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 |
|---|---|---|---|---|
| Semen analysis w/count CPT 89310 | not published | not published | $4.43 – $13.82 | 7 |
| Sensorimotor examination CPT 92060 | not published | not published | $59.40 – $75.01 | 7 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $38.16 – $61.69 | 7 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $1,536.64 – $1,779.27 | 7 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $34.91 – $179.64 | 7 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $1,645.98 – $1,905.87 | 7 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Serial casting application 97139app CPT 97139 | not published | not published | $41.42 – $47.96 | 7 |
| Serial tonometry CPT 92100 | not published | not published | $64.78 – $75.01 | 7 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1,794.07 – $2,077.34 | 7 |
| Serpina1 gene CPT 81332 | $195.65 | $301.00 | $22.48 – $270.90 | 30 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $8.26 – $53.70 | 7 |
| Set radiation therapy field CPT 77280 | not published | not published | $132.77 – $163.01 | 7 |
| Set radiation therapy field CPT 77285 | not published | not published | $366.07 – $754.03 | 7 |
| Set radiation therapy field CPT 77290 | not published | not published | $366.07 – $754.03 | 7 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $115.40 – $133.62 | 7 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $115.62 – $133.88 | 7 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $69.50 – $80.48 | 7 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $69.50 – $80.48 | 7 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,952.77 – $5,483.29 | 7 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $891.96 – $1,032.79 | 7 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $891.96 – $1,032.79 | 7 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $891.96 – $1,032.79 | 7 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $891.96 – $1,032.79 | 7 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $891.96 – $1,032.79 | 7 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $891.96 – $1,032.79 | 7 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $891.96 – $1,032.79 | 7 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $891.96 – $1,032.79 | 7 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Sex chromatin identification CPT 88130 | not published | not published | $11.93 – $13.82 | 7 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $13.82 | 7 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,448.97 – $6,211.48 | 7 |
| Sex transformation m to f CPT 55970 | not published | not published | $3,745.38 – $4,336.76 | 7 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $80.62 – $179.64 | 7 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,179.08 – $1,372.79 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $198.70 – $260.28 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $198.70 – $260.28 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $224.79 – $260.28 | 7 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $224.79 – $260.28 | 7 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $198.70 – $260.28 | 7 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $198.70 – $260.28 | 7 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $198.70 – $260.28 | 7 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $224.79 – $260.28 | 7 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $224.79 – $260.28 | 7 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $198.70 – $260.28 | 7 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $198.70 – $260.28 | 7 |
| Sheath above knee HCPCS L8410 | not published | not published | $14.85 – $17.19 | 7 |
| Sheath below knee HCPCS L8400 | not published | not published | $14.85 – $17.19 | 7 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | not published | not published | $267.61 – $309.86 | 7 |
| Sheath laser cavaclear 14f HCPCS C1603 | not published | not published | $267.61 – $309.86 | 7 |
| Sheath upper limb HCPCS L8415 | not published | not published | $14.85 – $17.19 | 7 |
| Shigella antibody CPT 86771 | not published | not published | $10.21 – $35.60 | 7 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $22,538.00 – $26,096.63 | 7 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $5,790.63 – $6,704.94 | 7 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $5,790.63 – $6,704.94 | 7 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,244.61 – $6,704.94 | 7 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $5,790.63 – $6,704.94 | 7 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $42.21 – $48.87 | 7 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $48.64 – $56.32 | 7 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $48.64 – $56.32 | 7 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $48.64 – $56.32 | 7 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $42.21 – $48.87 | 7 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $77.94 – $90.24 | 7 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $42.21 – $48.87 | 7 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $42.21 – $48.87 | 7 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $42.21 – $48.87 | 7 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $77.94 – $90.24 | 7 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $48.64 – $56.32 | 7 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $42.21 – $48.87 | 7 |
| Shoe post-op mens m HCPCS L3260 | $29.90 | $46.00 | $13.01 – $41.40 | 30 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $42.21 – $48.87 | 7 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $48.64 – $56.32 | 7 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $42.21 – $48.87 | 7 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $77.94 – $90.24 | 7 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $443.56 – $513.60 | 7 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $42.21 – $48.87 | 7 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Shortening of thigh bone CPT 27465 | not published | not published | $4,085.58 – $4,730.67 | 7 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $4,085.58 – $4,730.67 | 7 |
| Shorten radius or ulna CPT 25390 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Shorten radius & ulna CPT 25392 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $319.15 | $491.00 | $60.66 – $441.90 | 30 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $121.57 – $140.77 | 7 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $5,790.63 – $6,704.94 | 7 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $121.57 – $140.77 | 7 |
| Shoulder harness HCPCS L5699 | not published | not published | $468.00 – $541.89 | 7 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $443.56 – $513.60 | 7 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| Shoulder MRI (with contrast) CPT 73222 | $3,543.15 | $5,451.00 | $514.18 – $4,905.90 | 30 |
| Shoulder MRI (without contrast) CPT 73221 | $1,084.20 | $1,668.00 | $241.72 – $1,501.20 | 30 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $2,862.05 – $5,050.72 | 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.