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 |
|---|---|---|---|---|
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| X-ray fallopian tube CPT 74742 | not published | not published | $150.07 – $173.77 | 7 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| X-ray joint survey 1 view CPT 77077 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| X-ray male genital tract CPT 74440 | not published | not published | $189.93 – $219.92 | 7 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $189.93 – $219.92 | 7 |
| X-ray optic foramina CPT 70190 | not published | not published | $75.62 – $87.56 | 7 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $150.07 – $173.77 | 7 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $150.07 – $173.77 | 7 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $189.93 – $219.92 | 7 |
| X-ray ribs 2 views left CPT 71100 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| X-ray sella turcica CPT 70240 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $189.93 – $219.92 | 7 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray small intestine follow-through study CPT 74248 | not published | not published | $189.93 – $219.92 | 7 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $75.62 – $87.56 | 7 |
| X-ray surgical specimen CPT 76098 | $2,458.95 | $3,783.00 | $189.93 – $3,404.70 | 30 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $75.62 – $87.56 | 7 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $115.40 – $133.62 | 7 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $115.40 – $133.62 | 7 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $127.14 – $1,698.58 | 7 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $6.10 – $27.98 | 7 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.48 – $5,464.97 | 8 |
| Yersinia antibody CPT 86793 | not published | not published | $6.79 – $35.60 | 7 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $96,361.76 | $148,248.86 | $14,774.74 – $133,423.97 | 30 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $127.14 – $127.14 | 1 |
| Ziconotide injection HCPCS J2278 | $2,938.53 | $4,520.82 | $9.65 – $4,433.95 | 30 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $3.41 | $5.25 | $1.48 – $80.48 | 30 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $69.50 – $80.48 | 7 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $18.39 – $51.85 | 7 |
| Zika virus igm antibody CPT 86794 | $75.40 | $116.00 | $16.85 – $104.40 | 30 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $22.59 – $26.16 | 7 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $76.73 | $118.05 | $33.38 – $106.25 | 30 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $6.50 – $2,160.64 | 8 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $14,976.00 | $23,040.00 | $33.66 – $7,412.01 | 30 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $276.12 | $424.80 | $0.26 – $80.48 | 30 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $22.44 – $25.98 | 7 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $80.62 – $179.64 | 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.