Dihydroergotamine 0.05 mg/ml IV syringe - cnr at lodi hospital

225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

$245.70

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$378.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$69.50 with OPTUM vs $378.00 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 →

Payer
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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
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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
OPTUM Managed Medicaid Transplant $69.50 ↓ -72%
Buckeye Managed Medicaid $73.16 ↓ -70%
CARESOURCE Managed Medicaid $73.16 ↓ -70%
ANTHEM Managed Medicaid $76.82 ↓ -69%
UNITED Managed Medicaid $76.82 ↓ -69%
MOLINA Managed Medicaid $76.82 ↓ -69%
AMERIHEALTH Managed Medicaid $80.48 ↓ -67%
OSCAR ALL PRODUCTS $106.90 ↓ -56%
HUMANA Medicare Advantage HMO $113.40 ↓ -54%
MMO Medicare Advantage HMO & PPO $113.40 ↓ -54%
UNITED MEDICARE ADVANTAGE $113.40 ↓ -54%
PHPHI ALL PRODUCTS $120.96 ↓ -51%
AETNA MEDICARE ADVANTAGE $120.96 ↓ -51%
PHP ALL PRODUCTS $120.96 ↓ -51%
Summacare MEDICARE ADVANTAGE $120.96 ↓ -51%
The Health Plan Secure Care $151.20 ↓ -38%
Amish Community Aid Plan ALL PRODUCTS $170.10 ↓ -31%
Aultcare PPO/HMO $181.82 ↓ -26%
OHCP ALL PRODUCTS $183.71 ↓ -25%
OMAS ALL PRODUCTS $189.00 ↓ -23%
MMO TRADITIONAL $196.94 ↓ -20%
Ohio Healthy TRANSPLANT $204.12 ↓ -17%
ANTHEM HPN $206.39 ↓ -16%
OPTUM All Products Transplant $213.95 ↓ -13%
AETNA Acop $214.70 ↓ -13%
Summacare Preferred $217.73 ↓ -11%
Summacare PREMIER $226.80 ↓ -8%
UPMC ALL PRODUCTS $226.80 ↓ -8%
CIGNA ALL PRODUCTS $240.03 ↓ -2%
ANTHEM PPO/HMO $242.83 ↓ -1%
ANTHEM TRADITIONAL $250.39 ↑ +2%
CC EHP ALL PRODUCTS $254.02 ↑ +3%
AETNA Asa_Whirlpool_Peia $259.69 ↑ +6%
UNITED ALL PRODUCTS $261.58 ↑ +6%
AETNA International $262.33 ↑ +7%
GMS ALL PRODUCTS $264.60 ↑ +8%
Medical Benefit Corp Transplant SMCP $264.60 ↑ +8%
AETNA ALL PRODUCTS $283.50 ↑ +15%
Consociate Health ALL PRODUCTS $283.50 ↑ +15%
The Health Plan ALL PRODUCTS $302.40 ↑ +23%
MULTIPLAN ALL PRODUCTS $340.20 ↑ +38%
Tertiary Care Network TRANSPLANT $340.20 ↑ +38%
FrontPath TRANSPLANT $340.20 ↑ +38%
Managed Care Services TRANSPLANT $340.20 ↑ +38%
AETNA Qhp/Ipf $378.00 ↑ +54%
CommuniCare MEDICARE ADVANTAGE not published by hospital —
AETNA NAP not published by hospital —
CIGNA MEDICARE ADVANTAGE not published by hospital —
OPTUM Medicare Advantage Transplant not published by hospital —
ANTHEM MEDICARE ADVANTAGE not published by hospital —
OPTUM All Products VA not published by hospital —

Visitor-reported prices

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Dihydroergotamine 0.05 mg/ml IV syringe - cnr at other Ohio hospitals

Hospital City Cash price Negotiated range
Jewish Hospital Cincinnati $220.50 not published
Kings Mills Hospital Mason $236.88 not published
St Ritas Medical Center Lima $456.30 not published
Trinity Medical Center East Steubenville $158.21 $41.04 – $245.63
cleveland clinic main campus Cleveland $61.26 $20.54 – $84.82
akron general Akron $245.70 $2.17 – $340.20
avon hospital Avon $245.70 $15.51 – $91.00
cleveland clinic childrens hospital for rehabilitation Cleveland $245.70 $72.53 – $340.20

All Ohio hospitals for this procedure →