Acetazolamide 500 mg solution for injection at lodi hospital

225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

$102.86

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$158.25

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$44.75 with OSCAR vs $158.25 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 →

Payer
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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
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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
OSCAR ALL PRODUCTS $44.75 ↓ -56%
UNITED MEDICARE ADVANTAGE $47.48 ↓ -54%
MMO Medicare Advantage HMO & PPO $47.48 ↓ -54%
HUMANA Medicare Advantage HMO $47.48 ↓ -54%
AETNA MEDICARE ADVANTAGE $50.64 ↓ -51%
Summacare MEDICARE ADVANTAGE $50.64 ↓ -51%
PHPHI ALL PRODUCTS $50.64 ↓ -51%
PHP ALL PRODUCTS $50.64 ↓ -51%
The Health Plan Secure Care $63.30 ↓ -38%
OPTUM Managed Medicaid Transplant $69.50 ↓ -32%
Amish Community Aid Plan ALL PRODUCTS $71.21 ↓ -31%
CARESOURCE Managed Medicaid $73.16 ↓ -29%
Buckeye Managed Medicaid $73.16 ↓ -29%
Aultcare PPO/HMO $76.12 ↓ -26%
MOLINA Managed Medicaid $76.82 ↓ -25%
UNITED Managed Medicaid $76.82 ↓ -25%
ANTHEM Managed Medicaid $76.82 ↓ -25%
OHCP ALL PRODUCTS $76.91 ↓ -25%
OMAS ALL PRODUCTS $79.13 ↓ -23%
AMERIHEALTH Managed Medicaid $80.48 ↓ -22%
MMO TRADITIONAL $82.45 ↓ -20%
Ohio Healthy TRANSPLANT $85.46 ↓ -17%
ANTHEM HPN $86.40 ↓ -16%
OPTUM All Products Transplant $89.57 ↓ -13%
AETNA Acop $89.89 ↓ -13%
Summacare Preferred $91.15 ↓ -11%
Summacare PREMIER $94.95 ↓ -8%
UPMC ALL PRODUCTS $94.95 ↓ -8%
CIGNA ALL PRODUCTS $100.49 ↓ -2%
ANTHEM PPO/HMO $101.66 ↓ -1%
ANTHEM TRADITIONAL $104.82 ↑ +2%
CC EHP ALL PRODUCTS $106.34 ↑ +3%
AETNA Asa_Whirlpool_Peia $108.72 ↑ +6%
UNITED ALL PRODUCTS $109.51 ↑ +6%
AETNA International $109.83 ↑ +7%
GMS ALL PRODUCTS $110.78 ↑ +8%
Medical Benefit Corp Transplant SMCP $110.78 ↑ +8%
AETNA ALL PRODUCTS $118.69 ↑ +15%
Consociate Health ALL PRODUCTS $118.69 ↑ +15%
The Health Plan ALL PRODUCTS $126.60 ↑ +23%
MULTIPLAN ALL PRODUCTS $142.43 ↑ +38%
Tertiary Care Network TRANSPLANT $142.43 ↑ +38%
FrontPath TRANSPLANT $142.43 ↑ +38%
Managed Care Services TRANSPLANT $142.43 ↑ +38%
AETNA Qhp/Ipf $158.25 ↑ +54%
CommuniCare MEDICARE ADVANTAGE not published by hospital —
AETNA NAP not published by hospital —
CIGNA MEDICARE ADVANTAGE not published by hospital —
OPTUM Medicare Advantage Transplant not published by hospital —
ANTHEM MEDICARE ADVANTAGE not published by hospital —
OPTUM All Products VA not published by hospital —

Visitor-reported prices

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Acetazolamide 500 mg solution for injection at other Ohio hospitals

Hospital City Cash price Negotiated range
Jewish Hospital Cincinnati $168.00 not published
Anderson Hospital Cincinnati $179.16 not published
Clermont Hospital Batavia $142.14 not published
Kings Mills Hospital Mason $103.80 not published
Mercy West Hospital Cincinnati $142.14 not published
St Ritas Medical Center Lima $368.58 not published
Trinity Medical Center East Steubenville $36.21 $21.62 – $56.21
akron general Akron $102.86 $2.17 – $142.43

All Ohio hospitals for this procedure →