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 |
|---|---|---|---|---|
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $6.51 – $25.66 | 7 |
| Infect ag if nos ea CPT 87299 | not published | not published | $6.72 – $25.66 | 7 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $6.17 – $25.66 | 7 |
| Infect ag if varicella zoster CPT 87290 | $60.45 | $93.00 | $6.17 – $83.70 | 30 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $22.31 – $51.85 | 7 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $18.07 – $51.85 | 7 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $22.06 – $51.85 | 7 |
| Infect ag na hpv high-risk types CPT 87624 | $157.30 | $242.00 | $19.92 – $217.80 | 30 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $429.65 | $661.00 | $65.46 – $594.90 | 30 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $26.43 – $51.85 | 7 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $18.07 – $51.85 | 7 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,869.40 | $2,876.00 | $65.46 – $2,588.40 | 30 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $146.07 – $169.14 | 7 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $13.42 – $129.45 | 7 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $17.26 – $25.66 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $53.95 | $83.00 | $6.17 – $74.70 | 30 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $6.17 – $25.66 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $61.75 | $95.00 | $6.17 – $85.50 | 30 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $53.95 | $83.00 | $6.17 – $74.70 | 30 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $64.35 | $99.00 | $7.40 – $89.10 | 30 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $46.15 | $71.00 | $5.32 – $63.90 | 30 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $46.15 | $71.00 | $5.32 – $63.90 | 30 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $107.90 | $166.00 | $12.40 – $149.40 | 30 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $53.95 | $83.00 | $11.98 – $74.70 | 30 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $53.95 | $83.00 | $6.17 – $74.70 | 30 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $53.95 | $83.00 | $6.17 – $74.70 | 30 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $157.30 | $242.00 | $20.73 – $217.80 | 30 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $157.30 | $242.00 | $20.73 – $217.80 | 30 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $167.05 | $257.00 | $18.07 – $231.30 | 30 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $65.46 – $75.79 | 7 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $157.30 | $242.00 | $18.07 – $217.80 | 30 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $18.07 – $51.85 | 7 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $18.07 – $51.85 | 7 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $157.30 | $242.00 | $20.73 – $217.80 | 30 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $230.10 | $354.00 | $21.40 – $318.60 | 30 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $639.60 | $984.00 | $44.78 – $885.60 | 30 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $639.60 | $984.00 | $44.78 – $832.50 | 30 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $157.30 | $242.00 | $35.09 – $217.80 | 30 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $157.30 | $242.00 | $19.97 – $217.80 | 30 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $22.16 – $25.66 | 7 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $44.78 – $51.85 | 7 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $111.80 – $129.45 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,869.40 | $2,876.00 | $65.46 – $2,588.40 | 30 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $575.25 | $885.00 | $65.46 – $796.50 | 30 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $65.46 – $75.79 | 7 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $192.40 | $296.00 | $22.06 – $266.40 | 30 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $192.40 | $296.00 | $22.06 – $266.40 | 30 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $192.40 | $296.00 | $22.06 – $266.40 | 30 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $381.55 | $587.00 | $43.82 – $528.30 | 30 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $639.60 | $984.00 | $65.46 – $885.60 | 30 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,732.69 | $4,204.14 | $32.22 – $2,160.64 | 30 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,560.00 | $2,400.00 | $21.29 – $2,160.00 | 30 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $2,214.30 | $3,406.62 | $13.62 – $3,065.96 | 30 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $12.19 – $51.85 | 7 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $184.99 | $284.60 | $13.31 – $256.14 | 30 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $40.89 | $62.90 | $13.31 – $54.95 | 30 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $385.33 – $446.17 | 7 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $937.27 – $1,085.26 | 7 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $385.33 – $446.17 | 7 |
| Infuse radioactive materials CPT 77750 | not published | not published | $181.81 – $210.52 | 7 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $398.76 – $461.73 | 7 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $381.24 – $461.73 | 7 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $608.40 | $936.00 | $86.54 – $842.40 | 30 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $891.96 – $1,032.79 | 7 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $52.08 – $60.30 | 8 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $891.96 – $1,032.79 | 7 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $91.53 – $105.99 | 7 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $91.53 – $105.99 | 7 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $91.53 – $105.99 | 7 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $91.53 – $105.99 | 7 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $91.53 – $105.99 | 7 |
| Initial observation care CPT 99218 | $156.00 | $240.00 | $67.87 – $216.00 | 30 |
| Initial observation care CPT 99219 | not published | not published | $91.53 – $105.99 | 7 |
| Initial observation care CPT 99220 | not published | not published | $91.53 – $105.99 | 7 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $91.53 – $105.99 | 7 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $91.53 – $105.99 | 7 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $92.50 – $103.79 | 2 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $4,247.74 | $6,534.99 | $5.95 – $5,881.49 | 30 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $6,796.39 | $10,455.99 | $7.07 – $7,057.80 | 30 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $14.86 | 8 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $0.29 | $0.45 | $0.08 – $14.86 | 30 |
| Inj acetaminophen -fresenius HCPCS J0134 | $0.23 | $0.36 | $0.10 – $14.86 | 30 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $0.86 | $1.32 | $0.11 – $14.86 | 30 |
| Inj. acthar gel to 40 units HCPCS J0801 | $21,202.27 | $32,618.88 | $4,172.53 – $19,363.05 | 30 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $19,998.76 | $30,767.32 | $91.73 – $10,383.93 | 30 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $13.36 – $309.43 | 7 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | $47,502.00 | $73,080.00 | $20,667.02 – $65,772.00 | 30 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.98 – $7,529.41 | 7 |
| Inj, adzynma, 10 iu HCPCS J7171 | $7.92 | $12.18 | $3.44 – $80.48 | 30 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $866.20 – $4,433.95 | 8 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | $91,295.10 | $140,454.00 | $306.98 – $126,408.60 | 30 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.46 – $7,412.01 | 8 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $12.83 – $14.86 | 7 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $4.40 – $5,464.97 | 8 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $123.84 – $4,433.95 | 8 |
| Inj alymsys 10 mg HCPCS Q5126 | $420.38 | $646.74 | $33.01 – $2,160.64 | 30 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.06 – $80.48 | 7 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.37 – $21,993.87 | 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.