CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Lodi Community Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$117
about 0.9× the $136 Medicare rate · typically $62–$195
modeled estimate · not a bill or quote
What this hospital charges insurers
$84
Below the fair price — a good deal
about $33 under the fair price · 0.6× Medicare
Medicare pays $136 Fair price $117 This hospital $84 Cash price $112 Hospital's list price $173

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $37 Priciest $84

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (30-39 min) is about $117 (about 0.9× the $136 Medicare rate). Lodi Community Hospital charges insurers about $84, or about $112 in cash — below the fair price — a good deal. Located in Lodi, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $52 - $124 38%
Blue Cross Blue Shieldmajor $89 - $142 66%
Aetnamajor $59 - $173 44%
Humanamajor $52 38%
AmeriHealth $93 69%
CareSource $84 62%
Molina $89 66%
Oscar Health $52 - $67 38%
UPMC Health Plan $104 77%
+ 15 smaller / regional plans $52 - $156
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 225 Elyria Street, Lodi, OH 44254
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals