Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free 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

$151.45

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.

$233.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$13.31 with OPTUM vs $233.00 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 ↓ -91%
Buckeye Managed Medicaid $14.01 ↓ -91%
CARESOURCE Managed Medicaid $14.01 ↓ -91%
ANTHEM Managed Medicaid $14.71 ↓ -90%
UNITED Managed Medicaid $14.71 ↓ -90%
MOLINA Managed Medicaid $14.71 ↓ -90%
AMERIHEALTH Managed Medicaid $15.41 ↓ -90%
OSCAR ALL PRODUCTS $65.89 ↓ -56%
HUMANA Medicare Advantage HMO $69.90 ↓ -54%
MMO Medicare Advantage HMO & PPO $69.90 ↓ -54%
UNITED MEDICARE ADVANTAGE $69.90 ↓ -54%
PHPHI ALL PRODUCTS $74.56 ↓ -51%
AETNA MEDICARE ADVANTAGE $74.56 ↓ -51%
PHP ALL PRODUCTS $74.56 ↓ -51%
Summacare MEDICARE ADVANTAGE $74.56 ↓ -51%
The Health Plan Secure Care $93.20 ↓ -38%
Amish Community Aid Plan ALL PRODUCTS $104.85 ↓ -31%
Aultcare PPO/HMO $112.07 ↓ -26%
OHCP ALL PRODUCTS $113.24 ↓ -25%
OMAS ALL PRODUCTS $116.50 ↓ -23%
MMO TRADITIONAL $121.39 ↓ -20%
Ohio Healthy TRANSPLANT $125.82 ↓ -17%
ANTHEM HPN $127.22 ↓ -16%
OPTUM All Products Transplant $131.88 ↓ -13%
AETNA Acop $132.34 ↓ -13%
Summacare Preferred $134.21 ↓ -11%
Summacare PREMIER $139.80 ↓ -8%
UPMC ALL PRODUCTS $139.80 ↓ -8%
CIGNA ALL PRODUCTS $147.96 ↓ -2%
ANTHEM PPO/HMO $149.68 ↓ -1%
ANTHEM TRADITIONAL $154.34 ↑ +2%
CC EHP ALL PRODUCTS $156.58 ↑ +3%
AETNA Asa_Whirlpool_Peia $160.07 ↑ +6%
UNITED ALL PRODUCTS $161.24 ↑ +6%
AETNA International $161.70 ↑ +7%
GMS ALL PRODUCTS $163.10 ↑ +8%
Medical Benefit Corp Transplant SMCP $163.10 ↑ +8%
AETNA ALL PRODUCTS $174.75 ↑ +15%
Consociate Health ALL PRODUCTS $174.75 ↑ +15%
The Health Plan ALL PRODUCTS $186.40 ↑ +23%
MULTIPLAN ALL PRODUCTS $209.70 ↑ +38%
Tertiary Care Network TRANSPLANT $209.70 ↑ +38%
FrontPath TRANSPLANT $209.70 ↑ +38%
Managed Care Services TRANSPLANT $209.70 ↑ +38%
AETNA Qhp/Ipf $233.00 ↑ +54%
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 influenza quadrivalent (riv4) rdna antibiotic/preservative free im at other Ohio hospitals

Hospital City Cash price Negotiated range
cleveland clinic main campus Cleveland $151.45 $1.10 – $209.70
akron general Akron $151.45 $1.10 – $209.70
avon hospital Avon $151.45 $8.51 – $209.70
euclid hospital Euclid $151.45 $8.71 – $209.70
fairview hospital Cleveland $151.45 $8.19 – $209.70
lutheran hospital Cleveland $151.45 $7.79 – $209.70
hillcrest hospital Mayfield Heights $151.45 $8.53 – $209.70
marymount hospital Garfield Heights $151.45 $7.70 – $209.70

All Ohio hospitals for this procedure →