Ustekinumab 130 mg/26 ml intravenous solution at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$190.77
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.
$293.49
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.
$12.49 with ANTHEM vs $7,529.41 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 |
|---|---|---|---|
| ANTHEM | MEDICARE ADVANTAGE | $12.49 | ↓ -93% |
| OPTUM | All Products VA | $12.97 | ↓ -93% |
| OPTUM | Medicare Advantage Transplant | $12.97 | ↓ -93% |
| OSCAR | ALL PRODUCTS | $83.00 | ↓ -56% |
| MMO | Medicare Advantage HMO & PPO | $88.05 | ↓ -54% |
| UNITED | MEDICARE ADVANTAGE | $88.05 | ↓ -54% |
| HUMANA | Medicare Advantage HMO | $88.05 | ↓ -54% |
| PHP | ALL PRODUCTS | $93.92 | ↓ -51% |
| Summacare | MEDICARE ADVANTAGE | $93.92 | ↓ -51% |
| AETNA | MEDICARE ADVANTAGE | $93.92 | ↓ -51% |
| PHPHI | ALL PRODUCTS | $93.92 | ↓ -51% |
| The Health Plan | Secure Care | $117.40 | ↓ -38% |
| Amish Community Aid Plan | ALL PRODUCTS | $132.07 | ↓ -31% |
| Aultcare | PPO/HMO | $141.17 | ↓ -26% |
| OHCP | ALL PRODUCTS | $142.64 | ↓ -25% |
| OMAS | ALL PRODUCTS | $146.75 | ↓ -23% |
| MMO | TRADITIONAL | $152.91 | ↓ -20% |
| Ohio Healthy | TRANSPLANT | $158.48 | ↓ -17% |
| ANTHEM | HPN | $160.25 | ↓ -16% |
| OPTUM | All Products Transplant | $166.12 | ↓ -13% |
| AETNA | Acop | $166.70 | ↓ -13% |
| Summacare | Preferred | $169.05 | ↓ -11% |
| UPMC | ALL PRODUCTS | $176.09 | ↓ -8% |
| Summacare | PREMIER | $176.09 | ↓ -8% |
| CIGNA | ALL PRODUCTS | $186.37 | ↓ -2% |
| ANTHEM | PPO/HMO | $188.54 | ↓ -1% |
| ANTHEM | TRADITIONAL | $194.41 | ↑ +2% |
| CC EHP | ALL PRODUCTS | $197.23 | ↑ +3% |
| AETNA | Asa_Whirlpool_Peia | $201.63 | ↑ +6% |
| UNITED | ALL PRODUCTS | $203.10 | ↑ +6% |
| AETNA | International | $203.68 | ↑ +7% |
| GMS | ALL PRODUCTS | $205.44 | ↑ +8% |
| Medical Benefit Corp | Transplant SMCP | $205.44 | ↑ +8% |
| AETNA | ALL PRODUCTS | $220.12 | ↑ +15% |
| Consociate Health | ALL PRODUCTS | $220.12 | ↑ +15% |
| The Health Plan | ALL PRODUCTS | $234.79 | ↑ +23% |
| MULTIPLAN | ALL PRODUCTS | $264.14 | ↑ +38% |
| FrontPath | TRANSPLANT | $264.14 | ↑ +38% |
| Tertiary Care Network | TRANSPLANT | $264.14 | ↑ +38% |
| Managed Care Services | TRANSPLANT | $264.14 | ↑ +38% |
| AETNA | Qhp/Ipf | $293.49 | ↑ +54% |
| OPTUM | Managed Medicaid Transplant | $6,502.67 | ↑ +3309% |
| Buckeye | Managed Medicaid | $6,844.92 | ↑ +3488% |
| CARESOURCE | Managed Medicaid | $6,844.92 | ↑ +3488% |
| UNITED | Managed Medicaid | $7,187.17 | ↑ +3667% |
| MOLINA | Managed Medicaid | $7,187.17 | ↑ +3667% |
| ANTHEM | Managed Medicaid | $7,187.17 | ↑ +3667% |
| AMERIHEALTH | Managed Medicaid | $7,529.41 | ↑ +3847% |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ustekinumab 130 mg/26 ml intravenous solution at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Clermont Hospital | Batavia | $18,313.80 | not published |
| St Ritas Medical Center | Lima | $16,406.10 | not published |
| Trinity Medical Center East | Steubenville | $2,522.31 | $12.76 – $3,916.22 |
| University Hospitals Ahuja Medical Center | Beachwood | $8,225.22 | $11.62 – $9,870.26 |
| University Hospitals Beachwood Medical Center | Beachwood | $8,225.22 | $5.49 – $9,870.26 |
| University Hospitals Conneaut Medical Center | Conneaut | $8,225.22 | $46.40 – $46.40 |
| University Hospitals Elyria Medical Center | Elyria | $8,225.22 | $11.62 – $20.92 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $8,225.22 | $11.62 – $20.92 |