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 |
|---|---|---|---|---|
| F-18 fluciclovine per mci HCPCS A9588 | $6,427.20 | $9,888.00 | $172.47 – $8,899.20 | 30 |
| F-18 sodium fluoride HCPCS A9580 | $325.00 | $500.00 | $141.40 – $450.00 | 30 |
| F9 full gene sequence CPT 81238 | not published | not published | $114.85 – $266.96 | 7 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $121.57 – $140.77 | 7 |
| Face bone graft CPT 21210 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,084.20 | $1,668.00 | $241.72 – $1,501.20 | 30 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Facial Bones X-ray (complete) CPT 70150 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Facial nerve function test CPT 92516 | not published | not published | $220.60 – $378.35 | 7 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Factor ix CPT 85250 | $85.15 | $131.00 | $9.80 – $117.90 | 30 |
| Factor ix alprolix recomb HCPCS J7201 | $9.46 | $14.55 | $3.59 – $7,412.01 | 30 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.65 – $7,529.41 | 8 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.05 – $7,412.01 | 8 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.36 – $7,412.01 | 8 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.55 – $7,412.01 | 8 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.73 – $7,412.01 | 8 |
| Factor ix recombinant nos HCPCS J7195 | $4.17 | $6.42 | $1.82 – $7,412.01 | 30 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.35 – $7,412.01 | 8 |
| Factor viii CPT 85240 | $80.60 | $124.00 | $9.22 – $111.60 | 30 |
| Factor viii HCPCS J7190 | not published | not published | $1.11 – $7,529.41 | 8 |
| Factor viii fc fusion recomb HCPCS J7205 | $6.53 | $10.05 | $2.34 – $7,412.01 | 30 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.13 – $7,529.41 | 8 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.10 – $7,412.01 | 8 |
| Factor viii recombinant nos HCPCS J7192 | $4.58 | $7.05 | $1.55 – $7,412.01 | 30 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.38 – $7,412.01 | 8 |
| Factor viii recomb obizur HCPCS J7188 | $6.90 | $10.62 | $3.00 – $7,412.01 | 30 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.16 – $27,881.30 | 8 |
| Factor xiii recomb a-subunit HCPCS J7181 | $46.45 | $71.46 | $17.26 – $21,993.87 | 30 |
| Fallopian tube recnl CPT 58345 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $29.79 – $280.64 | 7 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $160.67 – $244.89 | 7 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $160.67 – $244.89 | 7 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $1.05 | $1.62 | $0.11 – $80.48 | 30 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $9,629.78 | $14,815.04 | $27.81 – $13,333.54 | 30 |
| Fancc gene CPT 81242 | not published | not published | $15.28 – $129.45 | 7 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $3,342.87 – $4,730.67 | 7 |
| Fat/lipids feces qualitative CPT 82705 | $22.75 | $35.00 | $2.63 – $31.50 | 30 |
| Fatty acids nonesterified CPT 82725 | $84.50 | $130.00 | $7.83 – $117.00 | 30 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $77.94 – $90.24 | 7 |
| Fecal bilirubin test CPT 82252 | not published | not published | $2.35 – $18.13 | 7 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $96.43 | $148.36 | $41.96 – $7,412.01 | 30 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $540.20 – $625.49 | 7 |
| #fecal-sodium CPT 84302 | $22.10 | $34.00 | $2.50 – $30.60 | 30 |
| Feeding tube reposition CPT 74355 | not published | not published | $150.07 – $173.77 | 7 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $143.36 – $166.00 | 7 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $110.40 – $166.00 | 8 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $83.85 | $129.00 | $7.78 – $116.10 | 30 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $13,911.07 – $16,107.55 | 7 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $42.21 – $48.87 | 7 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $11,234.48 – $13,008.35 | 7 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $22.59 – $26.16 | 7 |
| Feno poc CPT 95012 | $76.70 | $118.00 | $33.37 – $106.20 | 30 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $5.17 | $7.95 | $0.01 – $14.86 | 30 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $13.82 | 7 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $241.22 | $371.10 | $1.10 – $1,119.15 | 30 |
| Ferritin CPT 82728 | $61.10 | $94.00 | $7.02 – $84.60 | 30 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $164.31 | $252.78 | $0.34 – $619.69 | 30 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.34 – $619.69 | 8 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $230.56 – $266.96 | 7 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $106.34 – $180.26 | 7 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $230.56 – $266.96 | 7 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $3,404.05 | $5,237.00 | $230.56 – $4,713.30 | 30 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $201.17 – $396.52 | 7 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $304.19 – $1,018.49 | 7 |
| Fetal fibronectin CPT 82731 | $288.60 | $444.00 | $33.17 – $399.60 | 30 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $304.19 – $396.52 | 7 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | not published | not published | $3.98 – $13.09 | 7 |
| Fetal hemoglobin rosette CPT 85461 | $42.25 | $65.00 | $3.90 – $58.50 | 30 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $86.45 | $133.00 | $9.74 – $119.70 | 30 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $540.20 – $625.49 | 7 |
| Fetal monitor w/report CPT 59050 | not published | not published | $342.45 – $396.52 | 7 |
| Fetal non stress test CPT 59025 | not published | not published | $201.17 – $396.52 | 7 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $304.19 – $396.52 | 7 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $304.19 – $3,643.23 | 7 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $6.31 – $46.45 | 7 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $7.41 – $80.48 | 8 |
| Fibrin degradation d dimer quantitative CPT 85379 | $45.50 | $70.00 | $5.24 – $63.00 | 30 |
| Fibrin degradation products CPT 85362 | $31.20 | $48.00 | $3.55 – $43.20 | 30 |
| Fibrin degrade semiquant CPT 85378 | $43.55 | $67.00 | $4.06 – $60.30 | 30 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $5.24 – $13.09 | 7 |
| Fibrinogen activity CPT 85384 | $43.55 | $67.00 | $4.38 – $60.30 | 30 |
| Fibrinogen test CPT 85370 | not published | not published | $5.85 – $14.98 | 7 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $69.55 | $107.00 | $6.46 – $96.30 | 30 |
| Fibrinolytic antiplasmin CPT 85410 | $34.45 | $53.00 | $3.96 – $47.70 | 30 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $3.96 – $14.98 | 7 |
| Fibrinolytic plasminogen CPT 85415 | $77.35 | $119.00 | $8.85 – $107.10 | 30 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $5.25 – $14.98 | 7 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $29.25 | $45.00 | $3.36 – $40.50 | 30 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,024.92 | $1,576.80 | $0.27 – $709.56 | 30 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,561.74 | $2,402.67 | $0.99 – $1,015.20 | 30 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,284.02 | $1,975.41 | $0.34 – $1,777.84 | 30 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Filtered speech hearing test CPT 92571 | not published | not published | $38.16 – $61.69 | 7 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $48.64 – $56.32 | 7 |
| Filter spider fx 3mmx320cm HCPCS C1884 | not published | not published | $267.61 – $309.86 | 7 |
| Filter vena cava fem denali HCPCS C1880 | not published | not published | $267.61 – $309.86 | 7 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $2,269.23 – $2,627.53 | 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.