Visits & medical services prices at Lodi Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $102.05 $157 2.9×
Admn Sarscov2 Vacc 1 Dose (90480) $185.90 $286 4.8×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $608.40–$1,885.65 $936–$2,901 varies
Analyze neurostim no prog (95970) $577.85 $889 4.6×
Analyze Neurostim Simple (95971) $411.45 $633 4.6×
Anrct mano rct sensation&rct balo expulsion test (91125) $1,140.10 $1,754 3.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $113.10 $174 7.9×
Application on-body injector (96377) $206.70 $318 4.7×
Assessment of aphasia per hr (96105) $312 $480 3.2×
Audiometry Air & Bone (92553) $406.90 $626 3.3×
Basic vestibular evaluation (92540) $406.90 $626 2.0×
Behavral qualit analys voice (92524) $353.60 $544 3.2×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $173.55 $267 2.1×
Bfb training ea addl 15 min (90913) $173.55 $267 5.3×
Biofeedback training any modality (90901) $207.35 $319 5.0×
Brief Emotional/Behav Assmt (96127) $42.90 $66 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $930.80 $1,432 2.6×
Caloric vestibular test w/rec bi monothermal (92538) $406.90 $626 2.0×
Caloric Vstblr Test W/Rec (92537) $406.90 $626 3.3×
Canalith repositioning proc (95992) $156 $240 3.8×
Cardiac Stress Tst,Tracing Only (93017) $1,164.15 $1,791 5.7×
Cardiopulmonary resuscitation (92950) $1,164.15 $1,791 5.7×
Cardioversion (92960) $2,445.95 $3,763 3.9×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $576.55 $887 22.1×
Cbt 1st hour (94644) $385.45 $593 3.1×
Chemo Hormon Antineopl Sq/Im (96402) $319.15 $491 4.7×
Chemo IV infusion addl hr (96415) $319.15 $491 4.7×
Chemotherapy Into Cns (96450) $1,487.85 $2,289 4.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,487.85 $2,289 4.8×
Chest Wall Manipulation (94668) $385.45 $593 3.1×
Color/duplex Doppler, complete (93975) $903.50 $1,390 4.0×
Color/duplex Doppler, limited (93976) $397.15 $611 4.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $114.40 $176 3.6×
Comprehensive Hearing Test (92557) $406.90 $626 3.3×
Conditioning Play Audiometry (92582) $406.90 $626 3.3×
Continuous Pulse Ox (94762) $468 $720 3.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $608.40 $936 2.9×
Cpt initial (94667) $385.45 $593 3.1×
Critical care first hour (99291) $3,779.10 $5,814 4.8×
Developmental tst admin phys/qhp 1st hour (96112) $702 $1,080 5.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $809.90 $1,246 2.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $903.50 $1,390 4.0×
Dup-scan xtr veins unilateral/limited study (93971) $397.15 $611 4.0×
Echo Heart Xthoracic,Limited (93308) $903.50 $1,390 4.0×
Echo transesophageal (93312) $2,049.45 $3,153 4.0×
Electrical Stimulation Ea 15 Min (97032) $155.35 $239 10.6×
Electrocardiogram Tracing (93005) $222.30 $342 4.0×
Emergency Dept Visit Level 2 (99282) $710.45 $1,093 4.9×
Emergency Dept Visit Level 3 (99283) $1,242.15 $1,911 4.8×
Emergency Dept Visit Level 4 (99284) $1,909.70 $2,938 4.8×
Er level 1 (99281) $395.20 $608 5.0×
Er level v (99285) $2,749.50 $4,230 4.9×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $406.90 $626 3.3×
Evaluate pt use of inhaler (94664) $608.40 $936 2.9×
Evaluate Speech Production (92522) $372.45 $573 3.3×
Evaluate Swallowing Function (92610) $370.50 $570 4.4×
Evaluation of speech fluency (92521) $385.45 $593 2.9×
Evoked Auditory Test,Limited (92587) $809.90 $1,246 4.0×
External ECG rec>48hr<7d recording (93242) $146.90 $226 4.2×
External ECG rec>7d<15d recording (93246) $146.90 $226 4.2×
External Ecg Scanning Analysis Report (93226) $222.30 $342 4.0×
Extracranial Bilat Study (93880) $903.50 $1,390 4.0×
Flexible endoscopic eval swallow c/v rec (92612) $704.60 $1,084 3.5×
Group Therapeutic Procedures (97150) $152.10 $234 8.4×
