Ketorolac (Toradol) Pain Shot, 15 mg at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$15.29
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.
$23.52
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.
$0.33 with ANTHEM vs $14.86 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 | $0.33 | ↓ -98% |
| OSCAR | ALL PRODUCTS | $0.46 | ↓ -97% |
| MMO | Medicare Advantage HMO & PPO | $0.49 | ↓ -97% |
| UNITED | MEDICARE ADVANTAGE | $0.49 | ↓ -97% |
| HUMANA | Medicare Advantage HMO | $0.49 | ↓ -97% |
| PHPHI | ALL PRODUCTS | $0.52 | ↓ -97% |
| AETNA | MEDICARE ADVANTAGE | $0.52 | ↓ -97% |
| Summacare | MEDICARE ADVANTAGE | $0.52 | ↓ -97% |
| PHP | ALL PRODUCTS | $0.52 | ↓ -97% |
| The Health Plan | Secure Care | $0.65 | ↓ -96% |
| OPTUM | All Products VA | $0.68 | ↓ -96% |
| OPTUM | Medicare Advantage Transplant | $0.68 | ↓ -96% |
| Amish Community Aid Plan | ALL PRODUCTS | $0.73 | ↓ -95% |
| Aultcare | PPO/HMO | $0.78 | ↓ -95% |
| OHCP | ALL PRODUCTS | $0.79 | ↓ -95% |
| OMAS | ALL PRODUCTS | $0.81 | ↓ -95% |
| MMO | TRADITIONAL | $0.84 | ↓ -95% |
| Ohio Healthy | TRANSPLANT | $0.87 | ↓ -94% |
| ANTHEM | HPN | $0.88 | ↓ -94% |
| OPTUM | All Products Transplant | $0.92 | ↓ -94% |
| AETNA | Acop | $0.92 | ↓ -94% |
| Summacare | Preferred | $0.93 | ↓ -94% |
| UPMC | ALL PRODUCTS | $0.97 | ↓ -94% |
| Summacare | PREMIER | $0.97 | ↓ -94% |
| CIGNA | ALL PRODUCTS | $1.03 | ↓ -93% |
| ANTHEM | PPO/HMO | $1.04 | ↓ -93% |
| ANTHEM | TRADITIONAL | $1.07 | ↓ -93% |
| CC EHP | ALL PRODUCTS | $1.09 | ↓ -93% |
| AETNA | Asa_Whirlpool_Peia | $1.11 | ↓ -93% |
| UNITED | ALL PRODUCTS | $1.12 | ↓ -93% |
| AETNA | International | $1.12 | ↓ -93% |
| GMS | ALL PRODUCTS | $1.13 | ↓ -93% |
| Medical Benefit Corp | Transplant SMCP | $1.13 | ↓ -93% |
| AETNA | ALL PRODUCTS | $1.22 | ↓ -92% |
| Consociate Health | ALL PRODUCTS | $1.22 | ↓ -92% |
| The Health Plan | ALL PRODUCTS | $1.30 | ↓ -91% |
| MULTIPLAN | ALL PRODUCTS | $1.46 | ↓ -90% |
| FrontPath | TRANSPLANT | $1.46 | ↓ -90% |
| Tertiary Care Network | TRANSPLANT | $1.46 | ↓ -90% |
| Managed Care Services | TRANSPLANT | $1.46 | ↓ -90% |
| AETNA | Qhp/Ipf | $1.62 | ↓ -89% |
| OPTUM | Managed Medicaid Transplant | $12.83 | ↓ -16% |
| Buckeye | Managed Medicaid | $13.51 | ↓ -12% |
| CARESOURCE | Managed Medicaid | $13.51 | ↓ -12% |
| UNITED | Managed Medicaid | $14.19 | ↓ -7% |
| MOLINA | Managed Medicaid | $14.19 | ↓ -7% |
| ANTHEM | Managed Medicaid | $14.19 | ↓ -7% |
| AMERIHEALTH | Managed Medicaid | $14.86 | ↓ -3% |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ketorolac (Toradol) Pain Shot, 15 mg at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $12.00 | not published |
| Anderson Hospital | Cincinnati | $14.76 | not published |
| Clermont Hospital | Batavia | $16.92 | not published |
| Kings Mills Hospital | Mason | $9.06 | not published |
| Mercy West Hospital | Cincinnati | $6.00 | not published |
| St Ritas Medical Center | Lima | $95.94 | not published |
| Trinity Medical Center East | Steubenville | $8.44 | $0.75 – $10.01 |
| cleveland clinic main campus | Cleveland | $36.37 | $0.31 – $50.36 |