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 |
|---|---|---|---|---|
| X-ray bone length studies CPT 77073 | $374.25 | $499.00 | $98.91 – $197.82 | 19 |
| X-ray bone survey infant CPT 77076 | $403.50 | $538.00 | $98.91 – $197.82 | 19 |
| X-ray consultation CPT 76140 | not published | not published | $269.79 – $269.79 | 1 |
| Xray endovasc thor ao repr CPT 75956 | $702.75 | $937.00 | $1,391.41 – $1,391.41 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $1,193.19 – $1,193.19 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $291.00 | $388.00 | $98.91 – $197.82 | 19 |
| X-ray exam entire spi 6/> vw CPT 72084 | $279.75 | $373.00 | $98.91 – $197.82 | 19 |
| X-ray exam of arm infant CPT 73092 | $345.00 | $460.00 | $89.93 – $197.82 | 19 |
| X-ray exam of femur 1 CPT 73551 | $344.25 | $459.00 | $80.84 – $164.66 | 19 |
| X-ray exam of jaw joint CPT 70328 | $372.75 | $497.00 | $82.33 – $164.66 | 19 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $221.85 – $406.32 | 17 |
| X-ray exam of mastoids CPT 70120 | $374.25 | $499.00 | $98.91 – $197.82 | 19 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $161.42 – $930.51 | 17 |
| X-ray exam of penis CPT 74445 | not published | not published | $98.91 – $178.03 | 17 |
| X-ray exam of perineum CPT 74775 | not published | not published | $225.74 – $406.32 | 17 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $82.33 – $148.20 | 17 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $225.74 – $406.32 | 17 |
| X-ray exam of teeth CPT 70300 | not published | not published | $30.13 – $148.20 | 17 |
| X-ray exam of teeth CPT 70310 | not published | not published | $118.53 – $406.32 | 17 |
| X-ray exam si joints CPT 72200 | not published | not published | $93.84 – $178.03 | 17 |
| X-ray exam thorac spine4/>vw CPT 72074 | $480.00 | $640.00 | $98.91 – $197.82 | 19 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $82.33 – $148.20 | 17 |
| X-ray fallopian tube CPT 74742 | $940.50 | $1,254.00 | $207.57 – $207.57 | 1 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $30.13 – $148.20 | 17 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $604.50 | $806.00 | $98.91 – $197.82 | 19 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $564.75 | $753.00 | $98.91 – $197.82 | 19 |
| X-ray joint survey 1 view CPT 77077 | $423.75 | $565.00 | $98.91 – $197.82 | 19 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $292.50 | $390.00 | $82.33 – $164.66 | 19 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $414.75 | $553.00 | $98.91 – $197.82 | 19 |
| X-ray male genital tract CPT 74440 | not published | not published | $225.74 – $406.32 | 17 |
| X-ray mandible ltd <4 views CPT 70100 | $252.75 | $337.00 | $82.33 – $164.66 | 19 |
| X-ray nose to rectum for foreign body child CPT 76010 | $319.50 | $426.00 | $79.56 – $164.66 | 19 |
| X-ray of mammary ducts CPT 77054 | $762.00 | $1,016.00 | $140.00 – $406.32 | 17 |
| X-ray optic foramina CPT 70190 | $426.75 | $569.00 | $82.33 – $164.66 | 19 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $692.84 – $692.84 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $790.50 – $790.50 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $850.50 | $1,134.00 | $197.84 – $660.12 | 19 |
| X-ray ribs 2 views left CPT 71100 | $384.75 | $513.00 | $82.33 – $164.66 | 19 |
| X-ray sella turcica CPT 70240 | not published | not published | $82.33 – $148.20 | 17 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $746.25 | $995.00 | $134.13 – $1,033.90 | 19 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $1,032.75 | $1,377.00 | $98.91 – $197.82 | 19 |
| X-ray small intestine follow-through study CPT 74248 | $422.25 | $563.00 | $74.71 – $149.43 | 18 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $405.00 | $540.00 | $82.33 – $164.66 | 19 |
| X-ray surgical specimen CPT 76098 | $451.50 | $602.00 | $101.66 – $1,033.90 | 19 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $291.00 | $388.00 | $82.33 – $164.66 | 19 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $165.94 – $298.70 | 17 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $256.49 – $461.68 | 17 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $558.75 | $745.00 | $65.54 – $131.09 | 18 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $117.73 – $211.92 | 17 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $23.24 | 17 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.49 – $2.68 | 17 |
| Yersinia antibody CPT 86793 | not published | not published | $13.19 – $23.74 | 17 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $102,284.19 | 17 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $117.73 – $211.92 | 17 |
| Ziconotide injection HCPCS J2278 | $4,530.00 | $6,039.99 | $10.46 – $20.93 | 18 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $100.06 | $133.41 | $1.51 – $3.03 | 18 |
| Zika virus dna/rna amp probe CPT 87662 | $274.50 | $366.00 | $51.31 – $102.62 | 19 |
| Zika virus igm antibody CPT 86794 | $160.50 | $214.00 | $16.85 – $33.70 | 19 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $26.68 | $35.57 | $1.79 – $3.58 | 18 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $32.46 | $43.27 | $12.45 – $87.84 | 2 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.61 – $15.49 | 17 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $33.65 – $60.57 | 17 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $146.06 | $194.74 | $20.69 – $64.89 | 2 |
| Zoster vaccine-live inj CPT 90736 | $436.50 | $582.00 | $737.53 – $1,211.22 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $347.85 | 17 |
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.