Holter monitor recording (93225) $481.65 $741 3.8×
Im Adm Intransl/Oral 1 Vaccine (90473) $139.10 $214 2.0×
Immunization administration (90471) $139.10 $214 2.0×
Interrog eval crtd sins bat modulj sys ip w/ (93146) $589.55 $907 4.8×
Interrog eval crtd sins bat modulj sys ip wo (93145) $589.55 $907 4.8×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $411.45 $633 4.6×
Interrog&prgrmg ipnss during polysomnography (93152) $1,344.85 $2,069 4.6×
Interrogation vad in person (93750) $343.20 $528 3.8×
Interrogation without programming ipnss (93153) $411.45 $633 4.6×
Iontophoresis 15 min (97033) $122.85 $189 6.5×
Irrig Drug Delivery Device (96523) $266.50 $410 4.8×
IV infusion hydration each additional hour (96361) $206.70 $318 4.7×
IV infusion hydration initial 31 min-1 hour (96360) $945.10 $1,454 4.7×
IV infusion ther proph addl sequential to 1 hr (96367) $319.15 $491 4.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $206.70 $318 4.7×
IV push initial (96374) $945.10 $1,454 4.7×
Laryngeal Function Studies (92520) $335.40 $516 2.7×
Low frequency non-thermal us (97610) $594.10 $914 3.1×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $6,505.20 $10,008 4.8×
Mechanical chest wall oscillation per session (94669) $608.40 $936 2.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $117 $180 3.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $137.80 $212 3.8×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $65 $100 3.8×
Methacholine challenge (94070) $930.80 $1,432 2.6×
Motion Fluoroscopy/Swallow (92611) $538.85 $829 5.9×
Multiple Sleep Latency Test (95805) $2,379.65 $3,661 2.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,194.70 $1,838 3.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $594.10 $914 3.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,194.70 $1,838 3.1×
Neuromuscular Reeducation (97112) $169.65 $261 5.2×
Newborn resuscitation (99465) $2,934.75 $4,515 4.7×
Nitric oxide expired gas determination (95012) $76.70 $118 2.2×
Nonphysician Telephone Assessment 11-20 Min (98967) $135.20 $208 5.4×
Nonphysician Telephone Assessment 21-30 Min (98968) $203.45 $313 5.9×
Nonphysician Telephone Assessment 5-10 Min (98966) $66.30 $102 4.8×
Ophth Medical Xm&Eval Compre New Pt 1/> Vst (92004) $385.45 $593 3.1×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $385.45 $593 3.1×
Ophth medical xm&eval intermediate estab pt (92012) $385.45 $593 3.1×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $385.45 $593 3.1×
Optokinetic Nystagmus Test (92544) $468 $720 3.8×
Oral Function Therapy (92526) $431.60 $664 5.1×
Oral Speech Device Eval (92597) $413.40 $636 5.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $208 $320 4.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $191.75 $295 4.2×
Oscillating Tracking Test (92545) $930.80 $1,432 4.6×
Ot Contrast Bath Ea 15 Min (97034) $81.90 $126 5.8×
Ot eval high complexity (97167) $438.10 $674 4.4×
Ot Eval Low Complex (97165) $438.10 $674 4.4×
Ot Eval Moderate Complexity (97166) $438.10 $674 4.4×
Ot manual therapy 15 min (97140) $156.65 $241 5.7×
Ot paraffin bath (97018) $107.90 $166 18.0×
Ot Prosthetic Training, Each 15 Min (97761) $175.50 $270 4.3×
Ot Re-Eval Est Plan Care (97168) $248.95 $383 3.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $608.40 $936 2.9×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) $83,998.20 $129,228 4.8×
Physical Performance Test (97750) $176.80 $272 5.2×
Plethysmography (94726) $930.80 $1,432 2.6×
Pm/Icd Remote Tech Serv (93296) $139.10 $214 3.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,563 $7,020 5.6×
Positional nystagmus test (92542) $335.40 $516 2.7×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $80.60 $124 1.8×
