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 |
|---|---|---|---|---|
| Cryopreservation sperm CPT 89259 | not published | not published | $33.10 – $38.32 | 7 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $437.18 – $2,437.93 | 7 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $33.10 – $38.32 | 7 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $1,374.14 – $1,591.11 | 7 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $198.70 – $439.13 | 7 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $59.40 – $260.28 | 7 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $7.43 – $35.60 | 7 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $6.17 – $25.66 | 7 |
| Crystal identification light microscopy CPT 89060 | $33.15 | $51.00 | $3.68 – $45.90 | 30 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $2,126.96 – $2,462.79 | 7 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $2,126.96 – $2,462.79 | 7 |
| Csf leakage imaging CPT 78650 | not published | not published | $1,183.57 – $1,370.45 | 7 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $30.42 – $35.22 | 7 |
| Csf ventriculography CPT 78635 | not published | not published | $414.66 – $480.13 | 7 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $57.15 – $179.64 | 7 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $114.65 – $179.64 | 7 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $77.26 – $179.64 | 7 |
| CT 3d report other modality w/workstation CPT 76377 | $933.40 | $1,436.00 | $115.62 – $1,292.40 | 30 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $178.02 – $699.26 | 7 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| CT Angiogram of the Abdomen CPT 74175 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | not published | not published | $178.02 – $699.26 | 7 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| CT Angiogram of the Head CPT 70496 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| CT Angiogram of the Neck CPT 70498 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $356.43 – $699.26 | 7 |
| CT angio pelvis CPT 72191 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $178.02 – $699.26 | 7 |
| CT bone density axial CPT 77078 | not published | not published | $88.05 – $88.91 | 2 |
| CT cerebral perf w cont & prcssng CPT 70473 | $803.40 | $1,236.00 | $179.20 – $1,112.40 | 30 |
| CT colonography dx CPT 74261 | not published | not published | $106.34 – $283.24 | 7 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $178.02 – $607.18 | 7 |
| CT colonography screening CPT 74263 | not published | not published | $241.72 – $283.24 | 7 |
| CT guidance for needle placement CPT 77012 | not published | not published | $148.36 – $171.79 | 7 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | not published | $150.07 – $173.77 | 7 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $239.88 – $1,801.56 | 7 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $148.36 – $171.79 | 7 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $395.20 | $608.00 | $88.05 – $547.20 | 30 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $356.43 – $607.18 | 7 |
| CT hrt w/3d image CPT 75572 | not published | not published | $356.43 – $607.18 | 7 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $88.05 – $283.24 | 7 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $42.21 – $48.87 | 7 |
| CT lwr extremity w/o&w/dye CPT 73702 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $143.36 – $166.00 | 7 |
| CT scan for localization CPT 77011 | not published | not published | $148.36 – $171.79 | 7 |
| CT scan for therapy guide CPT 77014 | not published | not published | $148.36 – $171.79 | 7 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,084.20 | $1,668.00 | $241.72 – $1,501.20 | 30 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $178.02 – $607.18 | 7 |
| CT uppr extremity w/o&w/dye CPT 73202 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $891.96 – $1,032.79 | 7 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $33.10 – $38.32 | 7 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $33.10 – $38.32 | 7 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Culture aerobic additional method definitive id each CPT 87077 | $36.40 | $56.00 | $8.08 – $50.40 | 30 |
