Mitomycin 40 mg intravenous solution at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$3,680.66
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.
$5,662.56
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.
$26.10 with ANTHEM vs $1,578.64 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 | $26.10 | ↓ -99% |
| OPTUM | All Products VA | $42.51 | ↓ -99% |
| OPTUM | Medicare Advantage Transplant | $42.51 | ↓ -99% |
| OSCAR | ALL PRODUCTS | $308.21 | ↓ -92% |
| MMO | Medicare Advantage HMO & PPO | $326.95 | ↓ -91% |
| UNITED | MEDICARE ADVANTAGE | $326.95 | ↓ -91% |
| HUMANA | Medicare Advantage HMO | $326.95 | ↓ -91% |
| PHP | ALL PRODUCTS | $348.75 | ↓ -91% |
| Summacare | MEDICARE ADVANTAGE | $348.75 | ↓ -91% |
| AETNA | MEDICARE ADVANTAGE | $348.75 | ↓ -91% |
| PHPHI | ALL PRODUCTS | $348.75 | ↓ -91% |
| The Health Plan | Secure Care | $435.94 | ↓ -88% |
| Amish Community Aid Plan | ALL PRODUCTS | $490.43 | ↓ -87% |
| Aultcare | PPO/HMO | $524.21 | ↓ -86% |
| OHCP | ALL PRODUCTS | $529.66 | ↓ -86% |
| OMAS | ALL PRODUCTS | $544.92 | ↓ -85% |
| MMO | TRADITIONAL | $567.81 | ↓ -85% |
| Ohio Healthy | TRANSPLANT | $588.51 | ↓ -84% |
| ANTHEM | HPN | $595.05 | ↓ -84% |
| OPTUM | All Products Transplant | $616.85 | ↓ -83% |
| AETNA | Acop | $619.03 | ↓ -83% |
| Summacare | Preferred | $627.75 | ↓ -83% |
| UPMC | ALL PRODUCTS | $653.90 | ↓ -82% |
| Summacare | PREMIER | $653.90 | ↓ -82% |
| CIGNA | ALL PRODUCTS | $692.05 | ↓ -81% |
| ANTHEM | PPO/HMO | $700.11 | ↓ -81% |
| ANTHEM | TRADITIONAL | $721.91 | ↓ -80% |
| CC EHP | ALL PRODUCTS | $732.37 | ↓ -80% |
| AETNA | Asa_Whirlpool_Peia | $748.72 | ↓ -80% |
| UNITED | ALL PRODUCTS | $754.17 | ↓ -80% |
| AETNA | International | $756.35 | ↓ -79% |
| GMS | ALL PRODUCTS | $762.89 | ↓ -79% |
| Medical Benefit Corp | Transplant SMCP | $762.89 | ↓ -79% |
| AETNA | ALL PRODUCTS | $817.38 | ↓ -78% |
| Consociate Health | ALL PRODUCTS | $817.38 | ↓ -78% |
| The Health Plan | ALL PRODUCTS | $871.87 | ↓ -76% |
| MULTIPLAN | ALL PRODUCTS | $980.86 | ↓ -73% |
| FrontPath | TRANSPLANT | $980.86 | ↓ -73% |
| Tertiary Care Network | TRANSPLANT | $980.86 | ↓ -73% |
| Managed Care Services | TRANSPLANT | $980.86 | ↓ -73% |
| AETNA | Qhp/Ipf | $1,089.84 | ↓ -70% |
| OPTUM | Managed Medicaid Transplant | $1,363.37 | ↓ -63% |
| Buckeye | Managed Medicaid | $1,435.13 | ↓ -61% |
| CARESOURCE | Managed Medicaid | $1,435.13 | ↓ -61% |
| UNITED | Managed Medicaid | $1,506.89 | ↓ -59% |
| MOLINA | Managed Medicaid | $1,506.89 | ↓ -59% |
| ANTHEM | Managed Medicaid | $1,506.89 | ↓ -59% |
| AMERIHEALTH | Managed Medicaid | $1,578.64 | ↓ -57% |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Mitomycin 40 mg intravenous solution at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $422.58 | not published |
| Clermont Hospital | Batavia | $716.04 | not published |
| Mercy West Hospital | Cincinnati | $6,446.22 | not published |
| Trinity Medical Center East | Steubenville | $1,768.99 | $46.35 – $153.60 |
| cleveland clinic main campus | Cleveland | $469.85 | $26.10 – $1,185.36 |
| akron general | Akron | $3,680.66 | $2.17 – $980.86 |
| avon hospital | Avon | $3,680.66 | $26.10 – $980.86 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $3,680.66 | $308.21 – $1,647.50 |