SelfPayRates
Hospital Cleveland, OH

Lodi Community Hospital

Lodi Community Hospital in Lodi, OH publishes cash prices for 38 common procedures listed here, from its own machine-readable price file updated Jun 15, 2026. Click a procedure to compare it with other hospitals nearby.

225 Elyria Street, Lodi, OH 44254 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $1,601.60 $2,464.00 35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $1,601.60 $2,464.00 35%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL $477.10 $734.00 35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL $477.10 $734.00 35%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST MATERIAL $798.20 $1,228.00 35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST MATERIAL $798.20 $1,228.00 35%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $458.90 $706.00 35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $458.90 $706.00 35%
Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $365.95 $563.00 35%
Diagnostic mammogram, one breast inpatient CPT 77065 DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $365.95 $563.00 35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $1,084.20 $1,668.00 35%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $1,084.20 $1,668.00 35%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL $1,601.60 $2,464.00 35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL $1,601.60 $2,464.00 35%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL $1,084.20 $1,668.00 35%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL $1,084.20 $1,668.00 35%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $1,601.60 $2,464.00 35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $1,601.60 $2,464.00 35%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $1,084.20 $1,668.00 35%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $1,084.20 $1,668.00 35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $477.10 $734.00 35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $477.10 $734.00 35%
Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $395.85 $609.00 35%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $395.85 $609.00 35%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $4,563.00 $7,020.00 35%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $4,563.00 $7,020.00 35%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $477.10 $734.00 35%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $477.10 $734.00 35%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $477.10 $734.00 35%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $477.10 $734.00 35%
X-ray of the lower back, 4 or more views CPT 72110 RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $477.10 $734.00 35%
X-ray of the lower back, 4 or more views inpatient CPT 72110 RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $477.10 $734.00 35%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $37.70 $58.00 35%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $37.70 $58.00 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 *LIPID PANEL $59.80 $92.00 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID-LIPO PANEL 1 $59.80 $92.00 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 %NMRLIP CHOLESTEROL $59.80 $92.00 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID $59.80 $92.00 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID-LIPO PANEL 1 (POINT OF CARE LAB) $59.80 $92.00 35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID-LIPO PANEL 1 $59.80 $92.00 35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID-LIPO PANEL 1 (POINT OF CARE LAB) $59.80 $92.00 35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID $59.80 $92.00 35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 *LIPID PANEL $59.80 $92.00 35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 %NMRLIP CHOLESTEROL $59.80 $92.00 35%
Complete blood count (CBC) with differential CPT 85025 CBC AUTO W AUTO DIFF $35.10 $54.00 35%
Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF $35.10 $54.00 35%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFF $35.10 $54.00 35%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AUTO W AUTO DIFF $35.10 $54.00 35%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO WO DIFF $29.25 $45.00 35%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO WO DIFF $29.25 $45.00 35%
Comprehensive metabolic panel (blood test) CPT 80053 COMPRE META PANL $47.45 $73.00 35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPRE META PANL $47.45 $73.00 35%
Kidney function blood test panel CPT 80069 RENAL FUNC PANL $39.00 $60.00 35%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNC PANL $39.00 $60.00 35%
Liver function blood test panel CPT 80076 HEP FUNC PANL $36.40 $56.00 35%
Liver function blood test panel inpatient CPT 80076 HEP FUNC PANL $36.40 $56.00 35%
Obstetric blood test panel CPT 80055 OB PANEL $214.50 $330.00 35%
Obstetric blood test panel inpatient CPT 80055 OB PANEL $214.50 $330.00 35%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE $82.55 $127.00 35%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE $82.55 $127.00 35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING $82.55 $127.00 35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREEN $82.55 $127.00 35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC $82.55 $127.00 35%
PSA (prostate-specific antigen) blood test, total CPT 84153 %PHI PROST SPEC AG TOT $82.55 $127.00 35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (SEND OUT) $82.55 $127.00 35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 %PHI PROST SPEC AG TOT $82.55 $127.00 35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREEN $82.55 $127.00 35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING $82.55 $127.00 35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC $82.55 $127.00 35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (SEND OUT) $82.55 $127.00 35%
Partial thromboplastin time (PTT) clotting test CPT 85730 *PTT PLASMA/WHOLE BLOOD $26.65 $41.00 35%
Partial thromboplastin time (PTT) clotting test CPT 85730 MANUAL HEME - PTT PLASMA/WHOLE BLOOD $26.65 $41.00 35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 *PTT PLASMA/WHOLE BLOOD $26.65 $41.00 35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 MANUAL HEME - PTT PLASMA/WHOLE BLOOD $26.65 $41.00 35%
Prothrombin time (PT/INR) clotting test CPT 85610 *PRO TIME $19.50 $30.00 35%
Prothrombin time (PT/INR) clotting test CPT 85610 PRO TIME (POINT OF CARE LAB) $19.50 $30.00 35%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME AND INR (POINT OF CARE LAB) $19.50 $30.00 35%
Prothrombin time (PT/INR) clotting test CPT 85610 CLOTTING TEST $19.50 $30.00 35%
Prothrombin time (PT/INR) clotting test CPT 85610 CLOTTING TEST (POINT OF CARE LAB) $19.50 $30.00 35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PRO TIME (POINT OF CARE LAB) $19.50 $30.00 35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 *PRO TIME $19.50 $30.00 35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME AND INR (POINT OF CARE LAB) $19.50 $30.00 35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CLOTTING TEST (POINT OF CARE LAB) $19.50 $30.00 35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CLOTTING TEST $19.50 $30.00 35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) $75.40 $116.00 35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 %NEO TSH $75.40 $116.00 35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $75.40 $116.00 35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH) $75.40 $116.00 35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 %NEO TSH $75.40 $116.00 35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH $75.40 $116.00 35%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICRO (POINT OF CARE LAB) $14.30 $22.00 35%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W SCPE $14.30 $22.00 35%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICRO (POINT OF CARE LAB) $14.30 $22.00 35%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W SCPE $14.30 $22.00 35%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS (POINT OF CARE LAB) $10.40 $16.00 35%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO SCPE (POINT OF CARE LAB) $10.40 $16.00 35%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO SCPE $10.40 $16.00 35%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS ONLY $10.40 $16.00 35%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS ONLY $10.40 $16.00 35%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS (POINT OF CARE LAB) $10.40 $16.00 35%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO SCPE $10.40 $16.00 35%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO SCPE (POINT OF CARE LAB) $10.40 $16.00 35%
Urinalysis without microscope exam, manual CPT 81002 N-AUTOM URINALYS WO MICRO (POINT OF CARE LAB) $15.60 $24.00 35%
Urinalysis without microscope exam, manual CPT 81002 UA NON-AUTO W/O MICRO (POINT OF CARE LAB) $15.60 $24.00 35%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NON-AUTO W/O MICRO (POINT OF CARE LAB) $15.60 $24.00 35%
Urinalysis without microscope exam, manual inpatient CPT 81002 N-AUTOM URINALYS WO MICRO (POINT OF CARE LAB) $15.60 $24.00 35%

