Inj. byooviz, 0.1 mg at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$54,470.52
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.
$83,800.80
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.
$60.21 with ANTHEM vs $83,800.80 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 |
|---|---|---|---|
| ANTHEM | MEDICARE ADVANTAGE | $60.21 | ↓ -100% |
| OPTUM | All Products VA | $170.80 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $170.80 | ↓ -100% |
| OPTUM | Managed Medicaid Transplant | $1,866.01 | ↓ -97% |
| Buckeye | Managed Medicaid | $1,964.22 | ↓ -96% |
| CARESOURCE | Managed Medicaid | $1,964.22 | ↓ -96% |
| ANTHEM | Managed Medicaid | $2,062.43 | ↓ -96% |
| UNITED | Managed Medicaid | $2,062.43 | ↓ -96% |
| MOLINA | Managed Medicaid | $2,062.43 | ↓ -96% |
| AMERIHEALTH | Managed Medicaid | $2,160.64 | ↓ -96% |
| OSCAR | ALL PRODUCTS | $23,698.87 | ↓ -56% |
| UNITED | MEDICARE ADVANTAGE | $25,140.24 | ↓ -54% |
| HUMANA | Medicare Advantage HMO | $25,140.24 | ↓ -54% |
| MMO | Medicare Advantage HMO & PPO | $25,140.24 | ↓ -54% |
| PHP | ALL PRODUCTS | $26,816.26 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $26,816.26 | ↓ -51% |
| Summacare | MEDICARE ADVANTAGE | $26,816.26 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $26,816.26 | ↓ -51% |
| The Health Plan | Secure Care | $33,520.32 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $37,710.36 | ↓ -31% |
| Aultcare | PPO/HMO | $40,308.18 | ↓ -26% |
| OHCP | ALL PRODUCTS | $40,727.19 | ↓ -25% |
| OMAS | ALL PRODUCTS | $41,900.40 | ↓ -23% |
| MMO | TRADITIONAL | $43,660.22 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $45,252.43 | ↓ -17% |
| ANTHEM | HPN | $45,755.24 | ↓ -16% |
| OPTUM | All Products Transplant | $47,431.25 | ↓ -13% |
| AETNA | Acop | $47,598.85 | ↓ -13% |
| Summacare | Preferred | $48,269.26 | ↓ -11% |
| Summacare | PREMIER | $50,280.48 | ↓ -8% |
| UPMC | ALL PRODUCTS | $50,280.48 | ↓ -8% |
| CIGNA | ALL PRODUCTS | $53,213.51 | ↓ -2% |
| ANTHEM | PPO/HMO | $53,833.63 | ↓ -1% |
| ANTHEM | TRADITIONAL | $55,509.65 | ↑ +2% |
| CC EHP | ALL PRODUCTS | $56,314.14 | ↑ +3% |
| AETNA | Asa_Whirlpool_Peia | $57,571.15 | ↑ +6% |
| UNITED | ALL PRODUCTS | $57,990.15 | ↑ +6% |
| AETNA | International | $58,157.76 | ↑ +7% |
| GMS | ALL PRODUCTS | $58,660.56 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $58,660.56 | ↑ +8% |
| AETNA | ALL PRODUCTS | $62,850.60 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $62,850.60 | ↑ +15% |
| The Health Plan | ALL PRODUCTS | $67,040.64 | ↑ +23% |
| FrontPath | TRANSPLANT | $75,420.72 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $75,420.72 | ↑ +38% |
| MULTIPLAN | ALL PRODUCTS | $75,420.72 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $75,420.72 | ↑ +38% |
| AETNA | Qhp/Ipf | $83,800.80 | ↑ +54% |
| AETNA | NAP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Inj. byooviz, 0.1 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | not published | $7.53 – $1,622.37 |
| University Hospitals Ahuja Medical Center | Beachwood | not published | $70.90 – $127.63 |
| University Hospitals Beachwood Medical Center | Beachwood | not published | $70.90 – $127.63 |
| University Hospitals Conneaut Medical Center | Conneaut | not published | $216.97 – $237.44 |
| University Hospitals Elyria Medical Center | Elyria | not published | $70.90 – $127.63 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | not published | $70.90 – $127.63 |
| University Hospitals Geneva Medical Center | Geneva | not published | $200.68 – $831.04 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | not published | $70.90 – $127.63 |