healthcosts.net

lodi hospital

225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

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
Urethrcystgrphy rtrgrde s&i CPT 74450 not published not published $189.93 – $219.92 7
Urethrlys transvag with scope CPT 53500 not published not published $2,812.60 – $3,256.69 7
Urethrocystography void s&i CPT 74455 not published not published $189.93 – $219.92 7
Uric acid blood CPT 84550 $20.15 $31.00 $4.52 – $27.90 30
Uric acid urine CPT 84560 $22.75 $35.00 $2.44 – $31.50 30
Urinalysis glass test CPT 81020 not published not published $1.96 – $9.83 7
Urinalysis microscopic only CPT 81015 $13.65 $21.00 $3.05 – $18.90 30
Urinalysis qual/semiquant excpt ia CPT 81005 $9.75 $15.00 $1.12 – $13.50 30
Urinalysis (with microscopy) CPT 81001 $14.30 $22.00 $3.17 – $19.80 30
Urinalysis (without microscopy) CPT 81003 $10.40 $16.00 $2.25 – $14.40 30
Urinary bldr retent nuc study CPT 78730 not published not published $414.66 – $480.13 7
Urinary pouch on barr w/flng HCPCS A5073 not published not published $22.59 – $26.16 7
Urinary pouch w/barrier HCPCS A5071 not published not published $22.59 – $26.16 7
Urinary reflex study CPT 51792 not published not published $59.40 – $604.11 7
Urinary suspensory HCPCS A5105 not published not published $48.64 – $56.32 7
Urine Culture Test CPT 87086 $36.40 $56.00 $4.15 – $50.40 30
Urine flow measurement 51736 CPT 51736 not published not published $66.16 – $76.60 7
Urine ost pouch w faucet/tap HCPCS A4428 not published not published $22.59 – $26.16 7
Urine pregnancy test CPT 81025 $38.35 $59.00 $8.49 – $53.10 30
Urine screen for bacteria CPT 81007 not published not published $8.49 – $9.83 7
Urine shunt to intestine CPT 50815 not published not published $7,556.43 – $8,749.55 7
Urine specimen collect mult HCPCS P9615 not published not published $3.52 – $4.07 7
Urofollitropin, 75 iu HCPCS J3355 not published not published $267.24 – $309.43 7
Urography, antegrade CPT 74425 not published not published $189.93 – $219.92 7
Urography inf drip &/or bolus CPT 74410 not published not published $178.02 – $219.92 7
Urokinase 250,000 iu inj HCPCS J3365 not published not published $966.54 – $1,119.15 7
Urokinase 5000 iu injection HCPCS J3364 not published not published $12.83 – $14.86 7
Use 1st target lesion CPT 76982 not published not published $106.34 – $150.67 7
User adjustable heel height HCPCS L5990 not published not published $891.96 – $1,032.79 7
Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 $190.77 $293.49 $12.49 – $7,529.41 30
Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 $68,214.47 $104,945.34 $159.91 – $94,450.73 30
U/s trtmt, not leiomyomata HCPCS C9734 not published not published $2,703.49 – $3,130.36 7
Vaccine Administration (one shot) CPT 90471 $139.10 $214.00 $22.75 – $192.60 30
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 not published not published $13.31 – $308.76 8
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 $1,207.44 $1,857.60 $13.31 – $418.86 30
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 $1,324.79 $2,038.14 $13.31 – $443.70 30
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 $180.70 $278.00 $13.31 – $250.20 30
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 $91.00 $140.00 $13.31 – $126.00 30
Vaccine dtap < 7 years im CPT 90700 $136.99 $210.75 $13.31 – $91.80 30
Vaccine dtap-hep b-ipv im CPT 90723 $502.91 $773.70 $13.31 – $696.33 30
Vaccine dtap-ipv 4-6 years im CPT 90696 $291.15 $447.93 $13.31 – $189.00 30
Vaccine dtap-ipv-hib-hepb im CPT 90697 $762.18 $1,172.58 $13.31 – $473.45 30
Vaccine dtap-ipv/hib im CPT 90698 $303.99 $467.67 $13.31 – $420.90 30
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 $143.79 $221.22 $13.31 – $199.10 30
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 $30.79 $47.37 $13.29 – $42.30 30
Vaccine hepatitis a (hepa) adult im CPT 90632 $207.83 $319.74 $13.31 – $268.87 30
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 $327.83 $504.36 $22.44 – $453.92 30
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 $185.00 $284.61 $13.31 – $124.20 30
Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 not published not published $13.31 – $15.41 7
Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 not published not published $13.31 – $143.53 8
Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 $173.98 $267.66 $13.31 – $231.55 30
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 $728.91 $1,121.40 $13.31 – $505.80 30
