Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$18,718.23
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.
$28,797.28
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.
$3.86 with ANTHEM vs $21,597.96 with AETNA — 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 | $3.86 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $4.65 | ↓ -100% |
| OPTUM | All Products VA | $4.65 | ↓ -100% |
| OPTUM | Managed Medicaid Transplant | $3,829.32 | ↓ -80% |
| CARESOURCE | Managed Medicaid | $4,030.86 | ↓ -78% |
| Buckeye | Managed Medicaid | $4,030.86 | ↓ -78% |
| ANTHEM | Managed Medicaid | $4,232.40 | ↓ -77% |
| MOLINA | Managed Medicaid | $4,232.40 | ↓ -77% |
| UNITED | Managed Medicaid | $4,232.40 | ↓ -77% |
| AMERIHEALTH | Managed Medicaid | $4,433.95 | ↓ -76% |
| OSCAR | ALL PRODUCTS | $6,107.90 | ↓ -67% |
| HUMANA | Medicare Advantage HMO | $6,479.39 | ↓ -65% |
| UNITED | MEDICARE ADVANTAGE | $6,479.39 | ↓ -65% |
| MMO | Medicare Advantage HMO & PPO | $6,479.39 | ↓ -65% |
| Summacare | MEDICARE ADVANTAGE | $6,911.35 | ↓ -63% |
| PHPHI | ALL PRODUCTS | $6,911.35 | ↓ -63% |
| AETNA | MEDICARE ADVANTAGE | $6,911.35 | ↓ -63% |
| PHP | ALL PRODUCTS | $6,911.35 | ↓ -63% |
| The Health Plan | Secure Care | $8,639.18 | ↓ -54% |
| Amish Community Aid Plan | ALL PRODUCTS | $9,719.08 | ↓ -48% |
| Aultcare | PPO/HMO | $10,388.62 | ↓ -44% |
| OHCP | ALL PRODUCTS | $10,496.61 | ↓ -44% |
| OMAS | ALL PRODUCTS | $10,798.98 | ↓ -42% |
| MMO | TRADITIONAL | $11,252.54 | ↓ -40% |
| Ohio Healthy | TRANSPLANT | $11,662.90 | ↓ -38% |
| ANTHEM | HPN | $11,792.49 | ↓ -37% |
| OPTUM | All Products Transplant | $12,224.45 | ↓ -35% |
| AETNA | Acop | $12,267.64 | ↓ -34% |
| Summacare | Preferred | $12,440.42 | ↓ -34% |
| Summacare | PREMIER | $12,958.78 | ↓ -31% |
| UPMC | ALL PRODUCTS | $12,958.78 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $13,714.70 | ↓ -27% |
| ANTHEM | PPO/HMO | $13,874.53 | ↓ -26% |
| ANTHEM | TRADITIONAL | $14,306.49 | ↓ -24% |
| CC EHP | ALL PRODUCTS | $14,513.83 | ↓ -22% |
| AETNA | Asa_Whirlpool_Peia | $14,837.80 | ↓ -21% |
| UNITED | ALL PRODUCTS | $14,945.79 | ↓ -20% |
| AETNA | International | $14,988.98 | ↓ -20% |
| Medical Benefit Corp | Transplant SMCP | $15,118.57 | ↓ -19% |
| GMS | ALL PRODUCTS | $15,118.57 | ↓ -19% |
| AETNA | ALL PRODUCTS | $16,198.47 | ↓ -13% |
| Consociate Health | ALL PRODUCTS | $16,198.47 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $17,278.37 | ↓ -8% |
| Managed Care Services | TRANSPLANT | $19,438.16 | ↑ +4% |
| Tertiary Care Network | TRANSPLANT | $19,438.16 | ↑ +4% |
| MULTIPLAN | ALL PRODUCTS | $19,438.16 | ↑ +4% |
| FrontPath | TRANSPLANT | $19,438.16 | ↑ +4% |
| AETNA | Qhp/Ipf | $21,597.96 | ↑ +15% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $18,718.23 | $2.17 – $19,438.16 |
| avon hospital | Avon | $18,718.23 | $3.86 – $19,438.16 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $18,718.23 | $3,996.33 – $19,438.16 |
| euclid hospital | Euclid | $18,718.23 | $3.86 – $19,438.16 |
| fairview hospital | Cleveland | $18,718.23 | $2.17 – $19,438.16 |
| lutheran hospital | Cleveland | $18,718.23 | $3.86 – $19,438.16 |
| hillcrest hospital | Mayfield Heights | $18,718.23 | $2.17 – $19,438.16 |
| marymount hospital | Garfield Heights | $18,718.23 | $3.86 – $19,438.16 |