CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$993 - $1,749
from 4 insurers ยท median $1,502
Typical for a hospital with this service line
The Cleveland Clinic Health System ยท Lodi, OH
35
In-network payers
162
Disclosed rate categories
20
Beds
Lodi Hospital is a 20-bed voluntary non-profit - private hospital in Lodi, OH, affiliated with The Cleveland Clinic Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 162 disclosed rate categories.
CCN (Medicare provider number)
361303
NPI
1801807870
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
20
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Lodi Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$993 - $1,749
from 4 insurers ยท median $1,502
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$565 - $2,091
from 4 insurers ยท median $1,929
Typical for a hospital with this service line
Mammography
CPT 77067
$364 - $415
from 4 insurers ยท median $379
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$99 - $414
from 4 insurers ยท median $355
Typical for a hospital with this service line
CT imaging
CPT 70450
$361 - $500
from 4 insurers ยท median $429
Typical for a hospital with this service line
CT imaging
CPT 74176
$627 - $1,114
from 4 insurers ยท median $957
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,143 - $1,749
from 4 insurers ยท median $1,502
Typical for a hospital with this service line
CT imaging
CPT 71275
$704 - $836
from 4 insurers ยท median $780
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$998 - $1,179
from 2 insurers ยท median $1,088
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,083 - $1,179
from 2 insurers ยท median $1,131
Typical for a hospital with this service line
Gynecology
CPT 58571
$2,947 - $10,411
from 2 insurers ยท median $6,679
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$703 - $938
from 2 insurers ยท median $820
Typical for a hospital with this service line
Ultrasound
CPT 76705
$278 - $500
from 4 insurers ยท median $429
Typical for a hospital with this service line
MRI imaging
CPT 72148
$626 - $1,114
from 4 insurers ยท median $957
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$1,739 - $4,754
from 4 insurers ยท median $4,083
Typical for a hospital with this service line
MRI imaging
CPT 70551
$704 - $1,114
from 4 insurers ยท median $957
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$2,175 - $5,834
from 2 insurers ยท median $4,005
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$97 - $414
from 4 insurers ยท median $355
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$124 - $500
from 4 insurers ยท median $429
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,231 - $1,749
from 4 insurers ยท median $1,502
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,996 - $2,281
from 2 insurers ยท median $2,139
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$94 - $414
from 4 insurers ยท median $355
Typical for a hospital with this service line
Ultrasound
CPT 76830
$380 - $500
from 4 insurers ยท median $429
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$1,823 - $4,754
from 4 insurers ยท median $4,083
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 467% | 8 | 9 |
| Insurer B* | 18 | 409% | 3 | 13 |
| Insurer C* | 24 | 392% | 3 | 19 |
| Insurer D* | 24 | 203% | 1 | 23 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Lodi Hospital.
225 Elyria Street, Lodi, OH 44254
(330) 948-1222
About Lodi Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lodi Hospital range from $1,143 to $1,749 across 4 insurers. Cigna's rate is $1,532. The median at nearby comparable hospitals is $2,912. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Lodi Hospital range from $993 to $1,749 across 4 insurers. Aetna's rate is $993. The median at nearby comparable hospitals is $2,840. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Lodi Hospital range from $998 to $1,179 across 2 insurers. UnitedHealthcare's rate is $1,179. The median at nearby comparable hospitals is $4,429. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lodi Hospital range from $364 to $415 across 4 insurers. Aetna's rate is $382. The median at nearby comparable hospitals is $170. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lodi Hospital has 20 beds. Facility type: Critical Access Hospital.
Lodi Hospital is located at 225 Elyria Street, Lodi, OH 44254. Its main phone number is (330) 948-1222.
Lodi Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 361303.
The National Provider Identifier (NPI) on file for Lodi Hospital is 1801807870.
Lodi Hospital is affiliated with The Cleveland Clinic Health System.
Lodi Hospital lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
162 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers