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 |
|---|---|---|---|---|
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $727.35 | $1,119.00 | $66.16 – $1,007.10 | 30 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $206.70 | $318.00 | $46.14 – $286.20 | 30 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $369.67 – $428.04 | 7 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $369.67 – $428.04 | 7 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $369.67 – $428.04 | 7 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,239.55 | $1,907.00 | $331.69 – $1,716.30 | 30 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $1,193.40 | $1,836.00 | $143.36 – $1,652.40 | 30 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $779.35 | $1,199.00 | $318.47 – $1,079.10 | 30 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $779.35 | $1,199.00 | $318.47 – $1,079.10 | 30 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $779.35 | $1,199.00 | $318.47 – $1,079.10 | 30 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $779.35 | $1,199.00 | $318.47 – $1,079.10 | 30 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $779.35 | $1,199.00 | $318.47 – $1,079.10 | 30 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $779.35 | $1,199.00 | $318.47 – $1,079.10 | 30 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $779.35 | $1,199.00 | $318.47 – $1,079.10 | 30 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $318.47 – $368.75 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $779.35 | $1,199.00 | $318.47 – $1,079.10 | 30 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $318.47 – $368.75 | 7 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $318.47 – $368.75 | 7 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $318.47 – $368.75 | 7 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $318.47 – $368.75 | 7 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $318.47 – $368.75 | 7 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $318.47 – $368.75 | 7 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $4.43 – $13.09 | 7 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $41.42 – $47.96 | 7 |
| Ghs mbp CPT 83873 | $77.35 | $119.00 | $8.86 – $107.10 | 30 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | not published | not published | $267.16 – $309.34 | 7 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | not published | not published | $267.16 – $309.34 | 7 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | not published | not published | $267.16 – $309.34 | 7 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $179.40 | $276.00 | $78.05 – $309.34 | 30 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | not published | not published | $267.16 – $309.34 | 7 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $521.73 – $604.11 | 7 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $521.73 – $604.11 | 7 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $521.73 – $604.11 | 7 |
| Ghs myocardial strain img spckl track CPT 93356 | $44.85 | $69.00 | $19.51 – $544.90 | 30 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,193.40 | $1,836.00 | $63.51 – $1,652.40 | 30 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $890.29 – $1,085.26 | 7 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $385.33 – $446.17 | 7 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $385.33 – $446.17 | 7 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $890.29 – $1,085.26 | 7 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $890.29 – $1,085.26 | 7 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $890.29 – $1,085.26 | 7 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $753.17 – $872.09 | 7 |
| Ghs nerve block sciatic nerve CPT 64445 | $3,105.70 | $4,778.00 | $385.33 – $4,300.20 | 30 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $385.33 – $446.17 | 7 |
| Ghs ng placement w fluoro guidance CPT 43752 | $1,193.40 | $1,836.00 | $398.76 – $1,652.40 | 30 |
| Ghs o2 saturation CPT 82810 | $43.55 | $67.00 | $4.49 – $60.30 | 30 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $86.54 – $100.20 | 7 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $59.40 – $100.20 | 7 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $46.14 – $70.24 | 7 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $618.26 – $900.34 | 7 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $777.57 – $900.34 | 7 |
| Ghs optokenetic CPT 92544 | $468.00 | $720.00 | $53.28 – $648.00 | 30 |
| Ghs oscillating trac CPT 92545 | $930.80 | $1,432.00 | $53.28 – $1,288.80 | 30 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $22.06 – $47.96 | 7 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $22.06 – $47.96 | 7 |
| Ghs ot dds rom CPT 95851 | not published | not published | $9.27 – $51.77 | 8 |
| Ghs ot group caregiver training CPT 97552 | $576.55 | $887.00 | $0.01 – $798.30 | 30 |
| Ghs ot prosthetic training/15 min CPT 97761 | $175.50 | $270.00 | $52.32 – $243.00 | 30 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $122.20 | $188.00 | $53.17 – $169.20 | 30 |
| Ghs ot work hardening-additional hours CPT 97546 | $326.95 | $503.00 | $41.42 – $452.70 | 30 |
| Ghs pacing - transcutaneous CPT 92953 | $2,445.95 | $3,763.00 | $529.46 – $3,386.70 | 30 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $753.17 – $872.09 | 7 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $753.17 – $872.09 | 7 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $20.35 – $23.56 | 7 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $143.36 – $166.00 | 7 |
| Ghs phenylketonurid CPT 84030 | $24.70 | $38.00 | $2.84 – $34.20 | 30 |
| Ghs picc line insert < 5 CPT 36568 | $5,805.80 | $8,932.00 | $1,024.80 – $8,038.80 | 30 |
| Ghs plngl fx pm cl CPT 26725 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $2.22 – $13.09 | 7 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $877.34 – $1,017.39 | 2 |
| Ghs pos nystagmus CPT 92542 | $335.40 | $516.00 | $53.28 – $464.40 | 30 |
| Ghs ppd (tb intradermal) CPT 86580 | $109.85 | $169.00 | $13.66 – $152.10 | 30 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $43.55 | $67.00 | $4.97 – $60.30 | 30 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $2.67 – $18.13 | 7 |
| Ghs protoporphyrins fract CPT 84202 | $64.35 | $99.00 | $7.38 – $89.10 | 30 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $45.72 – $52.94 | 7 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $55.25 | $85.00 | $6.31 – $76.50 | 30 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $652.60 | $1,004.00 | $41.42 – $903.60 | 30 |
| Ghs quinidine CPT 80194 | $65.65 | $101.00 | $7.52 – $90.90 | 30 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $60.66 – $70.24 | 7 |
| Ghs removal intranasal foreign body CPT 30300 | $385.45 | $593.00 | $128.90 – $533.70 | 30 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $143.36 – $166.00 | 7 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,645.98 – $1,905.87 | 7 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $6.63 – $35.60 | 7 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $2.22 – $13.09 | 7 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $62.40 | $96.00 | $6.17 – $86.40 | 30 |
| Ghs sedimentation rate CPT 85651 | $18.85 | $29.00 | $4.27 – $26.10 | 30 |
| Ghs semen analysis fert CPT 89320 | $133.25 | $205.00 | $6.21 – $184.50 | 30 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $4.60 – $13.82 | 7 |
| Ghs sensitivity (per antimicro) CPT 87184 | $33.80 | $52.00 | $3.55 – $46.80 | 30 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $779.35 | $1,199.00 | $248.04 – $1,079.10 | 30 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $779.35 | $1,199.00 | $248.04 – $1,079.10 | 30 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $248.04 – $287.20 | 7 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $248.04 – $287.20 | 7 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $387.40 | $596.00 | $168.55 – $536.40 | 30 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $387.40 | $596.00 | $168.55 – $536.40 | 30 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $387.40 | $596.00 | $168.55 – $536.40 | 30 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $198.70 – $287.20 | 7 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $198.70 – $287.20 | 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.