Risperidone microspheres 12.5 mg/2 ml inj at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$3,020.16
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.
$4,646.40
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.
$11.18 with ANTHEM vs $1,161.66 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 |
|---|---|---|---|
| ANTHEM | MEDICARE ADVANTAGE | $11.18 | ↓ -100% |
| OPTUM | Medicare Advantage Transplant | $11.30 | ↓ -100% |
| OPTUM | All Products VA | $11.30 | ↓ -100% |
| OSCAR | ALL PRODUCTS | $328.52 | ↓ -89% |
| UNITED | MEDICARE ADVANTAGE | $348.50 | ↓ -88% |
| MMO | Medicare Advantage HMO & PPO | $348.50 | ↓ -88% |
| HUMANA | Medicare Advantage HMO | $348.50 | ↓ -88% |
| PHPHI | ALL PRODUCTS | $371.73 | ↓ -88% |
| Summacare | MEDICARE ADVANTAGE | $371.73 | ↓ -88% |
| AETNA | MEDICARE ADVANTAGE | $371.73 | ↓ -88% |
| PHP | ALL PRODUCTS | $371.73 | ↓ -88% |
| The Health Plan | Secure Care | $464.66 | ↓ -85% |
| Amish Community Aid Plan | ALL PRODUCTS | $522.75 | ↓ -83% |
| Aultcare | PPO/HMO | $558.76 | ↓ -81% |
| OHCP | ALL PRODUCTS | $564.57 | ↓ -81% |
| OMAS | ALL PRODUCTS | $580.83 | ↓ -81% |
| MMO | TRADITIONAL | $605.22 | ↓ -80% |
| Ohio Healthy | TRANSPLANT | $627.30 | ↓ -79% |
| ANTHEM | HPN | $634.27 | ↓ -79% |
| OPTUM | All Products Transplant | $657.50 | ↓ -78% |
| AETNA | Acop | $659.82 | ↓ -78% |
| Summacare | Preferred | $669.12 | ↓ -78% |
| Summacare | PREMIER | $697.00 | ↓ -77% |
| UPMC | ALL PRODUCTS | $697.00 | ↓ -77% |
| CIGNA | ALL PRODUCTS | $737.65 | ↓ -76% |
| ANTHEM | PPO/HMO | $746.25 | ↓ -75% |
| ANTHEM | TRADITIONAL | $769.48 | ↓ -75% |
| CC EHP | ALL PRODUCTS | $780.64 | ↓ -74% |
| AETNA | Asa_Whirlpool_Peia | $798.06 | ↓ -74% |
| UNITED | ALL PRODUCTS | $803.87 | ↓ -73% |
| AETNA | International | $806.19 | ↓ -73% |
| Medical Benefit Corp | Transplant SMCP | $813.16 | ↓ -73% |
| GMS | ALL PRODUCTS | $813.16 | ↓ -73% |
| Consociate Health | ALL PRODUCTS | $871.25 | ↓ -71% |
| AETNA | ALL PRODUCTS | $871.25 | ↓ -71% |
| The Health Plan | ALL PRODUCTS | $929.33 | ↓ -69% |
| OPTUM | Managed Medicaid Transplant | $966.54 | ↓ -68% |
| CARESOURCE | Managed Medicaid | $1,017.41 | ↓ -66% |
| Buckeye | Managed Medicaid | $1,017.41 | ↓ -66% |
| Managed Care Services | TRANSPLANT | $1,045.49 | ↓ -65% |
| FrontPath | TRANSPLANT | $1,045.49 | ↓ -65% |
| MULTIPLAN | ALL PRODUCTS | $1,045.49 | ↓ -65% |
| Tertiary Care Network | TRANSPLANT | $1,045.49 | ↓ -65% |
| MOLINA | Managed Medicaid | $1,068.28 | ↓ -65% |
| UNITED | Managed Medicaid | $1,068.28 | ↓ -65% |
| ANTHEM | Managed Medicaid | $1,068.28 | ↓ -65% |
| AMERIHEALTH | Managed Medicaid | $1,119.15 | ↓ -63% |
| AETNA | Qhp/Ipf | $1,161.66 | ↓ -62% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
Visitor-reported prices
Comments
Risperidone microspheres 12.5 mg/2 ml inj at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $1,394.56 | $10.99 – $542.08 |
| akron general | Akron | $3,020.16 | $2.17 – $1,045.49 |
| avon hospital | Avon | $3,020.16 | $11.18 – $1,045.49 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $3,020.16 | $328.52 – $1,167.96 |
| euclid hospital | Euclid | $3,020.16 | $11.18 – $1,045.49 |
| fairview hospital | Cleveland | $3,020.16 | $2.17 – $1,045.49 |
| lutheran hospital | Cleveland | $3,020.16 | $11.18 – $1,045.49 |
| hillcrest hospital | Mayfield Heights | $3,020.16 | $2.17 – $1,045.49 |