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 |
|---|---|---|---|---|
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $538.27 – $1,370.45 | 7 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $401.83 – $1,370.45 | 7 |
| Quest t3 uptake CPT 84479 | $29.25 | $45.00 | $3.33 – $40.50 | 30 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $443.56 – $513.60 | 7 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.26 – $619.69 | 7 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $1,059.01 | $1,629.24 | $352.44 – $4,433.95 | 30 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $240.13 – $4,433.95 | 8 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,624.21 | $2,498.79 | $279.94 – $4,433.95 | 30 |
| Rabies vaccine id CPT 90676 | not published | not published | $22.44 – $25.98 | 7 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | not published | not published | $69.50 – $80.48 | 7 |
| Radial keratotomy CPT 65771 | not published | not published | $423.99 – $490.94 | 7 |
| Radiation handling CPT 77790 | not published | not published | $140.78 – $163.01 | 7 |
| Radiation physics consult CPT 77336 | not published | not published | $132.77 – $163.01 | 7 |
| Radiation therapy dose plan CPT 77300 | $544.70 | $838.00 | $132.77 – $754.20 | 30 |
| Radiation therapy management CPT 77431 | not published | not published | $226.28 – $262.01 | 7 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $132.77 – $163.01 | 7 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $132.77 – $163.01 | 7 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $366.07 – $754.03 | 7 |
| Radiation treatment delivery CPT 77401 | not published | not published | $109.50 – $210.52 | 7 |
| Radiation treatment delivery CPT 77402 | not published | not published | $104.24 – $210.52 | 7 |
| Radiation treatment delivery CPT 77412 | not published | not published | $181.81 – $210.52 | 7 |
| Radiation tx management x5 CPT 77427 | not published | not published | $226.28 – $262.01 | 7 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $7,325.18 – $8,481.79 | 7 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Radical resection of elbow CPT 24149 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,862.05 – $5,050.72 | 7 |
| Radiesse injection HCPCS Q2026 | not published | not published | $69.50 – $80.48 | 7 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $5,313.70 – $6,152.71 | 7 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $1,715.53 – $1,986.40 | 7 |
| Radiology port images(s) CPT 77417 | not published | not published | $75.62 – $87.56 | 7 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,027.45 – $1,189.68 | 7 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $165.25 – $10,002.95 | 7 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $554.73 – $1,370.45 | 7 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $554.73 – $1,370.45 | 7 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,183.57 – $1,370.45 | 7 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | not published | not published | $554.73 – $1,370.45 | 7 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $401.83 – $1,370.45 | 7 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $414.66 – $480.13 | 7 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $4,361.98 – $5,050.72 | 7 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,862.05 – $5,050.72 | 7 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,862.05 – $5,050.72 | 7 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,862.05 – $5,050.72 | 7 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,862.05 – $6,307.66 | 7 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,799.58 – $2,083.72 | 7 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $2,293.67 – $2,655.83 | 7 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $468.26 | $720.40 | $71.07 – $7,412.01 | 30 |
| Range of motion measurements CPT 95852 | not published | not published | $6.76 – $51.77 | 8 |
| Ranibizumab injection HCPCS J2778 | $91,260.00 | $140,400.00 | $65.44 – $75,816.00 | 30 |
| Rapid desensitization CPT 95180 | not published | not published | $399.04 – $456.40 | 2 |
| Rapid Strep Test CPT 87880 | $74.10 | $114.00 | $16.53 – $102.60 | 30 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $13,081.32 | $20,125.11 | $371.29 – $5,464.97 | 30 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $6,963.19 | $10,712.60 | $220.75 – $27,881.30 | 30 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $172.47 – $199.71 | 7 |
| Rbc count only automated CPT 85041 | $13.65 | $21.00 | $1.55 – $18.90 | 30 |
| Rbc deglycerolized each unit HCPCS P9039 | $2,932.15 | $4,511.00 | $278.45 – $4,059.90 | 30 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $437.18 – $700.03 | 7 |
| Rbc irradiated each unit HCPCS P9038 | not published | not published | $145.22 – $322.41 | 7 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $4.43 – $13.09 | 7 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $278.45 – $322.41 | 7 |
| Rbc osmotic fragility CPT 85555 | $33.80 | $52.00 | $3.44 – $46.80 | 30 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $13.96 – $98.92 | 7 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $12.29 – $14.23 | 7 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $12.29 – $14.23 | 7 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $12.29 – $14.23 | 7 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $12.29 – $14.23 | 7 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $12.29 – $14.23 | 7 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $12.29 – $14.23 | 7 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,243.07 – $6,982.37 | 7 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Realignment of knee CPT 27457 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Realignment of knee CPT 27455 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Realignment of tendons CPT 26437 | not published | not published | $1,555.89 – $1,801.56 | 7 |
| Realignment of thigh bone CPT 27454 | not published | not published | $4,085.58 – $4,730.67 | 7 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $4,523.17 – $5,237.35 | 7 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $4,523.17 – $5,237.35 | 7 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $4,523.17 – $5,237.35 | 7 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $4,523.17 – $5,237.35 | 7 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $3,610.16 – $4,180.19 | 7 |
| Rechanneling of artery CPT 35361 | not published | not published | $3,493.47 – $4,045.07 | 7 |
| Rechanneling of artery CPT 35306 | not published | not published | $3,727.74 – $4,316.33 | 7 |
| Rechanneling of artery CPT 35311 | not published | not published | $3,493.47 – $4,045.07 | 7 |
| Rechanneling of artery CPT 35363 | not published | not published | $3,493.47 – $4,045.07 | 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.