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 |
|---|---|---|---|---|
| Icut allergy test-delayed CPT 95028 | not published | not published | $38.16 – $238.17 | 7 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $59.40 – $238.17 | 7 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $24.49 – $238.17 | 7 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $7,413.38 – $14,382.58 | 7 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Idarubicin hcl injection HCPCS J9211 | $36.15 | $55.62 | $8.14 – $548.75 | 30 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,620.24 – $2,706.17 | 7 |
| Idecabtagene vicleucel car HCPCS Q2055 | $33,955.69 | $52,239.52 | $1,477.34 – $17,225.27 | 30 |
| Identify sperm tissue CPT 89264 | not published | not published | $33.10 – $38.32 | 7 |
| Idet 1 or more levels CPT 22527 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Idet single level CPT 22526 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $1,645.98 – $1,905.87 | 7 |
| Idh1 common variants CPT 81120 | $866.45 | $1,333.00 | $155.14 – $1,199.70 | 30 |
| Idh2 common variants CPT 81121 | $1,326.65 | $2,041.00 | $155.14 – $1,836.90 | 30 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,446.03 – $2,832.25 | 7 |
| I&d lacrimal gland CPT 68400 | not published | not published | $968.54 – $1,779.27 | 7 |
| I&d lacrimal sac CPT 68420 | not published | not published | $2,038.49 – $2,360.36 | 7 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $14.85 – $17.19 | 7 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Idursulfase injection HCPCS J1743 | $2,519.32 | $3,875.88 | $537.93 – $21,993.87 | 30 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $1,956.89 – $2,265.87 | 7 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,447.12 – $2,833.51 | 7 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $129.45 | 7 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $335.53 | $516.20 | $49.87 – $158.72 | 26 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $86.48 – $179.64 | 7 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $28.60 – $129.45 | 7 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $101.96 – $179.64 | 7 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,320.80 | $2,032.00 | $151.68 – $1,828.80 | 30 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $76.90 – $179.64 | 7 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $160.55 | $247.00 | $49.80 – $222.30 | 30 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $1,613.30 | $2,482.00 | $91.22 – $2,233.80 | 30 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $768.30 | $1,182.00 | $91.22 – $1,063.80 | 30 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $13.31 – $15.41 | 7 |
| Ikbkap gene CPT 81260 | not published | not published | $16.39 – $129.45 | 7 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $2,119.29 – $2,453.91 | 7 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $4,085.58 – $4,730.67 | 7 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $3,809.94 – $4,411.51 | 7 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $11,234.48 – $13,008.35 | 7 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $303.53 – $1,119.15 | 8 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $2,428.78 – $2,812.27 | 7 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $7,429.98 – $8,603.13 | 7 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $32,477.90 | $49,966.00 | $54.15 – $11,763.46 | 30 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $59.40 – $73.60 | 7 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $38.16 – $73.60 | 7 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $59.40 – $73.60 | 7 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $26.43 – $30.60 | 7 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $26.43 – $30.60 | 7 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $26.43 – $30.60 | 7 |
| Immob elbow child sm HCPCS L3762 | $55.25 | $85.00 | $24.04 – $90.24 | 30 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | not published | not published | $22.59 – $26.16 | 7 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | not published | $42.21 – $48.87 | 7 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $61.10 | $94.00 | $26.58 – $84.60 | 30 |
| Immobilizer shldr sling med HCPCS L3660 | $27.95 | $43.00 | $12.16 – $48.87 | 30 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $4,100.72 – $4,748.21 | 7 |
| Immune complex assay CPT 86332 | $109.20 | $168.00 | $12.56 – $151.20 | 30 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $40.85 | $62.85 | $17.77 – $5,464.97 | 30 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $5,326.31 | $8,194.32 | $78.89 – $5,464.97 | 30 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $45.45 | $69.93 | $19.78 – $4,433.95 | 30 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $69.50 – $80.48 | 7 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $93.60 | $144.00 | $10.72 – $129.60 | 30 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $93.60 | $144.00 | $10.72 – $129.60 | 30 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $35.60 | 7 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $53.95 | $83.00 | $6.17 – $74.70 | 30 |
| Immunodiffusion nes CPT 86329 | $63.05 | $97.00 | $7.24 – $87.30 | 30 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $12.48 – $44.20 | 7 |
| Immunofixation electrophoresis serum CPT 86334 | $100.10 | $154.00 | $11.51 – $138.60 | 30 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $161.85 | $249.00 | $1.80 – $224.10 | 30 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $768.30 | $1,182.00 | $91.22 – $1,063.80 | 30 |
| Immunoglobulin assay CPT 86023 | $55.90 | $86.00 | $6.41 – $77.40 | 30 |
| Immunology procedure CPT 86849 | not published | not published | $30.74 – $35.60 | 7 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $26.43 – $30.60 | 7 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $660.49 – $1,573.00 | 7 |
| Impedence cardiogram CPT 93701 | not published | not published | $115.40 – $133.62 | 7 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | not published | not published | $443.56 – $513.60 | 7 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $3,224.04 – $3,733.10 | 7 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $90,826.20 – $105,167.18 | 7 |
| Implant brain electrodes CPT 61531 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Implant brain electrodes CPT 61533 | not published | not published | $3,594.25 – $4,161.76 | 7 |
| Implant brain electrodes CPT 61760 | not published | not published | $6,707.47 – $7,766.54 | 7 |
| Implant cartilage 10mm synthetic HCPCS L8699 | not published | not published | $22.59 – $26.16 | 7 |
| Implant cochlear device CPT 69930 | not published | not published | $13,028.20 – $15,085.28 | 7 |
| Implant cochlear osia osi300 HCPCS L8690 | not published | not published | $5,313.70 – $6,152.71 | 7 |
| Implant eye drug system CPT 67027 | not published | not published | $3,842.39 – $4,449.08 | 7 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $399.04 – $600.42 | 7 |
| Implant nerve end CPT 64787 | not published | not published | $4,735.57 – $5,483.29 | 7 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $25,537.00 – $29,569.16 | 7 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $25,537.00 – $29,569.16 | 7 |
| Implant neuroelectrode CPT 61863 | not published | not published | $25,537.00 – $29,569.16 | 7 |
| Implant neuroelectrode CPT 61867 | not published | not published | $25,537.00 – $29,569.16 | 7 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $19,820.31 – $29,569.16 | 7 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $11,384.04 – $29,569.16 | 7 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $6,511.03 – $6,562.90 | 2 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $6,511.03 – $6,562.90 | 2 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $25,537.00 – $29,569.16 | 7 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $25,537.00 – $29,569.16 | 7 |
| Implant neurostim arrays CPT 61886 | not published | not published | $25,537.00 – $29,569.16 | 7 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $4,517.78 – $5,231.12 | 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.