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 |
|---|---|---|---|---|
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $241.72 – $479.24 | 7 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $356.43 – $479.24 | 7 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $356.43 – $479.24 | 7 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $356.43 – $479.24 | 7 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $356.43 – $479.24 | 7 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $356.43 – $479.24 | 7 |
| Mr elastography CPT 76391 | not published | not published | $241.72 – $393.97 | 7 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $11,384.04 – $12,470.31 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $178.02 – $595.36 | 7 |
| MRI brain without dye CPT 70557 | not published | not published | $340.24 – $393.97 | 7 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $178.02 – $595.36 | 7 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $241.72 – $393.97 | 7 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $514.18 – $595.36 | 7 |
| MRI breast without cont bi CPT 77047 | not published | not published | $241.72 – $393.97 | 7 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $514.18 – $595.36 | 7 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $241.72 – $393.97 | 7 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $356.43 – $595.36 | 7 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $3,543.15 | $5,451.00 | $514.18 – $4,905.90 | 30 |
| MRI chest without contrast CPT 71550 | not published | not published | $241.72 – $393.97 | 7 |
| MRI chest without & w/contrast CPT 71552 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| MRI chest w IV cont CPT 71551 | not published | not published | $514.18 – $595.36 | 7 |
| MRI compatible system HCPCS L0859 | not published | not published | $891.96 – $1,032.79 | 7 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $340.24 – $393.97 | 7 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $241.72 – $393.97 | 7 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $69.41 – $80.37 | 7 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $69.41 – $80.37 | 7 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $524.38 – $607.18 | 7 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $356.43 – $595.36 | 7 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,084.20 | $1,668.00 | $241.72 – $1,501.20 | 30 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| MRI tmj CPT 70336 | $1,084.20 | $1,668.00 | $241.72 – $1,501.20 | 30 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,084.20 | $1,668.00 | $241.72 – $1,501.20 | 30 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| MRI upper extremity w/dye CPT 73219 | $1,601.60 | $2,464.00 | $356.43 – $2,217.60 | 30 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $356.43 – $595.36 | 7 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $178.02 – $595.36 | 7 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $356.43 – $595.36 | 7 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $356.43 – $595.36 | 7 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $88.05 – $133.88 | 7 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $91.79 – $133.88 | 7 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $115.62 – $133.88 | 7 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $59.40 – $133.88 | 7 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $24.49 – $133.88 | 7 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $115.62 – $133.88 | 7 |
| Mr spectroscopy CPT 76390 | not published | not published | $88.05 – $393.97 | 7 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $88.98 – $179.64 | 7 |
| Msh2 gene full seq CPT 81295 | not published | not published | $146.07 – $169.14 | 7 |
| Msh2 gene known variants CPT 81296 | not published | not published | $140.89 – $179.64 | 7 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $99.28 – $179.64 | 7 |
| Msh6 gene full seq CPT 81298 | not published | not published | $230.56 – $266.96 | 7 |
| Msh6 gene known variants CPT 81299 | not published | not published | $128.49 – $179.64 | 7 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $5,447.53 – $6,307.66 | 7 |
| Mthfr gene analy common variants CPT 81291 | $293.15 | $451.00 | $27.26 – $405.90 | 30 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $11.21 – $25.66 | 7 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $22.06 – $51.85 | 7 |
| Mucin synovial fluid CPT 83872 | not published | not published | $3.02 – $18.13 | 7 |
| Mucopolysaccharides CPT 83864 | not published | not published | $11.89 – $32.18 | 7 |
| Mucormycosis antibody CPT 86732 | not published | not published | $6.79 – $35.60 | 7 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $29.79 – $280.64 | 7 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $48.64 – $56.32 | 7 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $48.64 – $56.32 | 7 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $443.56 – $513.60 | 7 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $443.56 – $513.60 | 7 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $160.67 – $203.19 | 7 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $64.78 – $75.01 | 7 |
| Multiple sleep latency test CPT 95805 | $2,379.65 | $3,661.00 | $530.60 – $3,294.90 | 26 |
| Mumps antibody igg CPT 86735 | $58.50 | $90.00 | $6.72 – $81.00 | 30 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $220.60 – $604.11 | 7 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $131.46 – $604.11 | 7 |
| Muscle test larynx CPT 95865 | not published | not published | $128.90 – $604.11 | 7 |
| Muscle test one fiber CPT 95872 | not published | not published | $156.46 – $604.11 | 7 |
| Muscle transfers CPT 23397 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Mycobacteria dna amp probe CPT 87551 | $216.45 | $333.00 | $20.13 – $299.70 | 30 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $10.32 – $25.66 | 7 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $22.06 – $51.85 | 7 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $28.07 | $43.18 | $0.88 – $14.86 | 30 |
| Mycophenolic acid HCPCS J7518 | $23.27 | $35.80 | $2.58 – $14.86 | 30 |
| Mycoplasma antibody igm CPT 86738 | $59.15 | $91.00 | $6.82 – $81.90 | 30 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $73.17 – $179.64 | 7 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $506.88 – $586.92 | 7 |
| Myelography l-s spine CPT 72265 | not published | not published | $506.88 – $586.92 | 7 |
| Myelography neck spine CPT 72240 | not published | not published | $506.88 – $586.92 | 7 |
| Myelography thoracic spine CPT 72255 | not published | not published | $506.88 – $586.92 | 7 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $506.88 – $586.92 | 7 |
| Myelography via inj w/s&i cervical CPT 62302 | not published | not published | $506.88 – $586.92 | 7 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | not published | not published | $506.88 – $586.92 | 7 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $506.88 – $586.92 | 7 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $52.00 | $80.00 | $11.53 – $72.00 | 30 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $1,458.59 – $1,460.92 | 2 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $1,458.59 – $1,460.92 | 2 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $1,550.50 – $1,850.50 | 2 |
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.