Xe133 xenon 10mci 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

$299.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$460.00

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.

$130.09 with OSCAR vs $460.00 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
OSCAR ALL PRODUCTS $130.09 ↓ -56%
UNITED MEDICARE ADVANTAGE $138.00 ↓ -54%
HUMANA Medicare Advantage HMO $138.00 ↓ -54%
MMO Medicare Advantage HMO & PPO $138.00 ↓ -54%
AETNA MEDICARE ADVANTAGE $147.20 ↓ -51%
PHPHI ALL PRODUCTS $147.20 ↓ -51%
Summacare MEDICARE ADVANTAGE $147.20 ↓ -51%
PHP ALL PRODUCTS $147.20 ↓ -51%
OPTUM Managed Medicaid Transplant $172.47 ↓ -42%
CARESOURCE Managed Medicaid $181.55 ↓ -39%
Buckeye Managed Medicaid $181.55 ↓ -39%
The Health Plan Secure Care $184.00 ↓ -38%
MOLINA Managed Medicaid $190.63 ↓ -36%
UNITED Managed Medicaid $190.63 ↓ -36%
ANTHEM Managed Medicaid $190.63 ↓ -36%
AMERIHEALTH Managed Medicaid $199.71 ↓ -33%
Amish Community Aid Plan ALL PRODUCTS $207.00 ↓ -31%
Aultcare PPO/HMO $221.26 ↓ -26%
OHCP ALL PRODUCTS $223.56 ↓ -25%
OMAS ALL PRODUCTS $230.00 ↓ -23%
MMO TRADITIONAL $239.66 ↓ -20%
Ohio Healthy TRANSPLANT $248.40 ↓ -17%
ANTHEM HPN $251.16 ↓ -16%
OPTUM All Products Transplant $260.36 ↓ -13%
AETNA Acop $261.28 ↓ -13%
Summacare Preferred $264.96 ↓ -11%
UPMC ALL PRODUCTS $276.00 ↓ -8%
Summacare PREMIER $287.96 ↓ -4%
CIGNA ALL PRODUCTS $292.10 ↓ -2%
ANTHEM PPO/HMO $295.50 ↓ -1%
ANTHEM TRADITIONAL $304.70 ↑ +2%
CC EHP ALL PRODUCTS $309.12 ↑ +3%
AETNA Asa_Whirlpool_Peia $316.02 ↑ +6%
UNITED ALL PRODUCTS $318.32 ↑ +6%
AETNA International $319.24 ↑ +7%
GMS ALL PRODUCTS $322.00 ↑ +8%
Medical Benefit Corp Transplant SMCP $322.00 ↑ +8%
AETNA ALL PRODUCTS $345.00 ↑ +15%
Consociate Health ALL PRODUCTS $345.00 ↑ +15%
The Health Plan ALL PRODUCTS $368.00 ↑ +23%
MULTIPLAN ALL PRODUCTS $414.00 ↑ +38%
Tertiary Care Network TRANSPLANT $414.00 ↑ +38%
FrontPath TRANSPLANT $414.00 ↑ +38%
Managed Care Services TRANSPLANT $414.00 ↑ +38%
AETNA Qhp/Ipf $460.00 ↑ +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 —

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Xe133 xenon 10mci at other Ohio hospitals

Hospital City Cash price Negotiated range
Jewish Hospital Cincinnati $34.80 not published
Anderson Hospital Cincinnati $34.80 not published
Clermont Hospital Batavia $34.80 not published
St Ritas Medical Center Lima $347.40 not published
akron general Akron $299.00 $0.01 – $414.00
avon hospital Avon $299.00 $0.01 – $460.00
cleveland clinic childrens hospital for rehabilitation Cleveland $299.00 $130.09 – $414.00
euclid hospital Euclid $299.00 $0.01 – $460.00

All Ohio hospitals for this procedure →