO | $2,069.76 | ↑ +18% |
| MULTIPLAN | ALL PRODUCTS | $2,217.60 | ↑ +26% |
| Tertiary Care Network | TRANSPLANT | $2,217.60 | ↑ +26% |
| FrontPath | TRANSPLANT | $2,217.60 | ↑ +26% |
| Managed Care Services | TRANSPLANT | $2,217.60 | ↑ +26% |
| The Health Plan | POS | $2,464.00 | ↑ +40% |
| The Health Plan | HMO | $2,464.00 | ↑ +40% |
| AETNA | Qhp/Ipf | $2,464.00 | ↑ +40% |
| Cigna | All Products Physician | not published by hospital | — |
| Aetna | Acop | not published by hospital | — |
| Cigna | All Products Mid-Level | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
X-ray arthrogram shoulder supervision & interpretation (both sides) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $695.40 | not published |
| Anderson Hospital | Cincinnati | $730.20 | not published |
| Clermont Hospital | Batavia | $695.40 | not published |
| Kings Mills Hospital | Mason | $695.40 | not published |
| Mercy West Hospital | Cincinnati | $730.20 | not published |
| St Ritas Medical Center | Lima | $1,280.40 | not published |
| cleveland clinic main campus | Cleveland | $1,756.30 | $1.10 – $2,217.60 |
| akron general | Akron | $1,756.30 | $0.87 – $2,217.60 |