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 |
|---|---|---|---|---|
| Test for porphobilinogen CPT 84106 | $26.00 | $40.00 | $2.43 – $36.00 | 30 |
| Test for urine cystines CPT 82615 | not published | not published | $4.20 – $18.13 | 7 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $401.83 – $480.13 | 7 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $69.50 – $80.48 | 7 |
| Testosterone response panel CPT 80414 | not published | not published | $26.59 – $42.70 | 7 |
| Testosterone undecanoate 1mg HCPCS J3145 | $1,694.94 | $2,607.60 | $1.95 – $2,346.84 | 30 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $59.40 – $70.11 | 7 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $121.57 – $140.77 | 7 |
| Test socket above knee HCPCS L5624 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Test socket below knee HCPCS L5620 | not published | not published | $121.57 – $140.77 | 7 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $443.56 – $513.60 | 7 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $443.56 – $513.60 | 7 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Test socket symes HCPCS L5618 | not published | not published | $121.57 – $140.77 | 7 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $468.00 – $541.89 | 7 |
| Test stress cardiovascular tracing only CPT 93017 | $1,164.15 | $1,791.00 | $144.56 – $1,611.90 | 30 |
| Test urine for lactose CPT 83633 | not published | not published | $4.69 – $27.98 | 7 |
| Test urine for porphyrins CPT 84119 | $59.80 | $92.00 | $5.57 – $82.80 | 30 |
| Test urine urobilinogen CPT 84578 | not published | not published | $1.87 – $18.13 | 7 |
| Tetanus ig im CPT 90389 | not published | not published | $188.90 – $218.72 | 7 |
| Tetanus immune globulin inj HCPCS J1670 | $1,534.24 | $2,360.37 | $535.18 – $2,124.33 | 30 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $5,727.70 | $8,811.84 | $17.82 – $7,411.23 | 30 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $57.15 – $179.64 | 7 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $230.56 – $266.96 | 7 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $895.02 – $1,036.34 | 7 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $249.42 – $1,036.34 | 7 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $33.10 – $38.32 | 7 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $33.10 – $38.32 | 7 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $33.10 – $38.32 | 7 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $26.07 – $38.32 | 7 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $437.18 – $2,437.93 | 7 |
| Theophylline therapeutic drug level CPT 80198 | $63.70 | $98.00 | $7.28 – $88.20 | 30 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $24.49 – $52.94 | 7 |
| Therapeutic pulpotomy HCPCS D3220 | not published | not published | $660.49 – $1,573.00 | 7 |
| Therapy activation ipnss CPT 93150 | $411.45 | $633.00 | $30.42 – $569.70 | 30 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | not published | not published | $64.74 – $74.97 | 7 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $178.10 | $274.00 | $44.62 – $246.60 | 30 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $167.70 | $258.00 | $37.06 – $232.20 | 30 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $137.80 | $212.00 | $35.63 – $190.80 | 30 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $117.00 | $180.00 | $29.84 – $162.00 | 30 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $198.70 – $260.28 | 7 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $2,742.63 – $3,175.68 | 7 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $178.02 – $219.92 | 7 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $60.66 – $70.24 | 7 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $140.78 – $163.01 | 7 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $140.78 – $163.01 | 7 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $140.78 – $163.01 | 7 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $11.64 | $17.91 | $2.60 – $14.86 | 30 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $12.83 – $14.86 | 7 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $121.57 – $140.77 | 7 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $468.00 – $541.89 | 7 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $121.57 – $140.77 | 7 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $73.63 – $1,578.64 | 8 |
| Thiotepa injection HCPCS J9340 | not published | not published | $209.02 – $1,578.64 | 7 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $7,429.98 – $8,603.13 | 7 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $7,429.98 – $8,603.13 | 7 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $77.94 – $90.24 | 7 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $77.94 – $90.24 | 7 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | not published | not published | $618.26 – $1,172.83 | 7 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $3,493.47 – $4,045.07 | 7 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $468.00 – $541.89 | 7 |
| Thoracic duct procedure CPT 38380 | not published | not published | $3,013.30 – $3,489.08 | 7 |
| Thoracic duct procedure CPT 38381 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracic duct procedure CPT 38382 | not published | not published | $2,703.49 – $3,130.36 | 7 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $896.84 – $1,038.44 | 7 |
| Thoracic pad HCPCS L1060 | not published | not published | $77.94 – $90.24 | 7 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $3,493.47 – $4,045.07 | 7 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $896.84 – $1,038.44 | 7 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $2,293.67 – $2,655.83 | 7 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $2,293.67 – $2,655.83 | 7 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $2,293.67 – $2,655.83 | 7 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $2,293.67 – $2,655.83 | 7 |
| Thoracotomy w/expl CPT 32100 | not published | not published | $4,227.90 – $4,895.46 | 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.