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 |
|---|---|---|---|---|
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,956.89 – $2,265.87 | 7 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $1,588.63 – $1,839.46 | 7 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $28.85 – $80.48 | 8 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $49.80 – $57.66 | 7 |
| Macroscopic exam arthropod CPT 87168 | $18.85 | $29.00 | $2.20 – $26.10 | 30 |
| Macroscopic exam parasite CPT 87169 | $19.50 | $30.00 | $2.20 – $27.00 | 30 |
| Magnesium CPT 83735 | $29.90 | $46.00 | $3.45 – $41.40 | 30 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $2.32 | $3.57 | $0.01 – $14.86 | 30 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $241.72 – $393.97 | 7 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $14.46 – $218.72 | 7 |
| Malaria antibody CPT 86750 | not published | not published | $6.79 – $35.60 | 7 |
| Male sling procedure CPT 53440 | not published | not published | $4,841.26 – $5,605.67 | 7 |
| Mammosite ced HCPCS C1728 | not published | not published | $267.61 – $309.86 | 7 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $4,623.95 – $5,354.05 | 7 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,098.29 – $1,271.70 | 7 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,098.29 – $1,271.70 | 7 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,098.29 – $1,271.70 | 7 |
| Manipulation of spine CPT 22505 | not published | not published | $1,098.29 – $1,271.70 | 7 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $239.88 – $455.07 | 7 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $0.51 | $0.78 | $0.13 – $14.86 | 30 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $12.83 – $14.86 | 7 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $42.21 – $48.87 | 7 |
| Manual diff wbc count b-coat CPT 85009 | $22.75 | $35.00 | $2.12 – $31.50 | 30 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $280.98 – $325.35 | 7 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $109.19 – $126.43 | 7 |
| Map tachycard site(s) CPT 93609 | not published | not published | $16,144.42 – $18,693.54 | 7 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $672.57 | $1,034.73 | $48.21 – $7,529.41 | 30 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,043.90 | $1,606.00 | $18.66 – $309.86 | 30 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $33.28 – $38.53 | 7 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $4,623.95 – $5,354.05 | 7 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $77.94 – $90.24 | 7 |
| Mastectomy form HCPCS L8020 | not published | not published | $468.00 – $541.89 | 7 |
| Mastectomy partial CPT 19301 | not published | not published | $3,829.28 – $4,748.21 | 7 |
| Mast mod rad CPT 19307 | not published | not published | $6,503.00 – $7,529.79 | 7 |
| Mastoidectomy CPT 69501 | not published | not published | $4,523.17 – $5,237.35 | 7 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $4,523.17 – $5,237.35 | 7 |
| Mastoids complete CPT 70130 | not published | not published | $75.62 – $87.56 | 7 |
| Mastoid surgery revision CPT 69603 | not published | not published | $4,523.17 – $5,237.35 | 7 |
| Mastopexy CPT 19316 | not published | not published | $4,100.72 – $4,748.21 | 7 |
| Mast radical CPT 19305 | not published | not published | $6,503.00 – $7,529.79 | 7 |
| Mast rad urban type CPT 19306 | not published | not published | $6,503.00 – $7,529.79 | 7 |
| Mast simple complete CPT 19303 | not published | not published | $4,100.72 – $4,748.21 | 7 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $127.14 – $127.14 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $9.10 | $14.00 | $3.96 – $12.60 | 26 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $18.07 – $51.85 | 7 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $11.39 – $25.66 | 7 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $22.06 – $51.85 | 7 |
| Maxillofacial fixation CPT 21100 | not published | not published | $2,200.29 – $2,547.70 | 7 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $65.00 | $100.00 | $7.45 – $90.00 | 30 |
| Mayo aathr protein s free CPT 85306 | $68.90 | $106.00 | $7.89 – $95.40 | 30 |
| Mayo activated protein c resistance assay CPT 85307 | $68.90 | $106.00 | $7.89 – $95.40 | 30 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $172.90 | $266.00 | $16.09 – $239.40 | 30 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $5.56 – $46.45 | 7 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $4.65 – $46.45 | 7 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $66.30 | $102.00 | $7.61 – $91.80 | 30 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $8.56 – $46.45 | 7 |
| Mayo alpha 1 antitrypsin CPT 82103 | $60.45 | $93.00 | $6.92 – $83.70 | 30 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $67.60 | $104.00 | $7.76 – $93.60 | 30 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $5.40 – $46.45 | 7 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $4.20 – $46.45 | 7 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $545.35 | $839.00 | $62.64 – $755.10 | 30 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $410.80 | $632.00 | $47.21 – $568.80 | 30 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $57.15 – $179.64 | 7 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,925.00 | $4,500.00 | $563.17 – $4,050.00 | 30 |
| Mayo androstenedione CPT 82157 | $131.30 | $202.00 | $15.08 – $181.80 | 30 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $65.65 | $101.00 | $7.52 – $90.90 | 30 |
| Mayo antithrombin iii antigen CPT 85301 | $48.75 | $75.00 | $5.57 – $67.50 | 30 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $67.60 | $104.00 | $7.76 – $93.60 | 30 |
| Mayo avwpr vw factor activity CPT 85397 | $138.45 | $213.00 | $30.86 – $191.70 | 30 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $14.64 – $51.85 | 7 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $4.51 – $46.45 | 7 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $45.50 | $70.00 | $5.24 – $63.00 | 30 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $649.35 | $999.00 | $74.59 – $899.10 | 30 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $962.65 | $1,481.00 | $89.53 – $1,332.90 | 30 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $57.85 | $89.00 | $6.64 – $80.10 | 30 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $4.36 – $46.45 | 7 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $59.15 | $91.00 | $6.79 – $81.90 | 30 |
| Mayo brcmg brucella antibody igm CPT 86622 | $40.30 | $62.00 | $4.60 – $55.80 | 30 |
| Mayo c1 esterase inhibitor CPT 83883 | $61.10 | $94.00 | $7.01 – $84.60 | 30 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $5.56 – $46.45 | 7 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $75.40 | $116.00 | $8.69 – $104.40 | 30 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $13.79 – $44.20 | 7 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $62.95 – $129.45 | 7 |
| Mayo ceruloplasmin CPT 82390 | $48.10 | $74.00 | $5.53 – $66.60 | 30 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $63.05 | $97.00 | $7.27 – $87.30 | 30 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $57.85 | $89.00 | $6.63 – $80.10 | 30 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $53.30 | $82.00 | $6.09 – $73.80 | 30 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $56.55 | $87.00 | $6.53 – $78.30 | 30 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $522.60 | $804.00 | $80.89 – $723.60 | 30 |
| Mayo chromium CPT 82495 | $91.00 | $140.00 | $10.45 – $126.00 | 30 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $5.11 – $46.45 | 7 |
| Mayo coccidioides antibody CPT 86635 | $51.35 | $79.00 | $5.91 – $71.10 | 30 |
| Mayo cocou cortisone urine CPT 82542 | $107.90 | $166.00 | $10.05 – $149.40 | 30 |
| Mayo cortisol free CPT 82530 | $74.75 | $115.00 | $8.60 – $103.50 | 30 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | not published | not published | $17.57 – $35.60 | 7 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $54.60 | $84.00 | $6.25 – $75.60 | 30 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $9.62 – $46.45 | 7 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $6.61 – $46.45 | 7 |
| Mayo cyanide CPT 82600 | $87.10 | $134.00 | $9.99 – $120.60 | 30 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $768.30 | $1,182.00 | $80.89 – $1,063.80 | 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.