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 |
|---|---|---|---|---|
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,600.41 – $5,556.40 | 7 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $4,798.71 – $5,556.40 | 7 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $83,998.20 | $129,228.00 | $7,818.42 – $116,305.20 | 30 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $52,897.00 | $81,380.00 | $7,818.42 – $73,242.00 | 30 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $5,701.52 – $9,052.91 | 7 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $224.79 – $260.28 | 7 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $335.40 | $516.00 | $84.92 – $464.40 | 30 |
| Pr removal intrauterine device CPT 58301 | $909.35 | $1,399.00 | $91.36 – $1,259.10 | 30 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $779.35 | $1,199.00 | $318.47 – $1,079.10 | 30 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $387.40 | $596.00 | $168.55 – $536.40 | 30 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $387.40 | $596.00 | $168.55 – $536.40 | 30 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $387.40 | $596.00 | $168.55 – $536.40 | 30 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $387.40 | $596.00 | $168.55 – $536.40 | 30 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $540.20 – $625.49 | 7 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,829.23 – $2,265.43 | 7 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $91.53 – $105.99 | 7 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,645.98 – $1,905.87 | 7 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $437.18 – $700.03 | 7 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $4,644.90 | $7,146.00 | $1,012.90 – $6,431.40 | 30 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $84.92 – $98.33 | 7 |
| PSA (Prostate) Test CPT 84153 | $82.55 | $127.00 | $10.87 – $114.30 | 30 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $24.49 – $318.24 | 7 |
| Psychoanalysis CPT 90845 | not published | not published | $158.45 – $183.47 | 7 |
| Psychoeducation 45 min + HCPCS G0177 | not published | not published | $64.74 – $74.97 | 7 |
| Psychophysiological therapy CPT 90875 | not published | not published | $162.57 – $188.24 | 7 |
| Psychophysiological therapy CPT 90876 | not published | not published | $162.57 – $188.24 | 7 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $92.50 – $203.19 | 7 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $313.30 | $482.00 | $126.66 – $433.80 | 30 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $313.30 | $482.00 | $136.31 – $433.80 | 30 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $313.30 | $482.00 | $136.31 – $433.80 | 30 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $220.60 – $318.24 | 7 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $274.84 – $318.24 | 7 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | not published | not published | $175.48 – $203.19 | 7 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $274.84 – $318.24 | 7 |
| Psy evaluation of records CPT 90885 | not published | not published | $55.20 – $63.92 | 7 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $128.90 – $318.24 | 7 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $274.84 – $318.24 | 7 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $274.84 – $318.24 | 7 |
| Psytx complex interactive CPT 90785 | not published | not published | $126.66 – $146.66 | 7 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $126.66 – $146.66 | 7 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $158.45 – $183.47 | 7 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $158.45 – $183.47 | 7 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $41.42 – $47.96 | 7 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $122.85 | $189.00 | $23.82 – $170.10 | 30 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $113.10 | $174.00 | $17.72 – $156.60 | 30 |
| Pt application of modality traction mechanical CPT 97012 | $126.10 | $194.00 | $18.61 – $174.60 | 30 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $52.08 – $60.30 | 7 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $125.15 – $179.64 | 7 |
| Pten gene full sequence CPT 81321 | not published | not published | $230.56 – $266.96 | 7 |
| Pten gene known fam variant CPT 81322 | not published | not published | $22.05 – $129.45 | 7 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $29.79 – $72.67 | 7 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $31.91 – $100.20 | 8 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $891.96 – $1,032.79 | 7 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $156.00 | $240.00 | $41.92 – $216.00 | 30 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $15.57 – $47.96 | 8 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $131.30 | $202.00 | $38.63 – $181.80 | 30 |
| Pt wheelchair management each 15 minutes CPT 97542 | $165.10 | $254.00 | $39.57 – $228.60 | 30 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $7,818.42 – $9,052.91 | 7 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $895.02 – $1,036.34 | 7 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $3,493.47 – $4,045.07 | 7 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $2,293.67 – $2,655.83 | 7 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $401.83 – $1,370.45 | 7 |
| Pulse ox continuous overnight monitoring CPT 94762 | $468.00 | $720.00 | $86.54 – $648.00 | 30 |
| Pulse ox multiple CPT 94761 | $226.20 | $348.00 | $44.71 – $313.20 | 30 |
| Pulse ox single CPT 94760 | $226.20 | $348.00 | $44.71 – $313.20 | 30 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | not published | not published | $267.61 – $309.86 | 7 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $385.33 – $446.17 | 7 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $481.65 | $741.00 | $47.58 – $666.90 | 30 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $779.35 | $1,199.00 | $224.79 – $1,079.10 | 30 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $1,012.90 – $1,172.83 | 7 |
| Puncture spinal lumbar diagnostic CPT 62270 | $3,105.70 | $4,778.00 | $692.52 – $4,300.20 | 30 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $127.14 – $127.14 | 1 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $127.14 – $127.14 | 1 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $753.17 – $872.09 | 7 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $692.52 – $872.09 | 7 |
| Pvb thoracic single inj site CPT 64461 | $3,105.70 | $4,778.00 | $692.52 – $4,300.20 | 30 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $443.56 – $513.60 | 7 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $22,538.00 – $26,096.63 | 7 |
| Pyelotomy complicated CPT 50135 | not published | not published | $7,556.43 – $8,749.55 | 7 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $7,556.43 – $8,749.55 | 7 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $7,556.43 – $8,749.55 | 7 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $2,819.77 – $3,265.00 | 7 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $4,007.96 – $4,640.80 | 7 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $50.86 | $78.24 | $12.83 – $70.42 | 30 |
| Pyruvate CPT 84210 | $65.00 | $100.00 | $6.04 – $90.00 | 30 |
| Pyruvate kinase CPT 84220 | $42.25 | $65.00 | $4.86 – $58.50 | 30 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $121.57 – $140.77 | 7 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $128.90 – $604.11 | 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.