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 |
|---|---|---|---|---|
| Penicillin g procaine inj HCPCS J2510 | $112.32 | $172.80 | $40.94 – $155.52 | 30 |
| Penile injection CPT 54235 | $727.35 | $1,119.00 | $66.16 – $1,007.10 | 30 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | not published | not published | $267.61 – $309.86 | 7 |
| Penile vascular study CPT 93980 | not published | not published | $106.34 – $231.73 | 7 |
| Penile vascular study CPT 93981 | not published | not published | $106.34 – $150.67 | 7 |
| Penile venous occlusion CPT 37790 | not published | not published | $1,588.63 – $1,839.46 | 7 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,588.63 – $1,839.46 | 7 |
| Penis study CPT 54240 | not published | not published | $66.16 – $76.60 | 7 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $390.53 | $600.81 | $69.50 – $303.75 | 30 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $188.90 – $218.72 | 7 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $724.56 – $838.96 | 7 |
| Pentazocine injection HCPCS J3070 | not published | not published | $12.83 – $14.86 | 7 |
| Pentobarbital sodium inj HCPCS J2515 | $141.57 | $217.80 | $36.26 – $218.72 | 30 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $9,530.25 | $14,661.92 | $2,537.09 – $13,195.73 | 30 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $7,556.43 – $8,749.55 | 7 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Percut ablate liver rf CPT 47382 | not published | not published | $4,623.95 – $5,354.05 | 7 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $4,623.95 – $5,354.05 | 7 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $438.75 | $675.00 | $33.28 – $607.50 | 30 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $1,012.90 – $1,172.83 | 7 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $1,012.90 – $1,172.83 | 7 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,829.28 – $4,748.21 | 7 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $1,956.89 – $2,265.87 | 7 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $59.40 – $167.39 | 7 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $30.42 – $35.22 | 7 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $30.42 – $35.22 | 7 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $2,703.49 – $3,130.36 | 7 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $189.93 – $219.92 | 7 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $401.83 – $480.13 | 7 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $14.85 – $17.19 | 7 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $14.85 – $17.19 | 7 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $891.96 – $1,032.79 | 7 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $12.83 – $14.86 | 7 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $12.83 – $14.86 | 7 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $10,243.35 – $11,860.72 | 7 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $19,032.80 – $22,037.98 | 7 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $703.59 – $1,591.11 | 7 |
| Perq dev breast 1st strtctc CPT 19283 | $1,372.15 | $2,111.00 | $596.99 – $1,899.90 | 30 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $7,556.43 – $8,749.55 | 7 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $7,556.43 – $8,749.55 | 7 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $1,816.08 – $2,102.83 | 7 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $1,816.08 – $2,102.83 | 7 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $4,623.95 – $5,354.05 | 7 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $243.21 – $461.73 | 7 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,244.61 – $5,556.40 | 7 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,244.61 – $5,556.40 | 7 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $1,012.90 – $1,172.83 | 7 |
| Perq transcath closure each CPT 93592 | not published | not published | $19,032.80 – $22,037.98 | 7 |
| Perq transcath closure pda CPT 93582 | not published | not published | $17,956.72 – $22,037.98 | 7 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $17,956.72 – $22,037.98 | 7 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $17,956.72 – $22,037.98 | 7 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $19,032.80 – $22,037.98 | 7 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,244.61 – $5,556.40 | 7 |
| Perq tx malar fracture CPT 21355 | not published | not published | $2,742.63 – $3,175.68 | 7 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $2,742.63 – $3,175.68 | 7 |
| Pertussis ag if CPT 87265 | $53.95 | $83.00 | $6.17 – $74.70 | 30 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $1,519.99 | $2,338.44 | $16.12 – $7,529.41 | 30 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $2,894.63 | $4,453.28 | $60.96 – $7,529.41 | 30 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $42.21 – $48.87 | 7 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $14.85 – $17.19 | 7 |
| Pet CT skull-mid thgh initial CPT 78815 | $6,541.60 | $10,064.00 | $1,458.59 – $9,057.60 | 26 |
| Pet CT whole body initial CPT 78816 | not published | not published | $1,458.59 – $1,460.92 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,458.59 – $1,460.92 | 2 |
| Pet image full body CPT 78813 | not published | not published | $1,458.59 – $1,460.92 | 2 |
| Pet image ltd area CPT 78811 | not published | not published | $1,305.48 – $1,322.69 | 2 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,458.59 – $1,460.92 | 2 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,458.59 – $1,460.92 | 2 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $401.83 – $408.43 | 2 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | not published | not published | $267.61 – $309.86 | 7 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $135.20 | $208.00 | $28.26 – $187.20 | 30 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $203.45 | $313.00 | $29.11 – $281.70 | 30 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $66.30 | $102.00 | $14.49 – $105.99 | 30 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $2,337.14 – $2,706.17 | 7 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $14.10 – $16.32 | 7 |
| Ph body fluid CPT 83986 | $16.25 | $25.00 | $1.85 – $22.50 | 30 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $7.51 – $25.00 | 7 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $107.64 | $165.60 | $17.82 – $80.48 | 30 |
| Phenobarbital therapeutic drug level CPT 80184 | $68.90 | $106.00 | $6.38 – $95.40 | 30 |
| Phentolaine mesylate inj HCPCS J2760 | $1,146.52 | $1,763.88 | $267.24 – $1,587.47 | 30 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $9.48 | $14.58 | $0.86 – $14.86 | 30 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $96.59 – $218.72 | 7 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $1.62 | $2.49 | $0.33 – $14.86 | 30 |
| Phenytoin total therapeutic drug level CPT 80185 | $59.15 | $91.00 | $6.82 – $81.90 | 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.