Home › Hospitals › Lodi Hospital Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.
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Procedure Posted cash Posted gross × Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $3,992.95
$6,143
4.8×
CT head/brain without contrast (70450) $477.10
$734
4.8×
MRI brain without contrast (70551) $1,084.20
$1,668
4.8×
MRI brain without and with contrast (70553) $1,601.60
$2,464
4.9×
X-ray lower spine, 4+ views (72110) $477.10
$734
4.8×
MRI lumbar spine without contrast (72148) $1,084.20
$1,668
4.8×
CT pelvis with contrast (72193) $798.20
$1,228
4.8×
MRI lower-extremity joint without contrast (73721) $1,084.20
$1,668
4.8×
CT abdomen and pelvis with contrast (74177) $1,601.60
$2,464
4.9×
Ultrasound, abdomen complete (76700) $477.10
$734
4.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $477.10
$734
4.8×
Ultrasound, transvaginal (76830) $477.10
$734
4.8×
Mammography, one breast (diagnostic) (77065) $365.95
$563
4.2×
Mammography, both breasts (diagnostic) (77066) $458.90
$706
4.2×
Mammography, screening (bilateral) (77067) $395.85
$609
4.3×
Basic metabolic panel (80048) $37.70
$58
4.5×
Comprehensive metabolic panel (80053) $47.45
$73
4.5×
Obstetric panel (80055) $214.50
$330
4.5×
Lipid panel (80061) $59.80
$92
4.5×
Renal function panel (80069) $39
$60
4.5×
Hepatic function panel (80076) $36.40
$56
4.5×
Urinalysis, non-automated, without microscopy (81002) $15.60
$24
4.5×
PSA, total (84153) $82.55
$127
4.5×
Thyroid stimulating hormone (TSH) (84443) $75.40
$116
4.5×
CBC with automated differential (85025) $35.10
$54
4.5×
CBC, automated (85027) $29.25
$45
4.5×
Prothrombin time (PT) (85610) $19.50
$30
4.5×
Partial thromboplastin time (PTT) (85730) $26.65
$41
4.4×
Psychotherapy, 30 minutes (90832) $313.30
$482
1.9×
Psychotherapy, 45 minutes (90834) $313.30
$482
1.9×
Psychotherapy, 60 minutes (90837) $313.30
$482
1.9×
Sleep study (attended polysomnography) (95810) $4,563
$7,020
5.6×
Physical therapy, therapeutic exercise (per 15 min) (97110) $167.70
$258
5.8×
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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