Supplies, drugs & other prices at Lodi Hospital

Lodi, OH · every code in this section with a posted price and a Medicare benchmark.

44 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2019-ncov diagnostic p (U0001) $161.20 $248 4.5×
2d tte w or w/o fol w/con,fu (C8924) $1,334.45 $2,053 4.0×
Adm tocilizu covid-19 1st (M0249) $1,171.30 $1,802 2.8×
Adm tocilizu covid-19 2nd (M0250) $1,171.30 $1,802 2.8×
Admin influenza virus vac (G0008) $120.25 $185 2.7×
Annual alcohol screen 15 min (G0442) $133.90 $206 3.8×
Behavior counsel obesity 15m (G0447) $414.70 $638 4.3×
Brief alcohol misuse counsel (G0443) $414.70 $638 4.3×
Ca screen;pelvic/breast exam (G0101) $240.50 $370 2.5×
Catheterize for urine spec (P9612) $40.95 $63 4.4×
Covid-19 lab test non-cdc (U0002) $230.10 $354 4.5×
Depression screen annual (G0444) $77.35 $119 2.2×
Devlopment test interpt&rep (G0451) $276.25 $425 2.9×
Direct refer hospital observ (G0379) $1,593.80 $2,452 2.8×
Drug test def 1-7 classes (G0480)
range across 58 matching MRF lines
$50.70–$482.30 $78–$742 varies
Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) $238.55 $367 2.7×
Elec alys impl s-sclp cont bi EEG sys prgrmg 1st (1005T) $252.85 $389 2.8×
Elec alys impl s-sclp cont bi EEG sys w/o prgrmg (1004T) $353.60 $544 2.8×
Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) $238.55 $367 2.7×
Elec stim unattend for press (G0281) $95.55 $147 8.2×
Hep c screen high risk/other (G0472) $152.10 $234 3.3×
High inten beh couns std 30m (G0445) $414.70 $638 4.3×
Hopd mntl hlt, grp (C7903) $57.85 $89 1.6×
Hospital outpt clinic visit (G0463) $334.75 $515 2.7×
Initial preventive exam (G0402) $334.75 $515 2.7×
Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) $33,745.40 $51,916 3.2×
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) $32,422.65 $49,881 3.1×
Instlj fecal microbiota ssp (0780T) $335.40 $516 2.7×
Intens behave ther cardio dx (G0446) $133.90 $206 3.8×
Low intensity eswt corpus cavernosum low energy (0864T) $632.45 $973 2.7×
N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) $633.75 $975 2.8×
Obtaining screen pap smear (Q0091) $63.70 $98 2.3×
Opto-acoustic img breast uni augmnt alys&reprt (0857T) $276.25 $425 2.8×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $96.85 $149 2.7×
Quan MRI alys brain with diagnostic MRI (0866T) $628.55 $967 2.8×
Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) $353.60 $544 2.8×
Rem multi day cplx uroflowmetry dev sply w/reprt (0812T) $406.90 $626 3.3×
Rem multi day cplx uroflowmetry setup&pt educaj (0811T) $334.75 $515 2.7×
Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) $8,941.40 $13,756 2.7×
Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) $8,941.40 $13,756 2.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $14,782.30 $22,742 0.8×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $8,183.50 $12,590 2.7×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $14,782.30 $22,742 0.8×
Tte w or wo fol wcon,doppler (C8929) $2,952.95 $4,543 4.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.