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 |
|---|---|---|---|---|
| Intrinsic factor antibody CPT 86340 | $67.60 | $104.00 | $7.76 – $93.60 | 30 |
| Intrm oph exam est patient CPT 92012 | $385.45 | $593.00 | $0.01 – $533.70 | 30 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $1,321.23 – $1,529.85 | 7 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $3,360.84 – $3,891.50 | 7 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $11,234.48 – $13,008.35 | 7 |
| Intro catheter aorta CPT 36200 | not published | not published | $476.40 – $551.62 | 7 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $476.40 – $551.62 | 7 |
| Intro long gi tube CPT 44500 | $2,803.45 | $4,313.00 | $398.76 – $3,881.70 | 30 |
| Intro long gi tube w/mult fluo CPT 74340 | $410.80 | $632.00 | $150.07 – $568.80 | 30 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,724.47 – $1,818.45 | 2 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $896.84 – $1,038.44 | 7 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $896.84 – $1,038.44 | 7 |
| Intubation endotracheal emergency procedure CPT 31500 | $694.20 | $1,068.00 | $232.22 – $961.20 | 30 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $123.38 – $142.86 | 7 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $30.42 – $35.22 | 7 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $172.47 – $199.71 | 7 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $208.58 – $396.32 | 2 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $172.47 – $199.71 | 7 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $30.42 – $35.22 | 7 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $540.20 – $625.49 | 7 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $540.20 – $625.49 | 7 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $15.13 | $23.28 | $0.23 – $38.53 | 30 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $13.40 | $20.61 | $0.37 – $38.53 | 30 |
| Io radiation tx management CPT 77469 | not published | not published | $226.28 – $262.01 | 7 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $1,318.16 – $1,526.29 | 7 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $1,318.16 – $1,526.29 | 7 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $33.28 – $38.53 | 7 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $2,825.08 | $4,346.28 | $176.88 – $11,763.46 | 30 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $91.53 – $105.99 | 7 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $91.53 – $105.99 | 7 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $91.53 – $105.99 | 7 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $91.53 – $105.99 | 7 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $69.50 – $80.48 | 7 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.76 – $14.86 | 8 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $26.78 | $41.20 | $5.09 – $16.20 | 26 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $952.54 | $1,465.44 | $64.77 – $7,529.41 | 30 |
| Iron CPT 83540 | $29.25 | $45.00 | $3.34 – $40.50 | 30 |
| Iron binding capacity CPT 83550 | $39.00 | $60.00 | $4.51 – $54.00 | 30 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $43.62 | $67.11 | $17.67 – $218.72 | 30 |
| Iron stain peripheral blood CPT 85536 | $30.55 | $47.00 | $3.33 – $42.30 | 30 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $30.40 | $46.77 | $13.23 – $80.48 | 30 |
| Irradiation of blood product each unit reference CPT 86945 | $176.15 | $271.00 | $12.91 – $243.90 | 30 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $266.50 | $410.00 | $59.40 – $369.00 | 30 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $143.36 – $166.00 | 7 |
| Irrigation syringe HCPCS A4322 | not published | not published | $22.59 – $26.16 | 7 |
| Irrigation tray HCPCS A4320 | not published | not published | $22.59 – $26.16 | 7 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $59.40 – $105.79 | 7 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $578.11 | $889.40 | $78.05 – $7,529.41 | 30 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $520.74 – $602.97 | 7 |
| Ivc venogram s&i CPT 75825 | not published | not published | $1,321.23 – $1,529.85 | 7 |
| IV Fluids (each additional hour) CPT 96361 | $206.70 | $318.00 | $46.14 – $602.97 | 30 |
| IV Fluids (first hour) CPT 96360 | $945.10 | $1,454.00 | $210.69 – $1,308.60 | 30 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $1,866.01 – $2,160.64 | 7 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $495.30 | $762.00 | $215.49 – $685.80 | 30 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $109.19 – $126.43 | 7 |
| IV Medicine Infusion (additional drug) CPT 96367 | $319.15 | $491.00 | $71.17 – $441.90 | 30 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $206.70 | $318.00 | $46.14 – $602.97 | 30 |
| IV Medicine Infusion (first hour) CPT 96365 | $945.10 | $1,454.00 | $210.69 – $1,308.60 | 30 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $109.19 – $126.43 | 7 |
| IV Push Injection (each additional drug) CPT 96375 | $206.70 | $318.00 | $46.14 – $286.20 | 30 |
| IV Push Injection (first drug) CPT 96374 | $945.10 | $1,454.00 | $60.66 – $1,308.60 | 30 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $178.02 – $219.92 | 7 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $178.02 – $219.92 | 7 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $18,856.29 | $29,009.68 | $134.06 – $8,702.89 | 30 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $77.26 – $179.64 | 7 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,039.18 – $1,203.26 | 7 |
| John cunningham antibody CPT 86711 | not published | not published | $7.42 – $35.60 | 7 |
| J-tube placement CPT 44015 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $891.96 – $1,032.79 | 7 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $891.96 – $1,032.79 | 7 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $891.96 – $1,032.79 | 7 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $891.96 – $1,032.79 | 7 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $891.96 – $1,032.79 | 7 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $891.96 – $1,032.79 | 7 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $891.96 – $1,032.79 | 7 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $77.94 – $90.24 | 7 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $891.96 – $1,032.79 | 7 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $891.96 – $1,032.79 | 7 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $891.96 – $1,032.79 | 7 |
| Keratomileusis CPT 65760 | not published | not published | $423.99 – $490.94 | 7 |
| Keratophakia CPT 65765 | not published | not published | $423.99 – $490.94 | 7 |
| Keratoprosthesis CPT 65770 | not published | not published | $3,695.39 – $4,278.87 | 7 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $127.14 – $127.14 | 1 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $5.11 – $46.45 | 7 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $7.30 – $33.92 | 7 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $36.40 | $56.00 | $8.17 – $50.40 | 30 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $15.29 | $23.52 | $0.33 – $14.86 | 30 |
| Kidney endoscopy CPT 50551 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Kidney endoscopy CPT 50553 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Kidney endoscopy CPT 50570 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Kidney endoscopy CPT 50575 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $2,819.77 – $3,265.00 | 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.