Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im at lodi hospital

225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

$1,324.79

Cash price

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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.

$2,038.14

Gross charge

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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.

$13.31 with OPTUM vs $493.00 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 →

Payer
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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
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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 $13.31 ↓ -99%
Buckeye Managed Medicaid $14.01 ↓ -99%
CARESOURCE Managed Medicaid $14.01 ↓ -99%
ANTHEM Managed Medicaid $14.71 ↓ -99%
UNITED Managed Medicaid $14.71 ↓ -99%
MOLINA Managed Medicaid $14.71 ↓ -99%
AMERIHEALTH Managed Medicaid $15.41 ↓ -99%
OSCAR ALL PRODUCTS $139.42 ↓ -89%
HUMANA Medicare Advantage HMO $147.90 ↓ -89%
MMO Medicare Advantage HMO & PPO $147.90 ↓ -89%
UNITED MEDICARE ADVANTAGE $147.90 ↓ -89%
PHPHI ALL PRODUCTS $157.76 ↓ -88%
AETNA MEDICARE ADVANTAGE $157.76 ↓ -88%
PHP ALL PRODUCTS $157.76 ↓ -88%
Summacare MEDICARE ADVANTAGE $157.76 ↓ -88%
The Health Plan Secure Care $197.20 ↓ -85%
Amish Community Aid Plan ALL PRODUCTS $221.85 ↓ -83%
Aultcare PPO/HMO $237.13 ↓ -82%
OHCP ALL PRODUCTS $239.60 ↓ -82%
OMAS ALL PRODUCTS $246.50 ↓ -81%
MMO TRADITIONAL $256.85 ↓ -81%
Ohio Healthy TRANSPLANT $266.22 ↓ -80%
ANTHEM HPN $269.18 ↓ -80%
OPTUM All Products Transplant $279.04 ↓ -79%
AETNA Acop $280.02 ↓ -79%
Summacare Preferred $283.97 ↓ -79%
Summacare PREMIER $295.80 ↓ -78%
UPMC ALL PRODUCTS $295.80 ↓ -78%
CIGNA ALL PRODUCTS $313.06 ↓ -76%
ANTHEM PPO/HMO $316.70 ↓ -76%
ANTHEM TRADITIONAL $326.56 ↓ -75%
CC EHP ALL PRODUCTS $331.30 ↓ -75%
AETNA Asa_Whirlpool_Peia $338.69 ↓ -74%
UNITED ALL PRODUCTS $341.16 ↓ -74%
AETNA International $342.14 ↓ -74%
GMS ALL PRODUCTS $345.10 ↓ -74%
Medical Benefit Corp Transplant SMCP $345.10 ↓ -74%
AETNA ALL PRODUCTS $369.75 ↓ -72%
Consociate Health ALL PRODUCTS $369.75 ↓ -72%
The Health Plan ALL PRODUCTS $394.40 ↓ -70%
MULTIPLAN ALL PRODUCTS $443.70 ↓ -67%
Tertiary Care Network TRANSPLANT $443.70 ↓ -67%
FrontPath TRANSPLANT $443.70 ↓ -67%
Managed Care Services TRANSPLANT $443.70 ↓ -67%
AETNA Qhp/Ipf $493.00 ↓ -63%
CommuniCare MEDICARE ADVANTAGE not published by hospital —
AETNA NAP not published by hospital —
CIGNA MEDICARE ADVANTAGE not published by hospital —
OPTUM Medicare Advantage Transplant not published by hospital —
ANTHEM MEDICARE ADVANTAGE not published by hospital —
OPTUM All Products VA not published by hospital —

Visitor-reported prices

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Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland $346.26 $1.10 – $479.43
akron general Akron $1,324.79 $1.10 – $479.43
avon hospital Avon $1,324.79 $8.51 – $479.43
cleveland clinic childrens hospital for rehabilitation Cleveland $1,324.79 $13.89 – $1,834.33
euclid hospital Euclid $1,324.79 $8.71 – $479.43
fairview hospital Cleveland $1,324.79 $8.19 – $479.43
lutheran hospital Cleveland $1,324.79 $7.79 – $479.43
hillcrest hospital Mayfield Heights $1,324.79 $8.53 – $479.43

All Ohio hospitals for this procedure →