Inj, abilify maintena, 1 mg at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$6,796.39
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.
?
What you pay up front if you don't use insurance.
$10,455.99
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.
?
The hospital's undiscounted list price — almost no one pays this.
$7.07 with OPTUM vs $7,842.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $7.07 | ↓ -100% |
| OPTUM | All Products VA | $7.07 | ↓ -100% |
| ANTHEM | MEDICARE ADVANTAGE | $7.27 | ↓ -100% |
| OSCAR | ALL PRODUCTS | $2,217.72 | ↓ -67% |
| HUMANA | Medicare Advantage HMO | $2,352.60 | ↓ -65% |
| UNITED | MEDICARE ADVANTAGE | $2,352.60 | ↓ -65% |
| MMO | Medicare Advantage HMO & PPO | $2,352.60 | ↓ -65% |
| PHPHI | ALL PRODUCTS | $2,509.44 | ↓ -63% |
| PHP | ALL PRODUCTS | $2,509.44 | ↓ -63% |
| AETNA | MEDICARE ADVANTAGE | $2,509.44 | ↓ -63% |
| Summacare | MEDICARE ADVANTAGE | $2,509.44 | ↓ -63% |
| The Health Plan | Secure Care | $3,136.80 | ↓ -54% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,528.90 | ↓ -48% |
| Aultcare | PPO/HMO | $3,772.00 | ↓ -44% |
| OHCP | ALL PRODUCTS | $3,811.21 | ↓ -44% |
| OPTUM | Managed Medicaid Transplant | $3,829.32 | ↓ -44% |
| OMAS | ALL PRODUCTS | $3,921.00 | ↓ -42% |
| CARESOURCE | Managed Medicaid | $4,030.86 | ↓ -41% |
| Buckeye | Managed Medicaid | $4,030.86 | ↓ -41% |
| MMO | TRADITIONAL | $4,085.68 | ↓ -40% |
| MOLINA | Managed Medicaid | $4,232.40 | ↓ -38% |
| ANTHEM | Managed Medicaid | $4,232.40 | ↓ -38% |
| UNITED | Managed Medicaid | $4,232.40 | ↓ -38% |
| Ohio Healthy | TRANSPLANT | $4,234.68 | ↓ -38% |
| ANTHEM | HPN | $4,281.73 | ↓ -37% |
| AMERIHEALTH | Managed Medicaid | $4,433.95 | ↓ -35% |
| OPTUM | All Products Transplant | $4,438.57 | ↓ -35% |
| AETNA | Acop | $4,454.26 | ↓ -34% |
| Summacare | Preferred | $4,516.99 | ↓ -34% |
| Summacare | PREMIER | $4,705.20 | ↓ -31% |
| UPMC | ALL PRODUCTS | $4,705.20 | ↓ -31% |
| CIGNA | ALL PRODUCTS | $4,979.67 | ↓ -27% |
| ANTHEM | PPO/HMO | $5,037.70 | ↓ -26% |
| ANTHEM | TRADITIONAL | $5,194.54 | ↓ -24% |
| CC EHP | ALL PRODUCTS | $5,269.82 | ↓ -22% |
| AETNA | Asa_Whirlpool_Peia | $5,387.45 | ↓ -21% |
| UNITED | ALL PRODUCTS | $5,426.66 | ↓ -20% |
| AETNA | International | $5,442.35 | ↓ -20% |
| Medical Benefit Corp | Transplant SMCP | $5,489.40 | ↓ -19% |
| GMS | ALL PRODUCTS | $5,489.40 | ↓ -19% |
| AETNA | ALL PRODUCTS | $5,881.50 | ↓ -13% |
| Consociate Health | ALL PRODUCTS | $5,881.50 | ↓ -13% |
| The Health Plan | ALL PRODUCTS | $6,273.60 | ↓ -8% |
| Managed Care Services | TRANSPLANT | $7,057.80 | ↑ +4% |
| Tertiary Care Network | TRANSPLANT | $7,057.80 | ↑ +4% |
| MULTIPLAN | ALL PRODUCTS | $7,057.80 | ↑ +4% |
| FrontPath | TRANSPLANT | $7,057.80 | ↑ +4% |
| AETNA | Qhp/Ipf | $7,842.00 | ↑ +15% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Inj, abilify maintena, 1 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $3,181.89 | $7.07 – $3,706.78 |
| akron general | Akron | $6,796.39 | $2.17 – $7,057.80 |
| avon hospital | Avon | $6,796.39 | $7.07 – $7,057.80 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $6,796.39 | $2,217.72 – $7,057.80 |
| euclid hospital | Euclid | $6,796.39 | $6.81 – $7,057.80 |
| fairview hospital | Cleveland | $6,796.39 | $2.17 – $7,057.80 |
| lutheran hospital | Cleveland | $6,796.39 | $7.07 – $7,057.80 |
| hillcrest hospital | Mayfield Heights | $6,796.39 | $2.17 – $7,057.80 |