lodi hospital
225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $131.30 | $202.00 | $15.08 – $181.80 | 30 |
| 17-hydroxypregnenolone CPT 84143 | $102.05 | $157.00 | $11.74 – $141.30 | 30 |
| 17-ketosteroids CPT 83586 | $57.20 | $88.00 | $6.59 – $79.20 | 30 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $22.59 – $26.16 | 7 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $22.59 – $26.16 | 7 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $22.59 – $26.16 | 7 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $91.53 – $105.99 | 7 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $91.53 – $105.99 | 7 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $92.50 – $103.79 | 2 |
| 2019-ncov diagnostic p HCPCS U0001 | $161.20 | $248.00 | $14.99 – $223.20 | 30 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $115.40 – $133.62 | 7 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $470.59 – $544.90 | 7 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $470.59 – $544.90 | 7 |
| 2nd order venous cath CPT 36012 | not published | not published | $476.40 – $551.62 | 7 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $13.31 – $15.41 | 7 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $88.05 – $133.88 | 7 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $115.62 – $133.88 | 7 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $470.59 – $544.90 | 7 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $1,027.45 – $1,189.68 | 7 |
| 3d recon without postprocess indpndt CPT 76376 | $367.90 | $566.00 | $115.62 – $509.40 | 30 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $891.96 – $1,032.79 | 7 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $22.59 – $26.16 | 7 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $22.59 – $26.16 | 7 |
| 5' nucleotidase - sendout CPT 83915 | $50.05 | $77.00 | $5.75 – $69.30 | 30 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $118.95 | $183.00 | $46.24 – $164.70 | 30 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $91.53 – $105.99 | 7 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $91.53 – $105.99 | 7 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $91.53 – $105.99 | 7 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $93.60 | $144.00 | $0.01 – $129.60 | 30 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $99.45 | $153.00 | $0.01 – $137.70 | 30 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $120.25 | $185.00 | $0.01 – $166.50 | 30 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $137.15 | $211.00 | $0.01 – $189.90 | 30 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $157.95 | $243.00 | $0.01 – $218.70 | 30 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $3,493.47 – $4,045.07 | 7 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,627.00 | $5,580.00 | $43.44 – $5,464.97 | 30 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $53.95 | $83.00 | $6.18 – $74.70 | 30 |
| Abciximab injection HCPCS J0130 | not published | not published | $3,829.32 – $4,433.95 | 7 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $1,321.23 – $1,529.85 | 7 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $476.40 – $551.62 | 7 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $476.40 – $551.62 | 7 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $476.40 – $551.62 | 7 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $476.40 – $551.62 | 7 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $903.50 | $1,390.00 | $200.13 – $1,251.00 | 30 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $397.15 | $611.00 | $106.34 – $549.90 | 30 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| Abdominal CT scan (with contrast) CPT 74160 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| Abdominal CT scan (without contrast) CPT 74150 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| Abdominal MRI (with contrast) CPT 74182 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| Abdominal MRI (without contrast) CPT 74181 | $1,084.20 | $1,668.00 | $241.72 – $1,501.20 | 30 |
| Abdominal pad HCPCS L1270 | not published | not published | $42.21 – $48.87 | 7 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,803.45 | $4,313.00 | $615.12 – $3,881.70 | 30 |
| Abdominal Ultrasound (complete) CPT 76700 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Abdominal Ultrasound (limited) CPT 76705 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Abdominal X-ray (2 views) CPT 74019 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Abdominal X-ray (single view) CPT 74018 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $2,282.46 – $2,642.85 | 7 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $615.12 – $712.24 | 7 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $77.94 – $90.24 | 7 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $121.57 – $140.77 | 7 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $77.94 – $90.24 | 7 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $42.21 – $48.87 | 7 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $42.21 – $48.87 | 7 |
| Abl1 gene CPT 81170 | not published | not published | $125.15 – $179.64 | 7 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $5,744.95 – $6,652.05 | 7 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $16,144.42 – $18,693.54 | 7 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $896.84 – $1,038.44 | 7 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $7,588.10 – $18,693.54 | 7 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,481.28 – $3,175.68 | 7 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $187.85 | $289.00 | $9.62 – $36.26 | 30 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $615.12 – $712.24 | 7 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $3,013.30 – $3,489.08 | 7 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $239.88 – $455.07 | 7 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $4,623.95 – $5,354.05 | 7 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $437.18 – $3,489.08 | 7 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $239.88 – $455.07 | 7 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | $32,471.40 | $49,956.00 | $4,623.95 – $44,960.40 | 30 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $295.19 – $446.17 | 7 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,620.24 – $6,652.05 | 7 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $4,374.55 – $5,065.27 | 7 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $1,502.16 – $1,739.34 | 7 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $4,374.55 – $5,065.27 | 7 |
| Abobotulinumtoxina HCPCS J0586 | $2,060.37 | $3,169.80 | $8.63 – $1,441.04 | 30 |
| Abortion CPT 59850 | not published | not published | $2,726.48 – $3,156.98 | 7 |
| Abortion (mpr) CPT 59866 | not published | not published | $304.19 – $3,156.98 | 7 |
| Above knee cushion socket HCPCS L5648 | not published | not published | $1,715.53 – $1,986.40 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.