Albumin (human), 5%, 250 ml at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$0.84
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.
$1.29
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.
$0.19 with OSCAR vs $528.90 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 →
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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 |
|---|---|---|---|
| OSCAR | ALL PRODUCTS | $0.19 | ↓ -77% |
| HUMANA | Medicare Advantage HMO | $0.20 | ↓ -76% |
| MMO | Medicare Advantage HMO & PPO | $0.20 | ↓ -76% |
| UNITED | MEDICARE ADVANTAGE | $0.20 | ↓ -76% |
| PHPHI | ALL PRODUCTS | $0.21 | ↓ -75% |
| AETNA | MEDICARE ADVANTAGE | $0.21 | ↓ -75% |
| Summacare | MEDICARE ADVANTAGE | $0.21 | ↓ -75% |
| PHP | ALL PRODUCTS | $0.21 | ↓ -75% |
| The Health Plan | Secure Care | $0.26 | ↓ -69% |
| Amish Community Aid Plan | ALL PRODUCTS | $0.30 | ↓ -64% |
| OHCP | ALL PRODUCTS | $0.32 | ↓ -62% |
| Aultcare | PPO/HMO | $0.32 | ↓ -62% |
| OMAS | ALL PRODUCTS | $0.33 | ↓ -61% |
| MMO | TRADITIONAL | $0.34 | ↓ -60% |
| Ohio Healthy | TRANSPLANT | $0.36 | ↓ -57% |
| ANTHEM | HPN | $0.36 | ↓ -57% |
| AETNA | Acop | $0.37 | ↓ -56% |
| OPTUM | All Products Transplant | $0.37 | ↓ -56% |
| Summacare | Preferred | $0.38 | ↓ -55% |
| Summacare | PREMIER | $0.40 | ↓ -52% |
| UPMC | ALL PRODUCTS | $0.40 | ↓ -52% |
| ANTHEM | PPO/HMO | $0.42 | ↓ -50% |
| CIGNA | ALL PRODUCTS | $0.42 | ↓ -50% |
| ANTHEM | TRADITIONAL | $0.44 | ↓ -48% |
| CC EHP | ALL PRODUCTS | $0.44 | ↓ -48% |
| AETNA | Asa_Whirlpool_Peia | $0.45 | ↓ -46% |
| Medical Benefit Corp | Transplant SMCP | $0.46 | ↓ -45% |
| GMS | ALL PRODUCTS | $0.46 | ↓ -45% |
| UNITED | ALL PRODUCTS | $0.46 | ↓ -45% |
| AETNA | International | $0.46 | ↓ -45% |
| AETNA | ALL PRODUCTS | $0.50 | ↓ -40% |
| Consociate Health | ALL PRODUCTS | $0.50 | ↓ -40% |
| The Health Plan | ALL PRODUCTS | $0.53 | ↓ -37% |
| Managed Care Services | TRANSPLANT | $0.59 | ↓ -30% |
| MULTIPLAN | ALL PRODUCTS | $0.59 | ↓ -30% |
| FrontPath | TRANSPLANT | $0.59 | ↓ -30% |
| Tertiary Care Network | TRANSPLANT | $0.59 | ↓ -30% |
| AETNA | Qhp/Ipf | $0.66 | ↓ -21% |
| ANTHEM | MEDICARE ADVANTAGE | $53.07 | ↑ +6218% |
| OPTUM | All Products VA | $53.08 | ↑ +6219% |
| OPTUM | Medicare Advantage Transplant | $53.08 | ↑ +6219% |
| OPTUM | Managed Medicaid Transplant | $456.78 | ↑ +54279% |
| CARESOURCE | Managed Medicaid | $480.82 | ↑ +57140% |
| Buckeye | Managed Medicaid | $480.82 | ↑ +57140% |
| MOLINA | Managed Medicaid | $504.86 | ↑ +60002% |
| ANTHEM | Managed Medicaid | $504.86 | ↑ +60002% |
| UNITED | Managed Medicaid | $504.86 | ↑ +60002% |
| AMERIHEALTH | Managed Medicaid | $528.90 | ↑ +62864% |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Albumin (human), 5%, 250 ml at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $378.00 | not published |
| Anderson Hospital | Cincinnati | $331.68 | not published |
| Clermont Hospital | Batavia | $209.82 | not published |
| Mercy West Hospital | Cincinnati | $406.08 | not published |
| St Ritas Medical Center | Lima | $1,053.00 | not published |
| Trinity Medical Center East | Steubenville | $50.09 | $60.60 – $79.62 |
| cleveland clinic main campus | Cleveland | $237.90 | $1.10 – $397.14 |
| University Hospitals Ahuja Medical Center | Beachwood | $295.80 | $17.16 – $95.54 |