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 $137.40 $211.38 $13.31 – $184.79 30
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 $1,536.64 $2,364.06 $22.44 – $995.40 30
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 not published not published $22.44 – $25.98 7
Vaccine influenza (iiv) preservative free antigen content im CPT 90662 $264.24 $406.53 $13.31 – $182.97 30
Vaccine influenza inactivated adjuvant im CPT 90653 not published not published $13.31 – $187.49 8
Vaccine influenza nos 0.5ml dose im CPT 90658 $45.31 $69.70 $13.31 – $62.73 30
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 $97.11 $149.40 $13.31 – $67.23 30
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 $43.55 $67.00 $13.31 – $60.30 30
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 not published not published $13.31 – $15.41 7
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 not published not published $13.31 – $15.41 7
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 $45.50 $70.00 $13.31 – $63.00 30
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 not published not published $13.31 – $15.41 7
Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 $37.05 $57.00 $13.31 – $51.30 30
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 $151.45 $233.00 $13.31 – $209.70 30
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 not published not published $13.31 – $94.54 8
Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 not published not published $13.31 – $21.07 8
Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 $1,172.61 $1,804.02 $22.44 – $766.80 30
Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 $1,053.74 $1,621.14 $22.44 – $1,459.03 30
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 $825.36 $1,269.78 $22.44 – $555.30 30
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 $411.74 $633.45 $22.44 – $570.11 30
Vaccine mmr live subcutaneous CPT 90707 $224.04 $344.67 $13.31 – $302.40 30
Vaccine mmrv live subcutaneous CPT 90710 $669.63 $1,030.20 $13.31 – $927.18 30
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 $547.93 $842.97 $13.31 – $380.70 30
Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 $1,089.31 $1,675.86 $22.44 – $1,462.40 30
Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 not published not published $22.44 – $514.37 8
Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 $1,440.87 $2,216.73 $22.44 – $916.20 30
Vaccine polio (ipv) subcutaneous/im CPT 90713 $220.25 $338.85 $13.31 – $135.90 30
Vaccine rabies im CPT 90675 $1,016.98 $1,564.59 $22.44 – $1,405.54 30
Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 $746.62 $1,148.64 $13.31 – $1,033.78 30
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 $2,784.89 $4,284.45 $588.22 – $2,160.64 30
Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 $1,392.44 $2,142.21 $588.22 – $2,160.64 30
Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 not published not published $13.31 – $15.41 7
Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 not published not published $13.31 – $15.41 7
Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 $200.85 $309.00 $22.44 – $137.70 30
Vaccine tdap >=7 years im CPT 90715 $228.52 $351.57 $13.31 – $153.00 30
Vaccine td preservative free >= 7 years im CPT 90714 $207.85 $319.77 $13.31 – $126.90 30
Vaccine typhoid vicps im CPT 90691 $756.29 $1,163.52 $13.31 – $722.17 30
Vaccine varicella live subcutaneous CPT 90716 $447.80 $688.92 $22.44 – $591.30 30
Vaccine yellow fever live subcutaneous CPT 90717 not published not published $22.44 – $25.98 7
Vaccinia vrs vac 0.3 ml perq CPT 90622 not published not published $0.01 – $15.41 7
Vacuum drain bottle/tube kit HCPCS A7048 not published not published $48.64 – $56.32 7
Vad battery clip set hmii 14-v li-ion HCPCS Q0497 not published not published $443.56 – $513.60 7
Vad cable power module dc input HCPCS Q0478 not published not published $77.94 – $90.24 7
Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 not published not published $4,236.44 – $4,905.35 7
Vag hyst incl t/o complex CPT 58291 not published not published $4,936.45 – $8,481.79 7
Vag hyst including t/o CPT 58262 not published not published $4,236.44 – $4,905.35 7
Vag hyst t/o & repair compl CPT 58292 not published not published $7,325.18 – $8,481.79 7
Vag hyst w/enterocele compl 58294 CPT 58294 not published not published $4,936.45 – $8,481.79 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.