healthcosts.net
Pressure max expiratory/inspiratory at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$194.35
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.
$299.00
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.
$80.32 with OSCAR vs $284.00 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 |
|---|---|---|---|
| OSCAR | ALL PRODUCTS | $80.32 | ↓ -59% |
| HUMANA | Medicare Advantage HMO | $85.20 | ↓ -56% |
| MMO | Medicare Advantage HMO & PPO | $85.20 | ↓ -56% |
| UNITED | MEDICARE ADVANTAGE | $85.20 | ↓ -56% |
| OPTUM | Managed Medicaid Transplant | $86.54 | ↓ -55% |
| PHP | ALL PRODUCTS | $90.88 | ↓ -53% |
| AETNA | MEDICARE ADVANTAGE | $90.88 | ↓ -53% |
| Summacare | MEDICARE ADVANTAGE | $90.88 | ↓ -53% |
| PHPHI | ALL PRODUCTS | $90.88 | ↓ -53% |
| CARESOURCE | Managed Medicaid | $91.09 | ↓ -53% |
| Buckeye | Managed Medicaid | $91.09 | ↓ -53% |
| MOLINA | Managed Medicaid | $95.64 | ↓ -51% |
| UNITED | Managed Medicaid | $95.64 | ↓ -51% |
| ANTHEM | Managed Medicaid | $95.64 | ↓ -51% |
| AMERIHEALTH | Managed Medicaid | $100.20 | ↓ -48% |
| The Health Plan | Secure Care | $113.60 | ↓ -42% |
| Amish Community Aid Plan | ALL PRODUCTS | $127.80 | ↓ -34% |
| ANTHEM | MEDICARE ADVANTAGE | $131.46 | ↓ -32% |
| Aultcare | PPO/HMO | $136.60 | ↓ -30% |
| OHCP | ALL PRODUCTS | $138.02 | ↓ -29% |
| OMAS | ALL PRODUCTS | $142.00 | ↓ -27% |
| MMO | TRADITIONAL | $147.96 | ↓ -24% |
| Ohio Healthy | TRANSPLANT | $153.36 | ↓ -21% |
| ANTHEM | HPN | $155.06 | ↓ -20% |
| OPTUM | Medicare Advantage Transplant | $156.46 | ↓ -19% |
| OPTUM | All Products VA | $156.46 | ↓ -19% |
| OPTUM | All Products Transplant | $160.74 | ↓ -17% |
| AETNA | Acop | $161.31 | ↓ -17% |
| Summacare | Preferred | $163.58 | ↓ -16% |
| UPMC | ALL PRODUCTS | $170.40 | ↓ -12% |
| Summacare | PREMIER | $177.78 | ↓ -9% |
| CIGNA | ALL PRODUCTS | $180.34 | ↓ -7% |
| ANTHEM | PPO/HMO | $182.44 | ↓ -6% |
| ANTHEM | TRADITIONAL | $188.12 | ↓ -3% |
| CC EHP | ALL PRODUCTS | $190.85 | ↓ -2% |
| AETNA | Asa_Whirlpool_Peia | $195.11 | ↑ +0% |
| UNITED | ALL PRODUCTS | $196.53 | ↑ +1% |
| AETNA | International | $197.10 | ↑ +1% |
| GMS | ALL PRODUCTS | $198.80 | ↑ +2% |
| Medical Benefit Corp | Transplant SMCP | $198.80 | ↑ +2% |
| AETNA | ALL PRODUCTS | $213.00 | ↑ +10% |
| Consociate Health | ALL PRODUCTS | $213.00 | ↑ +10% |
| The Health Plan | ALL PRODUCTS | $227.20 | ↑ +17% |
| FrontPath | TRANSPLANT | $255.60 | ↑ +32% |
| Managed Care Services | TRANSPLANT | $255.60 | ↑ +32% |
| MULTIPLAN | ALL PRODUCTS | $255.60 | ↑ +32% |
| Tertiary Care Network | TRANSPLANT | $255.60 | ↑ +32% |
| AETNA | Qhp/Ipf | $284.00 | ↑ +46% |
| AETNA | NAP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Pressure max expiratory/inspiratory at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $315.90 | $2.22 – $145.04 |
| akron general | Akron | $315.90 | $31.11 – $144.57 |
| avon hospital | Avon | $313.95 | $31.11 – $145.04 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $424.45 | $19.51 – $104.58 |
| euclid hospital | Euclid | $313.95 | $31.11 – $145.04 |
| fairview hospital | Cleveland | $313.95 | $31.11 – $135.52 |
| lutheran hospital | Cleveland | $313.95 | $31.11 – $145.04 |
| hillcrest hospital | Mayfield Heights | $313.95 | $31.11 – $145.04 |