healthcosts.net

lodi hospital

225 Elyria Street, Lodi, OH · Cleveland Clinic · · NPI 1801807870

Source: hospital's published price file ↗ · Published Jun 15, 2026 · Ingested Aug 12, 2026

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
Dexamethasone panel CPT 80420 not published not published $67.53 – $179.64 7
Dexmedetomidine film, 1 mcg HCPCS J1105 not published not published $0.78 – $80.48 7
Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 $641.76 $987.33 $58.01 – $1,838.60 30
Dextran 40 infusion HCPCS J7100 $1.54 $2.37 $0.64 – $14.86 30
Dextran 75 infusion HCPCS J7110 not published not published $12.83 – $14.86 7
Dextroamphetamine HCPCS S0160 not published not published $69.50 – $80.48 7
Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 $0.02 $0.03 $0.01 – $14.86 30
Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 not published not published $12.83 – $14.86 7
Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 $0.27 $0.42 $0.01 – $14.86 30
Dextrose 5 % IV bolus HCPCS J7070 $0.88 $1.35 $0.01 – $14.86 30
Dhea-s (dehydroepiand sulfate) CPT 82627 $99.45 $153.00 $11.45 – $137.70 30
Diabetes (HbA1c) Test CPT 83036 $43.55 $67.00 $9.71 – $60.30 30
Diabetes training group per 30 min g0109 HCPCS G0136 not published not published $29.79 – $72.67 7
Diabetic custom molded shoe HCPCS A5501 not published not published $468.00 – $541.89 7
Diabetic shoe with wedge HCPCS A5504 not published not published $48.64 – $56.32 7
Diabetic shoe w/off set heel HCPCS A5506 not published not published $48.64 – $56.32 7
Diabetic shoe w/roller/rockr HCPCS A5503 not published not published $48.64 – $56.32 7
Diab manage trn ind/group HCPCS G0109 not published not published $19.66 – $68.88 8
Diab shoe for density insert HCPCS A5500 not published not published $42.21 – $48.87 7
Diab shoe w/metatarsal bar HCPCS A5505 not published not published $48.64 – $56.32 7
Diag bronchoscope/catheter CPT 31643 not published not published $1,483.97 – $1,718.28 7
Diag laparo separate proc 49320 CPT 49320 not published not published $2,703.49 – $3,130.36 7
Diagnostic anoscopy CPT 46601 not published not published $398.76 – $461.73 7
Diagnostic anoscopy & biopsy CPT 46607 not published not published $1,179.08 – $1,372.79 7
Diagnostic anoscopy spx 46600 CPT 46600 not published not published $128.90 – $461.73 7
Diagnostic digital breast tomosynthesis bil CPT 77062 $87.10 $134.00 $37.90 – $120.60 30
Diagnostic digital breast tomosynthesis unil CPT 77061 $72.15 $111.00 $31.39 – $99.90 30
Diagnostic laryngoscopy 31505 CPT 31505 not published not published $143.36 – $166.00 7
Diagnostic laryngoscopy 31575 CPT 31575 not published not published $143.36 – $166.00 7
Diagnostic Mammogram (both breasts) CPT 77066 $458.90 $706.00 $69.04 – $635.40 30
Diagnostic Mammogram (one breast) CPT 77065 $365.95 $563.00 $69.04 – $506.70 30
Diagnostic radio unlisted proc CPT 76499 not published not published $75.62 – $87.56 7
Dialysis circuit perm vascular embolization 36909 CPT 36909 not published not published $11,234.48 – $13,008.35 7
Dialysis one evaluation CPT 90945 not published not published $425.82 – $575.34 7
Dialysis repeated eval CPT 90947 not published not published $496.89 – $575.34 7
Dialysis training complete CPT 90989 not published not published $52.08 – $60.30 7
Dialysis training incompl CPT 90993 not published not published $52.08 – $60.30 7
Diathermy eg microwave CPT 97024 not published not published $9.28 – $47.96 8
Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 $0.72 $1.11 $0.10 – $38.53 30
Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 $46.80 $72.00 $5.90 – $18.77 30
Dicyclomine injection HCPCS J0500 $45.63 $70.20 $12.34 – $80.48 30
Difelikefalin, esrd on dialy HCPCS J0879 not published not published $0.15 – $619.69 7
Diffusing capacity CPT 94729 $393.25 $605.00 $86.54 – $544.50 30
Digital analysis of eeg CPT 95957 not published not published $30.42 – $35.22 7
Digit nerve surgery add-on CPT 64778 not published not published $1,451.90 – $1,681.15 7
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 $335.15 $515.61 $2.80 – $14.86 30
Digoxin immune fab 40 mg intravenous solution HCPCS J1162 $11,639.16 $17,906.40 $4,888.10 – $16,115.76 30
Digoxin total therapeutic drug level CPT 80162 $59.80 $92.00 $6.84 – $82.80 30
Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 $245.70 $378.00 $69.50 – $340.20 30
Dilate biliary duct/ampulla CPT 47542 not published not published $4,623.95 – $5,354.05 7
