healthcosts.net
Unlisted mr procedure at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$1,627.60
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.
$2,504.00
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.
$88.05 with OPTUM vs $1,231.00 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 |
|---|---|---|---|
| OPTUM | Medicare Advantage Transplant | $88.05 | ↓ -95% |
| OPTUM | All Products VA | $88.05 | ↓ -95% |
| ANTHEM | MEDICARE ADVANTAGE | $88.91 | ↓ -95% |
| OPTUM | Managed Medicaid Transplant | $340.24 | ↓ -79% |
| OSCAR | ALL PRODUCTS | $348.13 | ↓ -79% |
| CARESOURCE | Managed Medicaid | $358.15 | ↓ -78% |
| Buckeye | Managed Medicaid | $358.15 | ↓ -78% |
| MMO | Medicare Advantage HMO & PPO | $369.30 | ↓ -77% |
| UNITED | MEDICARE ADVANTAGE | $369.30 | ↓ -77% |
| HUMANA | Medicare Advantage HMO | $369.30 | ↓ -77% |
| ANTHEM | Managed Medicaid | $376.06 | ↓ -77% |
| MOLINA | Managed Medicaid | $376.06 | ↓ -77% |
| UNITED | Managed Medicaid | $376.06 | ↓ -77% |
| PHP | ALL PRODUCTS | $393.92 | ↓ -76% |
| Summacare | MEDICARE ADVANTAGE | $393.92 | ↓ -76% |
| AETNA | MEDICARE ADVANTAGE | $393.92 | ↓ -76% |
| PHPHI | ALL PRODUCTS | $393.92 | ↓ -76% |
| AMERIHEALTH | Managed Medicaid | $393.97 | ↓ -76% |
| The Health Plan | Secure Care | $492.40 | ↓ -70% |
| Amish Community Aid Plan | ALL PRODUCTS | $553.95 | ↓ -66% |
| Aultcare | PPO/HMO | $592.11 | ↓ -64% |
| OHCP | ALL PRODUCTS | $598.27 | ↓ -63% |
| OMAS | ALL PRODUCTS | $615.50 | ↓ -62% |
| MMO | TRADITIONAL | $641.35 | ↓ -61% |
| Ohio Healthy | TRANSPLANT | $664.74 | ↓ -59% |
| ANTHEM | HPN | $672.13 | ↓ -59% |
| OPTUM | All Products Transplant | $696.75 | ↓ -57% |
| AETNA | Acop | $699.21 | ↓ -57% |
| Summacare | Preferred | $709.06 | ↓ -56% |
| UPMC | ALL PRODUCTS | $738.60 | ↓ -55% |
| Summacare | PREMIER | $770.61 | ↓ -53% |
| CIGNA | ALL PRODUCTS | $781.69 | ↓ -52% |
| ANTHEM | PPO/HMO | $790.79 | ↓ -51% |
| ANTHEM | TRADITIONAL | $815.41 | ↓ -50% |
| CC EHP | ALL PRODUCTS | $827.23 | ↓ -49% |
| AETNA | Asa_Whirlpool_Peia | $845.70 | ↓ -48% |
| UNITED | ALL PRODUCTS | $851.85 | ↓ -48% |
| AETNA | International | $854.31 | ↓ -48% |
| GMS | ALL PRODUCTS | $861.70 | ↓ -47% |
| Medical Benefit Corp | Transplant SMCP | $861.70 | ↓ -47% |
| AETNA | ALL PRODUCTS | $923.25 | ↓ -43% |
| Consociate Health | ALL PRODUCTS | $923.25 | ↓ -43% |
| The Health Plan | ALL PRODUCTS | $984.80 | ↓ -39% |
| FrontPath | TRANSPLANT | $1,107.90 | ↓ -32% |
| Managed Care Services | TRANSPLANT | $1,107.90 | ↓ -32% |
| MULTIPLAN | ALL PRODUCTS | $1,107.90 | ↓ -32% |
| Tertiary Care Network | TRANSPLANT | $1,107.90 | ↓ -32% |
| AETNA | Qhp/Ipf | $1,231.00 | ↓ -24% |
| AETNA | NAP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Unlisted mr procedure at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $7,127.25 | $0.01 – $295.82 |
| akron general | Akron | $7,127.25 | $0.01 – $234.81 |
| avon hospital | Avon | $6,541.60 | $0.87 – $221.63 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $800.15 | $348.13 – $1,107.90 |
| euclid hospital | Euclid | $6,541.60 | $0.87 – $258.01 |
| fairview hospital | Cleveland | $6,541.60 | $0.87 – $242.39 |
| lutheran hospital | Cleveland | $6,541.60 | $0.87 – $230.76 |
| hillcrest hospital | Mayfield Heights | $6,541.60 | $0.87 – $252.53 |