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 |
|---|---|---|---|---|
| Dilation of vagina CPT 57400 | not published | not published | $3,062.57 – $5,512.63 | 17 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,467.92 – $2,642.25 | 17 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $659.70 – $1,187.45 | 17 |
| Dilator fascial 10fx20cm HCPCS C2627 | $291.87 | $389.16 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $107.23 | $142.97 | not published | 0 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $538.29 – $538.29 | 1 |
| Dimenhydrinate injection HCPCS J1240 | $17.32 | $23.09 | $30.79 – $80.55 | 2 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $2,501.55 | $3,335.40 | $748.98 – $1,497.95 | 18 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $36.98 | $49.30 | $11.43 – $11.43 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $5.92 | $7.89 | $3.58 – $7.20 | 2 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $153.27 – $153.27 | 1 |
| Dipyridamole injection HCPCS J1245 | $64.49 | $85.98 | $15.36 – $33.48 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $35.34 – $63.61 | 17 |
| Disability dlco CPT 94727 | $534.00 | $712.00 | $204.28 – $408.56 | 18 |
| Disaccharidases CPT 82657 | $1,266.75 | $1,689.00 | $22.17 – $44.34 | 19 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,952.02 – $3,513.64 | 17 |
| Disarticulation shoulder CPT 23920 | not published | not published | $12,146.38 – $21,863.49 | 17 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,277.44 – $2,299.40 | 17 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $185.82 – $334.47 | 17 |
| Discography cerv/thor spine CPT 72285 | $2,840.25 | $3,787.00 | $262.82 – $3,694.86 | 19 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $79.41 – $142.94 | 17 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $263.80 – $474.84 | 17 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,683.92 – $3,031.06 | 17 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,459.54 – $2,627.17 | 17 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $93.55 – $168.39 | 17 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,264.43 – $9,475.98 | 17 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,065.31 – $1,917.56 | 17 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $5,600.62 – $10,081.11 | 17 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $293.83 – $528.90 | 17 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $6,681.75 | $8,909.00 | $262.85 – $525.70 | 18 |
| Dmd dup/delet analysis CPT 81161 | $2,106.00 | $2,808.00 | $279.00 – $558.00 | 19 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $494.69 | 17 |
| Dmpk gene detc abnor allele CPT 81234 | $522.75 | $697.00 | $137.00 – $274.00 | 18 |
| Dna antibody native/double stranded CPT 86225 | $131.25 | $175.00 | $13.74 – $27.48 | 19 |
| Dna gardnerella CPT 87510 | not published | not published | $20.05 – $36.09 | 17 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.75 – $40.95 | 17 |
| Dna probe gc CPT 87590 | not published | not published | $26.88 – $48.38 | 17 |
| Dna trichomonas CPT 87660 | not published | not published | $20.05 – $36.09 | 17 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $130.35 | $173.79 | $31.70 – $88.65 | 2 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,164.72 | $1,552.95 | $1.47 – $9.00 | 2 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.61 – $91.09 | 17 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $24.70 – $32.40 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $1,293.93 – $1,293.93 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $98.91 | $131.88 | $2.59 – $6.93 | 2 |
| Doppler echo complete CPT 93320 | $714.75 | $953.00 | $48.10 – $96.20 | 18 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,066.75 | $4,089.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,047.75 | $1,397.00 | $204.28 – $408.56 | 18 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $864.75 | $1,153.00 | $125.87 – $251.75 | 18 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $5.85 – $5.85 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | $479.80 | $639.73 | $219.39 – $468.72 | 2 |
| Dornhoffer fixed part w/window HCPCS L8614 | $77,636.25 | $103,515.00 | $24,109.81 – $48,219.62 | 18 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $99.43 – $178.97 | 17 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $247.08 – $444.75 | 17 |
| Double transfer toe-hand CPT 26554 | not published | not published | $6,864.94 – $12,356.89 | 17 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $901.65 | $1,202.19 | $10.82 – $29.52 | 2 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $71.86 – $129.35 | 17 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $89.34 | $119.11 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $354.00 | $472.00 | $174.81 – $349.62 | 19 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $24.47 – $44.05 | 17 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,095.00 | $1,460.00 | $669.95 – $1,339.90 | 18 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $820.50 | $1,094.00 | $669.95 – $1,205.91 | 17 |
| Drainage external ear complex 69005 CPT 69005 | $4,074.75 | $5,433.00 | $1,562.54 – $3,125.08 | 18 |
| Drainage external ear simple 69000 CPT 69000 | $709.50 | $946.00 | $669.95 – $1,339.90 | 18 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $2,748.08 – $4,946.55 | 17 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,748.08 – $4,946.55 | 17 |
| Drainage mouth roof lesion CPT 42000 | $282.00 | $376.00 | $224.08 – $448.16 | 18 |
| Drainage of abdomen CPT 48000 | not published | not published | $1,711.84 – $3,081.31 | 17 |
| Drainage of arm bursa 23931 CPT 23931 | $2,638.50 | $3,518.00 | $1,562.54 – $3,125.08 | 18 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,748.08 – $4,946.55 | 17 |
| Drainage of bone lesion CPT 26992 | not published | not published | $3,095.56 – $5,572.02 | 17 |
| Drainage of bone lesion CPT 27303 | not published | not published | $3,095.56 – $5,572.02 | 17 |
| Drainage of eye CPT 65800 | $2,667.75 | $3,557.00 | $2,183.38 – $4,366.76 | 18 |
| Drainage of eye CPT 65810 | $2,702.25 | $3,603.00 | $2,183.38 – $4,366.76 | 18 |
| Drainage of eye CPT 65815 | not published | not published | $2,183.38 – $3,930.08 | 17 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,521.28 – $2,738.31 | 17 |
| Drainage of kidney lesion CPT 50390 | $1,863.00 | $2,484.00 | $669.95 – $1,339.90 | 18 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $224.08 – $403.34 | 17 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,467.92 – $2,642.25 | 17 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,467.92 – $2,642.25 | 17 |
| Drainage of mouth lesion CPT 41008 | $3,731.25 | $4,975.00 | $3,136.68 – $5,646.02 | 17 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $510.25 – $918.44 | 17 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $510.25 – $918.44 | 17 |
| Drainage of mouth lesion CPT 41016 | $4,603.50 | $6,138.00 | $5,600.62 – $10,081.11 | 17 |
| Drainage of mouth lesion CPT 41017 | $3,946.50 | $5,262.00 | $3,136.68 – $6,273.36 | 18 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,467.92 – $2,642.25 | 17 |
| Drainage of nose lesion int 30000 CPT 30000 | $283.50 | $378.00 | $224.08 – $403.34 | 17 |
| Drainage of nose lesion sept 30020 CPT 30020 | $637.50 | $850.00 | $510.25 – $1,020.49 | 18 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,521.28 – $2,738.31 | 17 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $3,095.56 – $5,572.02 | 17 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,334.90 – $6,002.83 | 17 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,132.12 – $2,037.81 | 17 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,625.99 – $4,726.78 | 17 |
| Drainage of salivary gland CPT 42305 | not published | not published | $3,136.68 – $5,646.02 | 17 |
| Drainage of salivary gland CPT 42320 | not published | not published | $510.25 – $918.44 | 17 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,358.92 – $2,446.06 | 17 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,650.12 – $2,970.21 | 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.