Incobotulinumtoxin a at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$1,195.74
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.
$1,839.60
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.
$5.25 with ANTHEM vs $1,119.15 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 | $5.25 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $5.34 | ↓ -100% |
| OPTUM | All Products VA | $5.34 | ↓ -100% |
| OSCAR | ALL PRODUCTS | $272.85 | ↓ -77% |
| UNITED | MEDICARE ADVANTAGE | $289.44 | ↓ -76% |
| MMO | Medicare Advantage HMO & PPO | $289.44 | ↓ -76% |
| HUMANA | Medicare Advantage HMO | $289.44 | ↓ -76% |
| PHPHI | ALL PRODUCTS | $308.74 | ↓ -74% |
| Summacare | MEDICARE ADVANTAGE | $308.74 | ↓ -74% |
| AETNA | MEDICARE ADVANTAGE | $308.74 | ↓ -74% |
| PHP | ALL PRODUCTS | $308.74 | ↓ -74% |
| The Health Plan | Secure Care | $385.92 | ↓ -68% |
| Amish Community Aid Plan | ALL PRODUCTS | $434.16 | ↓ -64% |
| Aultcare | PPO/HMO | $464.07 | ↓ -61% |
| OHCP | ALL PRODUCTS | $468.89 | ↓ -61% |
| OMAS | ALL PRODUCTS | $482.40 | ↓ -60% |
| MMO | TRADITIONAL | $502.66 | ↓ -58% |
| Ohio Healthy | TRANSPLANT | $520.99 | ↓ -56% |
| ANTHEM | HPN | $526.78 | ↓ -56% |
| OPTUM | All Products Transplant | $546.08 | ↓ -54% |
| AETNA | Acop | $548.01 | ↓ -54% |
| Summacare | Preferred | $555.72 | ↓ -54% |
| Summacare | PREMIER | $578.88 | ↓ -52% |
| UPMC | ALL PRODUCTS | $578.88 | ↓ -52% |
| CIGNA | ALL PRODUCTS | $612.65 | ↓ -49% |
| ANTHEM | PPO/HMO | $619.79 | ↓ -48% |
| ANTHEM | TRADITIONAL | $639.08 | ↓ -47% |
| CC EHP | ALL PRODUCTS | $648.35 | ↓ -46% |
| AETNA | Asa_Whirlpool_Peia | $662.82 | ↓ -45% |
| UNITED | ALL PRODUCTS | $667.64 | ↓ -44% |
| AETNA | International | $669.57 | ↓ -44% |
| Medical Benefit Corp | Transplant SMCP | $675.36 | ↓ -44% |
| GMS | ALL PRODUCTS | $675.36 | ↓ -44% |
| AETNA | ALL PRODUCTS | $723.60 | ↓ -39% |
| Consociate Health | ALL PRODUCTS | $723.60 | ↓ -39% |
| The Health Plan | ALL PRODUCTS | $771.84 | ↓ -35% |
| Managed Care Services | TRANSPLANT | $868.32 | ↓ -27% |
| FrontPath | TRANSPLANT | $868.32 | ↓ -27% |
| MULTIPLAN | ALL PRODUCTS | $868.32 | ↓ -27% |
| Tertiary Care Network | TRANSPLANT | $868.32 | ↓ -27% |
| AETNA | Qhp/Ipf | $964.80 | ↓ -19% |
| OPTUM | Managed Medicaid Transplant | $966.54 | ↓ -19% |
| Buckeye | Managed Medicaid | $1,017.41 | ↓ -15% |
| CARESOURCE | Managed Medicaid | $1,017.41 | ↓ -15% |
| ANTHEM | Managed Medicaid | $1,068.28 | ↓ -11% |
| MOLINA | Managed Medicaid | $1,068.28 | ↓ -11% |
| UNITED | Managed Medicaid | $1,068.28 | ↓ -11% |
| AMERIHEALTH | Managed Medicaid | $1,119.15 | ↓ -6% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Incobotulinumtoxin a at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $1,535.73 | $5.31 – $1,099.93 |
| akron general | Akron | $1,195.74 | $2.17 – $667.03 |
| avon hospital | Avon | $1,195.74 | $5.25 – $868.32 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1,195.74 | $272.85 – $1,167.96 |
| euclid hospital | Euclid | $1,195.74 | $5.20 – $868.32 |
| fairview hospital | Cleveland | $1,195.74 | $2.17 – $868.32 |
| lutheran hospital | Cleveland | $1,195.74 | $5.25 – $868.32 |
| hillcrest hospital | Mayfield Heights | $1,195.74 | $2.17 – $868.32 |