Vaccine dtap-ipv 4-6 years im at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$291.15
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.
$447.93
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.
$13.31 with OPTUM vs $210.00 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 | Managed Medicaid Transplant | $13.31 | ↓ -95% |
| Buckeye | Managed Medicaid | $14.01 | ↓ -95% |
| CARESOURCE | Managed Medicaid | $14.01 | ↓ -95% |
| ANTHEM | Managed Medicaid | $14.71 | ↓ -95% |
| UNITED | Managed Medicaid | $14.71 | ↓ -95% |
| MOLINA | Managed Medicaid | $14.71 | ↓ -95% |
| AMERIHEALTH | Managed Medicaid | $15.41 | ↓ -95% |
| OSCAR | ALL PRODUCTS | $59.39 | ↓ -80% |
| HUMANA | Medicare Advantage HMO | $63.00 | ↓ -78% |
| MMO | Medicare Advantage HMO & PPO | $63.00 | ↓ -78% |
| UNITED | MEDICARE ADVANTAGE | $63.00 | ↓ -78% |
| PHPHI | ALL PRODUCTS | $67.20 | ↓ -77% |
| AETNA | MEDICARE ADVANTAGE | $67.20 | ↓ -77% |
| PHP | ALL PRODUCTS | $67.20 | ↓ -77% |
| Summacare | MEDICARE ADVANTAGE | $67.20 | ↓ -77% |
| The Health Plan | Secure Care | $84.00 | ↓ -71% |
| Amish Community Aid Plan | ALL PRODUCTS | $94.50 | ↓ -68% |
| Aultcare | PPO/HMO | $101.01 | ↓ -65% |
| OHCP | ALL PRODUCTS | $102.06 | ↓ -65% |
| OMAS | ALL PRODUCTS | $105.00 | ↓ -64% |
| MMO | TRADITIONAL | $109.41 | ↓ -62% |
| Ohio Healthy | TRANSPLANT | $113.40 | ↓ -61% |
| ANTHEM | HPN | $114.66 | ↓ -61% |
| OPTUM | All Products Transplant | $118.86 | ↓ -59% |
| AETNA | Acop | $119.28 | ↓ -59% |
| Summacare | Preferred | $120.96 | ↓ -58% |
| Summacare | PREMIER | $126.00 | ↓ -57% |
| UPMC | ALL PRODUCTS | $126.00 | ↓ -57% |
| CIGNA | ALL PRODUCTS | $133.35 | ↓ -54% |
| ANTHEM | PPO/HMO | $134.90 | ↓ -54% |
| ANTHEM | TRADITIONAL | $139.10 | ↓ -52% |
| CC EHP | ALL PRODUCTS | $141.12 | ↓ -52% |
| AETNA | Asa_Whirlpool_Peia | $144.27 | ↓ -50% |
| UNITED | ALL PRODUCTS | $145.32 | ↓ -50% |
| AETNA | International | $145.74 | ↓ -50% |
| GMS | ALL PRODUCTS | $147.00 | ↓ -50% |
| Medical Benefit Corp | Transplant SMCP | $147.00 | ↓ -50% |
| AETNA | ALL PRODUCTS | $157.50 | ↓ -46% |
| Consociate Health | ALL PRODUCTS | $157.50 | ↓ -46% |
| The Health Plan | ALL PRODUCTS | $168.00 | ↓ -42% |
| MULTIPLAN | ALL PRODUCTS | $189.00 | ↓ -35% |
| Tertiary Care Network | TRANSPLANT | $189.00 | ↓ -35% |
| FrontPath | TRANSPLANT | $189.00 | ↓ -35% |
| Managed Care Services | TRANSPLANT | $189.00 | ↓ -35% |
| AETNA | Qhp/Ipf | $210.00 | ↓ -28% |
| 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
Comments
Vaccine dtap-ipv 4-6 years im at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinity Medical Center East | Steubenville | $49.10 | $59.40 – $91.62 |
| cleveland clinic main campus | Cleveland | $136.50 | $1.10 – $189.00 |
| akron general | Akron | $291.15 | $1.10 – $189.00 |
| avon hospital | Avon | $291.15 | $8.51 – $189.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $291.15 | $13.89 – $399.01 |
| euclid hospital | Euclid | $291.15 | $8.71 – $189.00 |
| fairview hospital | Cleveland | $291.15 | $8.19 – $189.00 |
| lutheran hospital | Cleveland | $291.15 | $7.79 – $189.00 |