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 |
|---|---|---|---|---|
| Alpha-fetoprotein tumor marker CPT 82105 | $75.40 | $116.00 | $8.64 – $104.40 | 30 |
| Alprostadil for injection HCPCS J0270 | $1,639.15 | $2,521.77 | $69.50 – $357.26 | 30 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $69.50 – $80.48 | 7 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $20,592.84 | $31,681.29 | $91.47 – $599.94 | 30 |
| Alt/sgpt CPT 84460 | $24.05 | $37.00 | $5.30 – $33.30 | 30 |
| Altuviiio per factor viii iu HCPCS J7214 | $13.32 | $20.49 | $4.60 – $7,529.41 | 30 |
| Aluminum - quest CPT 82108 | $114.40 | $176.00 | $13.12 – $158.40 | 30 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $91.79 – $142.86 | 7 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $9.01 – $53.70 | 7 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $115.40 – $133.62 | 7 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $115.40 – $133.62 | 7 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $115.40 – $133.62 | 7 |
| Amifostine HCPCS J0207 | $2,507.10 | $3,857.07 | $1,090.78 – $5,464.97 | 30 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $9.36 | $14.40 | $3.64 – $14.86 | 30 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.99 – $18.13 | 7 |
| Amino acid screen, urine CPT 82128 | $62.40 | $96.00 | $7.14 – $86.40 | 30 |
| Amino acid single qual CPT 82127 | not published | not published | $7.14 – $27.98 | 7 |
| Amino acids quant 2-5 CPT 82136 | $87.75 | $135.00 | $8.69 – $121.50 | 30 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $1.27 | $1.95 | $0.53 – $80.48 | 30 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | $297.18 | $457.20 | $1.72 – $619.69 | 30 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $8.47 – $27.98 | 7 |
| Aminolevulinic acid hcl top HCPCS J7308 | $613.42 | $943.72 | $266.88 – $849.35 | 30 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $5.15 | $7.92 | $0.07 – $14.86 | 30 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $4.83 – $80.48 | 8 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $2.24 | $3.45 | $0.24 – $80.48 | 30 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $2.11 – $46.45 | 7 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $69.50 – $80.48 | 7 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $1,696.68 | $2,610.28 | $20.67 – $7,412.01 | 30 |
| Ammonia CPT 82140 | $65.65 | $101.00 | $7.51 – $90.90 | 30 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $127.14 – $127.14 | 1 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $870.74 – $1,018.49 | 7 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $304.19 – $1,018.49 | 7 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $127.14 – $127.14 | 1 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $127.14 – $127.14 | 1 |
| Amniotic fluid scan CPT 82143 | not published | not published | $3.90 – $18.13 | 7 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $127.14 – $127.14 | 1 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $69.50 – $80.48 | 7 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $6.31 – $46.45 | 7 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $3.90 – $46.45 | 7 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $188.90 – $218.72 | 7 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $117.00 | $180.00 | $50.90 – $162.00 | 30 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $11.13 – $309.43 | 7 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $744.84 | $1,145.91 | $20.72 – $1,209.64 | 30 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $210.15 | $323.31 | $3.55 – $14.86 | 30 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $170.37 | $262.11 | $3.96 – $14.86 | 30 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $155.14 – $179.64 | 7 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $3,244.61 – $6,307.66 | 7 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $3,342.87 – $4,730.67 | 7 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,600.41 – $1,905.87 | 7 |
| Amputate hand at wrist CPT 25920 | not published | not published | $3,342.87 – $6,419.14 | 7 |
| Amputate leg at thigh CPT 27591 | not published | not published | $3,342.87 – $4,730.67 | 7 |
| Amputate leg at thigh CPT 27592 | not published | not published | $3,342.87 – $4,730.67 | 7 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $3,342.87 – $8,227.27 | 7 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,342.87 – $4,730.67 | 7 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $8,790.38 – $10,178.33 | 7 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,244.61 – $5,050.72 | 7 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $1,645.98 – $1,905.87 | 7 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $1,645.98 – $1,905.87 | 7 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,244.61 – $4,730.67 | 7 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,244.61 – $3,829.10 | 7 |
| Amputation follow-up surgery CPT 24930 | not published | not published | $7,413.38 – $10,178.33 | 7 |
| Amputation follow-up surgery CPT 25924 | not published | not published | $3,342.87 – $6,419.14 | 7 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $3,306.95 – $3,829.10 | 7 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Amputation of foot at ankle CPT 27888 | not published | not published | $3,342.87 – $8,227.27 | 7 |
| Amputation of forearm CPT 25900 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Amputation of forearm CPT 25905 | not published | not published | $7,413.38 – $10,178.33 | 7 |
| Amputation of forearm CPT 25915 | not published | not published | $7,413.38 – $10,178.33 | 7 |
| Amputation of hand CPT 25927 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Amputation of leg at hip CPT 27290 | not published | not published | $14,911.17 – $17,265.57 | 7 |
| Amputation of leg at hip CPT 27295 | not published | not published | $14,911.17 – $17,265.57 | 7 |
| Amputation of lower leg CPT 27882 | not published | not published | $3,342.87 – $8,227.27 | 7 |
| Amputation of lower leg CPT 27881 | not published | not published | $3,342.87 – $8,227.27 | 7 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $3,342.87 – $6,307.66 | 7 |
| Amputation of upper arm CPT 24900 | not published | not published | $8,790.38 – $10,178.33 | 7 |
| Amputation of upper arm CPT 24920 | not published | not published | $8,790.38 – $10,178.33 | 7 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $3,244.61 – $6,307.66 | 7 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $2,337.14 – $2,706.17 | 7 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $2,337.14 – $2,706.17 | 7 |
| Amylase CPT 82150 | $29.25 | $45.00 | $6.48 – $40.50 | 30 |
| Anabolic steroid 1 or 2 CPT 80327 | not published | not published | $9.31 – $46.45 | 7 |
| Anabolic steroid 3 or more CPT 80328 | not published | not published | $10.37 – $46.45 | 7 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $57.17 – $619.69 | 7 |
| Ana ds-dna CPT 86226 | $54.60 | $84.00 | $6.24 – $75.60 | 30 |
| Analgesics non-opioid 3-5 CPT 80330 | not published | not published | $2.11 – $46.45 | 7 |
| Analgesics non-opioid 6/more CPT 80331 | not published | not published | $3.45 – $46.45 | 7 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $4.81 – $46.45 | 7 |
| Anal pressure record CPT 91122 | not published | not published | $311.40 – $604.11 | 7 |
| Anal/urinary muscle study CPT 51784 | $468.00 | $720.00 | $131.46 – $648.00 | 30 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $243.21 – $604.11 | 7 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $91.79 – $142.86 | 7 |
| Analysis gene f2 20210g>a variant CPT 81240 | $294.45 | $453.00 | $27.41 – $372.60 | 30 |
| Analysis gene f5 leiden variant CPT 81241 | $328.90 | $506.00 | $31.47 – $455.40 | 30 |
| Analysis nerve CPT 88356 | not published | not published | $49.80 – $57.66 | 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.