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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $74.48 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $103.50 | $138.00 | $11.98 – $23.96 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $60.75 | $81.00 | $13.42 – $26.84 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $82.50 | $110.00 | $13.82 – $27.64 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $108.75 | $145.00 | $11.98 – $23.96 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | not published | not published | $14.38 – $25.88 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $70.50 | $94.00 | $10.33 – $20.66 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $10.33 – $18.59 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $65.25 | $87.00 | $24.08 – $48.16 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $420.75 | $561.00 | $11.98 – $23.96 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $157.50 | $210.00 | $11.98 – $23.96 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.98 – $21.56 | 17 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $751.50 | $1,002.00 | $35.09 – $70.18 | 19 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $173.25 | $231.00 | $35.09 – $70.18 | 19 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $171.75 | $229.00 | $37.27 – $74.54 | 19 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $861.00 | $1,148.00 | $416.78 – $833.56 | 19 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $306.75 | $409.00 | $35.09 – $70.18 | 19 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $129.00 | $172.00 | $35.09 – $70.18 | 19 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $612.75 | $817.00 | $41.68 – $83.36 | 19 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $168.75 | $225.00 | $35.09 – $70.18 | 19 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $141.00 | $188.00 | $51.31 – $102.62 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $299.25 | $399.00 | $142.63 – $285.26 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $299.25 | $399.00 | $142.63 – $285.26 | 18 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $88.50 | $118.00 | $35.09 – $70.18 | 19 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $105.00 | $140.00 | $35.09 – $70.18 | 19 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $70.18 – $126.32 | 17 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $357.75 | $477.00 | $76.77 – $153.54 | 18 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $679.77 – $1,223.59 | 17 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $984.00 | $1,312.00 | $416.78 – $833.56 | 19 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $436.50 | $582.00 | $128.29 – $256.58 | 19 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $261.75 | $349.00 | $262.99 – $525.98 | 19 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $1,294.50 | $1,726.00 | $42.84 – $85.68 | 19 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $328.50 | $438.00 | $42.84 – $85.68 | 19 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $1,230.00 | $1,640.00 | $42.84 – $85.68 | 19 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $627.75 | $837.00 | $85.10 – $170.20 | 19 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $225.75 | $301.00 | $142.63 – $285.26 | 19 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,702.78 | $2,270.37 | $31.04 – $62.08 | 18 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $28.04 – $50.47 | 17 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,713.99 | $2,285.31 | $26.04 – $52.07 | 18 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $29.22 – $52.60 | 17 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $98.16 – $176.69 | 17 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $29.71 – $53.49 | 17 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $248.26 – $446.86 | 17 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,706.39 – $4,871.51 | 17 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,596.17 – $4,673.10 | 17 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $386.59 – $695.87 | 17 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $251.85 – $453.33 | 17 |
| Infuse radioactive materials CPT 77750 | not published | not published | $364.90 – $656.82 | 17 |
| Ingest challenge ea addl 60 min CPT 95079 | $306.75 | $409.00 | $81.63 – $163.25 | 18 |
| Ingest challenge ini 120 min CPT 95076 | $657.00 | $876.00 | $353.04 – $706.07 | 18 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $392.25 | $523.00 | $207.17 – $414.34 | 18 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $2,554.38 – $4,597.88 | 17 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,815.83 – $3,268.49 | 17 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $51.42 – $92.56 | 17 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,619.74 – $2,915.53 | 17 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $125.96 – $226.72 | 17 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $291.28 – $524.31 | 17 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $136.52 – $245.74 | 17 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $187.16 – $336.89 | 17 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $78.75 – $141.75 | 17 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $89.57 – $161.23 | 17 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $141.00 | $188.00 | $35.00 – $291.19 | 17 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $96.11 – $173.00 | 17 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $6.02 – $10.84 | 17 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $9,281.66 | $12,375.54 | $7.27 – $14.54 | 18 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.17 | 17 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $20.71 | $27.61 | $0.54 – $0.54 | 1 |
| Inj acetaminophen -fresenius HCPCS J0134 | $14.79 | $19.72 | $0.45 – $0.45 | 1 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.45 – $0.45 | 1 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $4,094.26 – $7,369.67 | 17 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $24,828.50 | $33,104.66 | not published | 0 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $64,282.30 – $115,708.14 | 17 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $23.75 – $53.82 | 2 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.58 – $64.04 | 17 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $821.40 – $1,478.51 | 17 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $301.18 – $542.12 | 17 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.57 – $2.83 | 17 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $40.68 – $40.68 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $5,937.23 | $7,916.30 | $3.81 – $7.62 | 18 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $123.13 – $221.63 | 17 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $51.59 – $92.86 | 17 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.56 – $17.21 | 17 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $131.16 – $236.10 | 17 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $20,116.77 | $26,822.36 | $18.31 – $36.61 | 18 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,571.35 – $6,428.43 | 17 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $16.92 – $16.92 | 1 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.25 – $5.85 | 17 |
| Inj, artesunate, 1mg HCPCS J0391 | $39,774.01 | $53,032.01 | $51.83 – $103.66 | 18 |
| Inj. asceniv HCPCS J1554 | not published | not published | $500.93 – $901.67 | 17 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $56.29 – $101.31 | 17 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $31.95 – $57.50 | 17 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $103.40 – $186.12 | 17 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $81.20 – $146.17 | 17 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $421.02 – $421.02 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $19,707.27 | $26,276.36 | $163.36 – $326.71 | 18 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $396.00 – $396.00 | 1 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,938,320.00 – $5,288,976.00 | 17 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.83 – $71.69 | 17 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | $7,487.44 | $9,983.25 | $214.02 – $428.04 | 18 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $1.62 – $1.62 | 1 |
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.