Surgery and procedures

ProcedureCash price List priceOff list
Lower-back epidural injection, with imaging guidance CPT 62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $3,105.70 $4,778.00 35%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $3,105.70 $4,778.00 35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $3,992.95 $6,143.00 35%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $3,992.95 $6,143.00 35%

Doctor visits and therapy

ProcedureCash price List priceOff list
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUT PROC/EXER, 15 MIN $167.70 $258.00 35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 VV THERAPEUTIC EXERCISE OT (97110) $167.70 $258.00 35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERA EXER 15MIN $167.70 $258.00 35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 VV THERAPEUTIC EXERCISE PT (97110) $167.70 $258.00 35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERA EXER 1 $167.70 $258.00 35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 VV THERAPEUTIC EXERCISE PT (97110) $167.70 $258.00 35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERA EXER 1 $167.70 $258.00 35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUT PROC/EXER, 15 MIN $167.70 $258.00 35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERA EXER 15MIN $167.70 $258.00 35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 VV THERAPEUTIC EXERCISE OT (97110) $167.70 $258.00 35%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES $313.30 $482.00 35%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES $313.30 $482.00 35%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES $313.30 $482.00 35%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES $313.30 $482.00 35%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES $313.30 $482.00 35%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES $313.30 $482.00 35%

Source file: https://clevelandclinic.pt.panaceainc.com/MRFDownload/clevelandclinic/akron-lodi