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 |
|---|---|---|---|---|
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $57.15 – $179.64 | 7 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $57.15 – $179.64 | 7 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $57.15 – $179.64 | 7 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $57.15 – $179.64 | 7 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $113.31 – $131.20 | 7 |
| Audiometry air + bone CPT 92553 | $406.90 | $626.00 | $131.46 – $563.40 | 30 |
| Audit/dast 15-30 min CPT 99408 | not published | not published | $62.76 – $72.67 | 7 |
| Audit/dast over 30 min CPT 99409 | not published | not published | $62.76 – $72.67 | 7 |
| Auditor evoke potent limit CPT 92586 | not published | not published | $179.29 – $207.60 | 7 |
| Auditory function + 15 min CPT 92621 | not published | not published | $94.21 – $109.09 | 7 |
| Auditory function 60 min CPT 92620 | not published | not published | $94.21 – $109.09 | 7 |
| Aud rehab postling hear loss CPT 92633 | not published | not published | $41.42 – $47.96 | 7 |
| Aud rehab pre-ling hear loss CPT 92630 | not published | not published | $41.42 – $47.96 | 7 |
| Augmentation cheek bone CPT 21270 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Augmentation of facial bones CPT 21208 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Augment injectable kit 3.0cc HCPCS C1734 | not published | not published | $267.61 – $309.86 | 7 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $5,790.63 – $6,704.94 | 7 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $5,790.63 – $6,704.94 | 7 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $230.56 – $266.96 | 7 |
| Autologous blood op salvage CPT 86891 | not published | not published | $61.88 – $98.92 | 7 |
| Autologous blood process CPT 86890 | not published | not published | $43.85 – $98.92 | 7 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $745.30 – $862.98 | 7 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $745.30 – $862.98 | 7 |
| Automated diff wbc count CPT 85004 | not published | not published | $3.33 – $13.09 | 7 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $128.90 – $604.11 | 7 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $131.46 – $604.11 | 7 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $128.90 – $604.11 | 7 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $653.33 | $1,005.12 | $95.18 – $7,412.01 | 30 |
| Av fistula revision CPT 36833 | not published | not published | $4,199.67 – $4,862.78 | 7 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $4,199.67 – $4,862.78 | 7 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $4,199.67 – $4,862.78 | 7 |
| Av fusion direct any site CPT 36821 | not published | not published | $3,147.50 – $4,862.78 | 7 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $4,199.67 – $4,862.78 | 7 |
| Avul nail plate addl CPT 11732 | $348.40 | $536.00 | $63.51 – $482.40 | 30 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $387.40 | $596.00 | $63.51 – $536.40 | 30 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | $61,425.00 | $94,500.00 | $55.65 – $85,050.00 | 30 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | $1,571,169.60 | $2,417,184.00 | $14,876.37 – $2,175,465.60 | 30 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $468.00 – $541.89 | 7 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $2,282.46 – $2,642.85 | 7 |
| Azacitidine injection HCPCS J9025 | $280.83 | $432.04 | $122.18 – $548.75 | 30 |
| Azathioprine 50 mg tablet HCPCS J7500 | $2.74 | $4.22 | $0.48 – $14.86 | 30 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $188.90 – $218.72 | 7 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $58.40 | $89.85 | $4.73 – $15.07 | 30 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $12.83 – $14.86 | 7 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $156.66 | $241.02 | $52.38 – $166.70 | 30 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $1,105.81 | $1,701.24 | $6.01 – $1,119.15 | 30 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $224.25 | $345.00 | $33.56 – $106.81 | 30 |
| Baclofen eval charges CPT 97750 | $176.80 | $272.00 | $42.65 – $244.80 | 30 |
| Bacterial meningitis antigen CPT 86403 | $52.00 | $80.00 | $5.25 – $72.00 | 30 |
| Bacterial vaginosis pcr CPT 87801 | $314.60 | $484.00 | $36.15 – $435.60 | 30 |
| Bactericidal level serum CPT 87197 | not published | not published | $7.74 – $25.66 | 7 |
| #bac vag cand-c. albicans naa CPT 87481 | $157.30 | $242.00 | $20.73 – $217.80 | 30 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $22.59 – $26.16 | 7 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $169.65 | $261.00 | $41.24 – $234.90 | 30 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $7,556.43 – $8,749.55 | 7 |
| Banding pulmonary artery CPT 33690 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $469.95 | $723.00 | $12.44 – $39.60 | 30 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $798.20 | $1,228.00 | $75.62 – $1,105.20 | 30 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $22.59 – $26.16 | 7 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $22.59 – $26.16 | 7 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $22.59 – $26.16 | 7 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $22.59 – $26.16 | 7 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $22.59 – $26.16 | 7 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $22.59 – $26.16 | 7 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $1,956.89 – $2,265.87 | 7 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $18.07 – $51.85 | 7 |
| Bartonella dna quant CPT 87472 | not published | not published | $22.06 – $51.85 | 7 |
| Basic vestibular evaluation CPT 92540 | $406.90 | $626.00 | $156.46 – $563.40 | 30 |
| Basiliximab HCPCS J0480 | $14,509.09 | $22,321.68 | $4,588.77 – $15,306.34 | 30 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $443.56 – $513.60 | 7 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $121.57 – $140.77 | 7 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $891.96 – $1,032.79 | 7 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $891.96 – $1,032.79 | 7 |
| Bausch health Ultrasound surg HCPCS V2788 | not published | not published | $267.61 – $309.86 | 7 |
| B cells total count CPT 86355 | $169.00 | $260.00 | $19.43 – $234.00 | 30 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $567.74 | $873.44 | $3.27 – $786.10 | 30 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $22.44 – $313.18 | 8 |
| Bcg vaccine percut CPT 90585 | not published | not published | $13.31 – $15.41 | 7 |
| Bckdhb gene CPT 81205 | not published | not published | $39.63 – $129.45 | 7 |
| Bebtelovimab injection HCPCS M0222 | not published | not published | $60.66 – $70.24 | 7 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $69.50 – $80.48 | 7 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $22.59 – $26.16 | 7 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $414.70 | $638.00 | $0.01 – $574.20 | 30 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $2,269.53 | $3,491.58 | $3.81 – $3,142.42 | 30 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $6,867.64 | $10,565.60 | $54.15 – $4,433.95 | 30 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $121.57 – $140.77 | 7 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $42.21 – $48.87 | 7 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $443.56 – $513.60 | 7 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $443.56 – $513.60 | 7 |
| Below knee leather socket HCPCS L5638 | not published | not published | $443.56 – $513.60 | 7 |
| Below knee suction socket HCPCS L5647 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $77.94 – $90.24 | 7 |
| Below knee total contact HCPCS L5637 | not published | not published | $121.57 – $140.77 | 7 |
| Below knee wood socket HCPCS L5639 | not published | not published | $891.96 – $1,032.79 | 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.