HIV prep, inj, cabotegravir at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$3,298.62
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.
$5,074.80
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.
$6.81 with OPTUM vs $5,464.97 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 |
|---|---|---|---|
| OPTUM | All Products VA | $6.81 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $6.81 | ↓ -100% |
| ANTHEM | MEDICARE ADVANTAGE | $7.14 | ↓ -100% |
| OSCAR | ALL PRODUCTS | $1,210.32 | ↓ -63% |
| MMO | Medicare Advantage HMO & PPO | $1,283.93 | ↓ -61% |
| UNITED | MEDICARE ADVANTAGE | $1,283.93 | ↓ -61% |
| HUMANA | Medicare Advantage HMO | $1,283.93 | ↓ -61% |
| PHP | ALL PRODUCTS | $1,369.53 | ↓ -58% |
| Summacare | MEDICARE ADVANTAGE | $1,369.53 | ↓ -58% |
| AETNA | MEDICARE ADVANTAGE | $1,369.53 | ↓ -58% |
| PHPHI | ALL PRODUCTS | $1,369.53 | ↓ -58% |
| The Health Plan | Secure Care | $1,711.91 | ↓ -48% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,925.90 | ↓ -42% |
| Aultcare | PPO/HMO | $2,058.57 | ↓ -38% |
| OHCP | ALL PRODUCTS | $2,079.97 | ↓ -37% |
| OMAS | ALL PRODUCTS | $2,139.89 | ↓ -35% |
| MMO | TRADITIONAL | $2,229.76 | ↓ -32% |
| Ohio Healthy | TRANSPLANT | $2,311.08 | ↓ -30% |
| ANTHEM | HPN | $2,336.75 | ↓ -29% |
| OPTUM | All Products Transplant | $2,422.35 | ↓ -27% |
| AETNA | Acop | $2,430.91 | ↓ -26% |
| Summacare | Preferred | $2,465.15 | ↓ -25% |
| UPMC | ALL PRODUCTS | $2,567.86 | ↓ -22% |
| Summacare | PREMIER | $2,567.86 | ↓ -22% |
| CIGNA | ALL PRODUCTS | $2,717.65 | ↓ -18% |
| ANTHEM | PPO/HMO | $2,749.32 | ↓ -17% |
| ANTHEM | TRADITIONAL | $2,834.92 | ↓ -14% |
| CC EHP | ALL PRODUCTS | $2,876.01 | ↓ -13% |
| AETNA | Asa_Whirlpool_Peia | $2,940.20 | ↓ -11% |
| UNITED | ALL PRODUCTS | $2,961.60 | ↓ -10% |
| AETNA | International | $2,970.16 | ↓ -10% |
| GMS | ALL PRODUCTS | $2,995.84 | ↓ -9% |
| Medical Benefit Corp | Transplant SMCP | $2,995.84 | ↓ -9% |
| AETNA | ALL PRODUCTS | $3,209.83 | ↓ -3% |
| Consociate Health | ALL PRODUCTS | $3,209.83 | ↓ -3% |
| The Health Plan | ALL PRODUCTS | $3,423.82 | ↑ +4% |
| MULTIPLAN | ALL PRODUCTS | $3,851.79 | ↑ +17% |
| FrontPath | TRANSPLANT | $3,851.79 | ↑ +17% |
| Tertiary Care Network | TRANSPLANT | $3,851.79 | ↑ +17% |
| Managed Care Services | TRANSPLANT | $3,851.79 | ↑ +17% |
| AETNA | Qhp/Ipf | $4,279.77 | ↑ +30% |
| OPTUM | Managed Medicaid Transplant | $4,719.74 | ↑ +43% |
| Buckeye | Managed Medicaid | $4,968.15 | ↑ +51% |
| CARESOURCE | Managed Medicaid | $4,968.15 | ↑ +51% |
| UNITED | Managed Medicaid | $5,216.56 | ↑ +58% |
| MOLINA | Managed Medicaid | $5,216.56 | ↑ +58% |
| ANTHEM | Managed Medicaid | $5,216.56 | ↑ +58% |
| AMERIHEALTH | Managed Medicaid | $5,464.97 | ↑ +66% |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
HIV prep, inj, cabotegravir at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Anderson Hospital | Cincinnati | $17,823.72 | not published |
| Clermont Hospital | Batavia | $17,823.72 | not published |
| akron general | Akron | $3,298.62 | $2.17 – $3,851.79 |
| avon hospital | Avon | $3,298.62 | $6.81 – $3,851.79 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $3,298.62 | $1,210.32 – $5,703.31 |
| euclid hospital | Euclid | $3,298.62 | $6.81 – $3,851.79 |
| fairview hospital | Cleveland | $3,298.62 | $2.17 – $3,851.79 |
| lutheran hospital | Cleveland | $3,298.62 | $6.81 – $3,851.79 |