healthcosts.net

lodi hospital

225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

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
Small bowel endoscopy >2nd w/remove 44363 CPT 44363 not published not published $1,896.99 – $2,314.10 7
Small bowel endoscopy 44365 CPT 44365 not published not published $1,896.99 – $2,314.10 7
Small bowel endoscopy/biopsy CPT 44361 not published not published $1,039.18 – $1,203.26 7
Small bowel endoscopy/biopsy CPT 44377 not published not published $1,039.18 – $1,203.26 7
Small bowel endoscopy br/wa CPT 44380 not published not published $926.63 – $1,372.79 7
Small bowel endoscopy br/wa CPT 44381 not published not published $1,185.59 – $1,372.79 7
Small bowel endoscopy/stent 44370 CPT 44370 not published not published $1,998.54 – $2,314.10 7
Smallpox&monkeypox vac 0.5ml CPT 90611 not published not published $0.01 – $15.41 7
Smear fluorescent and/or acid fast stain CPT 87206 $24.05 $37.00 $2.77 – $33.30 30
Smear gram stain CPT 87205 $18.85 $29.00 $2.20 – $26.10 30
Smear nasal eosinophil CPT 89190 $26.00 $40.00 $2.44 – $36.00 30
Smear special stain inclusion bodies/parasites CPT 87207 $26.65 $41.00 $3.09 – $36.90 30
Smear wet mount CPT 87210 $26.00 $40.00 $5.82 – $36.00 30
Smn1 gene full gene sequence CPT 81336 not published not published $125.71 – $179.64 7
Smn1 gen nown famil seq vrnt CPT 81337 not published not published $77.26 – $179.64 7
Smpd1 gene common variants CPT 81330 not published not published $19.61 – $129.45 7
Snrpn/ube3a gene CPT 81331 not published not published $21.31 – $129.45 7
So airplane w/wo joint cf HCPCS L3674 not published not published $891.96 – $1,032.79 7
So cap design without jnts cf HCPCS L3671 not published not published $1,715.53 – $1,986.40 7
Socket insert above knee HCPCS L5658 not published not published $1,127.55 – $1,305.58 7
Socket insert below knee HCPCS L5655 not published not published $121.57 – $140.77 7
Socket insert knee articulat HCPCS L5656 not published not published $1,127.55 – $1,305.58 7
Socket insert symes HCPCS L5654 not published not published $121.57 – $140.77 7
Socket insert without lock mech HCPCS L5679 not published not published $443.56 – $513.60 7
Socket insert w lock mech HCPCS L5673 not published not published $1,715.53 – $1,986.40 7
Sock fracture or equal each HCPCS L3995 not published not published $48.64 – $56.32 7
Sock wool above knee HCPCS L8430 not published not published $48.64 – $56.32 7
Sodium 24 hour urine CPT 84300 $22.75 $35.00 $2.50 – $31.50 30
Sodium chloride 0.9 % intravenous solution HCPCS J7030 $3.25 $5.00 $0.01 – $14.86 30
Sodium chloride 0.9 % IV bolus HCPCS J7040 $0.25 $0.39 $0.01 – $14.86 30
Sodium chloride 0.9 % IV bolus HCPCS J7050 $0.35 $0.54 $0.01 – $14.86 30
Sodium chloride 3 % ivpb HCPCS J7131 $0.60 $0.93 $0.01 – $14.86 30
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 $14.88 $22.89 $6.47 – $80.48 30
Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 $222.30 $342.00 $96.60 – $307.42 30
Sodium serum/plasma/whole blood CPT 84295 $21.45 $33.00 $2.48 – $29.70 30
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 $4.68 $7.20 $0.88 – $7,412.01 30
Soft interface below knee se HCPCS L2820 not published not published $42.21 – $48.87 7
Software meas of cardiac vol HCPCS G0183 not published not published $88.91 – $283.24 7
So gsap cl fr cpy nmbr&mcrst CPT 81463 not published not published $146.07 – $169.14 7
So gsap cll fr dna/dna&rna CPT 81462 not published not published $146.07 – $169.14 7
So gsap cll fr mcrstl ins CPT 81464 not published not published $146.07 – $169.14 7
So gsap dna cpy nmbr&mcrstl CPT 81458 not published not published $146.07 – $169.14 7
Solid skin barrier HCPCS A4362 not published not published $22.59 – $26.16 7
Solid skin barrier 6x6 HCPCS A5121 not published not published $22.59 – $26.16 7
Somatosensory testing CPT 95927 not published not published $220.60 – $604.11 7
Somatropin injection HCPCS J2941 $2,770.40 $4,262.16 $32.60 – $103.73 30
So neo gsap dna/dna&rna CPT 81459 not published not published $146.07 – $169.14 7
So neo gsap dna mcrstl ins CPT 81457 not published not published $146.07 – $169.14 7
Sotalol hydrochloride IV HCPCS C9482 $771.26 $1,186.56 $22.83 – $1,067.90 30
So vest canvas/web pre ots HCPCS L3675 not published not published $42.21 – $48.87 7
