Capecitabine, oral, 50 mg at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$50.86
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.
$78.24
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.
$0.03 with ANTHEM vs $25.48 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 |
|---|---|---|---|
| ANTHEM | MEDICARE ADVANTAGE | $0.03 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $0.06 | ↓ -100% |
| OPTUM | All Products VA | $0.06 | ↓ -100% |
| OSCAR | ALL PRODUCTS | $6.64 | ↓ -87% |
| UNITED | MEDICARE ADVANTAGE | $7.04 | ↓ -86% |
| MMO | Medicare Advantage HMO & PPO | $7.04 | ↓ -86% |
| HUMANA | Medicare Advantage HMO | $7.04 | ↓ -86% |
| PHPHI | ALL PRODUCTS | $7.51 | ↓ -85% |
| PHP | ALL PRODUCTS | $7.51 | ↓ -85% |
| AETNA | MEDICARE ADVANTAGE | $7.51 | ↓ -85% |
| Summacare | MEDICARE ADVANTAGE | $7.51 | ↓ -85% |
| The Health Plan | Secure Care | $9.39 | ↓ -82% |
| Amish Community Aid Plan | ALL PRODUCTS | $10.57 | ↓ -79% |
| Aultcare | PPO/HMO | $11.29 | ↓ -78% |
| OHCP | ALL PRODUCTS | $11.41 | ↓ -78% |
| OMAS | ALL PRODUCTS | $11.74 | ↓ -77% |
| MMO | TRADITIONAL | $12.23 | ↓ -76% |
| Ohio Healthy | TRANSPLANT | $12.68 | ↓ -75% |
| ANTHEM | HPN | $12.82 | ↓ -75% |
| OPTUM | All Products Transplant | $13.29 | ↓ -74% |
| AETNA | Acop | $13.34 | ↓ -74% |
| Summacare | Preferred | $13.52 | ↓ -73% |
| Summacare | PREMIER | $14.09 | ↓ -72% |
| UPMC | ALL PRODUCTS | $14.09 | ↓ -72% |
| CIGNA | ALL PRODUCTS | $14.91 | ↓ -71% |
| ANTHEM | PPO/HMO | $15.08 | ↓ -70% |
| ANTHEM | TRADITIONAL | $15.55 | ↓ -69% |
| CC EHP | ALL PRODUCTS | $15.78 | ↓ -69% |
| AETNA | Asa_Whirlpool_Peia | $16.13 | ↓ -68% |
| UNITED | ALL PRODUCTS | $16.25 | ↓ -68% |
| AETNA | International | $16.30 | ↓ -68% |
| Medical Benefit Corp | Transplant SMCP | $16.44 | ↓ -68% |
| GMS | ALL PRODUCTS | $16.44 | ↓ -68% |
| AETNA | ALL PRODUCTS | $17.61 | ↓ -65% |
| Consociate Health | ALL PRODUCTS | $17.61 | ↓ -65% |
| The Health Plan | ALL PRODUCTS | $18.78 | ↓ -63% |
| Managed Care Services | TRANSPLANT | $21.13 | ↓ -58% |
| FrontPath | TRANSPLANT | $21.13 | ↓ -58% |
| MULTIPLAN | ALL PRODUCTS | $21.13 | ↓ -58% |
| Tertiary Care Network | TRANSPLANT | $21.13 | ↓ -58% |
| OPTUM | Managed Medicaid Transplant | $22.00 | ↓ -57% |
| Buckeye | Managed Medicaid | $23.16 | ↓ -54% |
| CARESOURCE | Managed Medicaid | $23.16 | ↓ -54% |
| AETNA | Qhp/Ipf | $23.48 | ↓ -54% |
| ANTHEM | Managed Medicaid | $24.32 | ↓ -52% |
| MOLINA | Managed Medicaid | $24.32 | ↓ -52% |
| UNITED | Managed Medicaid | $24.32 | ↓ -52% |
| AMERIHEALTH | Managed Medicaid | $25.48 | ↓ -50% |
| AETNA | NAP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Capecitabine, oral, 50 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $50.86 | $0.03 – $21.13 |
| avon hospital | Avon | $50.86 | $0.03 – $21.13 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $50.86 | $6.64 – $26.59 |
| euclid hospital | Euclid | $50.86 | $0.03 – $21.13 |
| fairview hospital | Cleveland | $50.86 | $0.03 – $21.13 |
| lutheran hospital | Cleveland | $50.86 | $0.03 – $21.13 |
| hillcrest hospital | Mayfield Heights | $50.86 | $0.03 – $21.13 |
| marymount hospital | Garfield Heights | $50.86 | $0.03 – $21.13 |