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 |
|---|---|---|---|---|
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $29.11 – $33.70 | 7 |
| Prealbumin CPT 84134 | $65.65 | $101.00 | $7.51 – $90.90 | 30 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $31.31 – $36.26 | 7 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $115.40 – $133.62 | 7 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $12.83 – $14.86 | 7 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $2.68 | $4.13 | $1.17 – $14.86 | 30 |
| Prednisone 1 mg tablet HCPCS J7512 | $8.45 | $13.00 | $0.10 – $14.86 | 30 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $468.00 – $541.89 | 7 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $660.49 – $1,573.00 | 7 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $660.49 – $1,573.00 | 7 |
| Pregabalin - sendout CPT 80366 | not published | not published | $3.45 – $46.45 | 7 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $1,039.18 – $1,203.26 | 7 |
| Pregnancy associated plasma protein-a CPT 84163 | $67.60 | $104.00 | $7.76 – $93.60 | 30 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | not published | not published | $106.34 – $180.26 | 7 |
| Pregnancy Ultrasound (limited) CPT 76815 | $477.10 | $734.00 | $106.34 – $660.60 | 30 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $91.53 – $105.99 | 7 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $170.53 – $197.45 | 7 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $170.53 – $197.45 | 7 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $220.60 – $625.49 | 7 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $381.24 – $625.49 | 7 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $381.24 – $625.49 | 7 |
| Preparation for bladder xray CPT 51605 | not published | not published | $109.19 – $126.43 | 7 |
| Preparation palate mold CPT 42280 | not published | not published | $509.25 – $1,573.00 | 7 |
| Prepare donor heart CPT 33944 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prepare donor intestine CPT 44715 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prepare donor lung double CPT 32856 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prepare donor lung single CPT 32855 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $33.10 – $38.32 | 7 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $398.76 – $461.73 | 7 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $4,055.35 – $4,695.67 | 7 |
| Prepare penis study CPT 54230 | not published | not published | $1,588.63 – $1,839.46 | 7 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $66.16 – $76.60 | 7 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $891.96 – $1,032.79 | 7 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $3,695.39 – $4,278.87 | 7 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep donor liver/venous CPT 47146 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep donor liver whole CPT 47143 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep donor pancreas CPT 48551 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep donor renal graft CPT 50325 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $248.04 – $287.20 | 7 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $6,503.00 – $7,529.79 | 7 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $603.91 – $699.26 | 7 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep renal graft/venous CPT 50327 | not published | not published | $1,637.44 – $1,895.98 | 7 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $248.04 – $287.20 | 7 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $415.32 – $862.98 | 7 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $745.30 – $862.98 | 7 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $318.47 – $368.75 | 7 |
| Pressure max expiratory/inspiratory CPT 94799 | $194.35 | $299.00 | $80.32 – $255.60 | 30 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $4,007.96 – $4,640.80 | 7 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $1,321.23 – $1,529.85 | 7 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $443.56 – $513.60 | 7 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $768.30 | $1,182.00 | $15.47 – $1,063.80 | 30 |
| Pretreat rbc absorption reference CPT 86978 | $266.50 | $410.00 | $15.47 – $369.00 | 30 |
| Pretreat rbc density gradient separation reference CPT 86972 | $768.30 | $1,182.00 | $18.02 – $1,063.80 | 30 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $266.50 | $410.00 | $12.91 – $369.00 | 30 |
| Pretreat rbc w enzyme reference CPT 86971 | $768.30 | $1,182.00 | $10.37 – $1,063.80 | 30 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $160.67 – $304.33 | 7 |
| Preventive counseling group CPT 99411 | not published | not published | $115.29 – $133.50 | 7 |
| Preventive counseling group CPT 99412 | not published | not published | $115.29 – $133.50 | 7 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $80.60 | $124.00 | $0.01 – $133.50 | 30 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $144.30 | $222.00 | $0.01 – $199.80 | 30 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $115.29 – $133.50 | 7 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $115.29 – $133.50 | 7 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $334.75 | $515.00 | $0.01 – $463.50 | 30 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $1,412.41 – $1,635.43 | 7 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,412.41 – $1,635.43 | 7 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $779.35 | $1,199.00 | $339.08 – $1,079.10 | 30 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $3,938.98 – $4,866.91 | 7 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $30.42 – $35.22 | 7 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $30.42 – $35.22 | 7 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $30.42 – $35.22 | 7 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $30.42 – $35.22 | 7 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $30.42 – $35.22 | 7 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $30.42 – $35.22 | 7 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $2,077.67 – $2,405.72 | 7 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $91.53 – $105.99 | 7 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $91.53 – $105.99 | 7 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $91.53 – $105.99 | 7 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $91.53 – $105.99 | 7 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $91.53 – $105.99 | 7 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $91.53 – $105.99 | 7 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $6,222.34 – $7,204.81 | 7 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $6,222.34 – $7,204.81 | 7 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $92.50 – $103.79 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $779.35 | $1,199.00 | $224.79 – $1,079.10 | 30 |
| Pr incision & drainage abscess simple/single CPT 10060 | $387.40 | $596.00 | $168.55 – $536.40 | 30 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $909.35 | $1,399.00 | $91.36 – $1,259.10 | 30 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $779.35 | $1,199.00 | $224.79 – $1,079.10 | 30 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $577.85 | $889.00 | $0.01 – $800.10 | 30 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $577.85 | $889.00 | $0.01 – $800.10 | 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.