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 moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $455.65 | $701.00 | $198.24 – $630.90 | 30 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,451.90 – $1,681.15 | 7 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | not published | not published | $267.61 – $309.86 | 7 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $263.97 – $305.65 | 7 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $1,536.64 – $1,779.27 | 7 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $1,536.64 – $1,779.27 | 7 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $1,536.64 – $1,779.27 | 7 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $526.50 | $810.00 | $9.37 – $80.48 | 30 |
| Procalcitonin CPT 84145 | $122.20 | $188.00 | $13.80 – $169.20 | 30 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $10.53 | $16.20 | $2.70 – $14.86 | 30 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $12.83 – $14.86 | 7 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,446.03 – $2,832.25 | 7 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,446.03 – $2,832.25 | 7 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,742.39 – $2,835.78 | 2 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,179.08 – $1,222.56 | 2 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,179.08 – $1,222.56 | 2 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $911.71 – $1,372.79 | 7 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,742.39 – $2,835.78 | 2 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,179.08 – $1,372.79 | 7 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,179.08 – $1,372.79 | 7 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,742.39 – $2,835.78 | 2 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,179.08 – $1,372.79 | 7 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $1,185.59 – $1,372.79 | 7 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $5,952.81 – $6,202.39 | 2 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $127.14 – $127.14 | 1 |
| Progesterone CPT 84144 | $93.60 | $144.00 | $10.74 – $129.60 | 30 |
| Prolactin CPT 84146 | $87.10 | $134.00 | $9.98 – $120.60 | 30 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $84.92 – $98.33 | 7 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $84.92 – $98.33 | 7 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $84.92 – $98.33 | 7 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $84.92 – $98.33 | 7 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $84.92 – $98.33 | 7 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $84.92 – $98.33 | 7 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $217.31 – $602.97 | 7 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $84.92 – $98.33 | 7 |
| Prolong service without contact CPT 99358 | not published | not published | $84.92 – $98.33 | 7 |
| Prolong serv without contact add CPT 99359 | not published | not published | $84.92 – $98.33 | 7 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $12.83 – $14.86 | 7 |
| Promethazine hcl injection HCPCS J2550 | $6.06 | $9.33 | $1.78 – $14.86 | 30 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $263.97 – $305.65 | 7 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $535.44 – $619.98 | 7 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Prophylactic tx radius CPT 25490 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,645.98 – $1,905.87 | 7 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $0.74 | $1.14 | $0.12 – $14.86 | 30 |
| _propoxygc/msur CPT 80367 | not published | not published | $5.26 – $46.45 | 7 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $26.87 | $41.34 | $8.14 – $25.92 | 30 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $14.85 – $17.19 | 7 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $77.94 – $90.24 | 7 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $14.85 – $17.19 | 7 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $14.85 – $17.19 | 7 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $14.85 – $17.19 | 7 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $91.22 – $105.62 | 7 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $84.92 – $98.33 | 7 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $4,374.55 – $5,065.27 | 7 |
| Prostate laser enucleation CPT 52649 | not published | not published | $4,374.55 – $5,065.27 | 7 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $1,502.16 – $1,739.34 | 7 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $1,502.16 – $1,739.34 | 7 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | not published | $77.94 – $90.24 | 7 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $48.64 – $56.32 | 7 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $14.85 – $17.19 | 7 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $891.96 – $1,032.79 | 7 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $22.59 – $26.16 | 7 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $7.25 | $11.16 | $1.34 – $14.86 | 30 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $42.21 – $48.87 | 7 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $1,466.95 – $1,698.58 | 7 |
| Protein analysis w/probe CPT 88372 | not published | not published | $60.55 – $70.11 | 7 |
| Protein c activity CPT 85303 | $61.75 | $95.00 | $7.12 – $85.50 | 30 |
| Protein c concentrate HCPCS J2724 | $3.51 | $5.40 | $1.53 – $5,464.97 | 30 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $48.10 | $74.00 | $5.53 – $66.60 | 30 |
| Protein s total CPT 85305 | $52.00 | $80.00 | $5.98 – $72.00 | 30 |
| Protein total 24 hour urine CPT 84156 | $16.25 | $25.00 | $1.89 – $22.50 | 30 |
| Protein total body fluid CPT 84157 | $18.20 | $28.00 | $1.89 – $25.20 | 30 |
| Protein total serum plasma whole blood CPT 84155 | $16.25 | $25.00 | $3.67 – $22.50 | 30 |
| Protein western blot tissue CPT 88371 | not published | not published | $60.55 – $70.11 | 7 |
| Prothrombin complex kcentra HCPCS J7168 | $6.98 | $10.74 | $2.09 – $5,464.97 | 30 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $17.55 | $27.00 | $2.03 – $24.30 | 30 |
| Proton treatment complex CPT 77525 | not published | not published | $1,275.51 – $1,526.29 | 7 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,275.51 – $1,526.29 | 7 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,275.51 – $1,526.29 | 7 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $477.48 – $552.87 | 7 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $4.43 – $18.13 | 7 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $84.92 – $98.33 | 7 |
| Provox xtraflange 17fr HCPCS L8499 | not published | not published | $22.59 – $26.16 | 7 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $2,703.49 – $3,130.36 | 7 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,244.95 – $3,757.31 | 7 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $29.11 – $33.70 | 7 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $84.92 – $98.33 | 7 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $4,199.67 – $4,862.78 | 7 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $4,199.67 – $4,862.78 | 7 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $7,818.42 – $9,052.91 | 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.