Pegloticase 8 mg/ml intravenous solution at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$71,938.60
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.
$110,674.77
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.
$625.97 with OSCAR vs $21,993.87 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 | $625.97 | ↓ -99% |
| UNITED | MEDICARE ADVANTAGE | $664.05 | ↓ -99% |
| HUMANA | Medicare Advantage HMO | $664.05 | ↓ -99% |
| MMO | Medicare Advantage HMO & PPO | $664.05 | ↓ -99% |
| Summacare | MEDICARE ADVANTAGE | $708.32 | ↓ -99% |
| PHPHI | ALL PRODUCTS | $708.32 | ↓ -99% |
| AETNA | MEDICARE ADVANTAGE | $708.32 | ↓ -99% |
| PHP | ALL PRODUCTS | $708.32 | ↓ -99% |
| The Health Plan | Secure Care | $885.40 | ↓ -99% |
| Amish Community Aid Plan | ALL PRODUCTS | $996.07 | ↓ -99% |
| Aultcare | PPO/HMO | $1,064.69 | ↓ -99% |
| OHCP | ALL PRODUCTS | $1,075.76 | ↓ -99% |
| OMAS | ALL PRODUCTS | $1,106.75 | ↓ -98% |
| MMO | TRADITIONAL | $1,153.23 | ↓ -98% |
| Ohio Healthy | TRANSPLANT | $1,195.28 | ↓ -98% |
| ANTHEM | HPN | $1,208.57 | ↓ -98% |
| OPTUM | All Products Transplant | $1,252.84 | ↓ -98% |
| AETNA | Acop | $1,257.26 | ↓ -98% |
| Summacare | Preferred | $1,274.97 | ↓ -98% |
| Summacare | PREMIER | $1,328.09 | ↓ -98% |
| UPMC | ALL PRODUCTS | $1,328.09 | ↓ -98% |
| CIGNA | ALL PRODUCTS | $1,405.57 | ↓ -98% |
| ANTHEM | PPO/HMO | $1,421.95 | ↓ -98% |
| ANTHEM | TRADITIONAL | $1,466.22 | ↓ -98% |
| CC EHP | ALL PRODUCTS | $1,487.47 | ↓ -98% |
| AETNA | Asa_Whirlpool_Peia | $1,520.67 | ↓ -98% |
| UNITED | ALL PRODUCTS | $1,531.74 | ↓ -98% |
| AETNA | International | $1,536.16 | ↓ -98% |
| GMS | ALL PRODUCTS | $1,549.44 | ↓ -98% |
| Medical Benefit Corp | Transplant SMCP | $1,549.44 | ↓ -98% |
| AETNA | ALL PRODUCTS | $1,660.12 | ↓ -98% |
| Consociate Health | ALL PRODUCTS | $1,660.12 | ↓ -98% |
| The Health Plan | ALL PRODUCTS | $1,770.79 | ↓ -98% |
| MULTIPLAN | ALL PRODUCTS | $1,992.14 | ↓ -97% |
| Managed Care Services | TRANSPLANT | $1,992.14 | ↓ -97% |
| Tertiary Care Network | TRANSPLANT | $1,992.14 | ↓ -97% |
| FrontPath | TRANSPLANT | $1,992.14 | ↓ -97% |
| AETNA | Qhp/Ipf | $2,213.49 | ↓ -97% |
| OPTUM | Medicare Advantage Transplant | $3,482.15 | ↓ -95% |
| OPTUM | All Products VA | $3,482.15 | ↓ -95% |
| ANTHEM | MEDICARE ADVANTAGE | $3,768.80 | ↓ -95% |
| OPTUM | Managed Medicaid Transplant | $18,994.71 | ↓ -74% |
| CARESOURCE | Managed Medicaid | $19,994.43 | ↓ -72% |
| Buckeye | Managed Medicaid | $19,994.43 | ↓ -72% |
| ANTHEM | Managed Medicaid | $20,994.15 | ↓ -71% |
| MOLINA | Managed Medicaid | $20,994.15 | ↓ -71% |
| UNITED | Managed Medicaid | $20,994.15 | ↓ -71% |
| AMERIHEALTH | Managed Medicaid | $21,993.87 | ↓ -69% |
| AETNA | NAP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pegloticase 8 mg/ml intravenous solution at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $5,435.67 | $2,007.02 – $16,514.52 |
| akron general | Akron | $71,938.60 | $2.17 – $13,108.79 |
| avon hospital | Avon | $71,938.60 | $625.97 – $12,373.07 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $71,938.60 | $625.97 – $22,953.13 |
| euclid hospital | Euclid | $71,938.60 | $625.97 – $14,403.73 |
| fairview hospital | Cleveland | $71,938.60 | $2.17 – $13,531.58 |
| lutheran hospital | Cleveland | $71,938.60 | $625.97 – $12,882.52 |
| hillcrest hospital | Mayfield Heights | $71,938.60 | $2.17 – $14,097.79 |