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 |
|---|---|---|---|---|
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $22.59 – $26.16 | 7 |
| Tubular dressing HCPCS A6457 | not published | not published | $22.59 – $26.16 | 7 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $437.18 – $2,437.93 | 7 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $7,325.18 – $8,481.79 | 7 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $4,236.44 – $4,905.35 | 7 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $16,144.42 – $18,693.54 | 7 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $239.88 – $455.07 | 7 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $239.88 – $455.07 | 7 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $393.02 – $455.07 | 7 |
| Tx closed tib shaft fx without manip CPT 27750 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $612.13 – $1,635.43 | 7 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $518.55 – $600.42 | 7 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $5,038.53 – $5,834.09 | 7 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $5,038.53 – $5,834.09 | 7 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $16,144.42 – $18,693.54 | 7 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $3,244.61 – $5,556.40 | 7 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $3,244.61 – $5,556.40 | 7 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $3,244.61 – $5,556.40 | 7 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $2,742.63 – $3,175.68 | 7 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $3,244.61 – $5,556.40 | 7 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $3,244.61 – $5,556.40 | 7 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $2,726.48 – $3,156.98 | 7 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $2,075.47 – $2,403.17 | 7 |
| Tympanometry & reflex thresh CPT 92550 | $406.90 | $626.00 | $156.46 – $563.40 | 30 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $143.36 – $166.00 | 7 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $4,523.17 – $5,237.35 | 7 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $3,610.16 – $4,180.19 | 7 |
| Tyms gene com variants CPT 81346 | not published | not published | $114.85 – $179.64 | 7 |
| Typhoid vaccine oral CPT 90690 | $45.75 | $70.38 | $13.31 – $63.34 | 30 |
| U2af1 gene common variants CPT 81357 | not published | not published | $80.62 – $179.64 | 7 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $4.02 – $9.83 | 7 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $4,332.90 | $6,666.00 | $69.44 – $21,993.87 | 30 |
| Ue triple control harness HCPCS L6677 | not published | not published | $121.57 – $140.77 | 7 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $97.62 – $179.64 | 7 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $106.34 – $106.81 | 2 |
| Ultrasound breast complete CPT 76641 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $395.20 | $608.00 | $88.05 – $547.20 | 30 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $106.34 – $180.26 | 7 |
| Ultrasound dx ophth b-scan CPT 76512 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $130.12 – $150.67 | 7 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $106.34 – $150.67 | 7 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $106.34 – $150.67 | 7 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $130.12 – $150.67 | 7 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $106.34 – $150.67 | 7 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | not published | not published | $106.34 – $180.26 | 7 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $560.95 | $863.00 | $124.15 – $776.70 | 30 |
| Ultrasound guidance for vascular access CPT 76937 | $172.90 | $266.00 | $75.22 – $239.40 | 30 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $124.15 – $143.75 | 7 |
| Ultrasound guide tissue ablation CPT 76940 | $419.90 | $646.00 | $124.15 – $581.40 | 30 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $88.05 – $150.67 | 7 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $88.05 – $150.67 | 7 |
| Ultrasound joint complete left CPT 76881 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $106.34 – $150.67 | 7 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $155.68 – $180.26 | 7 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | not published | $155.68 – $180.26 | 7 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $155.68 – $180.26 | 7 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | not published | not published | $106.34 – $180.26 | 7 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $106.34 – $150.67 | 7 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $106.34 – $150.67 | 7 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $155.68 – $180.26 | 7 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $178.02 – $231.73 | 7 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $200.13 – $231.73 | 7 |
| Ultraviolet therapy CPT 97028 | not published | not published | $10.45 – $47.96 | 8 |
| Umbilical artery cath newborn 36660 CPT 36660 | $163.80 | $252.00 | $47.58 – $226.80 | 30 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $304.19 – $3,643.23 | 7 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $2,282.46 – $2,642.85 | 7 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $24.49 – $133.62 | 7 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $24.49 – $238.17 | 7 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $46.14 – $428.04 | 7 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $232.22 – $3,175.68 | 7 |
| Unlisted CT procedure CPT 76497 | not published | not published | $88.05 – $283.24 | 7 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $401.83 – $480.13 | 7 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $53.24 – $129.45 | 7 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $53.24 – $70.11 | 7 |
| Unlisted dialysis procedure CPT 90999 | not published | not published | $496.89 – $575.34 | 7 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $131.46 – $461.73 | 7 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $401.83 – $480.13 | 7 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $201.17 – $396.52 | 7 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $75.62 – $87.56 | 7 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $401.83 – $480.13 | 7 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $401.83 – $480.13 | 7 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $11.31 – $13.09 | 7 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $201.17 – $315.96 | 7 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $1,816.08 – $2,102.83 | 7 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $4,517.78 – $5,231.12 | 7 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $2,119.29 – $2,453.91 | 7 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $1,816.08 – $2,102.83 | 7 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $2,119.29 – $2,453.91 | 7 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $2,703.49 – $3,130.36 | 7 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $4,007.96 – $4,640.80 | 7 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $2,703.49 – $3,130.36 | 7 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Unlisted laps px renal CPT 50549 | not published | not published | $1,337.53 – $1,548.72 | 7 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $2,703.49 – $3,130.36 | 7 |
| Unlisted laps px testis CPT 54699 | not published | not published | $1,990.72 – $2,305.04 | 7 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $1,337.53 – $1,548.72 | 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.