Fosphenytoin 50 mg pe/ml injection (wrapper) at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$47.31
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.
$72.78
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.
$1.34 with ANTHEM vs $80.48 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 | $1.34 | ↓ -97% |
| OSCAR | ALL PRODUCTS | $2.04 | ↓ -96% |
| MMO | Medicare Advantage HMO & PPO | $2.16 | ↓ -95% |
| UNITED | MEDICARE ADVANTAGE | $2.16 | ↓ -95% |
| HUMANA | Medicare Advantage HMO | $2.16 | ↓ -95% |
| AETNA | MEDICARE ADVANTAGE | $2.30 | ↓ -95% |
| Summacare | MEDICARE ADVANTAGE | $2.30 | ↓ -95% |
| PHP | ALL PRODUCTS | $2.30 | ↓ -95% |
| PHPHI | ALL PRODUCTS | $2.30 | ↓ -95% |
| The Health Plan | Secure Care | $2.88 | ↓ -94% |
| Amish Community Aid Plan | ALL PRODUCTS | $3.24 | ↓ -93% |
| Aultcare | PPO/HMO | $3.46 | ↓ -93% |
| OHCP | ALL PRODUCTS | $3.50 | ↓ -93% |
| OMAS | ALL PRODUCTS | $3.60 | ↓ -92% |
| MMO | TRADITIONAL | $3.75 | ↓ -92% |
| Ohio Healthy | TRANSPLANT | $3.89 | ↓ -92% |
| ANTHEM | HPN | $3.93 | ↓ -92% |
| OPTUM | All Products Transplant | $4.08 | ↓ -91% |
| AETNA | Acop | $4.09 | ↓ -91% |
| Summacare | Preferred | $4.15 | ↓ -91% |
| UPMC | ALL PRODUCTS | $4.32 | ↓ -91% |
| Summacare | PREMIER | $4.32 | ↓ -91% |
| CIGNA | ALL PRODUCTS | $4.57 | ↓ -90% |
| ANTHEM | PPO/HMO | $4.63 | ↓ -90% |
| ANTHEM | TRADITIONAL | $4.77 | ↓ -90% |
| CC EHP | ALL PRODUCTS | $4.84 | ↓ -90% |
| AETNA | Asa_Whirlpool_Peia | $4.95 | ↓ -90% |
| UNITED | ALL PRODUCTS | $4.98 | ↓ -89% |
| AETNA | International | $5.00 | ↓ -89% |
| Medical Benefit Corp | Transplant SMCP | $5.04 | ↓ -89% |
| GMS | ALL PRODUCTS | $5.04 | ↓ -89% |
| AETNA | ALL PRODUCTS | $5.40 | ↓ -89% |
| Consociate Health | ALL PRODUCTS | $5.40 | ↓ -89% |
| The Health Plan | ALL PRODUCTS | $5.76 | ↓ -88% |
| Tertiary Care Network | TRANSPLANT | $6.48 | ↓ -86% |
| Managed Care Services | TRANSPLANT | $6.48 | ↓ -86% |
| FrontPath | TRANSPLANT | $6.48 | ↓ -86% |
| MULTIPLAN | ALL PRODUCTS | $6.48 | ↓ -86% |
| AETNA | Qhp/Ipf | $7.20 | ↓ -85% |
| OPTUM | Managed Medicaid Transplant | $69.50 | ↑ +47% |
| CARESOURCE | Managed Medicaid | $73.16 | ↑ +55% |
| Buckeye | Managed Medicaid | $73.16 | ↑ +55% |
| ANTHEM | Managed Medicaid | $76.82 | ↑ +62% |
| MOLINA | Managed Medicaid | $76.82 | ↑ +62% |
| UNITED | Managed Medicaid | $76.82 | ↑ +62% |
| AMERIHEALTH | Managed Medicaid | $80.48 | ↑ +70% |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
Visitor-reported prices
Comments
Fosphenytoin 50 mg pe/ml injection (wrapper) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $22.98 | not published |
| Anderson Hospital | Cincinnati | $24.72 | not published |
| Clermont Hospital | Batavia | $24.72 | not published |
| Kings Mills Hospital | Mason | $547.32 | not published |
| Mercy West Hospital | Cincinnati | $182.46 | not published |
| St Ritas Medical Center | Lima | $473.10 | not published |
| Trinity Medical Center East | Steubenville | $139.86 | $1.41 – $73.92 |
| cleveland clinic main campus | Cleveland | $5.20 | $0.17 – $60.42 |