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 |
|---|---|---|---|---|
| Unlisted laps px uterus CPT 58578 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Unlisted maaa CPT 81599 | not published | not published | $111.80 – $129.45 | 7 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $232.22 – $1,573.00 | 7 |
| Unlisted misc path test CPT 89240 | not published | not published | $53.24 – $70.11 | 7 |
| Unlisted mr procedure CPT 76498 | $1,627.60 | $2,504.00 | $88.05 – $1,107.90 | 30 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $401.83 – $480.13 | 7 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $232.22 – $3,175.68 | 7 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $131.46 – $604.11 | 7 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $401.83 – $480.13 | 7 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $24.49 – $75.01 | 7 |
| Unlisted orl service/px CPT 92700 | not published | not published | $24.49 – $166.00 | 7 |
| Unlisted procedure colon CPT 45399 | not published | not published | $911.71 – $1,372.79 | 7 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $926.63 – $4,640.80 | 7 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $263.97 – $305.65 | 7 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $232.22 – $1,448.98 | 7 |
| Unlisted procedure liver CPT 47399 | not published | not published | $703.59 – $2,102.83 | 7 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $22.16 – $25.66 | 7 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $263.97 – $305.65 | 7 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $703.59 – $2,102.83 | 7 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $911.71 – $1,676.92 | 7 |
| Unlisted procedure spine CPT 22899 | not published | not published | $239.88 – $5,878.64 | 7 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $3,709.90 – $4,295.68 | 7 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | not published | not published | $29.79 – $146.66 | 7 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $239.88 – $455.07 | 7 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $232.22 – $1,448.98 | 7 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $507.60 – $587.75 | 7 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $239.88 – $2,824.25 | 7 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $926.63 – $2,102.83 | 7 |
| Unlisted px casting/strpg CPT 29799 | $168.35 | $259.00 | $73.25 – $233.10 | 30 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $263.97 – $305.65 | 7 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $7,429.98 – $8,603.13 | 7 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $248.04 – $287.20 | 7 |
| Unlisted px external ear CPT 69399 | not published | not published | $143.36 – $166.00 | 7 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $263.97 – $305.65 | 7 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $239.88 – $455.07 | 7 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $239.88 – $455.07 | 7 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $239.88 – $455.07 | 7 |
| Unlisted px inner ear CPT 69949 | not published | not published | $232.22 – $1,448.98 | 7 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $263.97 – $305.65 | 7 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $239.88 – $455.07 | 7 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $243.21 – $2,305.04 | 7 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $1,012.90 – $1,172.83 | 7 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $132.77 – $163.01 | 7 |
| Unlisted px middle ear CPT 69799 | not published | not published | $232.22 – $1,448.98 | 7 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $232.22 – $2,655.83 | 7 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $232.22 – $1,573.00 | 7 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $239.88 – $455.07 | 7 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $535.44 – $619.98 | 7 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $232.22 – $1,573.00 | 7 |
| Unlisted px small intestine CPT 44799 | not published | not published | $926.63 – $2,453.91 | 7 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $232.22 – $3,175.68 | 7 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $132.77 – $163.01 | 7 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $232.22 – $1,448.98 | 7 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $232.22 – $1,573.00 | 7 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $53.24 – $70.11 | 7 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $401.83 – $480.13 | 7 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $198.70 – $260.28 | 7 |
| Unlisted special svc px/rprt CPT 99199 | not published | not published | $540.20 – $625.49 | 7 |
| Unlisted surgical path px CPT 88399 | $217.75 | $335.00 | $53.24 – $301.50 | 30 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $24.49 – $42.94 | 7 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $88.05 – $150.67 | 7 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $8.49 – $9.83 | 7 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $618.26 – $1,038.44 | 7 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $401.83 – $480.13 | 7 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $2,447.12 – $2,833.51 | 7 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $1,990.72 – $2,305.04 | 7 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $496.89 – $575.34 | 7 |
| Upgrade pm system CPT 33214 | not published | not published | $8,395.26 – $9,720.83 | 7 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,084.20 | $1,668.00 | $241.72 – $1,501.20 | 30 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $926.63 – $1,203.26 | 7 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $926.63 – $1,203.26 | 7 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $926.63 – $1,203.26 | 7 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $3,244.95 – $3,757.31 | 7 |
| Urea nitrogen CPT 84520 | $17.55 | $27.00 | $2.03 – $24.30 | 30 |
| Urea nitrogen 24 hour urine CPT 84540 | $24.70 | $38.00 | $2.44 – $34.20 | 30 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $3.40 – $18.13 | 7 |
| Urea nitrogen semi-quant CPT 84525 | $22.75 | $35.00 | $2.14 – $31.50 | 30 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $7,556.43 – $8,749.55 | 7 |
| Ureteral reflux study CPT 78740 | not published | not published | $401.83 – $480.13 | 7 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,337.53 – $1,548.72 | 7 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,337.53 – $1,548.72 | 7 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $3,771.98 – $4,367.55 | 7 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $7,556.43 – $8,749.55 | 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.