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 |
|---|---|---|---|---|
| Hpa-9 genotyping CPT 81111 | not published | not published | $99.14 – $129.45 | 7 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $35.09 – $51.85 | 7 |
| Hpv low-risk types CPT 87623 | $157.30 | $242.00 | $18.07 – $217.80 | 30 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $18.07 – $51.85 | 7 |
| H pylori ag ia CPT 87339 | not published | not published | $6.67 – $25.66 | 7 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $34.69 – $56.88 | 7 |
| H pylori (c-13) breath CPT 83013 | $302.25 | $465.00 | $34.69 – $418.50 | 30 |
| H pylori drug admin CPT 83014 | not published | not published | $7.86 – $18.13 | 7 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $230.56 – $266.96 | 7 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $146.07 – $169.14 | 7 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $146.07 – $169.14 | 7 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $146.07 – $169.14 | 7 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Hsv dna dir probe CPT 87528 | not published | not published | $10.32 – $25.66 | 7 |
| Htt gene charac alleles CPT 81274 | not published | not published | $114.65 – $179.64 | 7 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $57.15 – $179.64 | 7 |
| Human epididymis protein 4 (he4) CPT 86305 | $93.60 | $144.00 | $10.72 – $129.60 | 30 |
| Human ig IV CPT 90283 | not published | not published | $69.50 – $80.48 | 7 |
| Human ig sc CPT 90284 | not published | not published | $69.50 – $80.48 | 7 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $1.70 – $5,464.97 | 7 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $130.57 | $200.88 | $56.81 – $218.72 | 30 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.95 – $218.72 | 8 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $130.57 | $200.88 | $56.81 – $180.79 | 30 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $39.88 | $61.35 | $12.73 – $40.50 | 30 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $14.85 – $17.19 | 7 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $14.85 – $17.19 | 7 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $22.59 – $26.16 | 7 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $22.59 – $26.16 | 7 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $14.85 – $17.19 | 7 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $12.83 – $14.86 | 7 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $470.46 | $723.78 | $12.83 – $65.15 | 30 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $12.83 – $14.86 | 7 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $22.59 – $26.16 | 7 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $48.64 – $56.32 | 7 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $14.85 – $17.19 | 7 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $14.85 – $17.19 | 7 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $22.59 – $26.16 | 7 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $22.59 – $26.16 | 7 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $182.66 | $281.01 | $0.09 – $14.86 | 30 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $4.97 | $7.65 | $1.35 – $80.48 | 30 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $69.50 – $80.48 | 7 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $12.83 – $14.86 | 7 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | $2.50 | $3.84 | $0.01 – $14.86 | 30 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $78.88 | $121.35 | $12.83 – $75.20 | 30 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $12.83 – $14.86 | 7 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $9.03 – $33.92 | 7 |
| Hymenotomy CPT 56442 | not published | not published | $272.88 – $315.96 | 7 |
| Hymovis injection 1 mg HCPCS J7322 | $559.26 | $860.40 | $17.45 – $774.36 | 30 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Hyoscyamine sulfate inj HCPCS J1980 | $252.53 | $388.50 | $69.50 – $349.65 | 30 |
| Hyperbaric oxygen therapy CPT 99183 | not published | not published | $540.20 – $625.49 | 7 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $5.24 – $35.60 | 7 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $477.48 – $552.87 | 7 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $181.81 – $210.52 | 7 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $477.48 – $552.87 | 7 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $477.48 – $552.87 | 7 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $477.48 – $552.87 | 7 |
| Hypnotherapy CPT 90880 | not published | not published | $92.50 – $146.66 | 7 |
| Hypothermia ill neonate CPT 99184 | not published | not published | $540.20 – $625.49 | 7 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | $57.37 | $88.26 | $17.50 – $5,464.97 | 30 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $4,236.44 – $4,905.35 | 7 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $4,236.44 – $4,905.35 | 7 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $4,236.44 – $4,905.35 | 7 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $3,709.90 – $4,295.68 | 7 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $2,447.12 – $2,833.51 | 7 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $189.93 – $219.92 | 7 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $4,236.44 – $4,905.35 | 7 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $2,269.23 – $2,627.53 | 7 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $4,936.45 – $5,834.09 | 7 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $549.18 | $844.89 | $22.44 – $698.25 | 30 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $172.47 – $199.71 | 7 |
| I-123 ioflupane diag HCPCS A9584 | $2,949.05 | $4,537.00 | $172.47 – $2,835.00 | 30 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $136.50 | $210.00 | $59.39 – $199.71 | 30 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $172.47 – $199.71 | 7 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $172.47 – $199.71 | 7 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $172.47 – $199.71 | 7 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $23.13 – $520.98 | 7 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $20.77 – $520.98 | 7 |
| I131 max 100uci HCPCS A9531 | not published | not published | $172.47 – $199.71 | 7 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $172.47 – $199.71 | 7 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $172.47 – $199.71 | 7 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $6.17 – $25.66 | 7 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $157.30 | $242.00 | $18.07 – $217.80 | 30 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $18.09 – $35.60 | 7 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $18.89 – $35.60 | 7 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $328.38 | $505.20 | $84.84 – $309.43 | 30 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $895.02 – $1,036.34 | 7 |
| Ibuprofen injection HCPCS J1741 | $386.10 | $594.00 | $69.50 – $534.60 | 30 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $131.00 | $201.54 | $57.00 – $309.43 | 30 |
| Icatibant injection HCPCS J1744 | $8,695.05 | $13,377.00 | $151.64 – $11,437.34 | 30 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | not published | not published | $267.61 – $309.86 | 7 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | not published | not published | $267.61 – $309.86 | 7 |
| Icd crtp serena MRI HCPCS C2621 | not published | not published | $267.61 – $309.86 | 7 |
| Icd reliance df4 ib 64cm HCPCS C1895 | not published | not published | $267.61 – $309.86 | 7 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $220.60 – $305.65 | 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.