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 |
|---|---|---|---|---|
| Revision of urethra CPT 53450 | not published | not published | $2,812.60 – $3,256.69 | 7 |
| Revision of urethra CPT 53460 | not published | not published | $2,812.60 – $3,256.69 | 7 |
| Revision of urethra CPT 57220 | not published | not published | $2,812.60 – $3,256.69 | 7 |
| Revision of urinary tract CPT 51820 | not published | not published | $3,771.98 – $4,367.55 | 7 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $4,199.67 – $4,862.78 | 7 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $2,742.63 – $3,175.68 | 7 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Revision tips CPT 37183 | not published | not published | $5,701.52 – $7,204.81 | 7 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $10,497.43 – $12,154.92 | 7 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $10,497.43 – $12,154.92 | 7 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $127.14 – $127.14 | 1 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $127.14 – $127.14 | 1 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,181.19 – $5,999.27 | 7 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,181.19 – $5,999.27 | 7 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $4,523.17 – $5,237.35 | 7 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $4,523.17 – $5,237.35 | 7 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $6,356.66 – $7,360.34 | 7 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $3,745.38 – $4,336.76 | 7 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $2,886.98 – $3,342.82 | 7 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $4,523.17 – $5,237.35 | 7 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $2,886.98 – $3,342.82 | 7 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $4,007.96 – $4,640.80 | 7 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $2,886.98 – $3,342.82 | 7 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $2,886.98 – $3,342.82 | 7 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $12,421.32 – $14,382.58 | 7 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $12,421.32 – $14,382.58 | 7 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $21,444.39 – $31,526.06 | 2 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $17,913.59 – $21,676.83 | 7 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $11,384.04 – $12,470.31 | 2 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $11,234.48 – $13,008.35 | 7 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $4,987.55 | $7,673.16 | $10.12 – $6,905.84 | 30 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,451.90 – $1,681.15 | 7 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $2.92 – $35.60 | 7 |
| Rheumatoid factor quantitative CPT 86431 | $25.35 | $39.00 | $2.92 – $35.60 | 30 |
| Rh ig IV CPT 90386 | not published | not published | $4,719.74 – $5,464.97 | 7 |
| Rh ig minidose im CPT 90385 | not published | not published | $69.50 – $80.48 | 7 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $2,742.63 – $3,175.68 | 7 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $207.05 | $318.54 | $81.89 – $260.60 | 30 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $43.80 – $80.48 | 8 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $33.91 – $7,529.41 | 8 |
| Rho d immune globulin inj HCPCS J2790 | $287.82 | $442.80 | $86.85 – $276.40 | 30 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $188.90 – $218.72 | 7 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $2,594.09 – $3,003.68 | 7 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $2,594.09 – $3,003.68 | 7 |
| Rhythm ecg with report CPT 93040 | not published | not published | $31.31 – $36.26 | 7 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Rib cartilage graft CPT 21230 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $42.21 – $48.87 | 7 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $12.83 – $14.86 | 7 |
| Rib X-ray (3 views, both sides) CPT 71110 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $417.83 | $642.81 | $12.83 – $495.72 | 30 |
| Right heart cath congenital CPT 93530 | not published | not published | $2,594.09 – $3,003.68 | 7 |
| Right ventric recording CPT 93603 | not published | not published | $1,213.99 – $2,405.72 | 7 |
| Rilonacept injection HCPCS J2793 | not published | not published | $966.54 – $1,119.15 | 7 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $22.59 – $26.16 | 7 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $468.00 – $541.89 | 7 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $77.94 – $90.24 | 7 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $443.56 – $513.60 | 7 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $22.59 – $26.16 | 7 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $52,377.37 | $80,580.57 | $14.63 – $7,412.01 | 30 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $29.79 – $72.67 | 7 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $3,020.16 | $4,646.40 | $11.18 – $1,119.15 | 30 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $293.12 | $450.96 | $74.76 – $7,529.41 | 30 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $1,753.75 | $2,698.08 | $36.87 – $7,529.41 | 30 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $263.82 | $405.88 | $30.14 – $5,464.97 | 30 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $167.74 | $258.06 | $20.89 – $5,464.97 | 30 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $223.65 | $344.08 | $13.27 – $5,464.97 | 30 |
| R & l heart cath congenital CPT 93531 | not published | not published | $2,594.09 – $3,003.68 | 7 |
| R & l heart cath congenital CPT 93532 | not published | not published | $2,594.09 – $3,003.68 | 7 |
| R & l heart cath congenital CPT 93533 | not published | not published | $2,594.09 – $3,003.68 | 7 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $2,594.09 – $3,003.68 | 7 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $2,594.09 – $3,003.68 | 7 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $518.55 – $600.42 | 7 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $5,834.36 – $7,360.34 | 7 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,600.41 – $2,547.70 | 7 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,179.08 – $1,676.92 | 7 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,620.24 – $2,083.72 | 7 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $2,886.98 – $3,342.82 | 7 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $106.21 – $122.98 | 7 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $1,073.67 – $1,243.20 | 7 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $22,446.19 – $33,667.71 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $29,076.66 – $33,667.71 | 7 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $22,446.19 – $33,667.71 | 7 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $3,639.30 – $4,637.02 | 7 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $106.21 – $122.98 | 7 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $2,303.06 – $2,666.70 | 7 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,848.60 | $2,844.00 | $618.26 – $2,559.60 | 30 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $4,517.78 – $5,231.12 | 7 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $4,004.70 – $4,637.02 | 7 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $4,004.70 – $4,637.02 | 7 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $2,886.98 – $3,342.82 | 7 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $2,886.98 – $3,342.82 | 7 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $2,886.98 – $3,342.82 | 7 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $8,395.26 – $9,720.83 | 7 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $8,275.98 – $9,720.83 | 7 |
| Rmvl pq iabp CPT 33968 | not published | not published | $4,004.70 – $4,637.02 | 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.