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 |
|---|---|---|---|---|
| Buprenorphine and metabolite - sendout CPT 80348 | not published | not published | $6.76 – $46.45 | 7 |
| Buprenorphine hydrochloride HCPCS J0592 | $74.88 | $115.20 | $12.83 – $44.12 | 30 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $69.50 – $80.48 | 7 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,866.01 – $3,817.20 | 8 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | $10,305.50 | $15,854.61 | $1,044.69 – $4,756.37 | 30 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $69.50 – $80.48 | 7 |
| Bur hol/trph drg brn abs/cst CPT 61150 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Burr hol aspir hmtm/cst icer CPT 61156 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Burr hole implant ventricular cath/other device CPT 61210 | $2,964.65 | $4,561.00 | $1,289.85 – $7,766.54 | 30 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Burr hole treph ittl uni/bi CPT 61253 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Burr hole/treph sbsq tapping CPT 61151 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Burr hole/treph sttl expl CPT 61250 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Bur rotalink 2.15mm HCPCS C1724 | not published | not published | $267.61 – $309.86 | 7 |
| Busulfan injection HCPCS J0594 | $123.29 | $189.68 | $0.89 – $838.96 | 30 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $48.38 | $74.43 | $12.83 – $54.76 | 30 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $69.50 – $80.48 | 7 |
| Buttock fasciotomy CPT 27027 | not published | not published | $4,085.58 – $4,730.67 | 7 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,600.41 – $4,730.67 | 7 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $1,620.24 – $2,083.72 | 7 |
| Bx bone trocar/ndl deep CPT 20225 | not published | not published | $1,620.24 – $2,083.72 | 7 |
| Bx breast 1st lesion mr imag CPT 19085 | $7,267.00 | $11,180.00 | $1,374.14 – $10,062.00 | 30 |
| Bx breast 1st lesion strtctc CPT 19081 | not published | not published | $1,374.14 – $1,591.11 | 7 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $1,374.14 – $1,591.11 | 7 |
| Bx breast add lesion strtctc CPT 19082 | not published | not published | $1,374.14 – $1,591.11 | 7 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,708.85 | $2,629.00 | $743.48 – $2,366.10 | 30 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $1,374.14 – $1,591.11 | 7 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $1,374.14 – $1,591.11 | 7 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $272.88 – $315.96 | 7 |
| Bx/exc idrl imed lesn cervl CPT 63285 | not published | not published | $18,720.90 – $21,676.83 | 7 |
| Bx/exc idrl imed lesn thrc CPT 63286 | not published | not published | $18,720.90 – $21,676.83 | 7 |
| Bx/exc idrl imed lesn thrlmb CPT 63287 | not published | not published | $18,720.90 – $21,676.83 | 7 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $18,720.90 – $21,676.83 | 7 |
| Bx/exc idrl spine lesn scrl CPT 63283 | not published | not published | $18,720.90 – $21,676.83 | 7 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $3,013.30 – $3,489.08 | 7 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $3,013.30 – $3,489.08 | 7 |
| Bx/exc xdrl/idrl lsn any lvl CPT 63290 | not published | not published | $18,720.90 – $21,676.83 | 7 |
| Bx/exc xdrl spine lesn crvl CPT 63275 | not published | not published | $18,720.90 – $21,676.83 | 7 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $18,720.90 – $21,676.83 | 7 |
| Bx/exc xdrl spine lesn scrl CPT 63278 | not published | not published | $18,720.90 – $21,676.83 | 7 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | not published | not published | $18,720.90 – $21,676.83 | 7 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Bx liver with other CPT 47001 | not published | not published | $615.12 – $712.24 | 7 |
| Bx muscle CPT 20200 | not published | not published | $1,620.24 – $2,083.72 | 7 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $1,374.14 – $1,591.11 | 7 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Bx pancreas pq ndl CPT 48102 | not published | not published | $615.12 – $712.24 | 7 |
| Bx perianal mass CPT 46999 | not published | not published | $911.71 – $1,676.92 | 7 |
| Bx pleura pq ndl CPT 32400 | not published | not published | $1,012.90 – $1,172.83 | 7 |
| Bx prostate trnsrctl u/s guid CPT 55707 | $10,767.90 | $16,566.00 | $1,502.16 – $14,909.40 | 30 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $1,502.16 – $1,739.34 | 7 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $1,620.24 – $2,083.72 | 7 |
| Bx skin incisnl ea sep/add l les CPT 11107 | not published | not published | $518.55 – $600.42 | 7 |
| Bx skin punch ea sep/ addl les CPT 11105 | not published | not published | $518.55 – $600.42 | 7 |
| Bx skin tangential ea sep/ addl les CPT 11103 | not published | not published | $518.55 – $600.42 | 7 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $1,620.24 – $1,905.87 | 7 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $1,620.24 – $2,083.72 | 7 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $1,620.24 – $2,083.72 | 7 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $1,620.24 – $2,083.72 | 7 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $1,620.24 – $2,083.72 | 7 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $753.17 – $872.09 | 7 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $1,620.24 – $2,083.72 | 7 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | not published | not published | $512.33 – $593.22 | 7 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $272.88 – $315.96 | 7 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $272.88 – $315.96 | 7 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $272.88 – $315.96 | 7 |
| Bypass graft/av fist patency CPT 35686 | not published | not published | $5,181.19 – $5,999.27 | 7 |
| Bypass graft patency/patch CPT 35685 | not published | not published | $5,181.19 – $5,999.27 | 7 |
| Bypass temp external fem-fem CPT 37799 | not published | not published | $618.26 – $1,919.19 | 7 |
| C-1 esterase, berinert HCPCS J0597 | $10,395.37 | $15,992.88 | $68.36 – $14,393.59 | 30 |
| C-1 esterase, cinryze HCPCS J0598 | $7,483.77 | $11,513.49 | $64.21 – $10,362.14 | 30 |
| C1 esterase inhibitor func - sendout CPT 86161 | $53.95 | $83.00 | $6.17 – $74.70 | 30 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $30,617.29 | $47,103.52 | $216.46 – $42,393.17 | 30 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $47.66 | $73.32 | $20.73 – $65.99 | 30 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg vein five CPT 33514 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg vein six or more CPT 33516 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $6,396.17 – $7,406.09 | 7 |
| Cable cath 22-pin diag HCPCS C1730 | not published | not published | $267.61 – $309.86 | 7 |
| Cable centrimag pressure HCPCS Q0508 | not published | not published | $267.61 – $309.86 | 7 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $2,781.85 | $4,279.77 | $22.90 – $7,529.41 | 30 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $57.15 – $179.64 | 7 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $230.56 – $266.96 | 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.