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
Bone filler cerament 10cc HCPCS C1602 not published not published $267.61 – $309.86 7
Bone imaging multiple areas CPT 78305 not published not published $401.83 – $480.13 7
Bone/joint imaging ltd area CPT 78300 not published not published $401.83 – $480.13 7
Bone marrow;aspiration only 38220 CPT 38220 $4,212.65 $6,481.00 $1,620.24 – $5,832.90 30
Bone marrow aspir bone grfg CPT 20939 not published not published $12,421.32 – $14,382.58 7
Bone marrow biopsyneedle/trocar 38221 CPT 38221 $4,212.65 $6,481.00 $1,620.24 – $5,832.90 30
Bone marrow harvest allogen CPT 38230 not published not published $1,591.16 – $2,437.93 7
Bone marrow harvest autolog CPT 38232 not published not published $2,105.49 – $2,437.93 7
Bone marrow imaging body CPT 78104 not published not published $401.83 – $480.13 7
Bone marrow imaging ltd CPT 78102 not published not published $401.83 – $480.13 7
Bone marrow imaging mult CPT 78103 not published not published $401.83 – $480.13 7
Bone marrow interpretation CPT 85097 not published not published $12.32 – $266.96 7
Bone mineral dual photon CPT 78351 not published not published $414.66 – $480.13 7
Bone mineral single photon CPT 78350 not published not published $414.66 – $480.13 7
Bone/skin graft great toe CPT 20973 not published not published $5,447.53 – $6,307.66 7
Bone/skin graft iliac crest CPT 20970 not published not published $4,085.58 – $4,730.67 7
Bone/skin graft metatarsal CPT 20972 not published not published $5,447.53 – $6,307.66 7
Bone/skin graft microvasc CPT 20969 not published not published $7,105.37 – $8,227.27 7
Bone survey-lead poisoning CPT 77074 not published not published $75.62 – $87.56 7
Bone tendon board add on HCPCS C9356 not published not published $1,466.95 – $1,698.58 7
Bone void filler nanoss 10cc HCPCS C9362 not published not published $1,466.95 – $1,698.58 7
Boot cast sandal rocker med HCPCS L3265 not published not published $22.59 – $26.16 7
Boot heel care softcare one sz HCPCS E0191 not published not published $22.59 – $26.16 7
Boot j walker l HCPCS L4386 $87.10 $134.00 $37.90 – $120.60 30
Boot mlti podous univ xlg HCPCS L4396 not published not published $77.94 – $90.24 7
Boot softgait shrt m HCPCS L4387 not published not published $77.94 – $90.24 7
Boot walker genesis full shell 3-strap s HCPCS L4360 not published not published $121.57 – $140.77 7
Boot walker genesis mid-calf full shell s HCPCS L4361 not published not published $121.57 – $140.77 7
Borrelia antibody CPT 86619 not published not published $6.89 – $35.60 7
Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 $76.70 $118.00 $8.77 – $106.20 30
Borrelia miyamotoi amp prb CPT 87478 not published not published $14.64 – $51.85 7
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 $5,001.36 $7,694.40 $54.30 – $1,578.64 30
(both sides) donor search management CPT 38204 not published not published $540.20 – $625.49 7
(both sides) smear without diff wbc count CPT 85008 not published not published $1.77 – $13.09 7
Botulism ig IV CPT 90288 not published not published $18,994.71 – $21,993.87 7
Bowel imaging CPT 78290 not published not published $401.83 – $480.13 7
Bpg axillary-pop/-tibial CPT 35623 not published not published $5,181.19 – $5,999.27 7
Bpg carotid-vertebral CPT 35642 not published not published $1,463.49 – $1,694.57 7
Bpg ilio-celiac CPT 35632 not published not published $3,493.47 – $4,045.07 7
Bpg ilio-mesenteric CPT 35633 not published not published $3,493.47 – $4,045.07 7
Bpg iliorenal CPT 35634 not published not published $3,493.47 – $4,045.07 7
Bpg pop-tibl/-prnl artery CPT 35671 not published not published $5,181.19 – $5,999.27 7
Bpg splenorenal CPT 35636 not published not published $3,493.47 – $4,045.07 7
Bpg subclavian-axillary CPT 35616 not published not published $5,181.19 – $5,999.27 7
Bpg subclavian-vertebral CPT 35645 not published not published $3,493.47 – $4,045.07 7
Brace adj motion lerman type HCPCS L2186 not published not published $77.94 – $90.24 7
Brace afo dbl upright cust HCPCS L1990 not published not published $443.56 – $513.60 7
Brace afo lg left 6607 HCPCS L1930 not published not published $468.00 – $541.89 7
Brace afopos solid ankle cust HCPCS L1960 not published not published $443.56 – $513.60 7
Brace afo spiral prefab HCPCS L1951 not published not published $1,715.53 – $1,986.40 7