| Culture afb any source CPT 87116 | $48.75 | $75.00 | $5.57 – $67.50 | 30 |
| Culture anaerobic additional method definitive id each CPT 87076 | $36.40 | $56.00 | $4.16 – $50.40 | 30 |
| Culture anaerobic except blood CPT 87075 | $42.25 | $65.00 | $4.88 – $58.50 | 30 |
| Culture bacteria anaerobic CPT 87073 | $43.55 | $67.00 | $4.86 – $60.30 | 30 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $22.16 – $25.66 | 7 |
| Culture bact stool aero addl path ea CPT 87046 | $42.25 | $65.00 | $4.86 – $58.50 | 30 |
| Culture body fluid CPT 87070 | $38.35 | $59.00 | $4.44 – $53.10 | 30 |
| Culture fungi definitive id mold CPT 87107 | $46.15 | $71.00 | $5.32 – $63.90 | 30 |
| Culture fungi definitive id yeast CPT 87106 | $46.15 | $71.00 | $5.32 – $63.90 | 30 |
| Culture fungi other (except blood) CPT 87102 | $37.70 | $58.00 | $4.33 – $52.20 | 30 |
| Culture fungi skin/hair/nail CPT 87101 | $34.45 | $53.00 | $3.96 – $47.70 | 30 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $65.65 | $101.00 | $6.09 – $90.90 | 30 |
| Culture mycoplasma any source CPT 87109 | $68.90 | $106.00 | $7.93 – $95.40 | 30 |
| Culture of specimen by kit CPT 87084 | not published | not published | $11.29 – $25.66 | 7 |
| Culture quantitative aerobic other source CPT 87071 | $44.20 | $68.00 | $4.86 – $61.20 | 30 |
| Culture screening strep group a CPT 87081 | $29.90 | $46.00 | $3.41 – $41.40 | 30 |
| Culture type pulse field gel CPT 87152 | not published | not published | $3.23 – $25.66 | 7 |
| Culture typing added method CPT 87158 | $34.45 | $53.00 | $3.23 – $47.70 | 30 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $6.45 – $25.66 | 7 |
| Culture typing immunologic CPT 87147 | $23.40 | $36.00 | $2.67 – $32.40 | 30 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $65.46 – $75.79 | 7 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $157.30 | $242.00 | $18.07 – $217.80 | 30 |
| Culture urine each isolate CPT 87088 | $36.40 | $56.00 | $4.17 – $50.40 | 30 |
| Culture virus isolation CPT 87250 | not published | not published | $10.07 – $25.66 | 7 |
| Curette/treat cornea CPT 65435 | not published | not published | $423.99 – $490.94 | 7 |
| Curette/treat cornea CPT 65436 | not published | not published | $423.99 – $490.94 | 7 |
| Cus elbo skt in for con/atyp HCPCS L6696 | not published | not published | $891.96 – $1,032.79 | 7 |
| Cus elbo skt in not con/atyp HCPCS L6697 | not published | not published | $891.96 – $1,032.79 | 7 |
| Custom glove for term device HCPCS L6895 | not published | not published | $443.56 – $513.60 | 7 |
| Custom shape cover ak HCPCS L5705 | not published | not published | $891.96 – $1,032.79 | 7 |
| Custom shape cover bk HCPCS L5704 | not published | not published | $443.56 – $513.60 | 7 |
| Custom shape cvr hip disart HCPCS L5707 | not published | not published | $891.96 – $1,032.79 | 7 |
| Custom shape cvr knee disart HCPCS L5706 | not published | not published | $891.96 – $1,032.79 | 7 |
| Cutter lead HCPCS C1773 | not published | not published | $267.61 – $309.86 | 7 |
| Cv line/pic reposition CPT 36597 | not published | not published | $777.57 – $900.34 | 7 |
| Cv stress test i&r only 93018 CPT 93018 | $524.55 | $807.00 | $144.56 – $726.30 | 30 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $144.56 – $167.39 | 7 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $7.37 – $27.98 | 7 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $16.36 | $25.17 | $1.02 – $14.86 | 30 |
| Cyclic citrullinated peptide antibody CPT 86200 | $57.85 | $89.00 | $6.66 – $80.10 | 30 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $724.56 – $838.96 | 7 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $4,285.14 | $6,592.52 | $0.58 – $1,483.31 | 30 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $21.44 | $32.98 | $5.08 – $16.16 | 26 |
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.