cleveland clinic childrens hospital for rehabilitation
2801 Martin Luther King Jr. Drive, Cleveland, OH · Cleveland Clinic · · NPI 1033161948
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 |
|---|---|---|---|---|
| Synch audio-only new sf 15 CPT 98008 | not published | not published | $95.52 – $110.61 | 7 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $5.95 – $646.71 | 8 |
| Synthetic sentence id test CPT 92576 | not published | not published | $55.60 – $64.38 | 7 |
| Synvisc or synvisc-one HCPCS J7325 | $534.14 | $821.76 | $232.39 – $739.58 | 32 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $32.08 – $37.15 | 7 |
| System cardiomems hosp electronics HCPCS C2624 | not published | not published | $279.28 – $323.38 | 7 |
| System pacing micra av HCPCS C1786 | not published | not published | $279.28 – $323.38 | 7 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | not published | not published | $279.28 – $323.38 | 7 |
| System recell skin grafting/harvesting HCPCS C1832 | not published | not published | $279.28 – $323.38 | 7 |
| System sealant biosentry tract HCPCS C2613 | not published | not published | $279.28 – $323.38 | 7 |
| T3 (triiodothyronine) free CPT 84481 | not published | not published | $30.58 – $35.41 | 7 |
| T3 (triiodothyronine) total CPT 84480 | not published | not published | $30.58 – $35.41 | 7 |
| T4 (thyroxine) free CPT 84439 | not published | not published | $30.58 – $35.41 | 7 |
| T4 (thyroxine) total CPT 84436 | not published | not published | $30.58 – $35.41 | 7 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $9.01 | $13.86 | $3.92 – $15.51 | 32 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $44.58 | $68.58 | $3.64 – $83.99 | 32 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $28.99 | $44.60 | $1.26 – $15.51 | 32 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $596.76 | $918.09 | $259.64 – $826.28 | 32 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $25.45 – $29.47 | 7 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $4,355.10 | $6,700.16 | $1,894.81 – $7,857.81 | 32 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | not published | not published | $78.92 – $91.38 | 7 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $21,795.67 | $33,531.80 | $94.84 – $7,735.29 | 32 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $36,045.46 | $55,454.56 | $784.13 – $7,735.29 | 32 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $978.15 – $1,132.59 | 7 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $402.14 – $465.63 | 7 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $23.58 – $27.30 | 7 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $240.61 – $278.60 | 7 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $934.06 – $1,081.54 | 7 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $152.45 – $176.52 | 7 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $46,800.00 | $72,000.00 | $2,036.16 – $12,276.51 | 32 |
| Tas congenital car anomal CPT 33741 | not published | not published | $19,862.91 – $22,999.16 | 7 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $541.16 – $626.60 | 7 |
| Tavr perq femoral CPT 33361 | not published | not published | $19,862.91 – $22,999.16 | 7 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,169.67 | $1,799.49 | $508.75 – $1,619.08 | 32 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $161.91 – $187.47 | 7 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $563.76 – $652.77 | 7 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $39.83 – $46.12 | 7 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $39.83 – $46.12 | 7 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $180.00 – $208.42 | 7 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $180.00 – $208.42 | 7 |
| Tc-99m bicisate HCPCS A9557 | $2,447.90 | $3,766.00 | $180.00 – $3,389.40 | 32 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $180.00 – $208.42 | 7 |
| Tc-99m diag per dose HCPCS A4641 | not published | not published | $180.00 – $208.42 | 7 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $180.00 – $208.42 | 7 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $180.00 – $208.42 | 7 |
| Tc-99m exametazime diag HCPCS A9521 | $2,033.20 | $3,128.00 | $180.00 – $2,815.20 | 32 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $180.00 – $208.42 | 7 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $180.00 – $208.42 | 7 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $180.00 – $208.42 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $227.50 | $350.00 | $98.98 – $315.00 | 32 |
| Tc-99m maa HCPCS A9540 | $709.80 | $1,092.00 | $180.00 – $982.80 | 32 |
| Tc-99m mebrofenin HCPCS A9537 | $40.30 | $62.00 | $17.53 – $208.42 | 32 |
| Tc-99m medronate HCPCS A9503 | $36.40 | $56.00 | $15.84 – $208.42 | 32 |
| Tc-99m mertiatide HCPCS A9562 | $369.20 | $568.00 | $160.63 – $511.20 | 32 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $34.72 – $40.21 | 7 |
| Tc-99m oxidronate HCPCS A9561 | $53.30 | $82.00 | $23.19 – $208.42 | 32 |
| Tc-99m pentetate dtpa HCPCS A9539 | $276.90 | $426.00 | $120.47 – $383.40 | 32 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $180.00 – $208.42 | 7 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $180.00 – $208.42 | 7 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $76.70 | $118.00 | $33.37 – $208.42 | 32 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $42.90 | $66.00 | $18.66 – $208.42 | 32 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $180.00 – $208.42 | 7 |
| Tc-99m sulfur colloid HCPCS A9541 | $130.00 | $200.00 | $56.56 – $208.42 | 32 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $40.30 | $62.00 | $17.53 – $208.42 | 32 |
| Tc-99m tilmanocept diag HCPCS A9520 | $773.50 | $1,190.00 | $180.00 – $1,071.00 | 32 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $234.59 – $271.63 | 7 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $135.80 – $157.25 | 7 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $208.86 – $241.84 | 7 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $135.80 – $157.25 | 7 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $2,197.31 – $2,544.26 | 7 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $39.83 – $46.12 | 7 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $39.83 – $46.12 | 7 |
| T cells total count CPT 86359 | not published | not published | $39.83 – $46.12 | 7 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $260.59 – $866.86 | 8 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $296.64 – $866.86 | 8 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $270.89 – $866.86 | 8 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $7,000.02 – $8,105.28 | 7 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $3,890.33 – $4,504.59 | 7 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $30.37 – $35.17 | 7 |
| Team conf without pat by phys CPT 99367 | not published | not published | $30.37 – $35.17 | 7 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $30.37 – $35.17 | 7 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $130,977.60 | $201,504.00 | $19,823.16 – $181,353.60 | 32 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $491.11 – $568.66 | 7 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $491.11 – $568.66 | 7 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $44.04 – $51.00 | 7 |
| Telavancin injection HCPCS J3095 | not published | not published | $14.07 – $646.71 | 8 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $25.74 – $29.80 | 7 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $679.61 – $786.92 | 7 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $146.93 – $170.13 | 7 |
| Temozolomide HCPCS J8700 | $673.36 | $1,035.94 | $1.04 – $26.59 | 32 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $3,129.70 | $4,814.92 | $1,361.66 – $4,627.33 | 32 |
| Temperature gradient studies CPT 93740 | not published | not published | $120.67 – $139.72 | 7 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $6,311.90 – $7,308.51 | 7 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $4,914.80 | $7,561.23 | $1,313.21 – $4,179.25 | 32 |
| Tendon lengthening CPT 26476 | not published | not published | $1,623.76 – $1,880.14 | 7 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,717.77 – $1,989.00 | 7 |
| Tendon shortening CPT 26477 | not published | not published | $1,623.76 – $1,880.14 | 7 |
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.