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 |
|---|---|---|---|---|
| Drain penis lesion CPT 54015 | not published | not published | $1,588.63 – $1,839.46 | 7 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,600.41 – $5,050.72 | 7 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Drain shoulder lesion CPT 23030 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Drain thigh/knee lesion 27301 CPT 27301 | $8,557.25 | $13,165.00 | $1,799.58 – $11,848.50 | 30 |
| Drain thyroid/tongue cyst CPT 60000 | $3,851.25 | $5,925.00 | $1,251.39 – $5,332.50 | 30 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $2,703.49 – $3,130.36 | 7 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $387.40 | $596.00 | $168.55 – $536.40 | 30 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $387.40 | $596.00 | $168.55 – $536.40 | 30 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $318.47 – $368.75 | 7 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $248.04 – $287.20 | 7 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $127.14 – $127.14 | 1 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $5,633.55 | $8,667.00 | $2,451.03 – $7,800.30 | 30 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $22,538.00 – $26,096.63 | 7 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $2,119.29 – $2,453.91 | 7 |
| Drng hand tendon sheath 26020 CPT 26020 | $9,701.25 | $14,925.00 | $1,555.89 – $13,432.50 | 30 |
| Drng of eyelid abscess 67700 CPT 67700 | $893.75 | $1,375.00 | $263.97 – $1,237.50 | 30 |
| Drng of finger abscess comp 26011 CPT 26011 | $4,844.45 | $7,453.00 | $779.92 – $6,707.70 | 30 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $66.16 – $76.60 | 7 |
| Drng of mouth lesion 40801 CPT 40801 | $1,522.95 | $2,343.00 | $509.25 – $2,108.70 | 30 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,179.08 – $2,832.25 | 7 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Drng of scrotum abscess 55100 CPT 55100 | $4,844.45 | $7,453.00 | $1,620.24 – $6,707.70 | 30 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $2,703.49 – $3,130.36 | 7 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $7,429.98 – $8,603.13 | 7 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $2,703.49 – $3,130.36 | 7 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $509.25 – $1,573.00 | 7 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $2.58 – $14.86 | 8 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $12.44 | $19.14 | $4.93 – $15.69 | 30 |
| Drop lock knee HCPCS L2182 | not published | not published | $77.94 – $90.24 | 7 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $48.64 – $56.32 | 7 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | not published | not published | $267.61 – $309.86 | 7 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $127.14 – $127.14 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $127.14 – $127.14 | 1 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $127.14 – $127.14 | 1 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $22.59 – $26.16 | 7 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $14.85 – $17.19 | 7 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $127.14 – $127.14 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $127.14 – $127.14 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $127.14 – $127.14 | 1 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $127.14 – $1,698.58 | 7 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $127.14 – $127.14 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $60.66 – $70.24 | 7 |
| Drug assay caffeine CPT 80155 | $172.90 | $266.00 | $16.09 – $239.40 | 30 |
| Drug assay posaconazole CPT 80187 | not published | not published | $11.31 – $28.24 | 7 |
| Drug assay rufinamide CPT 80210 | $121.55 | $187.00 | $11.31 – $168.30 | 30 |
| Drug assay vedolizumab CPT 80280 | $172.90 | $266.00 | $16.09 – $239.40 | 30 |
| Drug assay voriconazole CPT 80285 | not published | not published | $11.31 – $28.24 | 7 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $7.78 – $28.24 | 7 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $12.60 – $46.45 | 7 |
| Drug screening tapentadol CPT 80372 | not published | not published | $5.26 – $46.45 | 7 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $11.31 – $28.24 | 7 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $9.31 – $46.45 | 7 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $100.46 – $116.33 | 7 |
| Drug test def 1-7 classes HCPCS G0480 | $482.30 | $742.00 | $22.06 – $70.20 | 30 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $100.46 – $116.33 | 7 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $100.46 – $116.33 | 7 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $46.38 – $53.70 | 7 |
| Drug test prsmv instrmnt CPT 80306 | $76.70 | $118.00 | $7.49 – $106.20 | 30 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $278.85 | $429.00 | $33.29 – $386.10 | 30 |
| Drvvt confirm - quest CPT 85597 | $80.60 | $124.00 | $9.26 – $111.60 | 30 |
| Dry needling (97799) CPT 97799 | not published | not published | $41.42 – $47.96 | 7 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $3,771.00 – $4,449.08 | 7 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $937.27 – $1,085.26 | 7 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $224.79 – $260.28 | 7 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $224.79 – $260.28 | 7 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $224.79 – $260.28 | 7 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $224.79 – $260.28 | 7 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $535.44 – $619.98 | 7 |
| Ductogram sgl duct CPT 77053 | not published | not published | $189.93 – $219.92 | 7 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,816.08 – $2,102.83 | 7 |
| Duodenal motility study CPT 91022 | not published | not published | $381.24 – $461.73 | 7 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $130.12 – $150.67 | 7 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $106.34 – $150.67 | 7 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $106.34 – $150.67 | 7 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $130.12 – $150.67 | 7 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $130.12 – $150.67 | 7 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $1,466.95 – $1,698.58 | 7 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | not published | not published | $127.14 – $127.14 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $1,339.94 | $2,061.44 | $81.82 – $5,464.97 | 30 |
| Dxa bone density axl vrt fx CPT 77085 | $477.10 | $734.00 | $106.34 – $660.60 | 26 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $30.42 – $35.22 | 7 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $30.42 – $35.22 | 7 |
| Dx bronchoscope/brush 31623 CPT 31623 | $5,156.45 | $7,933.00 | $1,483.97 – $7,139.70 | 30 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $5,156.45 | $7,933.00 | $1,483.97 – $7,139.70 | 30 |
| Dx bronchoscope/wash 31622 CPT 31622 | $5,156.45 | $7,933.00 | $1,483.97 – $7,139.70 | 30 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $64.78 – $75.01 | 7 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $398.76 – $461.73 | 7 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $398.76 – $461.73 | 7 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $44.71 – $51.77 | 7 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $131.46 – $461.73 | 7 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $896.84 – $1,038.44 | 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.