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 |
|---|---|---|---|---|
| Biopsy skin incisional single lesion CPT 11106 | not published | not published | $518.55 – $600.42 | 7 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $1,620.24 – $2,655.83 | 7 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $143.36 – $166.00 | 7 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $1,956.89 – $2,265.87 | 7 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $509.25 – $1,573.00 | 7 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $3,244.61 – $5,878.64 | 7 |
| Biospy of bladder CPT 53899 | not published | not published | $243.21 – $1,548.72 | 7 |
| Biotinidase - quest CPT 82261 | not published | not published | $8.69 – $27.98 | 7 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $127.14 – $127.14 | 1 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $127.14 – $127.14 | 1 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $115.40 – $133.62 | 7 |
| Bivalirudin HCPCS J0583 | $2,217.68 | $3,411.81 | $71.27 – $226.80 | 30 |
| Bk/ak locking mechanism HCPCS L5671 | not published | not published | $443.56 – $513.60 | 7 |
| Bk back check HCPCS L5686 | not published | not published | $42.21 – $48.87 | 7 |
| Bk flex inner socket ext fra HCPCS L5645 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Bk fork strap HCPCS L5684 | not published | not published | $42.21 – $48.87 | 7 |
| Bk joint covers pair HCPCS L5678 | not published | not published | $48.64 – $56.32 | 7 |
| Bk knee joints polycentric p HCPCS L5677 | not published | not published | $443.56 – $513.60 | 7 |
| Bk knee joints single axis p HCPCS L5676 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Bk molded distal cushion HCPCS L5668 | not published | not published | $77.94 – $90.24 | 7 |
| Bk molded supracondylar susp HCPCS L5670 | not published | not published | $121.57 – $140.77 | 7 |
| Bk removable medial brim sus HCPCS L5672 | not published | not published | $121.57 – $140.77 | 7 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Bk thigh lacer non-molded HCPCS L5680 | not published | not published | $121.57 – $140.77 | 7 |
| Bk waist belt padded and lin HCPCS L5690 | not published | not published | $77.94 – $90.24 | 7 |
| Bk waist belt webbing HCPCS L5688 | not published | not published | $42.21 – $48.87 | 7 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $22.59 – $26.16 | 7 |
| Bladder Catheter Insertion (simple) CPT 51702 | $385.45 | $593.00 | $66.16 – $533.70 | 30 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $727.35 | $1,119.00 | $66.16 – $1,007.10 | 30 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $22.59 – $26.16 | 7 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $437.18 – $700.03 | 7 |
| Bld prd mix CPT 86965 | not published | not published | $14.41 – $98.92 | 7 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $437.18 – $700.03 | 7 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $331.03 | $509.28 | $44.95 – $143.06 | 26 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $1,829.23 – $2,642.85 | 7 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $1,829.23 – $2,642.85 | 7 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $1,829.23 – $2,642.85 | 7 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,829.23 – $2,642.85 | 7 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $17,337.11 | $26,672.48 | $152.18 – $24,005.23 | 30 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $381.24 – $830.62 | 7 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $17,500.50 – $22,037.98 | 7 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $9,750.50 – $22,037.98 | 7 |
| Blink reflex test CPT 95933 | not published | not published | $59.40 – $75.01 | 7 |
| Blm gene CPT 81209 | not published | not published | $16.39 – $129.45 | 7 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | not published | not published | $267.61 – $309.86 | 7 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | not published | not published | $267.61 – $309.86 | 7 |
| Bln dil 900ml preperitnl HCPCS C1727 | not published | not published | $267.61 – $309.86 | 7 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | not published | not published | $267.61 – $309.86 | 7 |
| Bln press regulation 71-80cm HCPCS C1815 | not published | not published | $267.61 – $309.86 | 7 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | not published | not published | $267.61 – $309.86 | 7 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $14.85 – $17.19 | 7 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $890.29 – $1,085.26 | 7 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $890.29 – $1,085.26 | 7 |
| Block paracervical nrv CPT 64435 | not published | not published | $385.33 – $446.17 | 7 |
| Block plantar digital nerve CPT 64455 | not published | not published | $295.19 – $446.17 | 7 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $937.27 – $1,085.26 | 7 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $385.33 – $446.17 | 7 |
| Blood clot lysis time CPT 85175 | not published | not published | $8.50 – $72.51 | 7 |
| Blood clot retraction CPT 85170 | not published | not published | $6.80 – $14.98 | 7 |
| Blood Clotting (PT/INR) Test CPT 85610 | $19.50 | $30.00 | $4.29 – $27.00 | 30 |
| Blood Clotting (PTT) Test CPT 85730 | $26.65 | $41.00 | $3.10 – $36.90 | 30 |
| Blood component/product noc HCPCS P9099 | not published | not published | $35.32 – $322.41 | 7 |
| Blood Count (CBC) Test CPT 85025 | $35.10 | $54.00 | $7.77 – $48.60 | 30 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $29.25 | $45.00 | $6.47 – $40.50 | 30 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $7.00 – $13.09 | 7 |
| Blood Culture Test CPT 87040 | $46.15 | $71.00 | $5.32 – $63.90 | 30 |
| Blood draw capillary 36416 CPT 36416 | $31.20 | $48.00 | $3.52 – $43.20 | 30 |
| Blood Draw (Venipuncture) CPT 36415 | $40.95 | $63.00 | $3.52 – $56.70 | 30 |
| Blood gases o2 saturation direct measurement CPT 82805 | $353.60 | $544.00 | $32.86 – $489.60 | 30 |
| Blood gases ph venous CPT 82800 | $49.40 | $76.00 | $4.59 – $68.40 | 30 |
| Blood, l/r, irradiated HCPCS P9056 | not published | not published | $84.17 – $322.41 | 7 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $4.95 – $35.60 | 7 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $71.50 | $110.00 | $8.20 – $99.00 | 30 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $18.85 | $29.00 | $4.23 – $26.10 | 30 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $19.50 | $30.00 | $4.38 – $27.00 | 30 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $24.05 | $37.00 | $5.32 – $33.30 | 30 |
| Blood smear interpretation CPT 85060 | not published | not published | $11.31 – $13.09 | 7 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | not published | not published | $1.77 – $13.09 | 7 |
| Blood split unit HCPCS P9011 | $635.70 | $978.00 | $141.80 – $880.20 | 30 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $4.95 – $42.94 | 7 |
| Blood Transfusion CPT 36430 | $1,634.10 | $2,514.00 | $437.18 – $2,262.60 | 30 |
| Blood typing abo CPT 86900 | $13.65 | $21.00 | $1.54 – $42.94 | 30 |
| Blood typing ag donor ea ag CPT 86902 | $28.60 | $44.00 | $2.65 – $42.94 | 30 |
| Blood typing antigen system CPT 86911 | not published | not published | $9.76 – $42.94 | 7 |
| Blood typing paternity test CPT 86910 | not published | not published | $11.26 – $42.94 | 7 |
| Blood typing patient serum CPT 86904 | not published | not published | $6.82 – $42.94 | 7 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $16.90 | $26.00 | $1.97 – $42.94 | 30 |
| Blood typing rh (d) CPT 86901 | $13.65 | $21.00 | $1.54 – $42.94 | 30 |
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $3.99 – $42.94 | 7 |
| Blood volume CPT 78122 | not published | not published | $538.27 – $1,370.45 | 7 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $891.96 – $1,032.79 | 7 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | not published | not published | $127.14 – $127.14 | 1 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Bone Density Scan (DEXA) CPT 77080 | $477.10 | $734.00 | $106.34 – $660.60 | 26 |
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.