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 |
|---|---|---|---|---|
| Antipsychotics nos 1-3 CPT 80342 | not published | not published | $5.86 – $46.45 | 7 |
| Antipsychotics nos 4-6 CPT 80343 | not published | not published | $13.52 – $46.45 | 7 |
| Antipsychotics nos 7/more CPT 80344 | not published | not published | $3.45 – $46.45 | 7 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $2.97 – $35.60 | 7 |
| Antistreptolysin o titer CPT 86060 | $32.50 | $50.00 | $3.75 – $45.00 | 30 |
| Antithrombin iii activity CPT 85300 | $53.30 | $82.00 | $6.10 – $73.80 | 30 |
| Antithrombin iii injection HCPCS J7197 | $10.74 | $16.53 | $3.85 – $7,412.01 | 30 |
| Antithrombin recombinant HCPCS J7196 | not published | not published | $535.18 – $619.69 | 7 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $2,487.13 | $3,826.35 | $1,082.09 – $7,412.01 | 30 |
| Antithymocyte globuln rabbit HCPCS J7511 | $2,685.05 | $4,130.85 | $956.74 – $5,464.97 | 30 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,448.25 – $1,676.92 | 7 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $63.56 – $73.60 | 7 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $63.56 – $73.60 | 7 |
| Ant thrc vrt body tethrg <7 CPT 22836 | not published | not published | $17,913.59 – $21,676.83 | 7 |
| Ant thrc vrt body tethrg 8+ CPT 22837 | not published | not published | $17,913.59 – $21,676.83 | 7 |
| Aoi transducer/actuator repl HCPCS L8694 | not published | not published | $5,313.70 – $6,152.71 | 7 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $3,493.47 – $4,045.07 | 7 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $146.07 – $169.14 | 7 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $563.25 – $1,036.34 | 7 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $3,493.47 – $4,045.07 | 7 |
| Aortic suspension CPT 33800 | not published | not published | $3,493.47 – $4,045.07 | 7 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $83.43 – $179.64 | 7 |
| Apc gene full sequence CPT 81201 | not published | not published | $230.56 – $266.96 | 7 |
| Apc gene known fam variants CPT 81202 | not published | not published | $116.80 – $179.64 | 7 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $59.40 – $75.01 | 7 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $2,303.21 – $2,666.87 | 7 |
| Apheresis plasma CPT 36514 | not published | not published | $1,591.16 – $2,437.93 | 7 |
| Apheresis platelets CPT 36513 | not published | not published | $437.18 – $2,437.93 | 7 |
| Apheresis rbc CPT 36512 | not published | not published | $1,591.16 – $2,437.93 | 7 |
| Apheresis wbc CPT 36511 | not published | not published | $1,591.16 – $2,437.93 | 7 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $106.77 – $179.64 | 7 |
| Apomorphine hydrochloride HCPCS J0364 | not published | not published | $535.18 – $619.69 | 7 |
| Appendectomy CPT 44950 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $2,703.49 – $3,130.36 | 7 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $3,771.98 – $4,367.55 | 7 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $140.23 – $162.37 | 7 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $140.23 – $162.37 | 7 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $140.23 – $162.37 | 7 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $140.23 – $162.37 | 7 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $140.23 – $162.37 | 7 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $140.23 – $162.37 | 7 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $140.23 – $162.37 | 7 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $1,642.82 – $2,547.70 | 7 |
| Appl halo type body cast CPT 29000 | not published | not published | $140.23 – $162.37 | 7 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $140.23 – $162.37 | 7 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $140.23 – $162.37 | 7 |
| Application clubfoot cast CPT 29450 | not published | not published | $140.23 – $162.37 | 7 |
| Application finger splntstatic 29130 CPT 29130 | $385.45 | $593.00 | $75.21 – $533.70 | 30 |
| Application halo femoral CPT 20663 | not published | not published | $2,200.29 – $2,547.70 | 7 |
| Application halo pelvic CPT 20662 | not published | not published | $1,600.41 – $2,547.70 | 7 |
| Application long leg splint 29505 CPT 29505 | $471.90 | $726.00 | $75.21 – $653.40 | 30 |
| Application lower leg splint 29515 CPT 29515 | $471.90 | $726.00 | $75.21 – $653.40 | 30 |
| Application multi layer compression below knee (both sides) CPT 29581 | not published | not published | $140.23 – $162.37 | 7 |
| Application of body cast CPT 29010 | not published | not published | $140.23 – $162.37 | 7 |
| Application of body cast CPT 29015 | not published | not published | $140.23 – $162.37 | 7 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $140.23 – $162.37 | 7 |
| Application of forearm cast 29075 CPT 29075 | $794.30 | $1,222.00 | $140.23 – $1,099.80 | 30 |
| Application of long arm cast 29065 CPT 29065 | $794.30 | $1,222.00 | $140.23 – $1,099.80 | 30 |
| Application of long leg cast CPT 29355 | not published | not published | $140.23 – $162.37 | 7 |
| Application of long leg cast 29345 CPT 29345 | not published | not published | $140.23 – $162.37 | 7 |
| Application of paste boot 29580 CPT 29580 | not published | not published | $140.23 – $162.37 | 7 |
| Application short leg cast 29405 CPT 29405 | not published | not published | $140.23 – $162.37 | 7 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | not published | not published | $755.08 – $2,265.43 | 7 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | not published | not published | $755.08 – $2,265.43 | 7 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | not published | not published | $267.61 – $309.86 | 7 |
| Appl long leg cast brace CPT 29358 | not published | not published | $140.23 – $162.37 | 7 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $2,200.29 – $2,547.70 | 7 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $107.90 | $166.00 | $7.70 – $149.40 | 30 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $131.95 | $203.00 | $14.87 – $182.70 | 30 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $38.16 – $47.96 | 7 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $75.21 – $87.09 | 7 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $140.23 – $162.37 | 7 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $2,200.29 – $2,547.70 | 7 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $140.23 – $162.37 | 7 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $75.21 – $87.09 | 7 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $1,642.82 – $2,547.70 | 7 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $140.23 – $162.37 | 7 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $693.81 – $1,526.29 | 7 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $693.81 – $1,526.29 | 7 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $564.51 – $1,526.29 | 7 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $477.48 – $552.87 | 7 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $59.40 – $87.09 | 7 |
| Apply rem fixation device CPT 20660 | not published | not published | $1,600.41 – $2,547.70 | 7 |
| Apply rigid leg cast 29445 CPT 29445 | not published | not published | $140.23 – $162.37 | 7 |
| Apply r&l pulm art bands CPT 33620 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Apply short leg castambul type 29425 CPT 29425 | not published | not published | $140.23 – $162.37 | 7 |
| Apply srs headframe add-on CPT 61800 | not published | not published | $5,343.32 – $6,187.01 | 7 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $104.24 – $210.52 | 7 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $45.89 – $131.20 | 8 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $2,200.29 – $2,547.70 | 7 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,600.41 – $2,547.70 | 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.