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 |
|---|---|---|---|---|
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,091.75 | $2,789.00 | $812.43 – $1,624.87 | 18 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $230.25 | $307.00 | $45.64 – $91.28 | 18 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $290.40 – $522.72 | 17 |
| Ghs spont nystagmus CPT 92541 | $295.50 | $394.00 | $125.87 – $251.75 | 18 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $365.25 | $487.00 | $98.01 – $196.02 | 18 |
| Ghs st - eval for alt comm CPT 92567 | $99.75 | $133.00 | $35.34 – $70.67 | 18 |
| Ghs strapping shoulder - 29240 CPT 29240 | $257.25 | $343.00 | $81.00 – $251.75 | 18 |
| Ghs st - re-eval for alt comm CPT 92597 | $472.50 | $630.00 | $68.59 – $137.18 | 18 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $199.50 | $266.00 | $44.30 – $88.60 | 18 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $279.00 | $372.00 | $201.23 – $402.47 | 18 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $728.25 | $971.00 | $699.22 – $1,398.44 | 18 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $384.59 – $692.27 | 17 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,467.92 – $2,642.25 | 17 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $13.14 | 17 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $403.50 | $538.00 | $233.37 – $466.73 | 18 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $233.37 – $420.06 | 17 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $43.74 | 17 |
| Ghs urine, porphyrins quant CPT 84120 | $716.25 | $955.00 | $14.71 – $29.42 | 19 |
| Ghs vaginal delivery only CPT 59409 | $3,345.00 | $4,460.00 | $3,062.57 – $6,125.14 | 18 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,699.25 | $3,599.00 | $353.04 – $706.07 | 18 |
| Ghs windowing of cast CPT 29730 | not published | not published | $153.74 – $276.73 | 17 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $24.50 | 17 |
| Giardia lamblia antibody CPT 86674 | $127.50 | $170.00 | $14.72 – $29.44 | 19 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $225.74 – $406.32 | 17 |
| Gi inhouse confirmation CPT 87045 | $92.25 | $123.00 | $9.44 – $18.88 | 19 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,136.68 – $5,646.02 | 17 |
| Gi protein loss CPT 78282 | not published | not published | $378.21 – $680.79 | 17 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,864.25 | $3,819.00 | $858.08 – $1,716.16 | 18 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $879.81 – $1,583.66 | 17 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $858.08 – $1,544.54 | 17 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $858.08 – $1,544.54 | 17 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $182.02 | 17 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $110.74 | 17 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $63.00 | 17 |
| Glassia injection HCPCS J0257 | $2,551.28 | $3,401.70 | $5.66 – $11.32 | 18 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $27.36 – $49.26 | 17 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $35.34 – $63.61 | 17 |
| Glaucoma surgery CPT 66150 | not published | not published | $3,910.54 – $7,038.97 | 17 |
| Glaucoma surgery CPT 66155 | not published | not published | $3,910.54 – $7,038.97 | 17 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,183.38 – $3,930.08 | 17 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,183.38 – $3,930.08 | 17 |
| Glove finger flexion right lg xl HCPCS L3912 | $36.75 | $49.00 | $117.84 – $235.68 | 18 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $146.33 – $263.40 | 17 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $509.06 | $678.74 | $135.00 – $270.00 | 18 |
| Glucagon plasma - sendout CPT 82943 | $84.75 | $113.00 | $14.29 – $28.58 | 19 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $82.93 | 17 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $90.90 | 17 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $31.99 | 17 |
| Glucose 1 hr post dose CPT 82950 | $121.50 | $162.00 | $4.75 – $9.50 | 19 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $69.00 | $92.00 | $6.05 – $12.10 | 19 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $34.50 | $46.00 | $3.28 – $6.56 | 19 |
| Glucose blood quantitative CPT 82947 | $45.00 | $60.00 | $3.93 – $7.86 | 19 |
| Glucose body fluid CPT 82945 | $72.75 | $97.00 | $3.93 – $7.86 | 19 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $55.81 – $100.46 | 17 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $182.25 | $243.00 | $12.87 – $25.74 | 19 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $57.00 | $76.00 | $3.92 – $7.84 | 19 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $102.50 | $136.66 | $5.58 – $5.58 | 1 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $120.87 – $120.87 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $7,166.65 | $9,555.53 | $11.29 – $22.57 | 18 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $206.25 | $275.00 | $18.58 – $37.16 | 19 |
| Gonadotropin hormone panel CPT 80426 | $1,341.75 | $1,789.00 | $148.41 – $296.82 | 19 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $129.75 | $173.00 | $18.52 – $37.04 | 19 |
| Gonioscopy CPT 92020 | not published | not published | $125.87 – $226.57 | 17 |
| Goniotomy CPT 65820 | not published | not published | $3,910.54 – $7,038.97 | 17 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $11,433.78 | $15,245.04 | $2,920.45 – $5,481.09 | 2 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,026.25 | $4,035.00 | $102.78 – $235.47 | 18 |
| Graft axiofill 1000mg HCPCS J3590 | $675,000.00 | $900,000.00 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $117.73 – $211.92 | 17 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $17,736.75 | $23,649.00 | $117.73 – $235.47 | 18 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,095.56 – $5,572.02 | 17 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $51,621.75 | $68,829.00 | $117.73 – $235.47 | 18 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $17,977.50 – $17,977.50 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $27,652.41 | $36,869.88 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $78,750.00 | $105,000.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $29,670.10 | $39,560.13 | $117.73 – $235.47 | 18 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $6,187.50 | $8,250.00 | $117.73 – $235.47 | 18 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,013.23 – $1,823.82 | 17 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $6,075.00 | $8,100.00 | $117.73 – $235.47 | 18 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $7,746.75 | $10,329.00 | $117.73 – $235.47 | 18 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $117.73 – $211.92 | 17 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $66,548.25 | $88,731.00 | $117.73 – $235.47 | 18 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $117.73 – $211.92 | 17 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $2,227.50 | $2,970.00 | $117.73 – $235.47 | 18 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $99,296.10 | $132,394.80 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $6,187.50 | $8,250.00 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $464.40 – $464.40 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.88 – $3.42 | 2 |
| Granulocyte pheresis ea unit HCPCS P9050 | $9,751.50 | $13,002.00 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $6,864.94 – $12,356.89 | 17 |
| Great toe with reduction 28495 CPT 28495 | $581.25 | $775.00 | $233.37 – $466.73 | 18 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,952.02 – $3,513.64 | 17 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,352.64 – $6,034.75 | 17 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $196.37 – $353.46 | 17 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,352.64 – $6,034.75 | 17 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $35.45 – $63.81 | 17 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $16.31 – $29.36 | 17 |
| Group train without patient HCPCS G0543 | not published | not published | $27.36 – $49.26 | 17 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $28.33 | 17 |
| Growth hormone panel CPT 80428 | $135.75 | $181.00 | $66.70 – $133.40 | 19 |
| Growth hormone panel CPT 80430 | $261.75 | $349.00 | $129.33 – $258.66 | 19 |
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.