Phentolaine mesylate inj at lodi hospital

225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

$1,146.52

Cash price

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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.

$1,763.88

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$267.24 with OPTUM vs $1,763.85 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 →

Payer
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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
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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 Managed Medicaid Transplant $267.24 ↓ -77%
CARESOURCE Managed Medicaid $281.30 ↓ -75%
Buckeye Managed Medicaid $281.30 ↓ -75%
ANTHEM Managed Medicaid $295.37 ↓ -74%
MOLINA Managed Medicaid $295.37 ↓ -74%
UNITED Managed Medicaid $295.37 ↓ -74%
AMERIHEALTH Managed Medicaid $309.43 ↓ -73%
OPTUM Medicare Advantage Transplant $367.12 ↓ -68%
OPTUM All Products VA $367.12 ↓ -68%
ANTHEM MEDICARE ADVANTAGE $420.55 ↓ -63%
OSCAR ALL PRODUCTS $498.82 ↓ -56%
UNITED MEDICARE ADVANTAGE $529.16 ↓ -54%
HUMANA Medicare Advantage HMO $529.16 ↓ -54%
MMO Medicare Advantage HMO & PPO $529.16 ↓ -54%
PHP ALL PRODUCTS $564.43 ↓ -51%
AETNA MEDICARE ADVANTAGE $564.43 ↓ -51%
Summacare MEDICARE ADVANTAGE $564.43 ↓ -51%
PHPHI ALL PRODUCTS $564.43 ↓ -51%
The Health Plan Secure Care $705.54 ↓ -38%
Amish Community Aid Plan ALL PRODUCTS $793.73 ↓ -31%
Aultcare PPO/HMO $848.41 ↓ -26%
OHCP ALL PRODUCTS $857.23 ↓ -25%
OMAS ALL PRODUCTS $881.93 ↓ -23%
MMO TRADITIONAL $918.97 ↓ -20%
Ohio Healthy TRANSPLANT $952.48 ↓ -17%
ANTHEM HPN $963.06 ↓ -16%
OPTUM All Products Transplant $998.34 ↓ -13%
AETNA Acop $1,001.87 ↓ -13%
Summacare Preferred $1,015.98 ↓ -11%
Summacare PREMIER $1,058.31 ↓ -8%
UPMC ALL PRODUCTS $1,058.31 ↓ -8%
CIGNA ALL PRODUCTS $1,120.04 ↓ -2%
ANTHEM PPO/HMO $1,133.10 ↓ -1%
ANTHEM TRADITIONAL $1,168.37 ↑ +2%
CC EHP ALL PRODUCTS $1,185.31 ↑ +3%
AETNA Asa_Whirlpool_Peia $1,211.76 ↑ +6%
UNITED ALL PRODUCTS $1,220.58 ↑ +6%
AETNA International $1,224.11 ↑ +7%
GMS ALL PRODUCTS $1,234.70 ↑ +8%
Medical Benefit Corp Transplant SMCP $1,234.70 ↑ +8%
AETNA ALL PRODUCTS $1,322.89 ↑ +15%
Consociate Health ALL PRODUCTS $1,322.89 ↑ +15%
The Health Plan ALL PRODUCTS $1,411.08 ↑ +23%
FrontPath TRANSPLANT $1,587.47 ↑ +38%
Managed Care Services TRANSPLANT $1,587.47 ↑ +38%
MULTIPLAN ALL PRODUCTS $1,587.47 ↑ +38%
Tertiary Care Network TRANSPLANT $1,587.47 ↑ +38%
AETNA Qhp/Ipf $1,763.85 ↑ +54%
AETNA NAP not published by hospital —
CIGNA MEDICARE ADVANTAGE not published by hospital —
CommuniCare MEDICARE ADVANTAGE not published by hospital —

Visitor-reported prices

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Phentolaine mesylate inj at other Ohio hospitals

Hospital City Cash price Negotiated range
Jewish Hospital Cincinnati $2,057.88 not published
Anderson Hospital Cincinnati $2,210.70 not published
Kings Mills Hospital Mason $2,210.70 not published
Mercy West Hospital Cincinnati $2,210.76 not published
St Ritas Medical Center Lima $5,732.58 not published
Trinity Medical Center East Steubenville $493.46 $394.63 – $766.15
cleveland clinic main campus Cleveland $108.81 $40.18 – $462.61
akron general Akron $1,146.52 $2.17 – $1,587.47

All Ohio hospitals for this procedure →