Dilate esophagus CPT 43453 not published not published $398.76 – $461.73 7
Dilate esophagus 1/mult pass CPT 43450 not published not published $398.76 – $461.73 7
Dilate ic vasospasm ea add vsl diff territory CPT 61642 not published not published $10,243.35 – $11,860.72 7
Dilate ic vasospasm ea add vsl same territory CPT 61641 not published not published $10,243.35 – $11,860.72 7
Dilate ic vasospasm init CPT 61640 not published not published $10,243.35 – $11,860.72 7
Dilate tear duct opening CPT 68801 not published not published $263.97 – $305.65 7
Dilate urethra stricture CPT 53600 $727.35 $1,119.00 $66.16 – $1,007.10 30
Dilate urethra stricture CPT 53601 not published not published $66.16 – $76.60 7
Dilate urethra stricture CPT 53605 not published not published $379.25 – $439.13 7
Dilate urethra stricture CPT 53621 not published not published $243.21 – $439.13 7
Dilation/female urethra/initial 53660 CPT 53660 not published not published $66.16 – $76.60 7
Dilation of anal sphincter CPT 45905 not published not published $1,179.08 – $1,676.92 7
Dilation of cervical canal 57800 CPT 57800 not published not published $2,269.23 – $2,627.53 7
Dilation of rectal stricture 45910 CPT 45910 not published not published $1,179.08 – $1,676.92 7
Dilation of salivary duct CPT 42660 not published not published $509.25 – $1,573.00 7
Dilation of urethra CPT 53661 not published not published $66.16 – $76.60 7
Dilation of urethra CPT 53665 not published not published $379.25 – $439.13 7
Dilation of vagina CPT 57400 not published not published $1,956.89 – $2,265.87 7
Dilation salivary duct 42650 CPT 42650 not published not published $1,358.50 – $1,573.00 7
Dilation/urethral strict/male/ini 53620 CPT 53620 not published not published $379.25 – $439.13 7
Dilator fascial 10fx20cm HCPCS C2627 not published not published $267.61 – $309.86 7
Dilat xst trc ndurlgc px CPT 50436 not published not published $1,337.53 – $1,548.72 7
Dilat xst trc new access rcs CPT 50437 not published not published $1,337.53 – $1,548.72 7
Diltiazem 5 mg/ml intravenous solution HCPCS J1163 $26.70 $41.07 $0.24 – $14.86 30
Dimecaprol injection HCPCS J0470 not published not published $69.50 – $80.48 7
Dimenhydrinate injection HCPCS J1240 $30.75 $47.31 $12.83 – $42.58 30
Dimethyl sulfoxide 50% 50 ml HCPCS J1212 $34.14 $52.53 $14.86 – $1,119.15 30
Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 not published not published $12.83 – $14.86 7
Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 $7.04 $10.83 $0.83 – $14.86 30
Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 $287.88 $442.89 $13.31 – $398.60 30
Dipyridamole injection HCPCS J1245 $4.64 $7.14 $2.02 – $14.86 30
Direct advanced life support CPT 99288 not published not published $91.53 – $105.99 7
Dir nsl mucous membrane test CPT 95065 not published not published $38.16 – $238.17 7
Disability dlco CPT 94727 $468.00 $720.00 $86.54 – $648.00 30
Disaccharidases CPT 82657 $99.45 $153.00 $9.30 – $137.70 30
Disarticulation sho sec clsr CPT 23921 not published not published $1,799.58 – $2,083.72 7
Disarticulation shoulder CPT 23920 not published not published $8,790.38 – $10,178.33 7
Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 not published not published $5,077.01 – $5,878.64 7
Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 not published not published $12,421.32 – $14,382.58 7
Discography cerv/thor spine CPT 72285 not published not published $506.88 – $586.92 7
Disconnect insert locking wr HCPCS L6616 not published not published $42.21 – $48.87 7
Disconnect locking wrist uni HCPCS L6615 not published not published $468.00 – $541.89 7
Dise eval slp do brth flx dx CPT 42975 not published not published $143.36 – $166.00 7
Dissect brain w/scope CPT 62161 not published not published $6,707.47 – $7,766.54 7
Dis site tele svcs rhc/fqhc HCPCS G2025 not published not published $91.53 – $105.99 7
Dissolve clot heart vessel CPT 92975 not published not published $3,809.94 – $4,411.51 7
Dist revas ligation hemo CPT 36838 not published not published $4,199.67 – $4,862.78 7
Div aberrant vsl w/reanast CPT 33803 not published not published $3,493.47 – $4,045.07 7
Diverticulectomy/hypophar/esoph 43130 CPT 43130 not published not published $4,203.24 – $4,866.91 7
Division of fallopian tube 58605 CPT 58605 not published not published $2,447.12 – $2,833.51 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.