healthcosts.net
Analysis gene f2 20210g>a variant at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$294.45
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.
?
What you pay up front if you don't use insurance.
$453.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$27.41 with ANTHEM vs $414.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| ANTHEM | HPN | $27.41 | ↓ -91% |
| ANTHEM | PPO/HMO | $32.24 | ↓ -89% |
| OPTUM | Medicare Advantage Transplant | $65.69 | ↓ -78% |
| ANTHEM | MEDICARE ADVANTAGE | $65.69 | ↓ -78% |
| OPTUM | Managed Medicaid Transplant | $111.80 | ↓ -62% |
| OSCAR | ALL PRODUCTS | $117.08 | ↓ -60% |
| CARESOURCE | Managed Medicaid | $117.68 | ↓ -60% |
| Buckeye | Managed Medicaid | $117.68 | ↓ -60% |
| MOLINA | Managed Medicaid | $123.56 | ↓ -58% |
| ANTHEM | Managed Medicaid | $123.56 | ↓ -58% |
| UNITED | Managed Medicaid | $123.56 | ↓ -58% |
| UNITED | MEDICARE ADVANTAGE | $124.20 | ↓ -58% |
| HUMANA | Medicare Advantage HMO | $124.20 | ↓ -58% |
| MMO | Medicare Advantage HMO & PPO | $124.20 | ↓ -58% |
| AMERIHEALTH | Managed Medicaid | $129.45 | ↓ -56% |
| Summacare | MEDICARE ADVANTAGE | $132.48 | ↓ -55% |
| AETNA | MEDICARE ADVANTAGE | $132.48 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $132.48 | ↓ -55% |
| PHP | ALL PRODUCTS | $132.48 | ↓ -55% |
| The Health Plan | Secure Care | $165.60 | ↓ -44% |
| Amish Community Aid Plan | ALL PRODUCTS | $186.30 | ↓ -37% |
| Aultcare | PPO/HMO | $199.13 | ↓ -32% |
| OHCP | ALL PRODUCTS | $201.20 | ↓ -32% |
| OMAS | ALL PRODUCTS | $207.00 | ↓ -30% |
| MMO | TRADITIONAL | $215.69 | ↓ -27% |
| Ohio Healthy | TRANSPLANT | $223.56 | ↓ -24% |
| OPTUM | All Products Transplant | $234.32 | ↓ -20% |
| AETNA | Acop | $235.15 | ↓ -20% |
| Summacare | Preferred | $238.46 | ↓ -19% |
| UPMC | ALL PRODUCTS | $248.40 | ↓ -16% |
| Summacare | PREMIER | $259.16 | ↓ -12% |
| CIGNA | ALL PRODUCTS | $262.89 | ↓ -11% |
| ANTHEM | TRADITIONAL | $274.23 | ↓ -7% |
| CC EHP | ALL PRODUCTS | $278.21 | ↓ -6% |
| AETNA | Asa_Whirlpool_Peia | $284.42 | ↓ -3% |
| UNITED | ALL PRODUCTS | $286.49 | ↓ -3% |
| AETNA | International | $287.32 | ↓ -2% |
| GMS | ALL PRODUCTS | $289.80 | ↓ -2% |
| Medical Benefit Corp | Transplant SMCP | $289.80 | ↓ -2% |
| AETNA | ALL PRODUCTS | $310.50 | ↑ +5% |
| Consociate Health | ALL PRODUCTS | $310.50 | ↑ +5% |
| The Health Plan | ALL PRODUCTS | $331.20 | ↑ +12% |
| Tertiary Care Network | TRANSPLANT | $372.60 | ↑ +27% |
| FrontPath | TRANSPLANT | $372.60 | ↑ +27% |
| Managed Care Services | TRANSPLANT | $372.60 | ↑ +27% |
| MULTIPLAN | ALL PRODUCTS | $372.60 | ↑ +27% |
| AETNA | Qhp/Ipf | $414.00 | ↑ +41% |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
Visitor-reported prices
Comments
Analysis gene f2 20210g>a variant at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $294.45 | $1.10 – $407.70 |
| akron general | Akron | $294.45 | $0.95 – $394.20 |
| avon hospital | Avon | $294.45 | $0.95 – $407.70 |
| euclid hospital | Euclid | $294.45 | $0.95 – $407.70 |
| fairview hospital | Cleveland | $294.45 | $0.95 – $407.70 |
| lutheran hospital | Cleveland | $294.45 | $0.95 – $407.70 |
| hillcrest hospital | Mayfield Heights | $294.45 | $0.95 – $407.70 |
| marymount hospital | Garfield Heights | $294.45 | $0.95 – $407.70 |