Injection, siltuximab at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$20,494.92
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.
$31,530.64
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.
$157.07 with OPTUM vs $7,882.64 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 |
|---|---|---|---|
| OPTUM | Medicare Advantage Transplant | $157.07 | ↓ -99% |
| OPTUM | All Products VA | $157.07 | ↓ -99% |
| ANTHEM | MEDICARE ADVANTAGE | $168.67 | ↓ -99% |
| OSCAR | ALL PRODUCTS | $2,229.21 | ↓ -89% |
| UNITED | MEDICARE ADVANTAGE | $2,364.79 | ↓ -88% |
| MMO | Medicare Advantage HMO & PPO | $2,364.79 | ↓ -88% |
| HUMANA | Medicare Advantage HMO | $2,364.79 | ↓ -88% |
| PHPHI | ALL PRODUCTS | $2,522.44 | ↓ -88% |
| Summacare | MEDICARE ADVANTAGE | $2,522.44 | ↓ -88% |
| AETNA | MEDICARE ADVANTAGE | $2,522.44 | ↓ -88% |
| PHP | ALL PRODUCTS | $2,522.44 | ↓ -88% |
| The Health Plan | Secure Care | $3,153.06 | ↓ -85% |
| Amish Community Aid Plan | ALL PRODUCTS | $3,547.19 | ↓ -83% |
| Aultcare | PPO/HMO | $3,791.55 | ↓ -82% |
| OHCP | ALL PRODUCTS | $3,830.96 | ↓ -81% |
| OMAS | ALL PRODUCTS | $3,941.32 | ↓ -81% |
| MMO | TRADITIONAL | $4,106.86 | ↓ -80% |
| Ohio Healthy | TRANSPLANT | $4,256.63 | ↓ -79% |
| ANTHEM | HPN | $4,303.92 | ↓ -79% |
| OPTUM | All Products Transplant | $4,461.57 | ↓ -78% |
| AETNA | Acop | $4,477.34 | ↓ -78% |
| Summacare | Preferred | $4,540.40 | ↓ -78% |
| Summacare | PREMIER | $4,729.58 | ↓ -77% |
| UPMC | ALL PRODUCTS | $4,729.58 | ↓ -77% |
| CIGNA | ALL PRODUCTS | $5,005.48 | ↓ -76% |
| ANTHEM | PPO/HMO | $5,063.81 | ↓ -75% |
| ANTHEM | TRADITIONAL | $5,221.46 | ↓ -75% |
| CC EHP | ALL PRODUCTS | $5,297.13 | ↓ -74% |
| AETNA | Asa_Whirlpool_Peia | $5,415.37 | ↓ -74% |
| UNITED | ALL PRODUCTS | $5,454.79 | ↓ -73% |
| AETNA | International | $5,470.55 | ↓ -73% |
| Medical Benefit Corp | Transplant SMCP | $5,517.85 | ↓ -73% |
| GMS | ALL PRODUCTS | $5,517.85 | ↓ -73% |
| AETNA | ALL PRODUCTS | $5,911.98 | ↓ -71% |
| Consociate Health | ALL PRODUCTS | $5,911.98 | ↓ -71% |
| The Health Plan | ALL PRODUCTS | $6,306.11 | ↓ -69% |
| OPTUM | Managed Medicaid Transplant | $6,401.28 | ↓ -69% |
| CARESOURCE | Managed Medicaid | $6,738.19 | ↓ -67% |
| Buckeye | Managed Medicaid | $6,738.19 | ↓ -67% |
| UNITED | Managed Medicaid | $7,075.10 | ↓ -65% |
| MOLINA | Managed Medicaid | $7,075.10 | ↓ -65% |
| ANTHEM | Managed Medicaid | $7,075.10 | ↓ -65% |
| Managed Care Services | TRANSPLANT | $7,094.38 | ↓ -65% |
| MULTIPLAN | ALL PRODUCTS | $7,094.38 | ↓ -65% |
| Tertiary Care Network | TRANSPLANT | $7,094.38 | ↓ -65% |
| FrontPath | TRANSPLANT | $7,094.38 | ↓ -65% |
| AMERIHEALTH | Managed Medicaid | $7,412.01 | ↓ -64% |
| AETNA | Qhp/Ipf | $7,882.64 | ↓ -62% |
| AETNA | NAP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Injection, siltuximab at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $20,494.92 | $2.17 – $7,094.38 |
| avon hospital | Avon | $20,494.92 | $157.07 – $7,094.38 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $20,494.92 | $2,229.21 – $7,735.29 |
| euclid hospital | Euclid | $20,494.92 | $151.31 – $7,094.38 |
| fairview hospital | Cleveland | $20,494.92 | $2.17 – $7,094.38 |
| lutheran hospital | Cleveland | $20,494.92 | $157.07 – $7,094.38 |
| hillcrest hospital | Mayfield Heights | $20,494.92 | $2.17 – $7,094.38 |
| marymount hospital | Garfield Heights | $20,494.92 | $151.31 – $7,094.38 |