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 |
|---|---|---|---|---|
| Optx palatal/max fracture CPT 21422 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx post ankle fx CPT 27769 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx sho dislc fx CPT 23670 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx thigh fx CPT 27269 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $2,742.63 – $3,175.68 | 7 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Oral aprepitant HCPCS J8501 | $413.91 | $636.78 | $69.50 – $573.10 | 30 |
| Oral busulfan HCPCS J8510 | $468.56 | $720.86 | $10.12 – $648.77 | 30 |
| Oral everolimus HCPCS J7527 | $51.32 | $78.96 | $5.68 – $18.07 | 26 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $25.66 | 7 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.64 – $35.60 | 8 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $20.71 – $42.85 | 8 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $267.24 – $726.16 | 8 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,588.63 – $1,839.46 | 7 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,588.63 – $1,839.46 | 7 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $1,990.72 – $2,305.04 | 7 |
| Organic acids total quant ea spec CPT 83918 | $105.95 | $163.00 | $9.84 – $146.70 | 30 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $13,112.70 | $20,173.38 | $42.50 – $18,156.04 | 30 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.46 – $4,433.95 | 8 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,251.39 – $1,448.98 | 7 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $18.25 | $28.08 | $6.11 – $19.44 | 30 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $22.59 – $26.16 | 7 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $191.10 | $294.00 | $83.14 – $541.89 | 30 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $175.50 | $270.00 | $76.36 – $1,305.58 | 30 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $891.96 – $1,032.79 | 7 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $191.10 | $294.00 | $83.14 – $513.60 | 30 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $125.45 | $193.00 | $54.58 – $541.89 | 30 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $419.90 | $646.00 | $121.57 – $581.40 | 30 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $100.10 | $154.00 | $43.55 – $138.60 | 30 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $35.75 | $55.00 | $15.55 – $541.89 | 30 |
| Orthopantogram CPT 70355 | not published | not published | $75.62 – $87.56 | 7 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $48.64 – $56.32 | 7 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $162.57 – $188.24 | 7 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $59.40 – $188.24 | 7 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $42.21 – $48.87 | 7 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $48.64 – $56.32 | 7 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $48.64 – $56.32 | 7 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $48.64 – $56.32 | 7 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $77.94 – $90.24 | 7 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $1,127.55 – $1,305.58 | 7 |
| Orthovisc inj per dose HCPCS J7324 | $559.26 | $860.40 | $111.25 – $774.36 | 30 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $718.90 | $1,106.00 | $43.83 – $140.77 | 30 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $221.65 | $341.00 | $96.43 – $1,986.40 | 30 |
| Oscillation chest wall mechanical per session CPT 94669 | $608.40 | $936.00 | $86.54 – $842.40 | 30 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $48.64 – $56.32 | 7 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $14.85 – $17.19 | 7 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $42.21 – $48.87 | 7 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $42.21 – $48.87 | 7 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $22.59 – $26.16 | 7 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $42.21 – $48.87 | 7 |
| Osmolality blood CPT 83930 | $29.90 | $46.00 | $3.40 – $41.40 | 30 |
| Osmolality urine CPT 83935 | $30.55 | $47.00 | $3.51 – $42.30 | 30 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,337.14 – $2,706.17 | 7 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,244.61 – $5,050.72 | 7 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $1,956.51 – $2,265.43 | 7 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $5,790.63 – $6,704.94 | 7 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $5,447.53 – $6,307.66 | 7 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $22.06 – $47.96 | 7 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $22.06 – $47.96 | 7 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $22.06 – $47.96 | 7 |
| Osteoplasty humerus CPT 24420 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $5,077.01 – $5,878.64 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $5,447.53 – $6,307.66 | 7 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $22.59 – $26.16 | 7 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $42.21 – $48.87 | 7 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $22.59 – $26.16 | 7 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $22.59 – $26.16 | 7 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $22.59 – $26.16 | 7 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $22.59 – $26.16 | 7 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $22.59 – $26.16 | 7 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $22.59 – $26.16 | 7 |
| Other bone graft microvasc CPT 20962 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $11.51 – $35.60 | 7 |
| Oth resp proc, group HCPCS G0239 | not published | not published | $38.16 – $52.94 | 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.