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 |
|---|---|---|---|---|
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Kidney function study CPT 78725 | not published | not published | $401.83 – $480.13 | 7 |
| Kidney imaging morphology CPT 78700 | not published | not published | $401.83 – $480.13 | 7 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $414.66 – $480.13 | 7 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $414.66 – $480.13 | 7 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Kit case 4.2mm spinejack HCPCS C1062 | not published | not published | $267.61 – $309.86 | 7 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $22.59 – $26.16 | 7 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $22.59 – $26.16 | 7 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | not published | not published | $267.61 – $309.86 | 7 |
| Kit gene analys d816 variant CPT 81273 | $560.30 | $862.00 | $52.09 – $775.80 | 30 |
| Kit hfx iq ipg bundle HCPCS C1822 | not published | not published | $267.61 – $309.86 | 7 |
| Kit ipg optimizer smart HCPCS C1824 | not published | not published | $267.61 – $309.86 | 7 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $14.85 – $17.19 | 7 |
| Kit lead specify 5-6-5 HCPCS C1778 | not published | not published | $267.61 – $309.86 | 7 |
| Kit monitr cath camino icp w/integratd licox bolt fitting HCPCS A9279 | not published | not published | $22.59 – $26.16 | 7 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | not published | not published | $1,466.95 – $1,698.58 | 7 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $127.14 – $127.14 | 1 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | not published | not published | $1,466.95 – $1,698.58 | 7 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $14.85 – $17.19 | 7 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,600.41 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,600.41 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $5,790.63 – $6,704.94 | 7 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $5,790.63 – $6,704.94 | 7 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $5,790.63 – $6,704.94 | 7 |
| Knee cap medial or lateral p HCPCS L2800 | $72.15 | $111.00 | $31.39 – $99.90 | 30 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $42.21 – $48.87 | 7 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $42.21 – $48.87 | 7 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $443.56 – $513.60 | 7 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $77.94 – $90.24 | 7 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $77.94 – $90.24 | 7 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $77.94 – $90.24 | 7 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $42.21 – $48.87 | 7 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $77.94 – $90.24 | 7 |
| Knee MRI (with and without contrast) CPT 73723 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| Knee MRI (with contrast) CPT 73722 | $3,543.15 | $5,451.00 | $514.18 – $4,905.90 | 30 |
| Knee MRI (without contrast) CPT 73721 | $1,084.20 | $1,668.00 | $241.72 – $1,501.20 | 30 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $121.57 – $140.77 | 7 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $891.96 – $1,032.79 | 7 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $891.96 – $1,032.79 | 7 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $443.56 – $513.60 | 7 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $443.56 – $513.60 | 7 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $443.56 – $513.60 | 7 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $891.96 – $1,032.79 | 7 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $891.96 – $1,032.79 | 7 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $891.96 – $1,032.79 | 7 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $891.96 – $1,032.79 | 7 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $891.96 – $1,032.79 | 7 |
| Knee X-ray CPT 73564 | $477.10 | $734.00 | $75.62 – $660.60 | 30 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Knee X-ray (3 views, both knees) CPT 73562 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Knee X-ray (standing, both knees) CPT 73565 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $443.56 – $513.60 | 7 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $443.56 – $513.60 | 7 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $891.96 – $1,032.79 | 7 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $77.94 – $90.24 | 7 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $77.94 – $90.24 | 7 |
| Ko single upright pre cst HCPCS L1843 | $638.30 | $982.00 | $277.71 – $1,986.40 | 30 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $443.56 – $513.60 | 7 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $891.96 – $1,032.79 | 7 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $121.57 – $140.77 | 7 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $912.60 | $1,404.00 | $329.46 – $1,048.50 | 30 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $891.96 – $1,032.79 | 7 |
| Kras gene addl variants CPT 81276 | $866.45 | $1,333.00 | $80.62 – $1,199.70 | 30 |
| Kras gene variants exon 2 CPT 81275 | $866.45 | $1,333.00 | $80.62 – $1,199.70 | 30 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,894.83 | $2,915.12 | $824.40 – $2,623.61 | 30 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $17,913.59 – $21,676.83 | 7 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $17,913.59 – $21,676.83 | 7 |
| Kyphosis pad HCPCS L1020 | not published | not published | $42.21 – $48.87 | 7 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $77.94 – $90.24 | 7 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $3.52 – $4.07 | 7 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $3.52 – $4.07 | 7 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $9.36 | $14.40 | $0.11 – $14.86 | 30 |
| Labioplasty 56800 CPT 56800 | not published | not published | $1,956.89 – $2,265.87 | 7 |
| Lab pathology consultation CPT 80500 | not published | not published | $46.24 – $53.54 | 7 |
| Lab pathology consultation CPT 80502 | not published | not published | $46.24 – $53.54 | 7 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $11.60 | $17.85 | $3.33 – $80.48 | 30 |
| Lactate dehydrogenase (ldh) CPT 83615 | $27.30 | $42.00 | $3.11 – $37.80 | 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.