Brace ank aftr bioskn med lg HCPCS L1906 $130.00 $200.00 $56.56 – $180.00 30
Brace ank air stirrup univ HCPCS L4350 $42.25 $65.00 $18.38 – $90.24 30
Brace ankle joint dflxn assist HCPCS L2210 not published not published $42.21 – $48.87 7
Brace ankle stablizing lg HCPCS L1902 $116.35 $179.00 $24.89 – $79.20 30
Brace back epic lo 627 HCPCS L0642 not published not published $1,127.55 – $1,305.58 7
Brace back epic lso 637 HCPCS L0650 not published not published $891.96 – $1,032.79 7
Brace back epic tslo 456 HCPCS L0457 not published not published $891.96 – $1,032.79 7
Brace back pinnacle lo 627 lumbar HCPCS L0627 not published not published $1,127.55 – $1,305.58 7
Brace back pinnacle tlso 464 HCPCS L0464 not published not published $891.96 – $1,032.79 7
Brace back vista 464 tlso HCPCS L0648 not published not published $891.96 – $1,032.79 7
Brace cust back lso HCPCS L0631 not published not published $891.96 – $1,032.79 7
Brace fx hum ovr shldr lg HCPCS L3981 not published not published $121.57 – $140.77 7
Brace fx hum ovr shldr sm HCPCS L3980 $195.65 $301.00 $85.12 – $270.90 30
Brace halo bremer l2830 HCPCS L2830 not published not published $77.94 – $90.24 7
Brace knee 32in univ t-scope short lt/rt HCPCS L1852 not published not published $443.56 – $513.60 7
Brace knee extender plus 22-30in HCPCS L1832 $421.20 $648.00 $46.94 – $513.60 30
Brace knee hing pat open med HCPCS L1820 $119.60 $184.00 $52.04 – $165.60 30
Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 not published not published $443.56 – $513.60 7
Brace knee postop tscope xl HCPCS L1845 $1,132.30 $1,742.00 $236.14 – $1,986.40 30
Brace knee support neoprene padded open patella med HCPCS L1810 $125.45 $193.00 $54.58 – $173.70 30
Brace m arm board HCPCS L3809 $115.05 $177.00 $50.06 – $541.89 30
Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 $191.75 $295.00 $60.21 – $265.50 30
Brace ortho exos 28-50in sm HCPCS L0637 $178.10 $274.00 $77.49 – $1,032.79 30
Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 $248.95 $383.00 $81.73 – $1,032.79 30
Brace oths wrist hnd fngr without HCPCS L3807 $105.30 $162.00 $45.81 – $541.89 30
Brace tlso flex cust HCPCS L0450 not published not published $77.94 – $90.24 7
Brace wrist classic lft sm HCPCS L3908 $63.05 $97.00 $8.48 – $48.87 30
Brachioplasty 15836 CPT 15836 not published not published $2,282.46 – $2,642.85 7
Brach/thor cath 1st CPT 36215 not published not published $476.40 – $551.62 7
Brach/thor cath 2nd CPT 36216 not published not published $476.40 – $551.62 7
Brach/thor cath 3rd CPT 36217 not published not published $476.40 – $551.62 7
Brach/thor cath addl CPT 36218 not published not published $476.40 – $551.62 7
Brachy linear, non-str,p-103 HCPCS C2636 not published not published $52.91 – $4,228.13 7
Brachy source i-125 injection HCPCS C2638 not published not published $35.26 – $477.73 7
Brachy source iodine-125 nonstranded HCPCS C2639 not published not published $35.11 – $477.73 7
Brachy source palladium HCPCS C2640 not published not published $69.69 – $4,228.13 7
Brachy source palladium-103 nonstranded HCPCS C2641 not published not published $64.48 – $4,228.13 7
Brachy source yttrium-90 HCPCS C2616 not published not published $17,465.91 – $20,223.69 7
Brachy src nonstrand c-131 HCPCS C2643 not published not published $96.56 – $4,228.13 7
Brachy src nonstrand hdr ir-192 HCPCS C1717 not published not published $342.39 – $477.73 7
Brachy src stranded c-131 HCPCS C2642 not published not published $107.86 – $4,228.13 7
Brachytx isodose complex CPT 77318 not published not published $366.07 – $754.03 7
Brachytx isodose intermed CPT 77317 not published not published $366.07 – $754.03 7
Brachytx isodose plan simple CPT 77316 not published not published $140.78 – $163.01 7
Brachytx, non-str, gold-198 HCPCS C1716 not published not published $412.59 – $477.73 7
Brachytx, non-str, ha, i-125 HCPCS C2634 not published not published $162.84 – $4,228.13 7
Brachytx, non-str, ha, p-103 HCPCS C2635 not published not published $69.38 – $477.73 7
Brachytx, ns, non-hdrir-192 HCPCS C1719 not published not published $412.59 – $477.73 7
Braf gene CPT 81210 $786.50 $1,210.00 $73.17 – $1,089.00 30
Brain aneurysm repr complx CPT 61697 not published not published $1,463.49 – $1,694.57 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.