Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$9,629.78
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.
$14,815.04
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.
$27.81 with OPTUM vs $14,815.04 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 |
|---|---|---|---|
| OPTUM | Medicare Advantage Transplant | $27.81 | ↓ -100% |
| OPTUM | All Products VA | $27.81 | ↓ -100% |
| ANTHEM | MEDICARE ADVANTAGE | $31.30 | ↓ -100% |
| OSCAR | ALL PRODUCTS | $4,189.69 | ↓ -56% |
| HUMANA | Medicare Advantage HMO | $4,444.51 | ↓ -54% |
| UNITED | MEDICARE ADVANTAGE | $4,444.51 | ↓ -54% |
| MMO | Medicare Advantage HMO & PPO | $4,444.51 | ↓ -54% |
| OPTUM | Managed Medicaid Transplant | $4,719.74 | ↓ -51% |
| PHP | ALL PRODUCTS | $4,740.81 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $4,740.81 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $4,740.81 | ↓ -51% |
| Summacare | MEDICARE ADVANTAGE | $4,740.81 | ↓ -51% |
| Buckeye | Managed Medicaid | $4,968.15 | ↓ -48% |
| CARESOURCE | Managed Medicaid | $4,968.15 | ↓ -48% |
| UNITED | Managed Medicaid | $5,216.56 | ↓ -46% |
| ANTHEM | Managed Medicaid | $5,216.56 | ↓ -46% |
| MOLINA | Managed Medicaid | $5,216.56 | ↓ -46% |
| AMERIHEALTH | Managed Medicaid | $5,464.97 | ↓ -43% |
| The Health Plan | Secure Care | $5,926.02 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $6,666.77 | ↓ -31% |
| Aultcare | PPO/HMO | $7,126.03 | ↓ -26% |
| OHCP | ALL PRODUCTS | $7,200.11 | ↓ -25% |
| OMAS | ALL PRODUCTS | $7,407.52 | ↓ -23% |
| MMO | TRADITIONAL | $7,718.64 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $8,000.12 | ↓ -17% |
| ANTHEM | HPN | $8,089.01 | ↓ -16% |
| OPTUM | All Products Transplant | $8,385.31 | ↓ -13% |
| AETNA | Acop | $8,414.94 | ↓ -13% |
| Summacare | Preferred | $8,533.46 | ↓ -11% |
| Summacare | PREMIER | $8,889.02 | ↓ -8% |
| UPMC | ALL PRODUCTS | $8,889.02 | ↓ -8% |
| CIGNA | ALL PRODUCTS | $9,407.55 | ↓ -2% |
| ANTHEM | PPO/HMO | $9,517.18 | ↓ -1% |
| ANTHEM | TRADITIONAL | $9,813.48 | ↑ +2% |
| CC EHP | ALL PRODUCTS | $9,955.71 | ↑ +3% |
| AETNA | Asa_Whirlpool_Peia | $10,177.93 | ↑ +6% |
| UNITED | ALL PRODUCTS | $10,252.01 | ↑ +6% |
| AETNA | International | $10,281.64 | ↑ +7% |
| Medical Benefit Corp | Transplant SMCP | $10,370.53 | ↑ +8% |
| GMS | ALL PRODUCTS | $10,370.53 | ↑ +8% |
| AETNA | ALL PRODUCTS | $11,111.28 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $11,111.28 | ↑ +15% |
| The Health Plan | ALL PRODUCTS | $11,852.03 | ↑ +23% |
| Managed Care Services | TRANSPLANT | $13,333.54 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $13,333.54 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $13,333.54 | ↑ +38% |
| FrontPath | TRANSPLANT | $13,333.54 | ↑ +38% |
| AETNA | Qhp/Ipf | $14,815.04 | ↑ +54% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
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Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $9,629.78 | $2.17 – $13,333.54 |
| avon hospital | Avon | $9,629.78 | $27.81 – $13,333.54 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $9,629.78 | $4,189.69 – $13,333.54 |
| euclid hospital | Euclid | $9,629.78 | $27.27 – $13,333.54 |
| fairview hospital | Cleveland | $9,629.78 | $2.17 – $13,333.54 |
| lutheran hospital | Cleveland | $9,629.78 | $27.81 – $13,333.54 |
| hillcrest hospital | Mayfield Heights | $9,629.78 | $2.17 – $13,333.54 |
| marymount hospital | Garfield Heights | $9,629.78 | $27.27 – $13,333.54 |