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 |
|---|---|---|---|---|
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $3,727.74 – $4,316.33 | 7 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $3,493.47 – $4,045.07 | 7 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $3,727.74 – $4,316.33 | 7 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $3,493.47 – $4,045.07 | 7 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $3,727.74 – $4,316.33 | 7 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $3,727.74 – $4,316.33 | 7 |
| Recipient nephrectomy CPT 50340 | not published | not published | $7,556.43 – $8,749.55 | 7 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $540.20 – $625.49 | 7 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $2,742.63 – $3,175.68 | 7 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $2,742.63 – $3,175.68 | 7 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $10,497.43 – $12,154.92 | 7 |
| Reconstruct bronchus CPT 31775 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $5,447.53 – $6,307.66 | 7 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $4,413.91 – $5,110.84 | 7 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $3,243.07 – $5,110.84 | 7 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $4,413.91 – $5,110.84 | 7 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $4,413.91 – $5,110.84 | 7 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $4,413.91 – $5,110.84 | 7 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $4,413.91 – $5,110.84 | 7 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $3,172.57 – $3,673.51 | 7 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $10,497.43 – $12,154.92 | 7 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $10,497.43 – $12,154.92 | 7 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Reconstruct extra finger CPT 26587 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Reconstruct finger joint CPT 26545 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Reconstruct finger joint CPT 26548 | not published | not published | $2,547.58 – $2,949.83 | 7 |
| Reconstruct head of radius CPT 24365 | not published | not published | $10,497.43 – $12,154.92 | 7 |
| Reconstruct head of radius CPT 24366 | not published | not published | $10,497.43 – $12,154.92 | 7 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $10,497.43 – $12,154.92 | 7 |
| Reconstruction knee CPT 27427 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Reconstruction knee CPT 27428 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Reconstruction knee CPT 27429 | not published | not published | $7,105.37 – $8,227.27 | 7 |
| Reconstruction of anus CPT 46753 | not published | not published | $2,446.03 – $2,832.25 | 7 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,816.08 – $2,102.83 | 7 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $2,038.49 – $2,360.36 | 7 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $2,038.49 – $2,360.36 | 7 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $2,038.49 – $2,360.36 | 7 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $2,038.49 – $2,360.36 | 7 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $4,085.58 – $4,730.67 | 7 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $4,085.58 – $4,730.67 | 7 |
| Reconstruction of jaw CPT 21245 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruction of jaw CPT 21246 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruction of jaw CPT 21248 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruction of jaw CPT 21249 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $10,497.43 – $12,154.92 | 7 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruction of midface CPT 21188 | not published | not published | $2,742.63 – $3,175.68 | 7 |
| Reconstruction of mouth CPT 40840 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Reconstruction of mouth CPT 40842 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Reconstruction of mouth CPT 40843 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $1,412.41 – $1,635.43 | 7 |
| Reconstruction of nose CPT 30410 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruction of nose CPT 30420 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruction of orbit CPT 21256 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruction of throat CPT 42950 | not published | not published | $3,610.16 – $4,180.19 | 7 |
| Reconstruction of urethra CPT 53410 | not published | not published | $4,841.26 – $5,605.67 | 7 |
| Reconstruction of urethra CPT 53415 | not published | not published | $4,841.26 – $5,605.67 | 7 |
| Reconstruction of urethra CPT 53430 | not published | not published | $4,841.26 – $5,605.67 | 7 |
| Reconstruction of urethra CPT 54308 | not published | not published | $3,745.38 – $4,336.76 | 7 |
| Reconstruction of urethra CPT 54312 | not published | not published | $3,448.97 – $4,336.76 | 7 |
| Reconstruction of urethra CPT 54316 | not published | not published | $3,745.38 – $4,336.76 | 7 |
| Reconstruction of urethra CPT 54318 | not published | not published | $3,448.97 – $4,336.76 | 7 |
| Reconstruction of urethra CPT 54322 | not published | not published | $3,448.97 – $4,336.76 | 7 |
| Reconstruction of urethra CPT 54324 | not published | not published | $3,448.97 – $4,336.76 | 7 |
| Reconstruction of urethra CPT 54326 | not published | not published | $3,448.97 – $4,336.76 | 7 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $3,243.07 – $4,180.19 | 7 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $4,523.17 – $5,237.35 | 7 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $3,610.16 – $4,180.19 | 7 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $2,075.47 – $2,403.17 | 7 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $6,030.23 – $6,982.37 | 7 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $10,497.43 – $12,154.92 | 7 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $10,497.43 – $12,154.92 | 7 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $5,543.80 – $6,419.14 | 7 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $5,915.66 – $6,982.37 | 7 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $4,841.26 – $5,605.67 | 7 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $4,841.26 – $5,605.67 | 7 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $4,841.26 – $5,605.67 | 7 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $3,493.47 – $4,045.07 | 7 |
| Reconstruct windpipe CPT 31781 | not published | not published | $4,227.90 – $4,895.46 | 7 |
| Rectal sensation test CPT 91120 | not published | not published | $311.40 – $604.11 | 7 |
| Red blood cells each unit HCPCS P9021 | $647.40 | $996.00 | $144.32 – $896.40 | 30 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | not published | not published | $278.45 – $322.41 | 7 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $999.70 | $1,538.00 | $222.86 – $1,384.20 | 30 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $816.40 | $1,256.00 | $182.00 – $1,130.40 | 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.