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 |
|---|---|---|---|---|
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $385.33 – $446.17 | 7 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $22.59 – $26.16 | 7 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,406.65 | $5,241.00 | $230.56 – $4,716.90 | 30 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,667.90 | $2,566.00 | $725.66 – $2,309.40 | 30 |
| Target gsa panel organ neop CPT 81445 | $2,992.60 | $4,604.00 | $146.07 – $4,143.60 | 30 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $46,800.00 | $72,000.00 | $1,545.00 – $11,763.46 | 30 |
| Tas congenital car anomal CPT 33741 | not published | not published | $19,032.80 – $22,037.98 | 7 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $518.55 – $600.42 | 7 |
| Tavr perq femoral CPT 33361 | not published | not published | $19,032.80 – $22,037.98 | 7 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,169.67 | $1,799.49 | $0.24 – $1,619.08 | 30 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $57.15 – $179.64 | 7 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | $200.85 | $309.00 | $87.39 – $278.10 | 26 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $540.20 – $625.49 | 7 |
| Tbs techl calculation only CPT 77091 | $395.20 | $608.00 | $88.05 – $547.20 | 26 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $88.05 – $88.91 | 2 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $38.17 – $44.20 | 7 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $278.20 | $428.00 | $31.92 – $385.20 | 30 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $172.47 – $199.71 | 7 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $172.47 – $199.71 | 7 |
| Tc-99m bicisate HCPCS A9557 | $2,447.90 | $3,766.00 | $172.47 – $3,389.40 | 30 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $172.47 – $199.71 | 7 |
| Tc-99m diag per dose HCPCS A4641 | not published | not published | $172.47 – $199.71 | 7 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $172.47 – $199.71 | 7 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $172.47 – $199.71 | 7 |
| Tc-99m exametazime diag HCPCS A9521 | $2,033.20 | $3,128.00 | $172.47 – $2,815.20 | 30 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $172.47 – $199.71 | 7 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $172.47 – $199.71 | 7 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $172.47 – $199.71 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $227.50 | $350.00 | $98.98 – $315.00 | 30 |
| Tc-99m maa HCPCS A9540 | $709.80 | $1,092.00 | $172.47 – $982.80 | 30 |
| Tc-99m mebrofenin HCPCS A9537 | $40.30 | $62.00 | $17.53 – $199.71 | 30 |
| Tc-99m medronate HCPCS A9503 | $36.40 | $56.00 | $15.84 – $199.71 | 30 |
| Tc-99m mertiatide HCPCS A9562 | $369.20 | $568.00 | $160.63 – $511.20 | 30 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $10.00 – $38.53 | 7 |
| Tc-99m oxidronate HCPCS A9561 | $53.30 | $82.00 | $23.19 – $199.71 | 30 |
| Tc-99m pentetate dtpa HCPCS A9539 | $276.90 | $426.00 | $120.47 – $383.40 | 30 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $172.47 – $199.71 | 7 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $172.47 – $199.71 | 7 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $76.70 | $118.00 | $33.37 – $199.71 | 30 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $42.90 | $66.00 | $18.66 – $199.71 | 30 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $172.47 – $199.71 | 7 |
| Tc-99m sulfur colloid HCPCS A9541 | $130.00 | $200.00 | $56.56 – $199.71 | 30 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $40.30 | $62.00 | $17.53 – $199.71 | 30 |
| Tc-99m tilmanocept diag HCPCS A9520 | $773.50 | $1,190.00 | $172.47 – $1,071.00 | 30 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $224.79 – $260.28 | 7 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $106.34 – $150.67 | 7 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $106.34 – $231.73 | 7 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $130.12 – $150.67 | 7 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $437.18 – $2,437.93 | 7 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $210.60 | $324.00 | $24.20 – $291.60 | 30 |
| T cells absolute cd 4 count CPT 86361 | $120.25 | $185.00 | $13.79 – $166.50 | 30 |
| T cells total count CPT 86359 | $169.00 | $260.00 | $19.43 – $234.00 | 30 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $220.60 – $830.62 | 7 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $220.60 – $830.62 | 7 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $220.60 – $830.62 | 7 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $3,727.74 – $4,316.33 | 7 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $29.11 – $33.70 | 7 |
| Team conf without pat by phys CPT 99367 | not published | not published | $29.11 – $33.70 | 7 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $29.11 – $33.70 | 7 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $130,977.60 | $201,504.00 | $214.76 – $181,353.60 | 30 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $470.59 – $544.90 | 7 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $470.59 – $544.90 | 7 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $42.21 – $48.87 | 7 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.38 – $619.69 | 8 |
| Telehealth original site facility fee HCPCS Q3014 | $29.25 | $45.00 | $0.01 – $40.50 | 30 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $366.07 – $754.03 | 7 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $140.78 – $163.01 | 7 |
| Temozolomide HCPCS J8700 | $673.36 | $1,035.94 | $1.04 – $25.72 | 30 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $3,129.70 | $4,814.92 | $10.39 – $4,433.95 | 30 |
| Temperature gradient studies CPT 93740 | not published | not published | $115.62 – $133.88 | 7 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $6,048.11 – $7,003.07 | 7 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $4,914.80 | $7,561.23 | $20.31 – $4,179.25 | 30 |
| Tendon lengthening CPT 26476 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,645.98 – $1,905.87 | 7 |
| Tendon shortening CPT 26477 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Tendon transfer with graft CPT 26492 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $19,998.07 | $30,766.26 | $157.72 – $26,883.12 | 30 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $3,829.32 – $4,433.95 | 7 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,244.61 – $5,050.72 | 7 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,600.41 – $2,949.83 | 7 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $3,342.87 – $4,730.67 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $2,337.14 – $2,706.17 | 7 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,600.41 – $2,706.17 | 7 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $48.64 – $56.32 | 7 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $46.10 | $70.92 | $1.83 – $14.86 | 30 |
| Teriparatide injection HCPCS J3110 | not published | not published | $4,719.74 – $5,464.97 | 7 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $891.96 – $1,032.79 | 7 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $891.96 – $1,032.79 | 7 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $891.96 – $1,032.79 | 7 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $121.57 – $140.77 | 7 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $468.00 – $541.89 | 7 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $443.56 – $513.60 | 7 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $77.26 – $179.64 | 7 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $3.10 – $25.00 | 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.