Tisagenlecleucel car-pos t at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$1,888,860.51
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.
$2,905,939.24
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.
$14,876.37 with OPTUM vs $2,511,128.60 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 |
|---|---|---|---|
| OPTUM | Managed Medicaid Transplant | $14,876.37 | ↓ -99% |
| CARESOURCE | Managed Medicaid | $15,659.34 | ↓ -99% |
| Buckeye | Managed Medicaid | $15,659.34 | ↓ -99% |
| ANTHEM | Managed Medicaid | $16,442.31 | ↓ -99% |
| MOLINA | Managed Medicaid | $16,442.31 | ↓ -99% |
| UNITED | Managed Medicaid | $16,442.31 | ↓ -99% |
| AMERIHEALTH | Managed Medicaid | $17,225.27 | ↓ -99% |
| Amish Community Aid Plan | ALL PRODUCTS | $500,000.00 | ↓ -74% |
| OPTUM | Medicare Advantage Transplant | $529,192.86 | ↓ -72% |
| OPTUM | All Products VA | $529,192.86 | ↓ -72% |
| ANTHEM | MEDICARE ADVANTAGE | $566,531.30 | ↓ -70% |
| OSCAR | ALL PRODUCTS | $710,147.17 | ↓ -62% |
| UNITED | MEDICARE ADVANTAGE | $753,338.58 | ↓ -60% |
| MMO | Medicare Advantage HMO & PPO | $753,338.58 | ↓ -60% |
| HUMANA | Medicare Advantage HMO | $753,338.58 | ↓ -60% |
| PHPHI | ALL PRODUCTS | $803,561.15 | ↓ -57% |
| PHP | ALL PRODUCTS | $803,561.15 | ↓ -57% |
| AETNA | MEDICARE ADVANTAGE | $803,561.15 | ↓ -57% |
| Summacare | MEDICARE ADVANTAGE | $803,561.15 | ↓ -57% |
| The Health Plan | Secure Care | $1,004,451.44 | ↓ -47% |
| Summacare | PREMIER | $1,082,074.79 | ↓ -43% |
| Summacare | Preferred | $1,082,074.79 | ↓ -43% |
| Aultcare | PPO/HMO | $1,207,852.86 | ↓ -36% |
| OHCP | ALL PRODUCTS | $1,220,408.50 | ↓ -35% |
| OMAS | ALL PRODUCTS | $1,255,564.30 | ↓ -34% |
| MMO | TRADITIONAL | $1,308,298.00 | ↓ -31% |
| Ohio Healthy | TRANSPLANT | $1,356,009.44 | ↓ -28% |
| ANTHEM | HPN | $1,371,076.22 | ↓ -27% |
| OPTUM | All Products Transplant | $1,421,298.79 | ↓ -25% |
| AETNA | Acop | $1,426,321.04 | ↓ -24% |
| UPMC | ALL PRODUCTS | $1,506,677.16 | ↓ -20% |
| CIGNA | ALL PRODUCTS | $1,594,566.66 | ↓ -16% |
| ANTHEM | PPO/HMO | $1,613,149.01 | ↓ -15% |
| ANTHEM | TRADITIONAL | $1,663,371.58 | ↓ -12% |
| CC EHP | ALL PRODUCTS | $1,687,478.42 | ↓ -11% |
| AETNA | Asa_Whirlpool_Peia | $1,725,145.35 | ↓ -9% |
| UNITED | ALL PRODUCTS | $1,737,700.99 | ↓ -8% |
| AETNA | International | $1,742,723.25 | ↓ -8% |
| Medical Benefit Corp | Transplant SMCP | $1,757,790.02 | ↓ -7% |
| GMS | ALL PRODUCTS | $1,757,790.02 | ↓ -7% |
| AETNA | ALL PRODUCTS | $1,883,346.45 | ↓ -0% |
| Consociate Health | ALL PRODUCTS | $1,883,346.45 | ↓ -0% |
| The Health Plan | ALL PRODUCTS | $2,008,902.88 | ↑ +6% |
| Tertiary Care Network | TRANSPLANT | $2,260,015.74 | ↑ +20% |
| Managed Care Services | TRANSPLANT | $2,260,015.74 | ↑ +20% |
| FrontPath | TRANSPLANT | $2,260,015.74 | ↑ +20% |
| MULTIPLAN | ALL PRODUCTS | $2,260,015.74 | ↑ +20% |
| AETNA | Qhp/Ipf | $2,511,128.60 | ↑ +33% |
| AETNA | NAP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Tisagenlecleucel car-pos t at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| akron general | Akron | $1,888,860.51 | $0.02 – $2,260,015.74 |
| avon hospital | Avon | $1,888,860.51 | $9,509.28 – $2,260,015.74 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1,888,860.51 | $15,525.20 – $2,260,015.74 |
| euclid hospital | Euclid | $1,888,860.51 | $9,742.50 – $2,260,015.74 |
| fairview hospital | Cleveland | $1,888,860.51 | $0.02 – $2,260,015.74 |
| lutheran hospital | Cleveland | $1,888,860.51 | $8,713.57 – $2,260,015.74 |
| hillcrest hospital | Mayfield Heights | $1,888,860.51 | $0.02 – $2,260,015.74 |
| marymount hospital | Garfield Heights | $1,888,860.51 | $8,603.64 – $2,260,015.74 |