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 |
|---|---|---|---|---|
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $18.85 | $29.00 | $2.20 – $35.60 | 30 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $30.74 – $35.60 | 7 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $107.60 – $179.64 | 7 |
| Mayo tgrp testosterone free CPT 84402 | $114.40 | $176.00 | $13.12 – $158.40 | 30 |
| Mayo tgrp testosterone total CPT 84403 | $115.70 | $178.00 | $13.30 – $160.20 | 30 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $9.25 – $27.98 | 7 |
| Mayo thyroglobulin CPT 84432 | $72.15 | $111.00 | $8.27 – $99.90 | 30 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $45.50 | $70.00 | $5.24 – $63.00 | 30 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $55.25 | $85.00 | $6.38 – $76.50 | 30 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $5.11 – $46.45 | 7 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $26.42 – $42.70 | 7 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $63.70 | $98.00 | $5.90 – $88.20 | 30 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $60.45 | $93.00 | $6.98 – $83.70 | 30 |
| Mayo vasoactive intestinal peptide CPT 84586 | $158.60 | $244.00 | $18.20 – $219.60 | 30 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $91.00 | $140.00 | $10.42 – $126.00 | 30 |
| Mayo vitamin b3 (niacin) CPT 84591 | $76.70 | $118.00 | $7.11 – $106.20 | 30 |
| Mayo vitamin k CPT 84597 | $61.75 | $95.00 | $7.07 – $85.50 | 30 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $59.15 | $91.00 | $6.82 – $81.90 | 30 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $896.84 – $1,038.44 | 7 |
| Mcoln1 gene CPT 81290 | not published | not published | $16.39 – $129.45 | 7 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $2,439.13 – $2,824.25 | 7 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,600.41 – $2,824.25 | 7 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $11.93 – $13.82 | 7 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $84.92 – $98.33 | 7 |
| Md service required for pmd HCPCS G0372 | not published | not published | $540.20 – $625.49 | 7 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $170.43 – $197.34 | 7 |
| Measure kidney pressure CPT 50396 | not published | not published | $379.25 – $439.13 | 7 |
| Measurement post void urine by ultrasound CPT 51798 | $177.45 | $273.00 | $59.40 – $245.70 | 30 |
| Measure ureter pressure CPT 50686 | not published | not published | $66.16 – $76.60 | 7 |
| Mecasermin injection HCPCS J2170 | not published | not published | $966.54 – $1,119.15 | 7 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $121.57 – $140.77 | 7 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $724.56 – $838.96 | 7 |
| #mec-opiates CPT 80356 | not published | not published | $6.61 – $46.45 | 7 |
| Mecp2 gene dup/delet variant CPT 81304 | $672.75 | $1,035.00 | $62.57 – $931.50 | 30 |
| Mecp2 gene full seq CPT 81302 | $2,367.30 | $3,642.00 | $146.07 – $3,277.80 | 30 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $50.06 – $129.45 | 7 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $91.53 – $105.99 | 7 |
| Medial canthopexy CPT 21280 | not published | not published | $2,827.07 – $3,273.45 | 7 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $2,293.67 – $2,655.83 | 7 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $2,293.67 – $2,655.83 | 7 |
| Medical services after hrs CPT 99050 | not published | not published | $14.30 – $16.56 | 7 |
| Medical testimony CPT 99075 | not published | not published | $540.20 – $625.49 | 7 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $140.78 – $163.01 | 7 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $190.81 | $293.55 | $25.45 – $81.00 | 30 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | not published | not published | $14.30 – $16.56 | 7 |
| Med serv eve/wkend/holiday CPT 99051 | not published | not published | $14.30 – $16.56 | 7 |
| Meg evoked each addl CPT 95967 | not published | not published | $1,566.93 – $1,814.34 | 7 |
| Meg evoked single CPT 95966 | not published | not published | $877.34 – $1,814.34 | 7 |
| Meg spontaneous CPT 95965 | not published | not published | $877.34 – $1,814.34 | 7 |
| Melphalan oral 2 mg HCPCS J8600 | $17.65 | $27.16 | $7.68 – $24.44 | 26 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $127.14 – $127.14 | 1 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $127.14 – $127.14 | 1 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $127.14 – $127.14 | 1 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $1,466.95 – $1,698.58 | 7 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $127.14 – $127.14 | 1 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $127.14 – $1,698.58 | 7 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $127.14 – $127.14 | 1 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $22.44 – $25.98 | 7 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $5,790.63 – $6,704.94 | 7 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $65.52 | $100.80 | $2.58 – $14.86 | 30 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $12.83 – $14.86 | 7 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $9,338.90 | $14,367.54 | $30.44 – $11,906.62 | 30 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $13.81 | $21.24 | $3.05 – $14.86 | 30 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $127.14 – $127.14 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $4,841.26 – $5,605.67 | 7 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $1,466.95 – $1,698.58 | 7 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $20.70 | $31.84 | $2.04 – $6.48 | 26 |
| Metabolic Blood Panel (Basic) CPT 80048 | $37.70 | $58.00 | $8.46 – $52.20 | 30 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $47.45 | $73.00 | $6.25 – $65.70 | 30 |
| Metabolic panel ionized ca CPT 80047 | $61.75 | $95.00 | $13.73 – $85.50 | 30 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $891.96 – $1,032.79 | 7 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Metered dose inhaler drug HCPCS J3535 | $205.69 | $316.44 | $12.73 – $80.48 | 30 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $141.96 | $218.40 | $5.09 – $80.48 | 30 |
| Methadone injection HCPCS J1230 | $50.02 | $76.95 | $12.83 – $69.26 | 30 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $69.50 – $80.48 | 7 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $2.34 | $3.60 | $1.02 – $14.86 | 30 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $8.11 | $12.48 | $2.01 – $25.48 | 30 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $198.43 | $305.28 | $2.29 – $25.48 | 30 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $16.09 – $28.24 | 7 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $535.18 – $619.69 | 7 |
| Methyldopate hcl injection HCPCS J0210 | $18.72 | $28.80 | $8.14 – $309.43 | 30 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $568.25 | $874.23 | $0.87 – $38.53 | 30 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $73.20 | $112.62 | $20.12 – $80.48 | 30 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $1,092.49 | $1,680.75 | $69.50 – $1,008.45 | 30 |
| Methylphenidate CPT 80360 | not published | not published | $4.51 – $46.45 | 7 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $4.49 | $6.90 | $0.21 – $14.86 | 30 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $46.20 | $71.07 | $0.12 – $14.86 | 30 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $254.73 | $391.89 | $0.30 – $17.39 | 30 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $3.92 | $6.03 | $0.64 – $14.86 | 30 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $0.68 | $1.05 | $0.20 – $14.86 | 30 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.05 – $14.86 | 8 |
| Metyrapone panel CPT 80436 | not published | not published | $36.88 – $42.70 | 7 |
| Mgmt promoter methylation analysis CPT 81287 | $559.00 | $860.00 | $52.00 – $774.00 | 30 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.48 – $80.48 | 8 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.23 – $9.83 | 7 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $16.76 – $51.85 | 7 |
| Microdissection laser CPT 88380 | not published | not published | $91.22 – $105.62 | 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.