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 |
|---|---|---|---|---|
| Brain aneurysm repr complx CPT 61698 | not published | not published | $1,463.49 – $1,694.57 | 7 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $1,463.49 – $1,694.57 | 7 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $7,134.70 – $8,261.23 | 7 |
| Brain flow imaging only CPT 78610 | not published | not published | $414.66 – $480.13 | 7 |
| Brain image < 4 views CPT 78600 | not published | not published | $401.83 – $480.13 | 7 |
| Brain image 4+ views CPT 78605 | not published | not published | $414.66 – $480.13 | 7 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $401.83 – $480.13 | 7 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $414.66 – $480.13 | 7 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $356.43 – $479.24 | 7 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,084.20 | $1,668.00 | $241.72 – $1,501.20 | 30 |
| Brain MRI (with and without contrast) CPT 70553 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| Brain MRI (with contrast) CPT 70552 | not published | not published | $356.43 – $595.36 | 7 |
| Brain MRI (without contrast) CPT 70551 | $1,084.20 | $1,668.00 | $241.72 – $1,501.20 | 30 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $48.64 – $56.32 | 7 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $146.07 – $169.14 | 7 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $146.07 – $169.14 | 7 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $146.07 – $169.14 | 7 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $125.71 – $179.64 | 7 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $118.00 – $179.64 | 7 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $77.23 – $179.64 | 7 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $146.07 – $169.14 | 7 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $118.00 – $179.64 | 7 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $146.07 – $169.14 | 7 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $895.02 – $1,036.34 | 7 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $4,100.72 – $4,748.21 | 7 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | not published | not published | $1,374.14 – $1,591.11 | 7 |
| Breastbone (Sternum) X-ray CPT 71120 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $77.94 – $90.24 | 7 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $121.57 – $140.77 | 7 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $121.57 – $140.77 | 7 |
| Breast punct aspir cyst, bil CPT 19000 | $1,372.15 | $2,111.00 | $512.33 – $1,899.90 | 30 |
| Breast reconstruction CPT 19366 | not published | not published | $6,503.00 – $7,529.79 | 7 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $6,503.00 – $7,529.79 | 7 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $6,503.00 – $7,529.79 | 7 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $6,503.00 – $7,529.79 | 7 |
| Breast reduction CPT 19318 | not published | not published | $6,503.00 – $7,529.79 | 7 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $49.12 – $56.88 | 7 |
| Breathing response hypoxia CPT 94450 | not published | not published | $86.54 – $100.20 | 7 |
| Breath recording infant CPT 94772 | not published | not published | $170.43 – $197.34 | 7 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $49.12 – $56.88 | 7 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $11.06 – $27.98 | 7 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $41,090.89 | $63,216.76 | $239.86 – $56,895.08 | 30 |
| Brexucabtagene car pos t HCPCS Q2053 | $1,441,440.00 | $2,217,600.00 | $14,876.37 – $1,995,840.00 | 30 |
| Brief alcohol misuse counsel HCPCS G0443 | $414.70 | $638.00 | $0.01 – $574.20 | 30 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $14.30 – $16.56 | 8 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | not published | not published | $14.30 – $30.41 | 8 |
| Brief comunicaj tech-bsd svc CPT 98016 | not published | not published | $14.30 – $16.56 | 7 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $69.50 – $80.48 | 7 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $1,160.90 | $1,786.00 | $388.31 – $1,718.28 | 30 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronchial allergy tests CPT 95070 | not published | not published | $381.24 – $530.60 | 2 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $388.31 – $4,040.01 | 7 |
| Bronchial challenge CPT 94070 | $930.80 | $1,432.00 | $170.43 – $1,288.80 | 30 |
| Bronchial valve addl insert CPT 31651 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronchial valve init insert CPT 31647 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $1,724.47 – $4,040.01 | 7 |
| Bronchial valve remov init CPT 31648 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronchoscopy clear airways 31645 CPT 31645 | $5,156.45 | $7,933.00 | $1,483.97 – $7,139.70 | 30 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $769.60 | $1,184.00 | $334.84 – $1,718.28 | 30 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $11,024.00 | $16,960.00 | $1,483.97 – $15,264.00 | 30 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $1,483.97 – $1,718.28 | 7 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $11,024.00 | $16,960.00 | $1,483.97 – $15,264.00 | 30 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronchoscopy stent add-on CPT 31637 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $5,156.45 | $7,933.00 | $1,483.97 – $7,139.70 | 30 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $5,156.45 | $7,933.00 | $1,483.97 – $7,139.70 | 30 |
| Bronchoscopy w/markers CPT 31626 | $20,697.95 | $31,843.00 | $1,483.97 – $28,658.70 | 30 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $194.14 – $1,718.28 | 7 |
| Br punct aspir ea add, l CPT 19001 | not published | not published | $512.33 – $593.22 | 7 |
| Brst prsth bra & bilat form HCPCS L8002 | not published | not published | $77.94 – $90.24 | 7 |
| Brst rcnstj 1pdcl tram anast CPT 19368 | not published | not published | $6,503.00 – $7,529.79 | 7 |
| Brst rcnstj 2 pdcl tram flap CPT 19369 | not published | not published | $6,503.00 – $7,529.79 | 7 |
| Brst rcnstj free flap CPT 19364 | not published | not published | $6,503.00 – $7,529.79 | 7 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $22.59 – $26.16 | 7 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $7,325.18 – $8,481.79 | 7 |
| Btk gene common variants CPT 81233 | not published | not published | $73.17 – $179.64 | 7 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $69.50 – $80.48 | 7 |
| Budesonide non-comp con HCPCS J7633 | not published | not published | $69.50 – $80.48 | 7 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $2.00 – $14.86 | 8 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $1.77 | $2.73 | $0.33 – $80.48 | 30 |
| Bundled special stain group 1 microorganisms CPT 88312 | $134.55 | $207.00 | $49.80 – $186.30 | 30 |
| Bundled special stain group 2 CPT 88313 | $81.90 | $126.00 | $35.63 – $113.40 | 30 |
| Bundle his recording CPT 93600 | not published | not published | $2,077.67 – $2,405.72 | 7 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $1.81 | $2.79 | $0.06 – $14.86 | 30 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $0.85 – $14.86 | 7 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $69.50 – $80.48 | 7 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $7.81 | $12.02 | $1.73 – $80.48 | 30 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $14.01 | $21.56 | $4.78 – $80.48 | 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.