Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$1.52
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.
$2.34
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.
$0.63 with OSCAR vs $4,433.95 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 | $0.63 | ↓ -59% |
| UNITED | MEDICARE ADVANTAGE | $0.67 | ↓ -56% |
| MMO | Medicare Advantage HMO & PPO | $0.67 | ↓ -56% |
| HUMANA | Medicare Advantage HMO | $0.67 | ↓ -56% |
| AETNA | MEDICARE ADVANTAGE | $0.71 | ↓ -53% |
| Summacare | MEDICARE ADVANTAGE | $0.71 | ↓ -53% |
| PHP | ALL PRODUCTS | $0.71 | ↓ -53% |
| PHPHI | ALL PRODUCTS | $0.71 | ↓ -53% |
| The Health Plan | Secure Care | $0.89 | ↓ -41% |
| Amish Community Aid Plan | ALL PRODUCTS | $1.00 | ↓ -34% |
| Aultcare | PPO/HMO | $1.07 | ↓ -30% |
| OHCP | ALL PRODUCTS | $1.08 | ↓ -29% |
| OMAS | ALL PRODUCTS | $1.11 | ↓ -27% |
| MMO | TRADITIONAL | $1.16 | ↓ -24% |
| Ohio Healthy | TRANSPLANT | $1.20 | ↓ -21% |
| ANTHEM | HPN | $1.21 | ↓ -20% |
| OPTUM | All Products Transplant | $1.26 | ↓ -17% |
| AETNA | Acop | $1.26 | ↓ -17% |
| Summacare | Preferred | $1.28 | ↓ -16% |
| Summacare | PREMIER | $1.33 | ↓ -13% |
| UPMC | ALL PRODUCTS | $1.33 | ↓ -13% |
| CIGNA | ALL PRODUCTS | $1.41 | ↓ -7% |
| ANTHEM | PPO/HMO | $1.43 | ↓ -6% |
| ANTHEM | TRADITIONAL | $1.47 | ↓ -3% |
| CC EHP | ALL PRODUCTS | $1.49 | ↓ -2% |
| AETNA | Asa_Whirlpool_Peia | $1.53 | ↑ +1% |
| UNITED | ALL PRODUCTS | $1.54 | ↑ +1% |
| AETNA | International | $1.54 | ↑ +1% |
| Medical Benefit Corp | Transplant SMCP | $1.55 | ↑ +2% |
| GMS | ALL PRODUCTS | $1.55 | ↑ +2% |
| AETNA | ALL PRODUCTS | $1.67 | ↑ +10% |
| Consociate Health | ALL PRODUCTS | $1.67 | ↑ +10% |
| The Health Plan | ALL PRODUCTS | $1.78 | ↑ +17% |
| FrontPath | TRANSPLANT | $2.00 | ↑ +32% |
| MULTIPLAN | ALL PRODUCTS | $2.00 | ↑ +32% |
| Tertiary Care Network | TRANSPLANT | $2.00 | ↑ +32% |
| Managed Care Services | TRANSPLANT | $2.00 | ↑ +32% |
| AETNA | Qhp/Ipf | $2.22 | ↑ +46% |
| OPTUM | Medicare Advantage Transplant | $4.94 | ↑ +225% |
| OPTUM | All Products VA | $4.94 | ↑ +225% |
| ANTHEM | MEDICARE ADVANTAGE | $5.37 | ↑ +253% |
| OPTUM | Managed Medicaid Transplant | $3,829.32 | ↑ +251829% |
| Buckeye | Managed Medicaid | $4,030.86 | ↑ +265088% |
| CARESOURCE | Managed Medicaid | $4,030.86 | ↑ +265088% |
| UNITED | Managed Medicaid | $4,232.40 | ↑ +278347% |
| ANTHEM | Managed Medicaid | $4,232.40 | ↑ +278347% |
| MOLINA | Managed Medicaid | $4,232.40 | ↑ +278347% |
| AMERIHEALTH | Managed Medicaid | $4,433.95 | ↑ +291607% |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $10.15 | $3.75 – $3,329.32 |
| akron general | Akron | $1.52 | $0.49 – $2,642.72 |
| avon hospital | Avon | $1.52 | $0.63 – $2,494.39 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1.52 | $0.63 – $4,627.33 |
| euclid hospital | Euclid | $1.52 | $0.63 – $2,903.78 |
| fairview hospital | Cleveland | $1.52 | $0.49 – $2,727.96 |
| lutheran hospital | Cleveland | $1.52 | $0.63 – $2,597.10 |
| hillcrest hospital | Mayfield Heights | $1.52 | $0.49 – $2,842.10 |