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 sleep study unattended CPT 95800 | not published | not published | $114.96 – $133.11 | 7 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $220.60 – $604.11 | 7 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $521.73 – $604.11 | 7 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $111.80 | $172.00 | $48.64 – $154.80 | 30 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $295.19 – $446.17 | 7 |
| Ghs spont nystagmus CPT 92541 | $335.40 | $516.00 | $53.28 – $464.40 | 30 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $408.85 | $629.00 | $113.31 – $566.10 | 30 |
| Ghs st - eval for alt comm CPT 92567 | $102.05 | $157.00 | $38.16 – $141.30 | 30 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $75.21 – $87.09 | 7 |
| Ghs st - re-eval for alt comm CPT 92597 | $413.40 | $636.00 | $93.30 – $572.40 | 30 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $46.14 – $602.97 | 7 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $210.69 – $428.04 | 7 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,193.40 | $1,836.00 | $318.47 – $1,652.40 | 30 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $318.47 – $368.75 | 7 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $4,429.10 | $6,814.00 | $1,481.28 – $6,132.60 | 26 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $3.75 – $18.13 | 7 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $716.95 | $1,103.00 | $239.88 – $992.70 | 30 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $239.88 – $455.07 | 7 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $12.51 – $33.92 | 7 |
| Ghs urine, porphyrins quant CPT 84120 | $65.65 | $101.00 | $7.57 – $90.90 | 30 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $3,062.29 – $3,545.81 | 7 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $381.24 – $1,072.96 | 7 |
| Ghs windowing of cast CPT 29730 | not published | not published | $140.23 – $162.37 | 7 |
| Giardia ag if CPT 87269 | not published | not published | $6.17 – $25.66 | 7 |
| Giardia lamblia antibody CPT 86674 | $66.30 | $102.00 | $7.58 – $91.80 | 30 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $124.15 – $143.75 | 7 |
| Gi inhouse confirmation CPT 87045 | $42.25 | $65.00 | $4.86 – $58.50 | 30 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Gi protein loss CPT 78282 | not published | not published | $401.83 – $480.13 | 7 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $398.76 – $461.73 | 7 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $398.76 – $461.73 | 7 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $398.76 – $461.73 | 7 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $398.76 – $461.73 | 7 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $42.19 – $129.45 | 7 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $25.67 – $129.45 | 7 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $14.60 – $129.45 | 7 |
| Glassia injection HCPCS J0257 | not published | not published | $5.58 – $4,433.95 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $24.49 – $98.33 | 7 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $38.16 – $98.33 | 7 |
| Glaucoma surgery CPT 66150 | not published | not published | $3,224.04 – $3,733.10 | 7 |
| Glaucoma surgery CPT 66155 | not published | not published | $3,224.04 – $3,733.10 | 7 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,280.73 – $3,733.10 | 7 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,280.73 – $3,733.10 | 7 |
| Glove finger flexion right lg xl HCPCS L3912 | $21.45 | $33.00 | $9.33 – $29.70 | 30 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $655.20 | $1,008.00 | $164.86 – $907.20 | 30 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $654.73 | $1,007.28 | $108.93 – $486.00 | 30 |
| Glucagon plasma - sendout CPT 82943 | $64.35 | $99.00 | $7.36 – $89.10 | 30 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $23.73 – $42.70 | 7 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $26.01 – $42.70 | 7 |
| Glucagon tolerance test CPT 82946 | not published | not published | $7.76 – $27.98 | 7 |
| Glucose 1 hr post dose CPT 82950 | $21.45 | $33.00 | $4.75 – $29.70 | 30 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.12 – $18.13 | 7 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $14.95 | $23.00 | $3.28 – $20.70 | 30 |
| Glucose blood quantitative CPT 82947 | $17.55 | $27.00 | $2.02 – $24.30 | 30 |
| Glucose body fluid CPT 82945 | $17.55 | $27.00 | $2.02 – $24.30 | 30 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $52.08 – $60.30 | 7 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $57.85 | $89.00 | $12.87 – $80.10 | 30 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $17.55 | $27.00 | $3.92 – $24.30 | 30 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $30.42 | $46.80 | $0.51 – $20.71 | 30 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $69.50 – $80.48 | 7 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $29,700.35 | $45,692.85 | $11.10 – $4,433.95 | 30 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $83.20 | $128.00 | $18.58 – $115.20 | 30 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $76.43 – $179.64 | 7 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $83.20 | $128.00 | $18.52 – $115.20 | 30 |
| Gonioscopy CPT 92020 | not published | not published | $64.78 – $75.01 | 7 |
| Goniotomy CPT 65820 | not published | not published | $507.60 – $587.75 | 7 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $10,024.27 | $15,421.96 | $674.77 – $5,093.35 | 30 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $127.14 – $127.14 | 1 |
| Graft axiofill 1000mg HCPCS J3590 | not published | not published | $69.50 – $80.48 | 7 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $127.14 – $127.14 | 1 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $127.14 – $127.14 | 1 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $11.70 | $18.00 | $5.09 – $1,698.58 | 30 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | not published | not published | $267.61 – $309.86 | 7 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $127.14 – $127.14 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $127.14 – $127.14 | 1 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $12,421.32 – $14,382.58 | 7 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $375.70 | $578.00 | $127.14 – $520.20 | 26 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $127.14 – $127.14 | 1 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $127.14 – $127.14 | 1 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $127.14 – $127.14 | 1 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $127.14 – $127.14 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $127.14 – $127.14 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | not published | not published | $267.61 – $309.86 | 7 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | not published | not published | $267.61 – $309.86 | 7 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $12.83 – $14.86 | 7 |
| Granisetron hcl injection HCPCS J1626 | $21.06 | $32.40 | $9.16 – $29.16 | 30 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $456.78 – $528.90 | 7 |
| Great toe-hand transfer CPT 26551 | not published | not published | $5,447.53 – $6,307.66 | 7 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $239.88 – $455.07 | 7 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $29.79 – $203.19 | 7 |
| Group health education CPT 99078 | not published | not published | $59.49 – $68.88 | 7 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $16.62 – $128.35 | 8 |
| Group train without patient HCPCS G0543 | not published | not published | $14.15 – $68.88 | 7 |
| Growth hormone antibody CPT 86277 | not published | not published | $8.10 – $35.60 | 7 |
| Growth hormone panel CPT 80428 | not published | not published | $34.35 – $42.70 | 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.