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 |
|---|---|---|---|---|
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $33.31 | $51.24 | $7.97 – $80.48 | 30 |
| Cyclosporine 2 hour CPT 80158 | $81.25 | $125.00 | $9.29 – $112.50 | 30 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $7.48 | $11.50 | $0.78 – $14.86 | 30 |
| Cyclosporine oral 100 mg HCPCS J7502 | $28.48 | $43.82 | $3.11 – $14.86 | 30 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $127.14 – $127.14 | 1 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $127.14 – $127.14 | 1 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | not published | not published | $267.61 – $309.86 | 7 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $1,466.95 – $1,698.58 | 7 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $121.54 – $179.64 | 7 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $72.92 – $179.64 | 7 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $146.07 – $169.14 | 7 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $114.85 – $179.64 | 7 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $114.85 – $179.64 | 7 |
| Cystatin c CPT 82610 | $83.20 | $128.00 | $7.73 – $115.20 | 30 |
| Cystic fibrosis cftr CPT 81223 | $2,237.95 | $3,443.00 | $146.07 – $3,098.70 | 30 |
| Cystine urine quantitative CPT 82131 | $103.35 | $159.00 | $9.58 – $143.10 | 30 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $2,812.60 – $3,256.69 | 7 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | not published | not published | $189.93 – $219.92 | 7 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $4,374.55 – $5,065.27 | 7 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $1,502.16 – $1,739.34 | 7 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $379.25 – $439.13 | 7 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $3,771.98 – $4,367.55 | 7 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $3,771.98 – $4,367.55 | 7 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $2,812.60 – $3,256.69 | 7 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $1,337.53 – $1,548.72 | 7 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,048.51 – $3,256.69 | 7 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $2,812.60 – $3,256.69 | 7 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,048.51 – $3,256.69 | 7 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $667.47 – $3,256.69 | 7 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,448.97 – $4,367.55 | 7 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $3,771.98 – $4,367.55 | 7 |
| Cystoscopy and treatment CPT 52310 | $6,124.95 | $9,423.00 | $1,420.28 – $8,480.70 | 30 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,995.50 | $3,070.00 | $667.47 – $2,763.00 | 30 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $667.47 – $3,256.69 | 7 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $2,812.60 – $3,256.69 | 7 |
| Cystoscopy inject material CPT 52327 | not published | not published | $3,771.98 – $4,367.55 | 7 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $4,374.55 – $5,065.27 | 7 |
| Cystoscopy removal of clots CPT 52001 | $10,312.25 | $15,865.00 | $1,420.28 – $14,278.50 | 30 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,048.51 – $3,256.69 | 7 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,048.51 – $3,256.69 | 7 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $3,771.98 – $4,367.55 | 7 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $3,771.98 – $4,367.55 | 7 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,448.97 – $4,367.55 | 7 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $2,812.60 – $3,256.69 | 7 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $6,124.95 | $9,423.00 | $1,420.28 – $8,480.70 | 30 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $6,124.95 | $9,423.00 | $1,420.28 – $8,480.70 | 30 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $4,374.55 – $5,065.27 | 7 |
| Cystourethro w/implant CPT 52441 | not published | not published | $1,502.16 – $1,739.34 | 7 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $1,337.53 – $1,548.72 | 7 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $1,337.53 – $1,548.72 | 7 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $4.11 | $6.32 | $0.79 – $25.48 | 30 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $4,719.74 – $5,464.97 | 7 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $375.44 – $1,036.34 | 7 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $42.38 – $129.45 | 7 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $129.45 | 7 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $483.91 – $1,036.34 | 7 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $230.56 – $266.96 | 7 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $895.02 – $1,036.34 | 7 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $6.17 – $25.66 | 7 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $64.35 | $99.00 | $7.42 – $89.10 | 30 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $75.40 | $116.00 | $8.68 – $104.40 | 30 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $6.17 – $25.66 | 7 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $84.69 | $130.29 | $36.85 – $7,529.41 | 30 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $12.53 – $51.85 | 7 |
| Cyto/molecular report CPT 88291 | not published | not published | $46.24 – $53.54 | 7 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $20.35 – $23.56 | 7 |
| Cytopath c/v automated CPT 88147 | not published | not published | $20.35 – $23.56 | 7 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $20.35 – $23.56 | 7 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $18.19 – $23.56 | 7 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.65 – $23.56 | 7 |
| Cytopath c/v manual CPT 88150 | not published | not published | $18.19 – $23.56 | 7 |
| Cytopath c/v redo CPT 88153 | not published | not published | $20.35 – $23.56 | 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.