Brace knee postop tscope xl at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$1,132.30
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.
$1,742.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$236.14 with OSCAR vs $1,986.40 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 | $236.14 | ↓ -79% |
| UNITED | MEDICARE ADVANTAGE | $250.50 | ↓ -78% |
| HUMANA | Medicare Advantage HMO | $250.50 | ↓ -78% |
| MMO | Medicare Advantage HMO & PPO | $250.50 | ↓ -78% |
| PHPHI | ALL PRODUCTS | $267.20 | ↓ -76% |
| AETNA | MEDICARE ADVANTAGE | $267.20 | ↓ -76% |
| PHP | ALL PRODUCTS | $267.20 | ↓ -76% |
| Summacare | MEDICARE ADVANTAGE | $267.20 | ↓ -76% |
| The Health Plan | Secure Care | $334.00 | ↓ -71% |
| Amish Community Aid Plan | ALL PRODUCTS | $375.75 | ↓ -67% |
| Aultcare | PPO/HMO | $401.64 | ↓ -65% |
| OHCP | ALL PRODUCTS | $405.81 | ↓ -64% |
| OMAS | ALL PRODUCTS | $417.50 | ↓ -63% |
| MMO | TRADITIONAL | $435.04 | ↓ -62% |
| Ohio Healthy | TRANSPLANT | $450.90 | ↓ -60% |
| ANTHEM | HPN | $455.91 | ↓ -60% |
| OPTUM | All Products Transplant | $472.61 | ↓ -58% |
| AETNA | Acop | $474.28 | ↓ -58% |
| Summacare | Preferred | $480.96 | ↓ -58% |
| UPMC | ALL PRODUCTS | $501.00 | ↓ -56% |
| Summacare | PREMIER | $522.71 | ↓ -54% |
| CIGNA | ALL PRODUCTS | $530.23 | ↓ -53% |
| ANTHEM | PPO/HMO | $536.40 | ↓ -53% |
| ANTHEM | TRADITIONAL | $553.10 | ↓ -51% |
| CC EHP | ALL PRODUCTS | $561.12 | ↓ -50% |
| AETNA | Asa_Whirlpool_Peia | $573.65 | ↓ -49% |
| UNITED | ALL PRODUCTS | $577.82 | ↓ -49% |
| AETNA | International | $579.49 | ↓ -49% |
| Medical Benefit Corp | Transplant SMCP | $584.50 | ↓ -48% |
| GMS | ALL PRODUCTS | $584.50 | ↓ -48% |
| AETNA | ALL PRODUCTS | $626.25 | ↓ -45% |
| Consociate Health | ALL PRODUCTS | $626.25 | ↓ -45% |
| The Health Plan | ALL PRODUCTS | $668.00 | ↓ -41% |
| MULTIPLAN | ALL PRODUCTS | $751.50 | ↓ -34% |
| FrontPath | TRANSPLANT | $751.50 | ↓ -34% |
| Managed Care Services | TRANSPLANT | $751.50 | ↓ -34% |
| Tertiary Care Network | TRANSPLANT | $751.50 | ↓ -34% |
| AETNA | Qhp/Ipf | $835.00 | ↓ -26% |
| OPTUM | Managed Medicaid Transplant | $1,715.53 | ↑ +52% |
| Buckeye | Managed Medicaid | $1,805.82 | ↑ +59% |
| CARESOURCE | Managed Medicaid | $1,805.82 | ↑ +59% |
| ANTHEM | Managed Medicaid | $1,896.11 | ↑ +67% |
| UNITED | Managed Medicaid | $1,896.11 | ↑ +67% |
| MOLINA | Managed Medicaid | $1,896.11 | ↑ +67% |
| AMERIHEALTH | Managed Medicaid | $1,986.40 | ↑ +75% |
| 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
Comments
Brace knee postop tscope xl at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $2,004.01 | not published |
| Anderson Hospital | Cincinnati | $2,004.01 | not published |
| Clermont Hospital | Batavia | $2,004.01 | not published |
| Kings Mills Hospital | Mason | $2,004.01 | not published |
| Mercy West Hospital | Cincinnati | $2,004.01 | not published |
| St Ritas Medical Center | Lima | $6,017.90 | not published |
| cleveland clinic main campus | Cleveland | $943.15 | $1.10 – $1,491.52 |
| akron general | Akron | $1,029.60 | $1.10 – $1,306.89 |