Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$1,392.44
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.
$2,142.21
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.
$588.22 with OSCAR vs $2,160.64 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 |
|---|---|---|---|
| OSCAR | ALL PRODUCTS | $588.22 | ↓ -58% |
| UNITED | MEDICARE ADVANTAGE | $624.00 | ↓ -55% |
| HUMANA | Medicare Advantage HMO | $624.00 | ↓ -55% |
| MMO | Medicare Advantage HMO & PPO | $624.00 | ↓ -55% |
| PHPHI | ALL PRODUCTS | $665.60 | ↓ -52% |
| AETNA | MEDICARE ADVANTAGE | $665.60 | ↓ -52% |
| PHP | ALL PRODUCTS | $665.60 | ↓ -52% |
| Summacare | MEDICARE ADVANTAGE | $665.60 | ↓ -52% |
| The Health Plan | Secure Care | $832.00 | ↓ -40% |
| Amish Community Aid Plan | ALL PRODUCTS | $936.00 | ↓ -33% |
| Aultcare | PPO/HMO | $1,000.48 | ↓ -28% |
| OHCP | ALL PRODUCTS | $1,010.88 | ↓ -27% |
| OMAS | ALL PRODUCTS | $1,040.00 | ↓ -25% |
| MMO | TRADITIONAL | $1,083.68 | ↓ -22% |
| Ohio Healthy | TRANSPLANT | $1,123.20 | ↓ -19% |
| ANTHEM | HPN | $1,135.68 | ↓ -18% |
| OPTUM | All Products Transplant | $1,177.28 | ↓ -15% |
| AETNA | Acop | $1,181.44 | ↓ -15% |
| Summacare | Preferred | $1,198.08 | ↓ -14% |
| UPMC | ALL PRODUCTS | $1,248.00 | ↓ -10% |
| Summacare | PREMIER | $1,248.00 | ↓ -10% |
| CIGNA | ALL PRODUCTS | $1,320.80 | ↓ -5% |
| ANTHEM | PPO/HMO | $1,336.19 | ↓ -4% |
| ANTHEM | TRADITIONAL | $1,377.79 | ↓ -1% |
| CC EHP | ALL PRODUCTS | $1,397.76 | ↑ +0% |
| AETNA | Asa_Whirlpool_Peia | $1,428.96 | ↑ +3% |
| UNITED | ALL PRODUCTS | $1,439.36 | ↑ +3% |
| AETNA | International | $1,443.52 | ↑ +4% |
| Medical Benefit Corp | Transplant SMCP | $1,456.00 | ↑ +5% |
| GMS | ALL PRODUCTS | $1,456.00 | ↑ +5% |
| AETNA | ALL PRODUCTS | $1,560.00 | ↑ +12% |
| Consociate Health | ALL PRODUCTS | $1,560.00 | ↑ +12% |
| The Health Plan | ALL PRODUCTS | $1,664.00 | ↑ +20% |
| OPTUM | Managed Medicaid Transplant | $1,866.01 | ↑ +34% |
| MULTIPLAN | ALL PRODUCTS | $1,872.00 | ↑ +34% |
| FrontPath | TRANSPLANT | $1,872.00 | ↑ +34% |
| Managed Care Services | TRANSPLANT | $1,872.00 | ↑ +34% |
| Tertiary Care Network | TRANSPLANT | $1,872.00 | ↑ +34% |
| CARESOURCE | Managed Medicaid | $1,964.22 | ↑ +41% |
| Buckeye | Managed Medicaid | $1,964.22 | ↑ +41% |
| UNITED | Managed Medicaid | $2,062.43 | ↑ +48% |
| ANTHEM | Managed Medicaid | $2,062.43 | ↑ +48% |
| MOLINA | Managed Medicaid | $2,062.43 | ↑ +48% |
| AETNA | Qhp/Ipf | $2,080.00 | ↑ +49% |
| AMERIHEALTH | Managed Medicaid | $2,160.64 | ↑ +55% |
| AETNA | NAP | not published by hospital | — |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
| ANTHEM | MEDICARE ADVANTAGE | not published by hospital | — |
| OPTUM | Medicare Advantage Transplant | not published by hospital | — |
| OPTUM | All Products VA | not published by hospital | — |
Visitor-reported prices
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Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $1,352.00 | $1.10 – $1,872.00 |
| akron general | Akron | $1,392.44 | $1.10 – $1,872.00 |
| avon hospital | Avon | $1,392.44 | $354.43 – $1,872.00 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $1,392.44 | $605.82 – $2,254.88 |
| euclid hospital | Euclid | $1,392.44 | $354.43 – $1,872.00 |
| fairview hospital | Cleveland | $1,392.44 | $323.23 – $1,872.00 |
| lutheran hospital | Cleveland | $1,392.44 | $354.43 – $1,872.00 |
| hillcrest hospital | Mayfield Heights | $1,392.44 | $323.23 – $1,872.00 |