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 |
|---|---|---|---|---|
| Sugars multiple quant CPT 84379 | not published | not published | $5.93 – $27.98 | 7 |
| Sugars single quant CPT 84378 | $52.00 | $80.00 | $5.93 – $72.00 | 30 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $2,164,968.00 | $3,330,720.00 | $0.01 – $80.48 | 30 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $2.96 | $4.56 | $1.28 – $80.48 | 30 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $3.31 – $46.45 | 7 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $1,129.07 | $1,737.03 | $22.40 – $80.48 | 30 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $22.59 – $26.16 | 7 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $26.43 – $30.60 | 7 |
| Supply of digital device HCPCS G0552 | not published | not published | $52.08 – $60.30 | 7 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $14.85 – $17.19 | 7 |
| Support clav 29.6-40.5in med HCPCS L3650 | $31.20 | $48.00 | $13.57 – $48.87 | 30 |
| Supprelin la implant HCPCS J9226 | $117,424.98 | $180,653.82 | $24,079.31 – $162,588.44 | 30 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $91.53 – $105.99 | 7 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $91.53 – $105.99 | 7 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $1,448.25 – $1,676.92 | 7 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $5,038.53 – $5,834.09 | 7 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $5,038.53 – $5,834.09 | 7 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $2,812.60 – $3,256.69 | 7 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,816.08 – $2,102.83 | 7 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $4,085.58 – $4,730.67 | 7 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $3,306.95 – $3,829.10 | 7 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $3,306.95 – $3,829.10 | 7 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $4,374.55 – $5,065.27 | 7 |
| Surgical opening esophagus CPT 43351 | not published | not published | $4,007.96 – $4,640.80 | 7 |
| Surgical opening esophagus CPT 43352 | not published | not published | $4,203.24 – $4,866.91 | 7 |
| Surgical opening of stomach CPT 43510 | not published | not published | $926.63 – $4,866.91 | 7 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $4,007.96 – $4,640.80 | 7 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Surgical pathology level 1 gross examination only CPT 88300 | $109.85 | $169.00 | $24.49 – $152.10 | 30 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $176.15 | $271.00 | $38.16 – $243.90 | 30 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $239.85 | $369.00 | $49.80 – $332.10 | 30 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $239.85 | $369.00 | $49.80 – $332.10 | 30 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $1,613.30 | $2,482.00 | $91.22 – $2,233.80 | 30 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $3,664.05 | $5,637.00 | $91.22 – $5,073.30 | 30 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $4,203.24 – $4,866.91 | 7 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $4,203.24 – $4,866.91 | 7 |
| Surgical revision intestine CPT 44680 | not published | not published | $2,119.29 – $2,453.91 | 7 |
| Surgical trays HCPCS A4550 | not published | not published | $22.59 – $26.16 | 7 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $127.14 – $1,698.58 | 7 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,448.25 – $1,676.92 | 7 |
| Susceptibility agar dilution per agent CPT 87181 | $21.45 | $33.00 | $2.44 – $29.70 | 30 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $21.45 | $33.00 | $2.44 – $29.70 | 30 |
| Susceptibility mic per plate CPT 87186 | $39.00 | $60.00 | $4.45 – $54.00 | 30 |
| Suscept studies macrobroth dilution ea CPT 87188 | $29.90 | $46.00 | $3.42 – $41.40 | 30 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $2,119.29 – $2,453.91 | 7 |
| Suspension of testis CPT 54620 | not published | not published | $1,990.72 – $2,305.04 | 7 |
| Suspension of uterus CPT 58410 | not published | not published | $3,709.90 – $4,295.68 | 7 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $77.94 – $90.24 | 7 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,816.08 – $2,102.83 | 7 |
| Svc venogram s&i CPT 75827 | not published | not published | $871.87 – $1,009.54 | 7 |
| Swallowing Evaluation (Bedside) CPT 92610 | $370.50 | $570.00 | $80.26 – $513.00 | 30 |
| Swallowing Therapy Session CPT 92526 | $431.60 | $664.00 | $107.20 – $597.60 | 30 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $1.50 – $70.11 | 7 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $121.57 – $140.77 | 7 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $121.57 – $140.77 | 7 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $468.00 – $541.89 | 7 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $443.56 – $513.60 | 7 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,451.90 – $1,681.15 | 7 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,451.90 – $1,681.15 | 7 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $4,735.57 – $5,483.29 | 7 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,451.90 – $1,681.15 | 7 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $4,735.57 – $5,483.29 | 7 |
| Synch audio-only est high 40 CPT 98015 | not published | not published | $91.53 – $105.99 | 7 |
| Synch audio-only est low 20 CPT 98013 | not published | not published | $91.53 – $105.99 | 7 |
| Synch audio-only est mod 30 CPT 98014 | not published | not published | $91.53 – $105.99 | 7 |
| Synch audio-only est sf 10 CPT 98012 | not published | not published | $91.53 – $105.99 | 7 |
| Synch audio-only new high 60 CPT 98011 | not published | not published | $91.53 – $105.99 | 7 |
| Synch audio-only new low 30 CPT 98009 | not published | not published | $91.53 – $105.99 | 7 |
| Synch audio-only new mod 45 CPT 98010 | not published | not published | $91.53 – $105.99 | 7 |
| Synch audio-only new sf 15 CPT 98008 | not published | not published | $91.53 – $105.99 | 7 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $5.95 – $619.69 | 8 |
| Synthetic sentence id test CPT 92576 | not published | not published | $38.16 – $61.69 | 7 |
| Synvisc or synvisc-one HCPCS J7325 | $534.14 | $821.76 | $7.56 – $739.58 | 30 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $19.50 | $30.00 | $2.27 – $35.60 | 30 |
| System cardiomems hosp electronics HCPCS C2624 | not published | not published | $267.61 – $309.86 | 7 |
| System pacing micra av HCPCS C1786 | not published | not published | $267.61 – $309.86 | 7 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | not published | not published | $267.61 – $309.86 | 7 |
| System recell skin grafting/harvesting HCPCS C1832 | not published | not published | $267.61 – $309.86 | 7 |
| System sealant biosentry tract HCPCS C2613 | not published | not published | $267.61 – $309.86 | 7 |
| T3 (triiodothyronine) free CPT 84481 | $76.05 | $117.00 | $8.73 – $105.30 | 30 |
| T3 (triiodothyronine) total CPT 84480 | $63.70 | $98.00 | $7.30 – $88.20 | 30 |
| T4 (thyroxine) free CPT 84439 | $40.30 | $62.00 | $5.33 – $55.80 | 30 |
| T4 (thyroxine) total CPT 84436 | $30.55 | $47.00 | $3.54 – $42.30 | 30 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $9.01 | $13.86 | $3.92 – $14.86 | 30 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $44.58 | $68.58 | $3.64 – $80.48 | 30 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $28.99 | $44.60 | $1.26 – $14.86 | 30 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $596.76 | $918.09 | $254.78 – $826.28 | 30 |
| Tacrolimus therapeutic drug level CPT 80197 | $61.75 | $95.00 | $7.07 – $85.50 | 30 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $4,355.10 | $6,700.16 | $13.71 – $7,529.41 | 30 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $7,325.18 – $8,481.79 | 7 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $7,325.18 – $8,481.79 | 7 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $7,325.18 – $8,481.79 | 7 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $21,795.67 | $33,531.80 | $70.36 – $7,412.01 | 30 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $36,045.46 | $55,454.56 | $67.65 – $7,412.01 | 30 |
| Talymed HCPCS Q4127 | not published | not published | $127.14 – $127.14 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $937.27 – $1,085.26 | 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.