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 |
|---|---|---|---|---|
| Destruction ciliary body CPT 66740 | not published | not published | $2,249.28 – $4,048.71 | 17 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $189.82 – $341.67 | 17 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $2,625.99 – $4,726.78 | 17 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,249.28 – $4,048.71 | 17 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $384.59 – $692.27 | 17 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $384.59 – $692.27 | 17 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $481.50 | $642.00 | $384.59 – $769.19 | 18 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $1,347.00 | $1,796.00 | $384.59 – $692.27 | 17 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $384.59 – $692.27 | 17 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,952.02 – $3,513.64 | 17 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $451.50 | $602.00 | $384.59 – $769.19 | 18 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,625.99 – $4,726.78 | 17 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $3,062.57 – $5,512.63 | 17 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $3,062.57 – $5,512.63 | 17 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $1,952.02 – $3,513.64 | 17 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $54.05 | 17 |
| Detect agnt mult dna direc CPT 87800 | $162.00 | $216.00 | $43.67 – $87.34 | 19 |
| Determination venous press CPT 93770 | not published | not published | $7.82 – $14.07 | 17 |
| Determine refractive state CPT 92015 | $18.00 | $24.00 | $18.52 – $33.34 | 17 |
| Developmental screen/score/document 96110 CPT 96110 | $573.75 | $765.00 | $11.31 – $22.63 | 18 |
| Devel tst phys/qhp 1st hr CPT 96112 | $439.50 | $586.00 | $81.00 – $243.47 | 18 |
| Device ablt adv novasure HCPCS C1886 | $11,239.88 | $14,986.50 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,175.00 | $6,900.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $4,491.10 | $5,988.13 | $3,371.20 – $12,493.35 | 2 |
| Device sut capio slim opn HCPCS C2631 | $1,454.07 | $1,938.75 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $1,070.85 | $1,427.80 | not published | 0 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $35.19 – $63.33 | 17 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,295.51 – $2,331.92 | 17 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $96.11 – $173.00 | 17 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $187.50 | $250.00 | $54.70 – $109.40 | 18 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $82.15 – $148.20 | 17 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $85.70 – $154.26 | 17 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $24.39 – $5,017.85 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $554.26 | $739.01 | $0.04 – $0.72 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $16.28 | $21.70 | $0.44 – $1.08 | 2 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $203.79 – $366.83 | 17 |
| Dexamethasone panel CPT 80420 | not published | not published | $161.88 – $291.38 | 17 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $6.48 – $6.48 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $465.34 | $620.45 | $49.74 – $99.48 | 18 |
| Dextran 40 infusion HCPCS J7100 | $225.55 | $300.73 | $112.42 – $421.65 | 2 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $22.19 | $29.58 | $5.37 – $14.31 | 2 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $22.19 | $29.58 | $53.55 – $53.55 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $36.98 | $49.30 | $8.04 – $17.37 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | $22.19 | $29.58 | $12.09 – $34.74 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $249.75 | $333.00 | $22.23 – $44.46 | 19 |
| Diabetes (HbA1c) Test CPT 83036 | $114.75 | $153.00 | $9.71 – $19.42 | 19 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $35.45 – $63.81 | 17 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $271.80 – $489.24 | 17 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $45.79 – $82.42 | 17 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $45.79 – $82.42 | 17 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $45.79 – $82.42 | 17 |
| Diab manage trn ind/group HCPCS G0109 | $57.75 | $77.00 | $15.40 – $30.79 | 18 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $90.63 – $163.13 | 17 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $45.79 – $82.42 | 17 |
| Diag bronchoscope/catheter CPT 31643 | $4,125.75 | $5,501.00 | $1,683.92 – $3,367.84 | 18 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $5,719.53 – $10,295.16 | 17 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $422.64 – $760.74 | 17 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,132.12 – $2,037.81 | 17 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $181.50 | $242.00 | $125.87 – $251.75 | 18 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $70.50 | $94.00 | $140.00 – $433.37 | 2 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $57.00 | $76.00 | $140.00 – $337.83 | 2 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $592.50 | $790.00 | $188.84 – $377.69 | 18 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $338.25 | $451.00 | $188.84 – $377.69 | 18 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $520.50 | $694.00 | $140.00 – $263.57 | 17 |
| Diagnostic Mammogram (one breast) CPT 77065 | $371.25 | $495.00 | $115.62 – $208.12 | 17 |
| Diagnostic radio unlisted proc CPT 76499 | $564.75 | $753.00 | $82.33 – $164.66 | 19 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $10,461.00 | $13,948.00 | $1,672.43 – $3,344.86 | 18 |
| Dialysis one evaluation CPT 90945 | not published | not published | $394.76 – $710.57 | 17 |
| Dialysis repeated eval CPT 90947 | $4,188.75 | $5,585.00 | $104.66 – $209.32 | 18 |
| Dialysis training incompl CPT 90993 | $2,907.00 | $3,876.00 | not published | 0 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.91 – $12.45 | 17 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $58.24 | $77.65 | $0.28 – $0.72 | 2 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $143.84 | $191.78 | $24.54 – $49.23 | 2 |
| Dicyclomine injection HCPCS J0500 | $310.41 | $413.88 | $46.42 – $224.73 | 2 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $2.52 – $2.52 | 1 |
| Diffusing capacity CPT 94729 | $529.50 | $706.00 | $58.56 – $117.11 | 18 |
| Digital analysis of eeg CPT 95957 | $830.25 | $1,107.00 | $288.95 – $577.90 | 18 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $152.33 – $274.20 | 17 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $472.14 | $629.51 | $15.91 – $84.69 | 2 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $17,050.66 | $22,734.21 | $5,166.99 – $10,333.98 | 18 |
| Digoxin total therapeutic drug level CPT 80162 | $138.75 | $185.00 | $13.28 – $26.56 | 19 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $297.86 | $397.14 | $381.06 – $386.14 | 2 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $443.68 – $798.62 | 17 |
| Dilate esophagus CPT 43453 | not published | not published | $1,815.43 – $3,267.78 | 17 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,617.00 | $2,156.00 | $858.08 – $1,716.16 | 18 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $328.98 – $592.16 | 17 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $164.49 – $296.08 | 17 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $468.40 – $843.12 | 17 |
| Dilate tear duct opening CPT 68801 | not published | not published | $422.64 – $760.74 | 17 |
| Dilate urethra stricture CPT 53600 | $407.25 | $543.00 | $236.38 – $472.75 | 18 |
| Dilate urethra stricture CPT 53601 | not published | not published | $125.87 – $226.57 | 17 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Dilate urethra stricture CPT 53621 | not published | not published | $236.38 – $425.48 | 17 |
| Dilation/female urethra/initial 53660 CPT 53660 | $387.75 | $517.00 | $121.73 – $243.47 | 18 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,132.12 – $2,037.81 | 17 |
| Dilation of cervical canal 57800 CPT 57800 | $5,438.25 | $7,251.00 | $3,062.57 – $6,125.14 | 18 |
| Dilation of rectal stricture 45910 CPT 45910 | $1,375.50 | $1,834.00 | $1,132.12 – $2,264.23 | 18 |
| Dilation of salivary duct CPT 42660 | not published | not published | $510.25 – $918.44 | 17 |
| Dilation of urethra CPT 53661 | not published | not published | $125.87 – $226.57 | 17 |
| Dilation of urethra CPT 53665 | not published | not published | $1,977.66 – $3,559.80 | 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.