Spacer bag/reservoir HCPCS A4627 not published not published $22.59 – $26.16 7
Sp bone agrft morsel add-on CPT 20937 not published not published $12,421.32 – $14,382.58 7
Sp bone agrft struct add-on CPT 20938 not published not published $12,421.32 – $14,382.58 7
Sp bone algrft morsel add-on CPT 20930 not published not published $12,421.32 – $14,382.58 7
Special casting material HCPCS A4590 not published not published $22.59 – $26.16 7
Special physics consult CPT 77370 not published not published $132.77 – $163.01 7
Special pump services CPT 99190 not published not published $540.20 – $625.49 7
Special pump services CPT 99191 not published not published $540.20 – $625.49 7
Special pump services CPT 99192 not published not published $540.20 – $625.49 7
Special radiation dosimetry CPT 77331 not published not published $132.77 – $163.01 7
Special radiation treatment CPT 77470 not published not published $477.48 – $552.87 7
Special supplies phys/qhp CPT 99070 not published not published $22.59 – $26.16 7
Special teletx port plan CPT 77321 not published not published $366.07 – $754.03 7
Specific gravity body fluid CPT 84315 $14.95 $23.00 $1.37 – $20.70 30
Specimen fat stain CPT 89125 not published not published $2.45 – $13.82 7
Speech and Language Evaluation (comprehensive) CPT 92523 $651.30 $1,002.00 $94.21 – $901.80 30
Speech audiometry complete CPT 92556 $154.70 $238.00 $53.28 – $214.20 30
Speech evaluation complex CPT 70371 not published not published $189.93 – $219.92 7
Speech recep thresh CPT 92555 $154.70 $238.00 $53.28 – $214.20 30
Speech Therapy Session (one-on-one) CPT 92507 $307.45 $473.00 $94.21 – $425.70 30
Sperm antibody test CPT 89325 $136.50 $210.00 $5.50 – $189.00 30
Sperm evaluation test CPT 89329 not published not published $10.08 – $13.82 7
Sperm identification CPT 89257 not published not published $33.10 – $38.32 7
Sperm isolation complex CPT 89261 not published not published $33.10 – $38.32 7
Sperm isolation simple CPT 89260 not published not published $33.10 – $38.32 7
Sperm washing 58323 CPT 58323 not published not published $201.17 – $233.26 7
Sphenoid sinus surgery CPT 31051 not published not published $3,610.16 – $4,180.19 7
Sphincteroplasty inc/prolapse adult 46750 CPT 46750 not published not published $2,446.03 – $2,832.25 7
Spinal bone allograftstructural 20931 CPT 20931 not published not published $12,421.32 – $14,382.58 7
Spinal bone autograftlocal 20936 CPT 20936 not published not published $12,421.32 – $14,382.58 7
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 $3,105.70 $4,778.00 $692.52 – $4,300.20 30
Spine device implant surgery HCPCS C9757 not published not published $12,421.32 – $14,382.58 7
Spine X-ray (single view, one level) CPT 72020 $395.20 $608.00 $75.62 – $547.20 30
Spirmtry w/brnchdil inf-2 yr CPT 94012 not published not published $170.43 – $197.34 7
Spirometry up to 2 yrs old CPT 94011 not published not published $86.54 – $100.20 7
Spleen imaging CPT 78185 not published not published $401.83 – $480.13 7
Splenectomy total open 38100 CPT 38100 not published not published $2,703.49 – $3,130.36 7
Splice spleen/kidney veins CPT 37181 not published not published $3,493.47 – $4,045.07 7
Splicing of ureters CPT 50770 not published not published $7,556.43 – $8,749.55 7
Splint arm vnyl coated padded lft med HCPCS Q4051 not published not published $14.85 – $17.19 7
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 $491.40 $756.00 $87.95 – $1,305.58 30
Splint extn xsm w sof-stretch rolyan HCPCS L3925 $18.20 $28.00 $7.92 – $48.87 30
Splint finger 4 prong foam sm HCPCS A4570 $20.80 $32.00 $9.05 – $28.80 30
Splint finger fold over sm HCPCS L3924 not published not published $42.21 – $48.87 7
Splint finger frog med HCPCS L3927 $5.20 $8.00 $2.26 – $56.32 30
Splint fing stax assort 1-7in HCPCS Q4049 not published not published $14.85 – $17.19 7
Splint func pos polyflex ii med HCPCS L3999 not published not published $22.59 – $26.16 7
Splint rstrc wrst/cmc right med HCPCS L3923 $38.35 $59.00 $9.33 – $48.87 30
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 not published not published $1,956.51 – $2,265.43 7
Split blood or products CPT 86985 $768.30 $1,182.00 $11.26 – $1,063.80 30

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.