Vaccine mmr live subcutaneous at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$224.04
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.
?
What you pay up front if you don't use insurance.
$344.67
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.
?
The hospital's undiscounted list price — almost no one pays this.
$13.31 with OPTUM vs $336.00 with AETNA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | ↓ -94% |
| Buckeye | Managed Medicaid | $14.01 | ↓ -94% |
| CARESOURCE | Managed Medicaid | $14.01 | ↓ -94% |
| ANTHEM | Managed Medicaid | $14.71 | ↓ -93% |
| UNITED | Managed Medicaid | $14.71 | ↓ -93% |
| MOLINA | Managed Medicaid | $14.71 | ↓ -93% |
| AMERIHEALTH | Managed Medicaid | $15.41 | ↓ -93% |
| OSCAR | ALL PRODUCTS | $95.02 | ↓ -58% |
| HUMANA | Medicare Advantage HMO | $100.80 | ↓ -55% |
| MMO | Medicare Advantage HMO & PPO | $100.80 | ↓ -55% |
| UNITED | MEDICARE ADVANTAGE | $100.80 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $107.52 | ↓ -52% |
| AETNA | MEDICARE ADVANTAGE | $107.52 | ↓ -52% |
| PHP | ALL PRODUCTS | $107.52 | ↓ -52% |
| Summacare | MEDICARE ADVANTAGE | $107.52 | ↓ -52% |
| The Health Plan | Secure Care | $134.40 | ↓ -40% |
| Amish Community Aid Plan | ALL PRODUCTS | $151.20 | ↓ -33% |
| Aultcare | PPO/HMO | $161.62 | ↓ -28% |
| OHCP | ALL PRODUCTS | $163.30 | ↓ -27% |
| OMAS | ALL PRODUCTS | $168.00 | ↓ -25% |
| MMO | TRADITIONAL | $175.06 | ↓ -22% |
| Ohio Healthy | TRANSPLANT | $181.44 | ↓ -19% |
| ANTHEM | HPN | $183.46 | ↓ -18% |
| OPTUM | All Products Transplant | $190.18 | ↓ -15% |
| AETNA | Acop | $190.85 | ↓ -15% |
| Summacare | Preferred | $193.54 | ↓ -14% |
| Summacare | PREMIER | $201.60 | ↓ -10% |
| UPMC | ALL PRODUCTS | $201.60 | ↓ -10% |
| CIGNA | ALL PRODUCTS | $213.36 | ↓ -5% |
| ANTHEM | PPO/HMO | $215.85 | ↓ -4% |
| ANTHEM | TRADITIONAL | $222.57 | ↓ -1% |
| CC EHP | ALL PRODUCTS | $225.79 | ↑ +1% |
| AETNA | Asa_Whirlpool_Peia | $230.83 | ↑ +3% |
| UNITED | ALL PRODUCTS | $232.51 | ↑ +4% |
| AETNA | International | $233.18 | ↑ +4% |
| GMS | ALL PRODUCTS | $235.20 | ↑ +5% |
| Medical Benefit Corp | Transplant SMCP | $235.20 | ↑ +5% |
| AETNA | ALL PRODUCTS | $252.00 | ↑ +12% |
| Consociate Health | ALL PRODUCTS | $252.00 | ↑ +12% |
| The Health Plan | ALL PRODUCTS | $268.80 | ↑ +20% |
| MULTIPLAN | ALL PRODUCTS | $302.40 | ↑ +35% |
| Tertiary Care Network | TRANSPLANT | $302.40 | ↑ +35% |
| FrontPath | TRANSPLANT | $302.40 | ↑ +35% |
| Managed Care Services | TRANSPLANT | $302.40 | ↑ +35% |
| AETNA | Qhp/Ipf | $336.00 | ↑ +50% |
| 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 mmr live subcutaneous at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jewish Hospital | Cincinnati | $211.68 | not published |
| Anderson Hospital | Cincinnati | $208.14 | not published |
| Clermont Hospital | Batavia | $208.14 | not published |
| Mercy West Hospital | Cincinnati | $208.14 | not published |
| St Ritas Medical Center | Lima | $58.80 | not published |
| cleveland clinic main campus | Cleveland | $218.40 | $1.10 – $302.40 |
| akron general | Akron | $224.04 | $1.10 – $302.40 |
| avon hospital | Avon | $224.04 | $8.51 – $302.40 |