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 |
|---|---|---|---|---|
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $77.94 – $90.24 | 7 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $42.21 – $48.87 | 7 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $77.94 – $90.24 | 7 |
| Foot longitud/metatarsal sup HCPCS L3020 | $85.80 | $132.00 | $37.33 – $541.89 | 30 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $42.21 – $48.87 | 7 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $468.00 – $541.89 | 7 |
| Foot X-ray CPT 73630 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Foot X-ray (2 views, both feet) CPT 73620 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $443.56 – $513.60 | 7 |
| Forearm X-ray (both sides) CPT 73090 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Forensic cytopathology CPT 88125 | not published | not published | $53.24 – $70.11 | 7 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $243.21 – $439.13 | 7 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $69.50 – $80.48 | 7 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $4.19 – $14.86 | 8 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.20 – $80.48 | 8 |
| Foscarnet sodium injection HCPCS J1455 | $4.49 | $6.90 | $1.40 – $309.43 | 30 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $47.31 | $72.78 | $1.34 – $80.48 | 30 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $13.55 – $33.92 | 7 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $88.05 – $88.91 | 2 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $18.73 – $129.45 | 7 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $443.56 – $513.60 | 7 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $443.56 – $513.60 | 7 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $4,007.96 – $4,640.80 | 7 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,703.49 – $3,130.36 | 7 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Free skin flap microvasc CPT 15757 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Frenotomy 40806 CPT 40806 | not published | not published | $509.25 – $1,448.98 | 7 |
| Frenulotomy of penis CPT 54164 | not published | not published | $1,588.63 – $1,839.46 | 7 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $319.15 | $491.00 | $71.09 – $441.90 | 30 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $378.30 | $582.00 | $84.29 – $523.80 | 30 |
| Fresh frozen plasma thawing ea un CPT 86927 | $768.30 | $1,182.00 | $8.71 – $1,063.80 | 30 |
| Fr frz plasma donor retested HCPCS P9060 | $219.70 | $338.00 | $48.93 – $322.41 | 30 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $38.16 – $98.92 | 7 |
| Frozen blood prep CPT 86930 | not published | not published | $51.51 – $98.92 | 7 |
| Frozen blood thaw CPT 86931 | not published | not published | $38.60 – $98.92 | 7 |
| Frozen cell preparation CPT 88241 | not published | not published | $11.93 – $13.82 | 7 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $55.96 – $322.41 | 7 |
| Fructosamine glycated protein CPT 82985 | $75.40 | $116.00 | $16.76 – $104.40 | 30 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $42.21 – $48.87 | 7 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $121.57 – $140.77 | 7 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $620.47 – $1,036.34 | 7 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $29.00 – $129.45 | 7 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $64.03 – $179.64 | 7 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $23.17 – $129.45 | 7 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $22.65 – $129.45 | 7 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $121.57 – $140.77 | 7 |
| Full field erg w/i&r CPT 92273 | not published | not published | $64.78 – $75.01 | 7 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $75.62 – $87.56 | 7 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $42.21 – $48.87 | 7 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Functional brain mapping CPT 96020 | not published | not published | $274.84 – $318.24 | 7 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $63.56 – $73.60 | 7 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $891.96 – $1,032.79 | 7 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $4.89 | $7.53 | $0.16 – $14.86 | 30 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $12.83 – $14.86 | 7 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $4,623.95 – $5,354.05 | 7 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $4,007.96 – $4,640.80 | 7 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $4,007.96 – $4,640.80 | 7 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $4,203.24 – $4,866.91 | 7 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $4,026.01 – $4,661.69 | 7 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $4,026.01 – $4,661.69 | 7 |
| Fuse/graft added joint CPT 26863 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,816.08 – $2,102.83 | 7 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $4,623.95 – $5,354.05 | 7 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,816.08 – $2,102.83 | 7 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,816.08 – $2,102.83 | 7 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,816.08 – $2,102.83 | 7 |
| Fuse upper gi structures CPT 47721 | not published | not published | $4,026.01 – $4,661.69 | 7 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Fusion of big toe joint CPT 28750 | not published | not published | $5,447.53 – $6,307.66 | 7 |
| Fusion of big toe joint CPT 28755 | not published | not published | $2,337.14 – $2,706.17 | 7 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $4,735.57 – $5,483.29 | 7 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Fusion of finger tendons CPT 26471 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Fusion of foot bones CPT 28730 | not published | not published | $5,447.53 – $6,307.66 | 7 |
| Fusion of foot bones CPT 28735 | not published | not published | $5,447.53 – $6,307.66 | 7 |
| Fusion of foot bones CPT 28740 | not published | not published | $5,447.53 – $6,307.66 | 7 |
| Fusion of hand joint CPT 26843 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Fusion of knee CPT 27580 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Fusion of knuckle CPT 26850 | not published | not published | $2,547.58 – $2,949.83 | 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.