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 |
|---|---|---|---|---|
| Warde sugars single qualitative each specimen stool CPT 84376 | not published | not published | $2.84 – $18.13 | 7 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $70.85 | $109.00 | $8.11 – $98.10 | 30 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $228.15 | $351.00 | $26.19 – $315.90 | 30 |
| Warde topiramate therapeutic drug level CPT 80201 | $53.30 | $82.00 | $6.14 – $73.80 | 30 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $117.00 | $180.00 | $13.42 – $162.00 | 30 |
| Warde viscosity CPT 85810 | $52.65 | $81.00 | $6.01 – $72.90 | 30 |
| Warde vitamin a CPT 84590 | $52.00 | $80.00 | $5.98 – $72.00 | 30 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $94.90 | $146.00 | $10.93 – $131.40 | 30 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $126.10 | $194.00 | $14.48 – $174.60 | 30 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $44.20 | $68.00 | $5.09 – $61.20 | 30 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $172.90 | $266.00 | $19.83 – $239.40 | 30 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $63.70 | $98.00 | $7.30 – $88.20 | 30 |
| Warde zinc CPT 84630 | $51.35 | $79.00 | $5.86 – $71.10 | 30 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $111.80 – $129.45 | 7 |
| Wash harvest stem cells CPT 38209 | not published | not published | $437.18 – $2,437.93 | 7 |
| Water distilled w/nebulizer HCPCS A7018 | not published | not published | $22.59 – $26.16 | 7 |
| Wbc automated CPT 85048 | $11.70 | $18.00 | $1.30 – $16.20 | 30 |
| Wcd device interrogate CPT 93292 | not published | not published | $30.42 – $35.22 | 7 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $4,623.95 – $5,354.05 | 7 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $3,709.90 – $4,295.68 | 7 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Wedging of cast CPT 29740 | not published | not published | $140.23 – $162.37 | 7 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $140.23 – $162.37 | 7 |
| Western blot test CPT 84181 | $76.70 | $118.00 | $8.77 – $106.20 | 30 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $11.93 – $13.82 | 7 |
| Whfo electric custom fitted HCPCS L3904 | not published | not published | $891.96 – $1,032.79 | 7 |
| Whfo nontorsion joint prefab HCPCS L3931 | $76.70 | $118.00 | $33.37 – $541.89 | 30 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $339.95 | $523.00 | $147.90 – $1,305.58 | 30 |
| Whole blood for transfusion HCPCS P9010 | $1,009.45 | $1,553.00 | $189.84 – $1,397.70 | 30 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | not published | not published | $242.44 – $322.41 | 7 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $772.20 | $1,188.00 | $151.58 – $1,069.20 | 30 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | not published | not published | $401.83 – $480.13 | 7 |
| Whole body photography CPT 96904 | not published | not published | $540.20 – $625.49 | 7 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $536.88 – $1,036.34 | 7 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $230.56 – $266.96 | 7 |
| Whole Skeleton X-ray Survey CPT 77075 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $443.56 – $513.60 | 7 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $443.56 – $513.60 | 7 |
| Wilate injection HCPCS J7183 | not published | not published | $1.28 – $7,529.41 | 8 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $22.59 – $26.16 | 7 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $318.47 – $368.75 | 7 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $42.21 – $48.87 | 7 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | not published | not published | $198.70 – $287.20 | 7 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $248.04 – $287.20 | 7 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $127.14 – $127.14 | 1 |
| Wound pouch each HCPCS A6154 | not published | not published | $14.85 – $17.19 | 7 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $1,194.70 | $1,838.00 | $318.47 – $1,654.20 | 30 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $318.47 – $368.75 | 7 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $594.10 | $914.00 | $198.70 – $822.60 | 30 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $1,194.70 | $1,838.00 | $318.47 – $1,654.20 | 30 |
| Wrist arthroscopy CPT 29840 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $5,790.63 – $6,704.94 | 7 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $891.96 – $1,032.79 | 7 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $891.96 – $1,032.79 | 7 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,600.41 – $2,824.25 | 7 |
| Wrist X-ray CPT 73110 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $1,758.07 – $2,035.66 | 7 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $1,758.07 – $2,035.66 | 7 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $3,224.04 – $3,733.10 | 7 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $1,758.07 – $2,035.66 | 7 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $14.85 – $17.19 | 7 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $3,224.04 – $3,733.10 | 7 |
| Xe133 xenon 10mci HCPCS A9558 | $299.00 | $460.00 | $130.09 – $414.00 | 30 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $230.56 – $266.96 | 7 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $230.56 – $266.96 | 7 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $24.49 – $70.11 | 7 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $896.84 – $1,038.44 | 7 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $3,727.74 – $4,316.33 | 7 |
| X-ray abdomen >=3 views CPT 74021 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $189.93 – $219.92 | 7 |
| X-ray assay calculus CPT 82370 | not published | not published | $6.45 – $27.98 | 7 |
| X-ray bone length studies CPT 77073 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray bone survey infant CPT 77076 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray consultation CPT 76140 | not published | not published | $115.62 – $133.88 | 7 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $150.07 – $173.77 | 7 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $150.07 – $173.77 | 7 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray exam of arm infant CPT 73092 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| X-ray exam of femur 1 CPT 73551 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $189.93 – $219.92 | 7 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray exam of penis CPT 74445 | not published | not published | $106.34 – $219.92 | 7 |
| X-ray exam of perineum CPT 74775 | not published | not published | $189.93 – $219.92 | 7 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $189.93 – $219.92 | 7 |
| X-ray exam of teeth CPT 70300 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray exam of teeth CPT 70310 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray exam si joints CPT 72200 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
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.