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 |
|---|---|---|---|---|
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $1,098.29 – $1,271.70 | 7 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $716.95 | $1,103.00 | $143.36 – $992.70 | 30 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $4,785.30 | $7,362.00 | $393.02 – $6,625.80 | 30 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $239.88 – $455.07 | 7 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $239.88 – $455.07 | 7 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $393.02 – $455.07 | 7 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $393.02 – $455.07 | 7 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $4,785.30 | $7,362.00 | $393.02 – $6,625.80 | 30 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $393.02 – $455.07 | 7 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $393.02 – $455.07 | 7 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $2,742.63 – $3,175.68 | 7 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $2,742.63 – $3,175.68 | 7 |
| Cltx post ankle fx CPT 27767 | not published | not published | $239.88 – $455.07 | 7 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $393.02 – $455.07 | 7 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $393.02 – $455.07 | 7 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $239.88 – $455.07 | 7 |
| Cltx thigh fx CPT 27267 | $9,701.25 | $14,925.00 | $393.02 – $13,432.50 | 30 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $393.02 – $455.07 | 7 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,098.29 – $1,271.70 | 7 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $2,812.60 – $3,256.69 | 7 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $381.24 – $604.11 | 7 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $521.73 – $604.11 | 7 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $521.73 – $604.11 | 7 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $59.40 – $73.60 | 7 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $59.40 – $73.60 | 7 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $5.87 – $27.98 | 7 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $4.26 – $18.13 | 7 |
| #cmvcul-virus inoculation shell CPT 87254 | $87.75 | $135.00 | $10.07 – $121.50 | 30 |
| Cmv ig IV CPT 90291 | not published | not published | $6,502.67 – $7,529.41 | 7 |
| Cmv pcr-sendout CPT 87496 | $157.30 | $242.00 | $18.07 – $217.80 | 30 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $57.15 – $179.64 | 7 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $77.94 – $90.24 | 7 |
| Co2 monitor per day CPT 94681 | not published | not published | $170.43 – $197.34 | 7 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $6.90 | $10.62 | $2.52 – $7,412.01 | 30 |
| Coagulation time activated teg CPT 85347 | not published | not published | $2.19 – $14.98 | 7 |
| Coagulation time lee & white CPT 85345 | not published | not published | $2.22 – $14.98 | 7 |
| Coagulation time otr method CPT 85348 | not published | not published | $1.92 – $14.98 | 7 |
| Cocaine 4 % nasal solution HCPCS C9046 | $125.97 | $193.80 | $12.83 – $174.42 | 30 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $12.83 – $14.86 | 7 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $5.73 – $44.20 | 7 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $22,538.00 – $26,096.63 | 7 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $77.94 – $90.24 | 7 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $48.64 – $56.32 | 7 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $42.21 – $48.87 | 7 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $30.42 – $35.22 | 7 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $30.42 – $35.22 | 7 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $12.83 – $14.86 | 7 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $127.14 – $127.14 | 1 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | not published | not published | $267.61 – $309.86 | 7 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $3.45 – $35.60 | 7 |
| Cold agglutinin titer CPT 86157 | $36.40 | $56.00 | $4.15 – $50.40 | 30 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $2,119.29 – $2,453.91 | 7 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,119.29 – $2,453.91 | 7 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $2,119.29 – $2,453.91 | 7 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $2,119.29 – $2,453.91 | 7 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Colistimethate sodium inj HCPCS J0770 | $65.52 | $100.80 | $28.50 – $90.69 | 30 |
| Collagenase, clost hist inj HCPCS J0775 | $17,281.45 | $26,586.84 | $71.16 – $23,928.16 | 30 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $48.64 – $56.32 | 7 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $14.85 – $17.19 | 7 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $14.85 – $17.19 | 7 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $22.59 – $26.16 | 7 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $22.59 – $26.16 | 7 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $1,466.95 – $1,698.58 | 7 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $15.60 | $24.00 | $6.79 – $56.32 | 30 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $42.21 – $48.87 | 7 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $77.94 – $90.24 | 7 |
| Collar cerv patriot adlt HCPCS L0150 | $27.95 | $43.00 | $12.16 – $90.24 | 30 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $443.56 – $513.60 | 7 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $481.65 | $741.00 | $47.58 – $592.20 | 30 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $481.65 | $741.00 | $47.58 – $666.90 | 30 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $127.14 – $1,698.58 | 7 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $220.60 – $461.73 | 7 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $911.71 – $1,372.79 | 7 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,179.08 – $1,372.79 | 7 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,179.08 – $1,372.79 | 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.