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 |
|---|---|---|---|---|
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,039.18 – $1,203.26 | 7 |
| Esophagus motility study CPT 91010 | not published | not published | $381.24 – $461.73 | 7 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $381.24 – $461.73 | 7 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,039.18 – $1,203.26 | 7 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,039.18 – $1,203.26 | 7 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $6,356.66 – $7,360.34 | 7 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $6,356.66 – $7,360.34 | 7 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $398.76 – $461.73 | 7 |
| Esoph imped function test CPT 91037 | not published | not published | $220.60 – $461.73 | 7 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $381.24 – $461.73 | 7 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,896.99 – $2,314.10 | 7 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,039.18 – $1,203.26 | 7 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,039.18 – $1,203.26 | 7 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $4,203.24 – $4,866.91 | 7 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $4,203.24 – $4,866.91 | 7 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $4,203.24 – $4,866.91 | 7 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $4,203.24 – $4,866.91 | 7 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $475.90 – $551.05 | 7 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $496.89 – $575.34 | 7 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $496.89 – $575.34 | 7 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $496.89 – $575.34 | 7 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $496.89 – $575.34 | 7 |
| Essure 58565 CPT 58565 | not published | not published | $3,709.90 – $4,295.68 | 7 |
| Establish access to aorta CPT 36160 | not published | not published | $476.40 – $551.62 | 7 |
| Establish access to artery CPT 36100 | not published | not published | $476.40 – $551.62 | 7 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $7,134.70 – $8,261.23 | 7 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $7,134.70 – $8,261.23 | 7 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $7,134.70 – $8,261.23 | 7 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $7,134.70 – $8,261.23 | 7 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $7,134.70 – $8,261.23 | 7 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $7,134.70 – $8,261.23 | 7 |
| Established Patient Office Visit (level 1) CPT 99211 | $97.50 | $150.00 | $0.01 – $135.00 | 30 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | not published | $91.53 – $105.99 | 7 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | not published | $91.53 – $105.99 | 7 |
| Established Patient Office Visit (level 4) CPT 99214 | $121.55 | $187.00 | $0.01 – $168.30 | 30 |
| Established Patient Office Visit (level 5) CPT 99215 | $156.00 | $240.00 | $0.01 – $216.00 | 30 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Estradiol total CPT 82670 | $125.45 | $193.00 | $14.39 – $173.70 | 30 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $87.56 | $134.70 | $12.83 – $90.13 | 30 |
| Estrogens total-sendout CPT 82672 | $97.50 | $150.00 | $11.17 – $135.00 | 30 |
| Etanercept injection HCPCS J1438 | $4,772.20 | $7,341.84 | $790.78 – $6,607.66 | 30 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $618.46 | $951.48 | $269.08 – $1,209.64 | 30 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $188.90 – $218.72 | 7 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $2,075.47 – $2,403.17 | 7 |
| Ethylene glycol -sendout CPT 82693 | $66.95 | $103.00 | $7.68 – $92.70 | 30 |
| Etonogestrel implant system HCPCS J7307 | $1,989.56 | $3,060.86 | $865.61 – $2,754.77 | 30 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $531.49 | $817.68 | $2.55 – $25.48 | 30 |
| Etoposide 50 mg cap HCPCS J8560 | $135.02 | $207.72 | $58.74 – $548.75 | 30 |
| Euflexxa inj per dose HCPCS J7323 | $421.94 | $649.14 | $105.46 – $584.23 | 30 |
| Euglobulin lysis CPT 85360 | $37.70 | $58.00 | $4.33 – $52.20 | 30 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,179.53 – $5,834.09 | 7 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $94.21 – $109.09 | 7 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $406.90 | $626.00 | $94.21 – $563.40 | 30 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $923.00 | $1,420.00 | $94.21 – $1,278.00 | 30 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $5.09 – $13.82 | 7 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $440.05 | $677.00 | $40.92 – $609.30 | 30 |
| Evaluation heart device CPT 93640 | not published | not published | $2,077.67 – $2,405.72 | 7 |
| Evaluation of speech fluency 92521 CPT 92521 | $385.45 | $593.00 | $94.21 – $533.70 | 30 |
| Evaluation psychiatric diagnostic CPT 90791 | $313.30 | $482.00 | $136.31 – $433.80 | 30 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $10,243.35 – $11,860.72 | 7 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $10,243.35 – $11,860.72 | 7 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Event monitor CPT 93270 | $139.10 | $214.00 | $37.29 – $192.60 | 26 |
| Evoked auditory tst complete CPT 92588 | $809.90 | $1,246.00 | $179.29 – $1,121.40 | 30 |
| Evoked oa emissions ltd CPT 92587 | $809.90 | $1,246.00 | $179.29 – $1,121.40 | 30 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $53.28 – $61.69 | 7 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $220.60 – $604.11 | 7 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $220.60 – $604.11 | 7 |
| Evok oa screening qual CPT 92558 | not published | not published | $53.28 – $61.69 | 7 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $891.96 – $1,032.79 | 7 |
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $272.88 – $315.96 | 7 |
| Exam pelvic add-on CPT 99459 | not published | not published | $91.53 – $105.99 | 7 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $91.36 – $105.79 | 7 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,799.58 – $2,083.72 | 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.