Ziconotide injection at lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
$2,938.53
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.
$4,520.82
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.
$9.65 with OPTUM vs $4,433.95 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 |
|---|---|---|---|
| OPTUM | Medicare Advantage Transplant | $9.65 | ↓ -100% |
| OPTUM | All Products VA | $9.65 | ↓ -100% |
| ANTHEM | MEDICARE ADVANTAGE | $10.56 | ↓ -100% |
| OSCAR | ALL PRODUCTS | $303.34 | ↓ -90% |
| UNITED | MEDICARE ADVANTAGE | $321.79 | ↓ -89% |
| MMO | Medicare Advantage HMO & PPO | $321.79 | ↓ -89% |
| HUMANA | Medicare Advantage HMO | $321.79 | ↓ -89% |
| Summacare | MEDICARE ADVANTAGE | $343.24 | ↓ -88% |
| AETNA | MEDICARE ADVANTAGE | $343.24 | ↓ -88% |
| PHP | ALL PRODUCTS | $343.24 | ↓ -88% |
| PHPHI | ALL PRODUCTS | $343.24 | ↓ -88% |
| The Health Plan | Secure Care | $429.05 | ↓ -85% |
| Amish Community Aid Plan | ALL PRODUCTS | $482.68 | ↓ -84% |
| Aultcare | PPO/HMO | $515.93 | ↓ -82% |
| OHCP | ALL PRODUCTS | $521.29 | ↓ -82% |
| OMAS | ALL PRODUCTS | $536.31 | ↓ -82% |
| MMO | TRADITIONAL | $558.84 | ↓ -81% |
| Ohio Healthy | TRANSPLANT | $579.21 | ↓ -80% |
| ANTHEM | HPN | $585.65 | ↓ -80% |
| OPTUM | All Products Transplant | $607.10 | ↓ -79% |
| AETNA | Acop | $609.25 | ↓ -79% |
| Summacare | Preferred | $617.83 | ↓ -79% |
| Summacare | PREMIER | $643.57 | ↓ -78% |
| UPMC | ALL PRODUCTS | $643.57 | ↓ -78% |
| CIGNA | ALL PRODUCTS | $681.11 | ↓ -77% |
| ANTHEM | PPO/HMO | $689.05 | ↓ -77% |
| ANTHEM | TRADITIONAL | $710.50 | ↓ -76% |
| CC EHP | ALL PRODUCTS | $720.80 | ↓ -75% |
| AETNA | Asa_Whirlpool_Peia | $736.89 | ↓ -75% |
| UNITED | ALL PRODUCTS | $742.25 | ↓ -75% |
| AETNA | International | $744.40 | ↓ -75% |
| GMS | ALL PRODUCTS | $750.83 | ↓ -74% |
| Medical Benefit Corp | Transplant SMCP | $750.83 | ↓ -74% |
| AETNA | ALL PRODUCTS | $804.47 | ↓ -73% |
| Consociate Health | ALL PRODUCTS | $804.47 | ↓ -73% |
| The Health Plan | ALL PRODUCTS | $858.10 | ↓ -71% |
| MULTIPLAN | ALL PRODUCTS | $965.36 | ↓ -67% |
| Tertiary Care Network | TRANSPLANT | $965.36 | ↓ -67% |
| FrontPath | TRANSPLANT | $965.36 | ↓ -67% |
| Managed Care Services | TRANSPLANT | $965.36 | ↓ -67% |
| AETNA | Qhp/Ipf | $1,072.62 | ↓ -63% |
| OPTUM | Managed Medicaid Transplant | $3,829.32 | ↑ +30% |
| Buckeye | Managed Medicaid | $4,030.86 | ↑ +37% |
| CARESOURCE | Managed Medicaid | $4,030.86 | ↑ +37% |
| UNITED | Managed Medicaid | $4,232.40 | ↑ +44% |
| MOLINA | Managed Medicaid | $4,232.40 | ↑ +44% |
| ANTHEM | Managed Medicaid | $4,232.40 | ↑ +44% |
| AMERIHEALTH | Managed Medicaid | $4,433.95 | ↑ +51% |
| CIGNA | MEDICARE ADVANTAGE | not published by hospital | — |
| AETNA | NAP | not published by hospital | — |
| CommuniCare | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Ziconotide injection at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $440.69 | $9.04 – $3,329.32 |
| akron general | Akron | $2,938.53 | $2.17 – $2,642.72 |
| avon hospital | Avon | $2,938.53 | $9.65 – $2,494.39 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland | $2,938.53 | $303.34 – $4,627.33 |
| euclid hospital | Euclid | $2,938.53 | $9.04 – $2,903.78 |
| fairview hospital | Cleveland | $2,938.53 | $2.17 – $2,727.96 |
| lutheran hospital | Cleveland | $2,938.53 | $9.65 – $2,597.10 |
| hillcrest hospital | Mayfield Heights | $2,938.53 | $2.17 – $2,842.10 |