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 |
|---|---|---|---|---|
| Growth hormone panel CPT 80430 | not published | not published | $36.88 – $42.70 | 7 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $31.54 – $42.70 | 7 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $29.79 – $280.64 | 7 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $29.79 – $280.64 | 7 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $4,203.24 – $4,866.91 | 7 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $6,356.66 – $7,360.34 | 7 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $6,356.66 – $7,360.34 | 7 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $6,356.66 – $7,360.34 | 7 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $6,356.66 – $7,360.34 | 7 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,896.99 – $4,640.80 | 7 |
| G-tube reposition CPT 43761 | not published | not published | $243.21 – $461.73 | 7 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $150.07 – $173.77 | 7 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $703.59 – $903.07 | 7 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $443.56 – $513.60 | 7 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | not published | not published | $267.61 – $309.86 | 7 |
| Guide worley csg 9fx50cm std HCPCS C1892 | not published | not published | $267.61 – $309.86 | 7 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $140.78 – $163.01 | 7 |
| Gum graft CPT 41870 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Gw stiffened micro access kit HCPCS C1894 | not published | not published | $267.61 – $309.86 | 7 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $1,374.14 – $1,591.11 | 7 |
| Hair analysis HCPCS P2031 | not published | not published | $30.74 – $35.60 | 7 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $224.79 – $260.28 | 7 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $399.53 – $600.42 | 7 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $399.53 – $600.42 | 7 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $48.64 – $56.32 | 7 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $120.47 | $185.34 | $22.40 – $80.48 | 30 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $14.02 | $21.57 | $1.22 – $14.86 | 30 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $468.00 – $541.89 | 7 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $14.85 – $17.19 | 7 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $31.85 | $49.00 | $0.01 – $44.10 | 30 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $77.94 – $90.24 | 7 |
| Handpiece aquabeam hp2000 HCPCS C2596 | not published | not published | $267.61 – $309.86 | 7 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $891.96 – $1,032.79 | 7 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $891.96 – $1,032.79 | 7 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $891.96 – $1,032.79 | 7 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $156.65 | $241.00 | $35.04 – $216.90 | 30 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Hand X-ray CPT 73130 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Hand X-ray (2 views, both hands) CPT 73120 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Haptoglobin quantitative CPT 83010 | $56.55 | $87.00 | $6.48 – $78.30 | 30 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $468.00 – $541.89 | 7 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $77.94 – $90.24 | 7 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $77.94 – $90.24 | 7 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $2,105.49 – $2,437.93 | 7 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,591.16 – $2,437.93 | 7 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $1,536.64 – $1,779.27 | 7 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $5,181.19 – $5,999.27 | 7 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $437.18 – $2,437.93 | 7 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $5,181.19 – $5,999.27 | 7 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $86.54 – $100.20 | 7 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $86.54 – $100.20 | 7 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $132.98 – $266.96 | 7 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $49.57 – $179.64 | 7 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $146.07 – $169.14 | 7 |
| Hbb full gene sequence CPT 81364 | not published | not published | $155.14 – $179.64 | 7 |
| Hbb gene com variants CPT 81361 | not published | not published | $155.14 – $179.64 | 7 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $155.14 – $179.64 | 7 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $132.98 – $169.14 | 7 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.71 – $18.13 | 7 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $137.90 – $368.75 | 7 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $53.28 – $61.69 | 7 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $178.02 – $219.92 | 7 |
| Hcg free betachain test CPT 84704 | not published | not published | $7.76 – $27.98 | 7 |
| Hcg qualitative CPT 84703 | $33.80 | $52.00 | $7.52 – $46.80 | 30 |
| Hcg quantitative CPT 84702 | $67.60 | $104.00 | $7.76 – $93.60 | 30 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $53.28 – $61.69 | 7 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $53.28 – $61.69 | 7 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $53.28 – $61.69 | 7 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $53.28 – $61.69 | 7 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $117.00 | $180.00 | $50.90 – $199.71 | 30 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,098.29 – $1,271.70 | 7 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $321.66 – $372.45 | 7 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $321.66 – $372.45 | 7 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $321.66 – $372.45 | 7 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $321.66 – $372.45 | 7 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $321.66 – $372.45 | 7 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $414.66 – $480.13 | 7 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $401.83 – $480.13 | 7 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $401.83 – $480.13 | 7 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $538.27 – $1,370.45 | 7 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $1,305.48 – $1,322.69 | 2 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $19,032.80 – $22,037.98 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $477.48 – $552.87 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $693.81 – $1,526.29 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $693.81 – $1,526.29 | 7 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $262.98 – $552.87 | 7 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $262.98 – $552.87 | 7 |
| Head CT scan (with and without contrast) CPT 70470 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| Head CT scan (with contrast) CPT 70460 | $798.20 | $1,228.00 | $178.02 – $1,105.20 | 30 |
| Head CT scan (without contrast) CPT 70450 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $230.56 – $266.96 | 7 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $677.89 – $1,036.34 | 7 |
| Heart first pass add-on CPT 78496 | not published | not published | $414.66 – $480.13 | 7 |
| Heart first pass multiple CPT 78483 | not published | not published | $538.27 – $1,370.45 | 7 |
| Heart image spect CPT 78494 | not published | not published | $401.83 – $480.13 | 7 |
| Heart infarct image CPT 78466 | not published | not published | $401.83 – $480.13 | 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.