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 |
|---|---|---|---|---|
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,596.85 | $8,610.54 | $12.19 – $7,749.49 | 30 |
| Injection into brain canal CPT 61026 | $3,105.70 | $4,778.00 | $692.52 – $4,300.20 | 30 |
| Injection into brain canal CPT 61055 | not published | not published | $295.19 – $446.17 | 7 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $911.71 – $1,676.92 | 7 |
| Injection into spinal artery CPT 62294 | not published | not published | $753.17 – $872.09 | 7 |
| Injection into vocal cord CPT 31513 | not published | not published | $355.45 – $411.58 | 7 |
| Injection intraop add-on CPT 48400 | not published | not published | $109.19 – $126.43 | 7 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.98 – $619.69 | 7 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $109.19 – $126.43 | 7 |
| Injection jugular CPT 36299 | not published | not published | $532.04 – $616.04 | 7 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $2.70 – $1,119.15 | 8 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $7,412.01 | 8 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $60.66 – $70.24 | 7 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3,046.68 | $4,687.20 | $6.41 – $1,172.88 | 30 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $69.50 – $80.48 | 7 |
| Injection, peramivir HCPCS J2547 | $37.05 | $57.00 | $1.67 – $4,433.95 | 30 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $69.50 – $80.48 | 7 |
| Injection px peyronie ds CPT 54200 | not published | not published | $66.16 – $76.60 | 7 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $401.83 – $480.13 | 7 |
| Injection, renflexis HCPCS Q5104 | $1,762.94 | $2,712.21 | $27.18 – $2,440.99 | 30 |
| Injection, ruconest HCPCS J0596 | not published | not published | $34.72 – $11,763.46 | 8 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $421.57 – $488.14 | 7 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $3,105.70 | $4,778.00 | $692.52 – $4,300.20 | 30 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $3,105.70 | $4,778.00 | $385.33 – $4,300.20 | 30 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $3,992.95 | $6,143.00 | $753.17 – $5,528.70 | 30 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $753.17 – $872.09 | 7 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $753.17 – $872.09 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $753.17 – $872.09 | 7 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $753.17 – $872.09 | 7 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $692.52 – $872.09 | 7 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $3,105.70 | $4,778.00 | $692.52 – $4,300.20 | 30 |
| Injection, siltuximab HCPCS J2860 | $20,494.92 | $31,530.64 | $157.07 – $7,412.01 | 30 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $232.76 – $269.51 | 7 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $882.70 | $1,358.00 | $232.76 – $1,222.20 | 30 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $882.70 | $1,358.00 | $232.76 – $1,222.20 | 30 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $317.20 | $488.00 | $60.66 – $439.20 | 30 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $3,829.32 – $4,433.95 | 7 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $69.50 – $80.48 | 7 |
| Injection treatment of eye CPT 66020 | not published | not published | $507.60 – $587.75 | 7 |
| Injection treatment of eye CPT 66030 | not published | not published | $507.60 – $587.75 | 7 |
| Injection treatment of nerve CPT 64605 | not published | not published | $937.27 – $1,085.26 | 7 |
| Injection treatment of nerve CPT 64610 | not published | not published | $937.27 – $1,085.26 | 7 |
| Injection treatment of nerve CPT 64681 | not published | not published | $890.29 – $1,085.26 | 7 |
| Injection treatment of nose CPT 30200 | not published | not published | $143.36 – $166.00 | 7 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $421.57 – $488.14 | 7 |
| Inject/treat eye socket CPT 67500 | not published | not published | $263.97 – $305.65 | 7 |
| Inject/treat eye socket CPT 67505 | not published | not published | $263.97 – $305.65 | 7 |
| Inject/treat eye socket CPT 67515 | not published | not published | $263.97 – $305.65 | 7 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | $474.86 | $730.56 | $31.67 – $4,433.95 | 30 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | $610.56 | $939.32 | $42.34 – $4,433.95 | 30 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $6,857.14 | $10,549.44 | $33.13 – $11,763.46 | 30 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $22.75 – $7,529.41 | 8 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $4,341.87 | $6,679.80 | $378.03 – $27,881.30 | 30 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | $42,437.44 | $65,288.37 | $52.82 – $27,881.30 | 30 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $692.52 – $872.09 | 7 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $753.17 – $872.09 | 7 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $12.83 – $14.86 | 7 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $170.63 | $262.50 | $1.29 – $236.25 | 30 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.30 – $2,160.64 | 8 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.29 – $218.72 | 7 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | $1,872.00 | $2,880.00 | $167.35 – $21,993.87 | 30 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $186.31 – $7,412.01 | 8 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $17.35 – $7,412.01 | 8 |
| Inj, exagamglogene autotem HCPCS J3392 | $6,864,000.00 | $10,560,000.00 | $14,876.37 – $9,504,000.00 | 30 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $26.64 | $40.98 | $9.11 – $27,881.30 | 30 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $109,834.45 | $168,976.08 | $32.89 – $152,078.47 | 30 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $33.28 – $38.53 | 7 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $854.61 | $1,314.78 | $21.05 – $1,183.30 | 30 |
| Inj fensolvi 0.25 mg HCPCS J1951 | $67,427.61 | $103,734.78 | $139.87 – $93,361.30 | 30 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $69.50 – $80.48 | 7 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.11 – $4,433.95 | 8 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $44.95 | $69.15 | $7.35 – $80.48 | 30 |
| Inj, focinvez, 1mg HCPCS J1434 | $22.05 | $33.93 | $2.63 – $80.48 | 30 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $188.90 – $218.72 | 7 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $69.50 – $80.48 | 7 |
| Inj for ext venography CPT 36005 | not published | not published | $476.40 – $551.62 | 7 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $109.19 – $126.43 | 7 |
| Inj, fosaprepitant (teva) HCPCS J1456 | $152.10 | $234.00 | $0.63 – $210.60 | 30 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $535.18 – $1,044.64 | 8 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | $1,178.03 | $1,812.36 | $512.54 – $1,631.12 | 30 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $604.99 | $930.76 | $23.76 – $838.96 | 30 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $21.20 – $838.96 | 7 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $25.84 | $39.75 | $1.13 – $38.53 | 30 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $12.83 – $14.86 | 7 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $267.24 – $309.43 | 7 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $10.10 – $838.96 | 8 |
| Inj givosiran 0.5 mg HCPCS J0223 | $102,711.96 | $158,018.40 | $112.14 – $142,216.56 | 30 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $3,382.50 | $5,203.84 | $1,471.63 – $7,412.01 | 30 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.80 – $14.86 | 8 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $2.44 – $14.86 | 8 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $18,994.71 – $21,993.87 | 7 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $4.29 – $80.48 | 8 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $34,085.47 | $52,439.19 | $72.93 – $11,763.46 | 30 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $6,502.67 – $7,529.41 | 7 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $24,079.31 – $27,881.30 | 7 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $12.17 | $18.72 | $0.35 – $14.86 | 30 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $2,917.36 | $4,488.24 | $61.06 – $7,529.41 | 30 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $37.15 – $5,464.97 | 8 |
| Inj herzuma 10 mg HCPCS Q5113 | $9,528.79 | $14,659.68 | $55.43 – $5,464.97 | 30 |
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.