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 |
|---|---|---|---|---|
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $20.35 – $23.56 | 7 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $24.49 – $70.11 | 7 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $239.85 | $369.00 | $53.24 – $332.10 | 30 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $119.60 | $184.00 | $20.35 – $165.60 | 30 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $91.00 | $140.00 | $20.26 – $126.00 | 30 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $176.15 | $271.00 | $38.16 – $243.90 | 30 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $176.15 | $271.00 | $38.16 – $243.90 | 30 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $95.55 | $147.00 | $41.57 – $132.30 | 30 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $168.35 | $259.00 | $73.25 – $233.10 | 30 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $239.85 | $369.00 | $46.24 – $332.10 | 30 |
| Cytopath smear other source CPT 88160 | $109.85 | $169.00 | $24.49 – $152.10 | 30 |
| Cytopath smear other source CPT 88162 | not published | not published | $53.24 – $70.11 | 7 |
| Cytopath smear oth prep screen & interp CPT 88161 | $109.85 | $169.00 | $24.49 – $152.10 | 30 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $18.19 – $23.56 | 7 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $18.19 – $23.56 | 7 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $20.35 – $23.56 | 7 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $18.19 – $23.56 | 7 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $32.81 – $104.19 | 7 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $15.29 – $42.94 | 7 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $80.89 – $93.67 | 7 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $38.66 | $59.48 | $16.29 – $51.84 | 26 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,725.75 | $2,655.00 | $282.13 – $2,389.50 | 30 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $4,162.86 | $6,404.40 | $15.58 – $7,529.41 | 30 |
| Dalteparin sodium HCPCS J1645 | $1,847.31 | $2,842.02 | $69.50 – $1,023.00 | 30 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.05 – $80.48 | 8 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.04 – $80.48 | 8 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $1,649.21 | $2,537.25 | $51.41 – $7,529.41 | 30 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $9,055.80 | $13,932.00 | $3.02 – $1,119.15 | 30 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.02 – $309.43 | 8 |
| Dark field exam spec collj CPT 87164 | not published | not published | $5.53 – $25.66 | 7 |
| Dark field exam without collj CPT 87166 | not published | not published | $5.82 – $25.66 | 7 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $34,257.60 | $52,704.00 | $242.50 – $47,433.60 | 30 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $104.62 | $160.96 | $24.44 – $838.96 | 30 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $724.56 – $838.96 | 7 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $198.70 – $260.28 | 7 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $2,447.12 – $2,833.51 | 7 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Dch glucoscan CPT 82948 | not published | not published | $5.04 – $18.13 | 7 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $170.43 – $197.34 | 7 |
| Dch validity tests CPT 81002 | $15.60 | $24.00 | $3.48 – $21.60 | 30 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,952.77 – $5,878.64 | 7 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,243.07 – $4,161.76 | 7 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,451.90 – $1,681.15 | 7 |
| D&c of cervical stump CPT 57558 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Deamidated gliadin antibody iga CPT 86258 | $53.95 | $83.00 | $4.81 – $74.70 | 30 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $745.30 – $862.98 | 7 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $318.47 – $368.75 | 7 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $745.30 – $862.98 | 7 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $745.30 – $862.98 | 7 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,593.80 | $2,452.00 | $693.43 – $2,206.80 | 30 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $745.30 – $862.98 | 7 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $318.47 – $368.75 | 7 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $59.40 – $73.54 | 7 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $59.40 – $73.54 | 7 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $318.47 – $368.75 | 7 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $745.30 – $862.98 | 7 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $745.30 – $862.98 | 7 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $745.30 – $862.98 | 7 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $745.30 – $862.98 | 7 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $143.36 – $166.00 | 7 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $318.47 – $368.75 | 7 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $318.47 – $368.75 | 7 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $318.47 – $368.75 | 7 |
| Decalcification CPT 88311 | $68.90 | $106.00 | $29.98 – $95.40 | 30 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,497.60 | $2,304.00 | $473.92 – $2,073.60 | 30 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | not published | not published | $331.69 – $428.04 | 7 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,244.61 – $3,829.10 | 7 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,600.41 – $1,905.87 | 7 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,600.41 – $1,905.87 | 7 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Decompress fingers/hand CPT 26035 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,645.98 – $1,905.87 | 7 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,645.98 – $1,905.87 | 7 |
| Decompression fasct forearm CPT 24495 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Decompression of leg CPT 27892 | not published | not published | $3,244.61 – $4,730.67 | 7 |
| Decompression of leg CPT 27893 | not published | not published | $4,085.58 – $4,730.67 | 7 |
| Decompression of leg CPT 27894 | not published | not published | $3,244.61 – $4,730.67 | 7 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,244.61 – $3,829.10 | 7 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,244.61 – $3,829.10 | 7 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,244.61 – $4,730.67 | 7 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,244.61 – $3,829.10 | 7 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,600.41 – $3,829.10 | 7 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $3,306.95 – $3,829.10 | 7 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,952.77 – $3,829.10 | 7 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,451.90 – $1,681.15 | 7 |
| Decompressive craniotomy CPT 61322 | not published | not published | $3,594.25 – $4,161.76 | 7 |
| Decompress optic nerve CPT 67570 | not published | not published | $2,827.07 – $3,273.45 | 7 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Decompress small bowel CPT 44021 | not published | not published | $2,119.29 – $2,453.91 | 7 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $96.41 | $148.32 | $15.03 – $80.48 | 30 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $2,377.73 | $3,658.04 | $4.18 – $1,582.58 | 30 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $4,100.72 – $4,748.21 | 7 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,829.23 – $2,265.43 | 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.