Prq trl rvs ch occ ant&rtrgr (92945) $52,897 $81,380 4.8×
Psychiatric diagnostic evaluation (90791) $313.30 $482 1.9×
Psytx Crisis Initial 60 Min (90839) $313.30 $482 1.9×
Pt Eval High Complex (97163) $393.25 $605 4.0×
Pt eval low complex 20 min (97161) $393.25 $605 4.0×
Pt Eval Mod Complex (97162) $393.25 $605 4.0×
Pt gait training 15 min (97116) $148.20 $228 5.1×
Pt group caregiver training (97552) $576.55 $887 26.2×
Pt mechanical traction (97012) $126.10 $194 8.8×
Pt Re-Eval Est Plan Care (97164) $248.95 $383 3.7×
Pulm function test by gas (94727) $468 $720 2.3×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines		 $184.60–$194.35 $284–$299 varies
Pulmonary Stress Testing (94618) $385.45 $593 3.1×
Pure Tone Audiometry Air (92552) $335.40 $516 2.7×
Rectal sensation tone&compliance study (91124) $989.30 $1,522 4.8×
Rem interrog icpms <30 d phys/qhp (93297) $139.10 $214 3.9×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $139.10 $214 3.9×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $167.05 $257 4.7×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $577.85 $889 4.6×
Rem Mntr Physiol Param Dev Sply W/Rec 2-15 Days (99445) $170.95 $263 4.8×
Remote 30 Day Ecg Rev/Report (93270) $139.10 $214 3.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $222.30 $342 4.0×
Rtm dev sply data cbt 2-15 days in 30 d pd (98986) $170.95 $263 4.8×
Rtm dev sply data muscskel sys 2-15 d in 30d pd (98985) $170.95 $263 4.8×
Rtm dev sply data respir sys 2-15 days in 30d pd (98984) $170.95 $263 4.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $923 $1,420 7.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $111.80 $172 2.3×
Self Care Mngment Training (97535) $178.10 $274 5.5×
Sensory Integration Ea 15 Min (97533) $122.20 $188 2.0×
Slp caregiver training 1st 30 min (97550) $576.55 $887 10.9×
Speech Audiometry Complete (92556) $154.70 $238 2.8×
Speech audiometry threshold (92555) $154.70 $238 2.8×
Speech sound lang comprehen (92523) $651.30 $1,002 2.9×
Spirometry (94010) $468 $720 2.3×
Spontaneous Nystagmus Test (92541) $335.40 $516 2.7×
Standardized Cognitive Performance Testing (96125) $430.30 $662 4.2×
Temp transcutaneous pacing (92953) $2,445.95 $3,763 3.9×
Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) $411.45 $633 4.6×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $133.25 $205 6.0×
Ther Ivntj Ea Addl 15 Min (97130) $133.25 $205 6.3×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $211.90 $326 5.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $131.30 $202 4.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $408.85 $629 4.0×
Ther/Proph/Diag Inj Sc/Im (96372) $319.15 $491 4.7×
Ther/Proph/Diag Iv Inf Init (96365) $945.10 $1,454 4.7×
Therapeutic Activities (97530) $178.10 $274 5.1×
Trans Care Mgmt 14 Day Disch (99495) $577.85 $889 4.6×
Trans Care Mgmt 7 Day Disch (99496) $577.85 $889 4.6×
Tte w/doppler, complete (93306) $2,049.45 $3,153 4.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $307.45 $473 4.0×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $183.95 $283 7.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $206.70 $318 4.7×
Tympanometry (92567) $102.05 $157 2.9×
Tympanometry and reflex threshold measurements (92550) $406.90 $626 2.0×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines		 $22.10–$187.85 $34–$289 varies
Upr/L Xtremity Art 2 Levels (93922) $481.65 $741 3.8×
Vasopneumatic device (97016) $131.95 $203 11.0×
Vent Mgmt Inpat Init Day (94002) $1,976.65 $3,041 3.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,976.65 $3,041 3.4×
Vital capacity, total (94150) $468 $720 3.8×
Wheelchair Mgmt Ea 15 Min (97542) $165.10 $254 5.3×
Whirlpool Therapy (97022) $116.35 $179 7.4×

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.