Inj., guselkumab, 1 mg at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$34,085.47
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.
$52,439.19
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.
$72.93 with ANTHEM vs $11,763.46 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 | $72.93 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $74.47 | ↓ -100% |
| OPTUM | All Products VA | $74.47 | ↓ -100% |
| OSCAR | ALL PRODUCTS | $741.49 | ↓ -98% |
| UNITED | MEDICARE ADVANTAGE | $786.59 | ↓ -98% |
| MMO | Medicare Advantage HMO & PPO | $786.59 | ↓ -98% |
| HUMANA | Medicare Advantage HMO | $786.59 | ↓ -98% |
| AETNA | MEDICARE ADVANTAGE | $839.03 | ↓ -98% |
| PHPHI | ALL PRODUCTS | $839.03 | ↓ -98% |
| PHP | ALL PRODUCTS | $839.03 | ↓ -98% |
| Summacare | MEDICARE ADVANTAGE | $839.03 | ↓ -98% |
| The Health Plan | Secure Care | $1,048.79 | ↓ -97% |
| Amish Community Aid Plan | ALL PRODUCTS | $1,179.89 | ↓ -97% |
| Aultcare | PPO/HMO | $1,261.17 | ↓ -96% |
| OHCP | ALL PRODUCTS | $1,274.28 | ↓ -96% |
| OMAS | ALL PRODUCTS | $1,310.99 | ↓ -96% |
| MMO | TRADITIONAL | $1,366.05 | ↓ -96% |
| Ohio Healthy | TRANSPLANT | $1,415.86 | ↓ -96% |
| ANTHEM | HPN | $1,431.60 | ↓ -96% |
| OPTUM | All Products Transplant | $1,484.04 | ↓ -96% |
| AETNA | Acop | $1,489.28 | ↓ -96% |
| Summacare | Preferred | $1,510.25 | ↓ -96% |
| Summacare | PREMIER | $1,573.18 | ↓ -95% |
| UPMC | ALL PRODUCTS | $1,573.18 | ↓ -95% |
| CIGNA | ALL PRODUCTS | $1,664.95 | ↓ -95% |
| ANTHEM | PPO/HMO | $1,684.35 | ↓ -95% |
| ANTHEM | TRADITIONAL | $1,736.79 | ↓ -95% |
| CC EHP | ALL PRODUCTS | $1,761.96 | ↓ -95% |
| AETNA | Asa_Whirlpool_Peia | $1,801.29 | ↓ -95% |
| UNITED | ALL PRODUCTS | $1,814.40 | ↓ -95% |
| AETNA | International | $1,819.65 | ↓ -95% |
| Medical Benefit Corp | Transplant SMCP | $1,835.38 | ↓ -95% |
| GMS | ALL PRODUCTS | $1,835.38 | ↓ -95% |
| AETNA | ALL PRODUCTS | $1,966.48 | ↓ -94% |
| Consociate Health | ALL PRODUCTS | $1,966.48 | ↓ -94% |
| The Health Plan | ALL PRODUCTS | $2,097.58 | ↓ -94% |
| Managed Care Services | TRANSPLANT | $2,359.77 | ↓ -93% |
| FrontPath | TRANSPLANT | $2,359.77 | ↓ -93% |
| MULTIPLAN | ALL PRODUCTS | $2,359.77 | ↓ -93% |
| Tertiary Care Network | TRANSPLANT | $2,359.77 | ↓ -93% |
| AETNA | Qhp/Ipf | $2,621.97 | ↓ -92% |
| OPTUM | Managed Medicaid Transplant | $10,159.35 | ↓ -70% |
| Buckeye | Managed Medicaid | $10,694.05 | ↓ -69% |
| CARESOURCE | Managed Medicaid | $10,694.05 | ↓ -69% |
| ANTHEM | Managed Medicaid | $11,228.75 | ↓ -67% |
| UNITED | Managed Medicaid | $11,228.75 | ↓ -67% |
| MOLINA | Managed Medicaid | $11,228.75 | ↓ -67% |
| AMERIHEALTH | Managed Medicaid | $11,763.46 | ↓ -65% |
| 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., guselkumab, 1 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $34,085.47 | $2.17 – $7,011.25 |
| avon hospital | Avon | $34,085.47 | $72.93 – $6,617.76 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $34,085.47 | $741.49 – $12,276.51 |
| euclid hospital | Euclid | $34,085.47 | $70.80 – $7,703.85 |
| fairview hospital | Cleveland | $34,085.47 | $2.17 – $7,237.38 |
| lutheran hospital | Cleveland | $34,085.47 | $72.93 – $6,890.24 |
| hillcrest hospital | Mayfield Heights | $34,085.47 | $2.17 – $7,540.23 |
| marymount hospital | Garfield Heights | $34,085.47 | $70.80 – $6,803.30 |