Tirofiban 12.5 mg/50 ml at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$9.15
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.
$14.07
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.
$0.65 with OSCAR vs $548.75 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 | $0.65 | ↓ -93% |
| UNITED | MEDICARE ADVANTAGE | $0.69 | ↓ -92% |
| HUMANA | Medicare Advantage HMO | $0.69 | ↓ -92% |
| MMO | Medicare Advantage HMO & PPO | $0.69 | ↓ -92% |
| PHPHI | ALL PRODUCTS | $0.74 | ↓ -92% |
| AETNA | MEDICARE ADVANTAGE | $0.74 | ↓ -92% |
| PHP | ALL PRODUCTS | $0.74 | ↓ -92% |
| Summacare | MEDICARE ADVANTAGE | $0.74 | ↓ -92% |
| The Health Plan | Secure Care | $0.92 | ↓ -90% |
| Amish Community Aid Plan | ALL PRODUCTS | $1.04 | ↓ -89% |
| Aultcare | PPO/HMO | $1.11 | ↓ -88% |
| OHCP | ALL PRODUCTS | $1.12 | ↓ -88% |
| OMAS | ALL PRODUCTS | $1.16 | ↓ -87% |
| MMO | TRADITIONAL | $1.20 | ↓ -87% |
| Ohio Healthy | TRANSPLANT | $1.25 | ↓ -86% |
| ANTHEM | HPN | $1.26 | ↓ -86% |
| OPTUM | All Products Transplant | $1.31 | ↓ -86% |
| AETNA | Acop | $1.31 | ↓ -86% |
| Summacare | Preferred | $1.33 | ↓ -85% |
| UPMC | ALL PRODUCTS | $1.39 | ↓ -85% |
| Summacare | PREMIER | $1.39 | ↓ -85% |
| CIGNA | ALL PRODUCTS | $1.47 | ↓ -84% |
| ANTHEM | PPO/HMO | $1.48 | ↓ -84% |
| ANTHEM | TRADITIONAL | $1.53 | ↓ -83% |
| CC EHP | ALL PRODUCTS | $1.55 | ↓ -83% |
| AETNA | Asa_Whirlpool_Peia | $1.59 | ↓ -83% |
| UNITED | ALL PRODUCTS | $1.60 | ↓ -83% |
| AETNA | International | $1.60 | ↓ -83% |
| Medical Benefit Corp | Transplant SMCP | $1.62 | ↓ -82% |
| GMS | ALL PRODUCTS | $1.62 | ↓ -82% |
| AETNA | ALL PRODUCTS | $1.73 | ↓ -81% |
| Consociate Health | ALL PRODUCTS | $1.73 | ↓ -81% |
| The Health Plan | ALL PRODUCTS | $1.85 | ↓ -80% |
| MULTIPLAN | ALL PRODUCTS | $2.08 | ↓ -77% |
| FrontPath | TRANSPLANT | $2.08 | ↓ -77% |
| Managed Care Services | TRANSPLANT | $2.08 | ↓ -77% |
| Tertiary Care Network | TRANSPLANT | $2.08 | ↓ -77% |
| AETNA | Qhp/Ipf | $2.31 | ↓ -75% |
| OPTUM | Managed Medicaid Transplant | $473.92 | ↑ +5079% |
| Buckeye | Managed Medicaid | $498.86 | ↑ +5352% |
| CARESOURCE | Managed Medicaid | $498.86 | ↑ +5352% |
| ANTHEM | Managed Medicaid | $523.80 | ↑ +5625% |
| UNITED | Managed Medicaid | $523.80 | ↑ +5625% |
| MOLINA | Managed Medicaid | $523.80 | ↑ +5625% |
| AMERIHEALTH | Managed Medicaid | $548.75 | ↑ +5897% |
| AETNA | NAP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
Visitor-reported prices
Comments
Tirofiban 12.5 mg/50 ml at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $953.40 | not published |
| Anderson Hospital | Cincinnati | $1,078.38 | not published |
| Mercy West Hospital | Cincinnati | $1,078.38 | not published |
| St Ritas Medical Center | Lima | $2,796.30 | not published |
| Trinity Medical Center East | Steubenville | $260.37 | $3.62 – $120.12 |
| Dublin Methodist Hospital | Dublin | $119.54 | $6.16 – $9.81 |
| Shelby Hospital | Shelby | $275.86 | $5.83 – $23.53 |
| Fairfield Hospital | Fairfield | $1,078.38 | not published |