Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$4,914.80
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.
$7,561.23
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.
$20.31 with ANTHEM vs $4,643.61 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 | $20.31 | ↓ -100% |
| OPTUM | All Products VA | $32.21 | ↓ -99% |
| OPTUM | Medicare Advantage Transplant | $32.21 | ↓ -99% |
| OSCAR | ALL PRODUCTS | $1,313.21 | ↓ -73% |
| UNITED | MEDICARE ADVANTAGE | $1,393.08 | ↓ -72% |
| HUMANA | Medicare Advantage HMO | $1,393.08 | ↓ -72% |
| MMO | Medicare Advantage HMO & PPO | $1,393.08 | ↓ -72% |
| PHP | ALL PRODUCTS | $1,485.96 | ↓ -70% |
| AETNA | MEDICARE ADVANTAGE | $1,485.96 | ↓ -70% |
| Summacare | MEDICARE ADVANTAGE | $1,485.96 | ↓ -70% |
| PHPHI | ALL PRODUCTS | $1,485.96 | ↓ -70% |
| OPTUM | Managed Medicaid Transplant | $1,587.88 | ↓ -68% |
| Buckeye | Managed Medicaid | $1,671.45 | ↓ -66% |
| CARESOURCE | Managed Medicaid | $1,671.45 | ↓ -66% |
| ANTHEM | Managed Medicaid | $1,755.02 | ↓ -64% |
| MOLINA | Managed Medicaid | $1,755.02 | ↓ -64% |
| UNITED | Managed Medicaid | $1,755.02 | ↓ -64% |
| AMERIHEALTH | Managed Medicaid | $1,838.60 | ↓ -63% |
| The Health Plan | Secure Care | $1,857.44 | ↓ -62% |
| Amish Community Aid Plan | ALL PRODUCTS | $2,089.62 | ↓ -57% |
| Aultcare | PPO/HMO | $2,233.58 | ↓ -55% |
| OHCP | ALL PRODUCTS | $2,256.79 | ↓ -54% |
| OMAS | ALL PRODUCTS | $2,321.81 | ↓ -53% |
| MMO | TRADITIONAL | $2,419.32 | ↓ -51% |
| Ohio Healthy | TRANSPLANT | $2,507.55 | ↓ -49% |
| ANTHEM | HPN | $2,535.41 | ↓ -48% |
| OPTUM | All Products Transplant | $2,628.28 | ↓ -47% |
| AETNA | Acop | $2,637.57 | ↓ -46% |
| Summacare | Preferred | $2,674.72 | ↓ -46% |
| Summacare | PREMIER | $2,786.17 | ↓ -43% |
| UPMC | ALL PRODUCTS | $2,786.17 | ↓ -43% |
| CIGNA | ALL PRODUCTS | $2,948.69 | ↓ -40% |
| ANTHEM | PPO/HMO | $2,983.06 | ↓ -39% |
| ANTHEM | TRADITIONAL | $3,075.93 | ↓ -37% |
| CC EHP | ALL PRODUCTS | $3,120.51 | ↓ -37% |
| AETNA | Asa_Whirlpool_Peia | $3,190.16 | ↓ -35% |
| UNITED | ALL PRODUCTS | $3,213.38 | ↓ -35% |
| AETNA | International | $3,222.67 | ↓ -34% |
| GMS | ALL PRODUCTS | $3,250.53 | ↓ -34% |
| Medical Benefit Corp | Transplant SMCP | $3,250.53 | ↓ -34% |
| AETNA | ALL PRODUCTS | $3,482.71 | ↓ -29% |
| Consociate Health | ALL PRODUCTS | $3,482.71 | ↓ -29% |
| The Health Plan | ALL PRODUCTS | $3,714.89 | ↓ -24% |
| FrontPath | TRANSPLANT | $4,179.25 | ↓ -15% |
| Managed Care Services | TRANSPLANT | $4,179.25 | ↓ -15% |
| MULTIPLAN | ALL PRODUCTS | $4,179.25 | ↓ -15% |
| Tertiary Care Network | TRANSPLANT | $4,179.25 | ↓ -15% |
| AETNA | Qhp/Ipf | $4,643.61 | ↓ -6% |
| AETNA | NAP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St Ritas Medical Center | Lima | $7,981.32 | not published |
| Trinity Medical Center East | Steubenville | $2,314.02 | $29.52 – $50.82 |
| cleveland clinic main campus | Cleveland | $328.86 | $20.31 – $1,380.54 |
| akron general | Akron | $4,914.80 | $2.17 – $4,179.25 |
| avon hospital | Avon | $4,914.80 | $20.31 – $4,179.25 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $4,914.80 | $1,313.21 – $4,179.25 |
| euclid hospital | Euclid | $4,914.80 | $20.31 – $4,179.25 |
| fairview hospital | Cleveland | $4,914.80 | $2.17 – $4,179.25 |