University Hospitals Cleveland Medical Center
11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · University Hospitals · · NPI 1043397292
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,721.75 | $3,629.00 | $330.06 – $594.11 | 17 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,265.00 | $3,020.00 | $225.74 – $406.32 | 17 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $342.75 | $457.00 | $86.06 – $197.82 | 19 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $468.00 | $624.00 | $98.91 – $197.82 | 19 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,624.25 | $3,499.00 | $858.08 – $1,716.16 | 18 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,846.25 | $3,795.00 | $858.08 – $1,716.16 | 18 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $439.35 – $790.83 | 17 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $167.20 – $300.97 | 17 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $675.75 | $901.00 | $165.94 – $356.07 | 19 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $561.75 | $749.00 | $165.94 – $356.07 | 19 |
| Uppr gi scope w/submuc inj CPT 43236 | $2,238.00 | $2,984.00 | $858.08 – $1,716.16 | 18 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $5,719.53 – $10,295.16 | 17 |
| Urea nitrogen CPT 84520 | $46.50 | $62.00 | $3.95 – $7.90 | 19 |
| Urea nitrogen 24 hour urine CPT 84540 | $47.25 | $63.00 | $5.56 – $11.12 | 19 |
| Urea nitrogen clearance CPT 84545 | $57.00 | $76.00 | $7.20 – $14.40 | 19 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $9.23 | 17 |
| Ureteral embolization/occl CPT 50705 | $3,263.25 | $4,351.00 | $1,629.21 – $3,258.42 | 18 |
| Ureteral reflux study CPT 78740 | $1,253.25 | $1,671.00 | $378.21 – $756.43 | 19 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,072.67 – $9,130.81 | 17 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $985.32 – $1,773.57 | 17 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,005.12 – $1,809.22 | 17 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $816.00 | $1,088.00 | $225.74 – $451.47 | 19 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Urethrocystography void s&i CPT 74455 | $835.50 | $1,114.00 | $225.74 – $451.47 | 19 |
| Uric acid blood CPT 84550 | $50.25 | $67.00 | $4.52 – $9.04 | 19 |
| Uric acid urine CPT 84560 | $42.75 | $57.00 | $5.08 – $10.16 | 19 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $8.46 | 17 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $3.05 – $5.49 | 17 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $3.91 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $93.00 | $124.00 | $3.17 – $6.34 | 19 |
| Urinalysis (without microscopy) CPT 81003 | $51.00 | $68.00 | $2.25 – $4.50 | 19 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $67.25 – $121.05 | 17 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $4.46 – $8.03 | 17 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $8.57 – $15.43 | 17 |
| Urinary reflex study CPT 51792 | not published | not published | $55.81 – $100.46 | 17 |
| Urinary suspensory HCPCS A5105 | not published | not published | $58.11 – $104.60 | 17 |
| Urine Culture Test CPT 87086 | $126.00 | $168.00 | $8.07 – $16.14 | 19 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $125.87 – $226.57 | 17 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $9.29 – $16.72 | 17 |
| Urine pregnancy test CPT 81025 | $65.25 | $87.00 | $8.61 – $17.22 | 19 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.98 – $53.96 | 17 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,073.64 – $1,932.55 | 17 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $9.34 – $16.81 | 17 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $539.28 – $539.28 | 1 |
| Urography, antegrade CPT 74425 | $1,129.50 | $1,506.00 | $330.06 – $660.12 | 19 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $165.94 – $298.70 | 17 |
| Use 1st target lesion CPT 76982 | $252.00 | $336.00 | $98.91 – $197.82 | 18 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,233.87 – $4,020.97 | 17 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $8,225.22 | $10,966.96 | $11.62 – $23.25 | 18 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $109,781.59 | $146,375.45 | $620.09 – $1,385.64 | 2 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,146.38 – $21,863.49 | 17 |
| Vaccine Administration (one shot) CPT 90471 | $33.75 | $45.00 | $68.12 – $136.24 | 18 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $368.25 | $491.00 | $161.65 – $323.30 | 18 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $368.25 | $491.00 | $147.06 – $294.12 | 18 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $331.50 | $442.00 | $168.37 – $336.74 | 18 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $222.00 | $296.00 | $94.80 – $189.60 | 18 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $165.00 | $220.00 | $65.55 – $131.10 | 18 |
| Vaccine dtap < 7 years im CPT 90700 | $62.25 | $83.00 | $106.08 – $310.68 | 2 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $233.91 | $311.87 | $374.00 – $1,024.29 | 2 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $129.00 | $172.00 | $226.30 – $1,329.39 | 2 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $3,242.16 – $3,242.16 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | $25.50 | $34.00 | $433.67 – $1,185.03 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $99.92 | $133.22 | $109.99 – $319.50 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $67.50 | $90.00 | $47.77 – $137.52 | 2 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $241.96 | $322.61 | $250.04 – $632.34 | 3 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $354.74 | $472.98 | $458.42 – $1,163.97 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $135.00 | $180.00 | $138.45 – $374.85 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $265.23 – $265.23 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $54.75 | $73.00 | $75.15 – $150.29 | 18 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $162.07 | $216.09 | $75.15 – $150.29 | 18 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $118.50 | $158.00 | $177.56 – $355.11 | 18 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $75.39 | $100.52 | $33.20 – $66.41 | 18 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,044.16 | $1,392.21 | $1,140.87 – $3,104.01 | 2 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $599.25 | $799.00 | $555.02 – $957.78 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $52.50 | $70.00 | $98.16 – $196.32 | 18 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $98.16 – $176.69 | 17 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $22.07 – $39.72 | 17 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $45.75 | $61.00 | $23.22 – $46.44 | 18 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $83.02 – $187.92 | 2 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $307.70 – $696.24 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $25.50 | $34.00 | $86.04 – $86.04 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $46.50 | $62.00 | $68.00 – $201.15 | 3 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $41.49 – $93.96 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $38.25 | $51.00 | $84.52 – $250.11 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $50.25 | $67.00 | $223.28 – $660.60 | 3 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $89.25 | $119.00 | $49.50 – $98.99 | 18 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $11.03 – $19.86 | 17 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $569.67 | $759.56 | $821.92 – $2,242.35 | 2 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $194.25 | $259.00 | $718.56 – $2,053.44 | 2 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $1,802.07 – $1,802.07 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $545.45 | $727.26 | $577.86 – $1,636.11 | 2 |
| Vaccine mmr live subcutaneous CPT 90707 | $311.03 | $414.70 | $340.48 – $994.86 | 2 |
| Vaccine mmrv live subcutaneous CPT 90710 | $957.30 | $1,276.39 | $1,001.10 – $1,194.21 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.