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 |
|---|---|---|---|---|
| Delay flap trunk 15600 CPT 15600 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $2,447.12 – $2,833.51 | 7 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $2,126.96 – $2,462.79 | 7 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $2,126.96 – $2,462.79 | 7 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $52.08 – $60.30 | 7 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $608.40 | $936.00 | $86.54 – $842.40 | 30 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,244.61 – $4,730.67 | 7 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $22.44 – $25.98 | 7 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $4,748.46 | $7,305.33 | $26.96 – $6,076.40 | 30 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $385.45 | $593.00 | $128.90 – $533.70 | 30 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $22.59 – $26.16 | 7 |
| Depo-estradiol cypionate inj HCPCS J1000 | $120.72 | $185.73 | $52.52 – $167.16 | 30 |
| Dermabrasion other than face CPT 15782 | not published | not published | $779.92 – $903.07 | 7 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $703.59 – $903.07 | 7 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $399.53 – $903.07 | 7 |
| Dermabrasion total face CPT 15780 | not published | not published | $779.92 – $903.07 | 7 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $127.14 – $127.14 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $1,412.41 – $1,635.43 | 7 |
| Dermapure 1 square cm HCPCS Q4152 | $1,751.75 | $2,695.00 | $127.14 – $2,425.50 | 26 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $127.14 – $127.14 | 1 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $127.14 – $127.14 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Description not available HCPCS S0013 | not published | not published | $267.24 – $309.43 | 7 |
| Design custom breast implant CPT 19396 | not published | not published | $1,374.14 – $1,591.11 | 7 |
| Design mlc device for imrt CPT 77338 | not published | not published | $366.07 – $754.03 | 7 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $185.38 | $285.20 | $5.42 – $309.43 | 30 |
| Desoxycorticosterone CPT 82633 | $139.10 | $214.00 | $15.96 – $192.60 | 30 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $198.70 – $260.28 | 7 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $198.70 – $260.28 | 7 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $198.70 – $260.28 | 7 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $198.70 – $260.28 | 7 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $198.70 – $260.28 | 7 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $198.70 – $260.28 | 7 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $198.70 – $260.28 | 7 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $198.70 – $260.28 | 7 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $198.70 – $260.28 | 7 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $198.70 – $260.28 | 7 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $937.27 – $1,085.26 | 7 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $385.33 – $446.17 | 7 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $1,179.08 – $1,676.92 | 7 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $198.70 – $260.28 | 7 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $1,829.23 – $2,265.87 | 7 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $1,829.23 – $2,265.87 | 7 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $198.70 – $260.28 | 7 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $612.13 – $903.07 | 7 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $399.53 – $903.07 | 7 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $779.92 – $903.07 | 7 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $224.79 – $260.28 | 7 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $1,448.25 – $1,676.92 | 7 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $1,448.25 – $1,676.92 | 7 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $399.53 – $1,676.92 | 7 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $198.70 – $260.28 | 7 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $890.29 – $1,085.26 | 7 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $937.27 – $1,085.26 | 7 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $937.27 – $1,085.26 | 7 |
| Destruction ciliary body CPT 66700 | not published | not published | $507.60 – $587.75 | 7 |
| Destruction ciliary body CPT 66720 | not published | not published | $507.60 – $587.75 | 7 |
| Destruction ciliary body CPT 66740 | not published | not published | $507.60 – $587.75 | 7 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $198.70 – $1,676.92 | 7 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $1,448.25 – $1,676.92 | 7 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $1,536.64 – $1,779.27 | 7 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $224.79 – $260.28 | 7 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $224.79 – $260.28 | 7 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $224.79 – $260.28 | 7 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $224.79 – $260.28 | 7 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $379.25 – $439.13 | 7 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,588.63 – $1,839.46 | 7 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $224.79 – $260.28 | 7 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,446.03 – $2,832.25 | 7 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,956.89 – $2,265.87 | 7 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $1,956.89 – $2,265.87 | 7 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $1,588.63 – $1,839.46 | 7 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $12.53 – $51.85 | 7 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $20.66 – $51.85 | 7 |
| Determination venous press CPT 93770 | not published | not published | $115.40 – $133.62 | 7 |
| Determine refractive state CPT 92015 | $9.75 | $15.00 | $4.24 – $98.33 | 30 |
| Developmental screen/score/document 96110 CPT 96110 | $205.40 | $316.00 | $89.36 – $318.24 | 30 |
| Devel tst phys/qhp 1st hr CPT 96112 | $702.00 | $1,080.00 | $131.46 – $972.00 | 30 |
| Device ablt adv novasure HCPCS C1886 | not published | not published | $267.61 – $309.86 | 7 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | not published | not published | $267.61 – $309.86 | 7 |
| Device intraute mirena HCPCS J7298 | $1,894.83 | $2,915.12 | $824.40 – $2,623.61 | 30 |
| Device sut capio slim opn HCPCS C2631 | not published | not published | $267.61 – $309.86 | 7 |
| Device tiss remov myosure reach HCPCS C1782 | not published | not published | $267.61 – $309.86 | 7 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $30.42 – $35.22 | 7 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,119.29 – $2,453.91 | 7 |
| Devlopment test interpt&rep HCPCS G0451 | $276.25 | $425.00 | $92.50 – $382.50 | 30 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $196.30 | $302.00 | $85.41 – $318.24 | 30 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $395.20 | $608.00 | $88.05 – $547.20 | 26 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $998.40 | $1,536.00 | $98.65 – $1,382.40 | 30 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $966.54 – $1,119.15 | 7 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $2.47 | $3.80 | $0.04 – $14.86 | 30 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $17.55 | $27.00 | $0.40 – $14.86 | 30 |
| Dexamethasone intra implant HCPCS J7312 | $3,119.22 | $4,798.80 | $204.53 – $4,318.92 | 30 |
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.