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 |
|---|---|---|---|---|
| Microdissection manual CPT 88381 | $337.35 | $519.00 | $49.80 – $467.10 | 30 |
| Microfluid analy tears CPT 83861 | not published | not published | $9.38 – $27.98 | 7 |
| Microsatellite instability CPT 81301 | not published | not published | $149.12 – $179.64 | 7 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $540.20 – $625.49 | 7 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $115.40 – $133.62 | 7 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,489.10 – $4,040.01 | 7 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $395.20 | $608.00 | $75.62 – $547.20 | 30 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $3.67 | $5.64 | $0.18 – $14.86 | 30 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $0.62 | $0.96 | $0.27 – $14.86 | 30 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $106.34 – $180.26 | 7 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $188.90 – $218.72 | 7 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $1.99 | $3.06 | $0.09 – $14.86 | 30 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $443.56 – $513.60 | 7 |
| Minocycline hydrochloride HCPCS J2265 | $623.04 | $958.53 | $2.59 – $862.68 | 30 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $69.50 – $80.48 | 7 |
| Miroderm HCPCS Q4175 | not published | not published | $127.14 – $127.14 | 1 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $1,058.04 | $1,627.76 | $66.76 – $21,993.87 | 30 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $69.50 – $80.48 | 7 |
| Mitochondrial gene CPT 81440 | not published | not published | $895.02 – $1,036.34 | 7 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $3,680.66 | $5,662.56 | $26.10 – $1,578.64 | 30 |
| Mitomycin instillation HCPCS J9281 | $79,388.40 | $122,136.00 | $307.34 – $109,922.40 | 30 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $127.19 | $195.68 | $23.43 – $838.96 | 30 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Mlh1 gene CPT 81288 | $862.55 | $1,327.00 | $80.23 – $1,194.30 | 30 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $84.43 – $179.64 | 7 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $230.56 – $266.96 | 7 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $138.08 – $179.64 | 7 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $24.57 – $203.19 | 8 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $6.91 – $203.19 | 8 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $88.05 – $133.88 | 7 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $106.21 – $122.98 | 7 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $106.21 – $122.98 | 7 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $106.21 – $122.98 | 7 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,098.29 – $1,271.70 | 7 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,098.29 – $1,271.70 | 7 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,098.29 – $1,271.70 | 7 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $29.84 – $128.35 | 8 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $443.56 – $513.60 | 7 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $4,616.16 – $5,345.03 | 7 |
| Modification of contact lens CPT 92325 | not published | not published | $64.78 – $75.01 | 7 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $896.84 – $1,038.44 | 7 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $169.00 | $260.00 | $5.03 – $234.00 | 30 |
| Molded inner boot HCPCS L2280 | not published | not published | $443.56 – $513.60 | 7 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $891.96 – $1,032.79 | 7 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $540.20 – $625.49 | 7 |
| Mometasone sinus sinuva HCPCS J7402 | $2,299.99 | $3,538.44 | $11.34 – $3,184.60 | 30 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $121.57 – $140.77 | 7 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $121.57 – $140.77 | 7 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $22,538.00 – $26,096.63 | 7 |
| Monitor reveal linq ii cardiac HCPCS C1764 | not published | not published | $267.61 – $309.86 | 7 |
| Monovisc inj per dose HCPCS J7327 | $877.50 | $1,350.00 | $381.78 – $1,215.00 | 30 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $128.87 – $136.02 | 2 |
| Mopath procedure level 1 CPT 81400 | $286.65 | $441.00 | $26.68 – $396.90 | 30 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $62.71 – $179.64 | 7 |
| Mopath procedure level 5 CPT 81404 | $1,232.40 | $1,896.00 | $114.65 – $1,706.40 | 30 |
| Mopath procedure level 6 CPT 81405 | $1,351.35 | $2,079.00 | $125.71 – $1,871.10 | 30 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $118.00 – $179.64 | 7 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $230.56 – $266.96 | 7 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $895.02 – $1,036.34 | 7 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $65.52 | $100.80 | $0.16 – $14.86 | 30 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $7.14 | $10.98 | $2.92 – $14.86 | 30 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $69.50 – $80.48 | 7 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $45.14 | $69.45 | $2.37 – $80.48 | 30 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $91.22 – $105.62 | 7 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $91.22 – $105.62 | 7 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $768.30 | $1,182.00 | $91.22 – $1,063.80 | 30 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $1,947.69 | $2,996.44 | $635.47 – $27,881.30 | 30 |
| Motion analysis video/3d CPT 96000 | not published | not published | $381.24 – $604.11 | 7 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $521.73 – $604.11 | 7 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $399.04 – $604.11 | 7 |
| Mouth piece HCPCS A4617 | not published | not published | $22.59 – $26.16 | 7 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $49.80 – $57.66 | 7 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $768.30 | $1,182.00 | $91.22 – $1,063.80 | 30 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $49.80 – $57.66 | 7 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $91.22 – $105.62 | 7 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $62.71 – $179.64 | 7 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $10.32 – $25.66 | 7 |
| M.pneumon dna quant CPT 87582 | not published | not published | $65.46 – $75.79 | 7 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $22.44 – $25.98 | 7 |
| MRA abdomen post contrast CPT 74185 | $1,676.35 | $2,579.00 | $413.89 – $2,321.10 | 30 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $4,078.10 | $6,274.00 | $413.89 – $5,646.60 | 30 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $356.43 – $479.24 | 7 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $241.72 – $479.24 | 7 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $356.43 – $479.24 | 7 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $3,903.90 | $6,006.00 | $413.89 – $5,405.40 | 30 |
| MRA pelvis CPT 72198 | not published | not published | $413.89 – $479.24 | 7 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $356.43 – $479.24 | 7 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $241.72 – $479.24 | 7 |
| MRA spinal canal CPT 72159 | not published | not published | $413.89 – $479.24 | 7 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $413.89 – $479.24 | 7 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $356.43 – $479.24 | 7 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $356.43 – $479.24 | 7 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $356.43 – $479.24 | 7 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $356.43 – $479.24 | 7 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $241.72 – $479.24 | 7 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $241.72 – $479.24 | 7 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $241.72 – $479.24 | 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.