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 |
|---|---|---|---|---|
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $4.95 – $46.45 | 7 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $116.39 – $179.64 | 7 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $114.65 – $179.64 | 7 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $57.15 – $179.64 | 7 |
| Dna antibody native/double stranded CPT 86225 | $61.75 | $95.00 | $7.08 – $85.50 | 30 |
| Dna gardnerella CPT 87510 | $89.70 | $138.00 | $10.32 – $124.20 | 30 |
| Dna probe chlamydia CPT 87490 | not published | not published | $10.32 – $25.66 | 7 |
| Dna probe gc CPT 87590 | not published | not published | $11.21 – $25.66 | 7 |
| Dna trichomonas CPT 87660 | $89.70 | $138.00 | $10.32 – $124.20 | 30 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $0.90 | $1.38 | $0.09 – $14.86 | 30 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $949.39 | $1,460.60 | $42.71 – $548.75 | 30 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | $108.86 | $167.48 | $47.36 – $548.75 | 30 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $12.83 – $14.86 | 7 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $12.83 – $14.86 | 7 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $91.53 – $105.99 | 7 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $91.53 – $105.99 | 7 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $91.53 – $105.99 | 7 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $91.53 – $105.99 | 7 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $91.53 – $105.99 | 7 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $91.53 – $105.99 | 7 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $91.53 – $105.99 | 7 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $91.53 – $105.99 | 7 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $91.53 – $105.99 | 7 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $2.07 | $3.18 | $0.06 – $14.86 | 30 |
| Doppler echo complete CPT 93320 | not published | not published | $470.59 – $544.90 | 7 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $1,321.23 – $1,529.85 | 7 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $144.56 – $167.39 | 7 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $481.65 | $741.00 | $128.90 – $666.90 | 30 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $188.90 – $218.72 | 7 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $105.35 – $218.72 | 8 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $22,538.00 – $26,096.63 | 7 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $42.21 – $48.87 | 7 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $2,871.39 | $4,417.53 | $236.40 – $11,763.46 | 30 |
| Double transfer toe-hand CPT 26554 | not published | not published | $5,447.53 – $6,307.66 | 7 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $820.66 | $1,262.56 | $1.81 – $5.76 | 26 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $210.16 | $323.32 | $43.46 – $1,209.64 | 30 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $61.62 | $94.80 | $16.98 – $80.48 | 30 |
| Dpyd gene common variants CPT 81232 | not published | not published | $155.14 – $179.64 | 7 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $14.85 – $17.19 | 7 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $2,104.05 | $3,237.00 | $703.59 – $2,913.30 | 30 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $143.36 – $166.00 | 7 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Drainage external ear simple 69000 CPT 69000 | $1,829.10 | $2,814.00 | $143.36 – $2,532.60 | 30 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $2,862.05 – $3,489.08 | 7 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,862.05 – $3,489.08 | 7 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $143.36 – $166.00 | 7 |
| Drainage of abdomen CPT 48000 | not published | not published | $4,623.95 – $5,354.05 | 7 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,620.24 – $2,083.72 | 7 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,420.28 – $1,644.53 | 7 |
| Drainage of bone lesion CPT 26992 | not published | not published | $3,342.87 – $4,730.67 | 7 |
| Drainage of bone lesion CPT 27303 | not published | not published | $3,306.95 – $3,829.10 | 7 |
| Drainage of eye CPT 65800 | not published | not published | $507.60 – $587.75 | 7 |
| Drainage of eye CPT 65810 | not published | not published | $507.60 – $587.75 | 7 |
| Drainage of eye CPT 65815 | not published | not published | $507.60 – $587.75 | 7 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,600.41 – $1,905.87 | 7 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $379.25 – $439.13 | 7 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $143.36 – $166.00 | 7 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $509.25 – $1,448.98 | 7 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $509.25 – $1,573.00 | 7 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $143.36 – $166.00 | 7 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $509.25 – $1,448.98 | 7 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,600.41 – $2,083.72 | 7 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $3,244.61 – $4,730.67 | 7 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $1,502.16 – $1,739.34 | 7 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,502.16 – $1,739.34 | 7 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,502.16 – $1,739.34 | 7 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,179.08 – $1,676.92 | 7 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,446.03 – $2,832.25 | 7 |
| Drainage of salivary gland CPT 42305 | not published | not published | $2,075.47 – $2,403.17 | 7 |
| Drainage of salivary gland CPT 42320 | not published | not published | $509.25 – $1,573.00 | 7 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $18,720.90 – $21,676.83 | 7 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $2,812.60 – $3,256.69 | 7 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,048.51 – $3,256.69 | 7 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $379.25 – $439.13 | 7 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,048.51 – $3,256.69 | 7 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $379.25 – $439.13 | 7 |
| Drain blood from under nail 11740 CPT 11740 | $251.55 | $387.00 | $63.51 – $348.30 | 30 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $615.12 – $712.24 | 7 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $615.12 – $712.24 | 7 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $3,105.70 | $4,778.00 | $692.52 – $4,300.20 | 30 |
| Drain chest lesion CPT 21502 | not published | not published | $2,293.67 – $2,655.83 | 7 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $42.21 – $48.87 | 7 |
| Drain finger abscess;simple 26010 CPT 26010 | $594.10 | $914.00 | $198.70 – $822.60 | 30 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,244.61 – $3,829.10 | 7 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $2,293.67 – $2,655.83 | 7 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $22.59 – $26.16 | 7 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Drain ovary abscess open CPT 58820 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $4,623.95 – $5,354.05 | 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.