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 |
|---|---|---|---|---|
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Fusion of skull arteries CPT 61711 | not published | not published | $1,463.49 – $1,694.57 | 7 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,990.72 – $2,305.04 | 7 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,588.63 – $1,839.46 | 7 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,244.61 – $6,419.14 | 7 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $1,645.98 – $1,905.87 | 7 |
| Fusion of thumb CPT 26841 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Fusion of toes CPT 28280 | not published | not published | $2,337.14 – $2,706.17 | 7 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $7,556.43 – $8,749.55 | 7 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $7,556.43 – $8,749.55 | 7 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $7,556.43 – $8,749.55 | 7 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $114.65 – $179.64 | 7 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $57.15 – $179.64 | 7 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $114.65 – $179.64 | 7 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $77.26 – $179.64 | 7 |
| G0180 home health certification HCPCS G0180 | not published | not published | $29.11 – $33.70 | 7 |
| G6pc gene CPT 81250 | $262.60 | $404.00 | $24.40 – $363.60 | 30 |
| G6pd full gene sequence CPT 81249 | not published | not published | $230.56 – $266.96 | 7 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $155.14 – $179.64 | 7 |
| G6pd known familial variant CPT 81248 | not published | not published | $146.07 – $169.14 | 7 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $172.47 – $199.71 | 7 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $49.63 – $199.71 | 7 |
| Gabapentin non-blood CPT 80355 | not published | not published | $3.90 – $46.45 | 7 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.53 – $38.53 | 8 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $20.80 | $32.00 | $4.90 – $38.53 | 30 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $13.18 | $20.28 | $0.64 – $38.53 | 30 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $95.55 | $147.00 | $14.46 – $46.01 | 30 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $10.85 – $27.98 | 7 |
| Galactokinase - sendout CPT 82759 | not published | not published | $11.07 – $27.98 | 7 |
| Galactose transferase test CPT 82776 | $52.65 | $81.00 | $4.90 – $72.90 | 30 |
| Galectin-3 CPT 82777 | $198.25 | $305.00 | $18.46 – $274.50 | 30 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | not published | not published | $401.83 – $480.13 | 7 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | not published | not published | $414.66 – $480.13 | 7 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $4,026.01 – $4,661.69 | 7 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.61 – $199.71 | 7 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | $10,617.75 | $16,335.00 | $172.47 – $14,701.50 | 30 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $172.47 – $199.71 | 7 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $172.47 – $199.71 | 7 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $172.47 – $199.71 | 7 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $6,502.67 – $7,529.41 | 7 |
| Galsulfase injection HCPCS J1458 | $1,163.92 | $1,790.64 | $506.39 – $21,993.87 | 30 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $104.52 – $619.69 | 8 |
| Gamma globulin 1 cc inj HCPCS J1460 | $121.72 | $187.26 | $48.40 – $218.72 | 30 |
| Gammaglobulin iga CPT 82784 | $41.60 | $64.00 | $4.79 – $57.60 | 30 |
| Gammaglobulin ige CPT 82785 | $74.10 | $114.00 | $8.48 – $102.60 | 30 |
| Gamma glutamyltransferase CPT 82977 | $32.50 | $50.00 | $7.20 – $45.00 | 30 |
| Gammagraft HCPCS Q4111 | not published | not published | $127.14 – $127.14 | 1 |
| Gammaplex injection HCPCS J1557 | not published | not published | $57.93 – $5,464.97 | 8 |
| Gamunex-c/gammaked HCPCS J1561 | $35.84 | $55.14 | $15.59 – $4,433.95 | 30 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $227.60 | $350.16 | $69.50 – $221.62 | 30 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $18,994.71 – $21,993.87 | 7 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $18.07 – $51.85 | 7 |
| Gardner vag dna quant CPT 87512 | not published | not published | $21.50 – $51.85 | 7 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $2.81 – $18.13 | 7 |
| Gastric emptying imag study CPT 78265 | not published | not published | $401.83 – $480.13 | 7 |
| Gastric emptying imag study CPT 78266 | not published | not published | $414.66 – $480.13 | 7 |
| Gastric motility studies CPT 91020 | not published | not published | $381.24 – $461.73 | 7 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $401.83 – $480.13 | 7 |
| Gastrin test CPT 82938 | not published | not published | $9.11 – $33.92 | 7 |
| Gastroduodenostomy CPT 43810 | not published | not published | $4,007.96 – $4,640.80 | 7 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $401.83 – $480.13 | 7 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $381.24 – $461.73 | 7 |
| Gastrointestinal repair CPT 43360 | not published | not published | $4,203.24 – $4,866.91 | 7 |
| Gastrointestinal repair CPT 43361 | not published | not published | $4,203.24 – $4,866.91 | 7 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $4,203.24 – $4,866.91 | 7 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $4,007.96 – $4,640.80 | 7 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $6,356.66 – $7,360.34 | 7 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $926.63 – $4,640.80 | 7 |
| Gated heart multiple CPT 78473 | not published | not published | $401.83 – $480.13 | 7 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $22.59 – $26.16 | 7 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $22.59 – $26.16 | 7 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $22.59 – $26.16 | 7 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $22.59 – $26.16 | 7 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $22.59 – $26.16 | 7 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $129.45 | 7 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $77.94 – $90.24 | 7 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $77.94 – $90.24 | 7 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $77.94 – $90.24 | 7 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $14.85 – $17.19 | 7 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $77.94 – $90.24 | 7 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $77.94 – $90.24 | 7 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $77.94 – $90.24 | 7 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $77.94 – $90.24 | 7 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $77.94 – $90.24 | 7 |
| Gefitinib oral HCPCS J8565 | $405.03 | $623.12 | $176.22 – $2,812.27 | 30 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $42.21 – $48.87 | 7 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $22.59 – $26.16 | 7 |
| Gel-one HCPCS J7326 | $897.00 | $1,380.00 | $390.26 – $1,242.00 | 30 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $453.96 | $698.40 | $0.67 – $628.56 | 30 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $158.44 | $243.76 | $0.67 – $80.48 | 30 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $32,764.84 | $50,407.44 | $229.67 – $45,366.70 | 30 |
| General health panel CPT 80050 | not published | not published | $18.10 – $30.33 | 7 |
| Generator barostim neo2 2014 HCPCS C1767 | not published | not published | $267.61 – $309.86 | 7 |
| Generator emblem MRI sicd subq HCPCS C1722 | not published | not published | $267.61 – $309.86 | 7 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | not published | not published | $267.61 – $309.86 | 7 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $91.53 – $105.99 | 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.