Lodi Community Hospital
225 Elyria Street
Lodi, OH 44254
Overview
- CCN361303
Procedures & prices
- HC HEMATOCRIT85014$10cashGross $160 payers
- HC HEMOGLOBIN85018$10cashGross $160 payers
- ANTITHROMBIN III INJECTIONJ7197$10cashGross $160 payers
- ACYCLOVIR INJECTIONJ0133$11cashGross $160 payers
- HC AUTOMATED LEUKOCYTE COUNT85048$11cashGross $170 payers
- LOCM 100-199MG/ML IODINE,1MLQ9965$11cashGross $170 payers
- INJECTION, LACOSAMIDEC9254$12cashGross $180 payers
- THIAMINE HCL 100 MGJ3411$12cashGross $180 payers
- HC RBC SED RATE, AUTOMATED85652$12cashGross $180 payers
- HC ALLODERM SKIN SUBQ4116$12cashGross $180 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| HC HEMATOCRIT | 85014 | $10 | $16 | — | 0 |
| HC HEMOGLOBIN | 85018 | $10 | $16 | — | 0 |
| ANTITHROMBIN III INJECTION | J7197 | $10 | $16 | — | 0 |
| ACYCLOVIR INJECTION | J0133 | $11 | $16 | — | 0 |
| HC AUTOMATED LEUKOCYTE COUNT | 85048 | $11 | $17 | — | 0 |
| LOCM 100-199MG/ML IODINE,1ML | Q9965 | $11 | $17 | — | 0 |
| INJECTION, LACOSAMIDE | C9254 | $12 | $18 | — | 0 |
| THIAMINE HCL 100 MG | J3411 | $12 | $18 | — | 0 |
| HC RBC SED RATE, AUTOMATED | 85652 | $12 | $18 | — | 0 |
| HC ALLODERM SKIN SUB | Q4116 | $12 | $18 | — | 0 |
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