Inj, fulvestrant (fresenius) at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$604.99
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.
$930.76
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.
$23.76 with OSCAR vs $838.96 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 |
|---|---|---|---|
| OSCAR | ALL PRODUCTS | $23.76 | ↓ -96% |
| HUMANA | Medicare Advantage HMO | $25.20 | ↓ -96% |
| MMO | Medicare Advantage HMO & PPO | $25.20 | ↓ -96% |
| UNITED | MEDICARE ADVANTAGE | $25.20 | ↓ -96% |
| AETNA | MEDICARE ADVANTAGE | $26.88 | ↓ -96% |
| Summacare | MEDICARE ADVANTAGE | $26.88 | ↓ -96% |
| PHPHI | ALL PRODUCTS | $26.88 | ↓ -96% |
| PHP | ALL PRODUCTS | $26.88 | ↓ -96% |
| ANTHEM | MEDICARE ADVANTAGE | $27.11 | ↓ -96% |
| The Health Plan | Secure Care | $33.60 | ↓ -94% |
| Amish Community Aid Plan | ALL PRODUCTS | $37.80 | ↓ -94% |
| Aultcare | PPO/HMO | $40.40 | ↓ -93% |
| OHCP | ALL PRODUCTS | $40.82 | ↓ -93% |
| OMAS | ALL PRODUCTS | $42.00 | ↓ -93% |
| MMO | TRADITIONAL | $43.76 | ↓ -93% |
| Ohio Healthy | TRANSPLANT | $45.36 | ↓ -93% |
| ANTHEM | HPN | $45.86 | ↓ -92% |
| OPTUM | All Products Transplant | $47.54 | ↓ -92% |
| AETNA | Acop | $47.71 | ↓ -92% |
| Summacare | Preferred | $48.38 | ↓ -92% |
| Summacare | PREMIER | $50.40 | ↓ -92% |
| UPMC | ALL PRODUCTS | $50.40 | ↓ -92% |
| OPTUM | All Products VA | $53.00 | ↓ -91% |
| OPTUM | Medicare Advantage Transplant | $53.00 | ↓ -91% |
| CIGNA | ALL PRODUCTS | $53.34 | ↓ -91% |
| ANTHEM | PPO/HMO | $53.96 | ↓ -91% |
| ANTHEM | TRADITIONAL | $55.64 | ↓ -91% |
| CC EHP | ALL PRODUCTS | $56.45 | ↓ -91% |
| AETNA | Asa_Whirlpool_Peia | $57.71 | ↓ -90% |
| UNITED | ALL PRODUCTS | $58.13 | ↓ -90% |
| AETNA | International | $58.30 | ↓ -90% |
| Medical Benefit Corp | Transplant SMCP | $58.80 | ↓ -90% |
| GMS | ALL PRODUCTS | $58.80 | ↓ -90% |
| AETNA | ALL PRODUCTS | $63.00 | ↓ -90% |
| Consociate Health | ALL PRODUCTS | $63.00 | ↓ -90% |
| The Health Plan | ALL PRODUCTS | $67.20 | ↓ -89% |
| FrontPath | TRANSPLANT | $75.60 | ↓ -88% |
| Managed Care Services | TRANSPLANT | $75.60 | ↓ -88% |
| MULTIPLAN | ALL PRODUCTS | $75.60 | ↓ -88% |
| Tertiary Care Network | TRANSPLANT | $75.60 | ↓ -88% |
| AETNA | Qhp/Ipf | $84.00 | ↓ -86% |
| OPTUM | Managed Medicaid Transplant | $724.56 | ↑ +20% |
| Buckeye | Managed Medicaid | $762.69 | ↑ +26% |
| CARESOURCE | Managed Medicaid | $762.69 | ↑ +26% |
| ANTHEM | Managed Medicaid | $800.82 | ↑ +32% |
| UNITED | Managed Medicaid | $800.82 | ↑ +32% |
| MOLINA | Managed Medicaid | $800.82 | ↑ +32% |
| AMERIHEALTH | Managed Medicaid | $838.96 | ↑ +39% |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
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Inj, fulvestrant (fresenius) at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $604.99 | $2.17 – $500.04 |
| avon hospital | Avon | $604.99 | $23.76 – $471.97 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $604.99 | $23.76 – $875.55 |
| euclid hospital | Euclid | $604.99 | $5.29 – $549.43 |
| fairview hospital | Cleveland | $604.99 | $2.17 – $516.16 |
| lutheran hospital | Cleveland | $604.99 | $23.76 – $491.40 |
| hillcrest hospital | Mayfield Heights | $604.99 | $2.17 – $537.76 |
| marymount hospital | Garfield Heights | $604.99 | $5.29 – $485.20 |