Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr 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

$3.59

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.

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

$5.52

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.

$1.36 with OSCAR vs $14.86 with AMERIHEALTH — 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 $1.36 ↓ -62%
UNITED MEDICARE ADVANTAGE $1.44 ↓ -60%
HUMANA Medicare Advantage HMO $1.44 ↓ -60%
MMO Medicare Advantage HMO & PPO $1.44 ↓ -60%
PHPHI ALL PRODUCTS $1.54 ↓ -57%
AETNA MEDICARE ADVANTAGE $1.54 ↓ -57%
PHP ALL PRODUCTS $1.54 ↓ -57%
Summacare MEDICARE ADVANTAGE $1.54 ↓ -57%
The Health Plan Secure Care $1.92 ↓ -47%
Amish Community Aid Plan ALL PRODUCTS $2.16 ↓ -40%
Aultcare PPO/HMO $2.31 ↓ -36%
OHCP ALL PRODUCTS $2.33 ↓ -35%
OMAS ALL PRODUCTS $2.40 ↓ -33%
MMO TRADITIONAL $2.50 ↓ -30%
Ohio Healthy TRANSPLANT $2.59 ↓ -28%
ANTHEM HPN $2.62 ↓ -27%
OPTUM All Products Transplant $2.72 ↓ -24%
AETNA Acop $2.73 ↓ -24%
Summacare Preferred $2.76 ↓ -23%
UPMC ALL PRODUCTS $2.88 ↓ -20%
Summacare PREMIER $2.88 ↓ -20%
CIGNA ALL PRODUCTS $3.05 ↓ -15%
ANTHEM PPO/HMO $3.08 ↓ -14%
ANTHEM TRADITIONAL $3.18 ↓ -11%
CC EHP ALL PRODUCTS $3.23 ↓ -10%
AETNA Asa_Whirlpool_Peia $3.30 ↓ -8%
UNITED ALL PRODUCTS $3.32 ↓ -8%
AETNA International $3.33 ↓ -7%
Medical Benefit Corp Transplant SMCP $3.36 ↓ -6%
GMS ALL PRODUCTS $3.36 ↓ -6%
AETNA ALL PRODUCTS $3.60 ↑ +0%
Consociate Health ALL PRODUCTS $3.60 ↑ +0%
The Health Plan ALL PRODUCTS $3.84 ↑ +7%
MULTIPLAN ALL PRODUCTS $4.32 ↑ +20%
FrontPath TRANSPLANT $4.32 ↑ +20%
Managed Care Services TRANSPLANT $4.32 ↑ +20%
Tertiary Care Network TRANSPLANT $4.32 ↑ +20%
AETNA Qhp/Ipf $4.80 ↑ +34%
OPTUM Managed Medicaid Transplant $12.83 ↑ +257%
Buckeye Managed Medicaid $13.51 ↑ +276%
CARESOURCE Managed Medicaid $13.51 ↑ +276%
ANTHEM Managed Medicaid $14.19 ↑ +295%
UNITED Managed Medicaid $14.19 ↑ +295%
MOLINA Managed Medicaid $14.19 ↑ +295%
AMERIHEALTH Managed Medicaid $14.86 ↑ +314%
AETNA NAP not published by hospital —
CIGNA MEDICARE ADVANTAGE not published by hospital —
CommuniCare MEDICARE ADVANTAGE not published by hospital —
ANTHEM MEDICARE ADVANTAGE not published by hospital —
OPTUM Medicare Advantage Transplant not published by hospital —
OPTUM All Products VA not published by hospital —

Visitor-reported prices

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Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr at other Ohio hospitals

Hospital City Cash price Negotiated range
Jewish Hospital Cincinnati $120.48 not published
Kings Mills Hospital Mason $129.42 not published
Mercy West Hospital Cincinnati $50.76 not published
St Ritas Medical Center Lima $245.70 not published
Trinity Medical Center East Steubenville $18.85 $0.05 – $13.09
akron general Akron $3.59 $0.11 – $8.86
avon hospital Avon $3.59 $0.11 – $8.36
cleveland clinic childrens hospital for rehabilitation Cleveland $3.59 $1.36 – $15.51

All Ohio hospitals for this procedure →