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 |
|---|---|---|---|---|
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $180.00 – $208.42 | 7 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $1,790.35 – $2,073.04 | 7 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $1,790.35 – $2,073.04 | 7 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $930.86 – $1,077.84 | 7 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $930.86 – $1,077.84 | 7 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $462.92 – $536.01 | 7 |
| Tlso corset front HCPCS L0970 | not published | not published | $81.34 – $94.18 | 7 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $126.87 – $146.91 | 7 |
| Tlso full corset HCPCS L0974 | not published | not published | $488.40 – $565.52 | 7 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $1,176.73 – $1,362.53 | 7 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $1,176.73 – $1,362.53 | 7 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $462.92 – $536.01 | 7 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $462.92 – $536.01 | 7 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $462.92 – $536.01 | 7 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $930.86 – $1,077.84 | 7 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $930.86 – $1,077.84 | 7 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $930.86 – $1,077.84 | 7 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $126.87 – $146.91 | 7 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $126.87 – $146.91 | 7 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $4,232.22 – $4,900.47 | 7 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $4,232.22 – $4,900.47 | 7 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $4,552.23 – $5,271.00 | 7 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $558.52 – $646.71 | 7 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $460.69 | $708.75 | $0.73 – $15.51 | 32 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $23.82 – $83.99 | 8 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $25.45 – $29.47 | 7 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,072.67 | $6,265.64 | $180.26 – $2,254.88 | 32 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $14.46 – $2,254.88 | 8 |
| Toe joint transfer CPT 26556 | not published | not published | $5,685.11 – $6,582.76 | 7 |
| Toe X-ray (both feet) CPT 73660 | not published | not published | $78.92 – $91.38 | 7 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $51.10 – $83.42 | 8 |
| Tomosynthesis breast screen bilateral CPT 77063 | not published | not published | $66.24 – $83.42 | 8 |
| Tone decay hearing test CPT 92563 | not published | not published | $55.60 – $64.38 | 7 |
| Tongue and neck surgery CPT 41135 | not published | not published | $4,720.45 – $5,465.78 | 7 |
| Tongue base vol reduction CPT 41530 | not published | not published | $2,165.99 – $2,507.99 | 7 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $1,305.97 – $1,512.17 | 7 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $4,720.45 – $5,465.78 | 7 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $4,720.45 – $5,465.78 | 7 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $4,720.45 – $5,465.78 | 7 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $4,720.45 – $5,465.78 | 7 |
| Tongue suspension CPT 41512 | not published | not published | $4,720.45 – $5,465.78 | 7 |
| Tongue to lip surgery CPT 41510 | not published | not published | $1,305.97 – $1,512.17 | 7 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $1,993.83 – $2,308.65 | 7 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $1,993.83 – $2,308.65 | 7 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $931.45 | $1,433.00 | $146.84 – $467.32 | 28 |
| Topotecan oral HCPCS J8705 | not published | not published | $238.92 – $646.71 | 8 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $5,073.77 | $7,805.80 | $2,207.48 – $7,735.29 | 32 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $81.34 – $94.18 | 7 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $81.34 – $94.18 | 7 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Total hip arthroplasty CPT 27132 | not published | not published | $10,955.28 – $12,685.06 | 7 |
| Total Hip Replacement CPT 27130 | not published | not published | $10,955.28 – $12,685.06 | 7 |
| Total hysterectomy CPT 58150 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Total Knee Replacement CPT 27447 | not published | not published | $10,955.28 – $12,685.06 | 7 |
| Total lung lavage CPT 32997 | not published | not published | $3,641.28 – $4,216.22 | 7 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,219.72 – $2,570.21 | 7 |
| Total tau CPT 84394 | not published | not published | $161.91 – $187.47 | 7 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $462.92 – $536.01 | 7 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $19,537.41 – $22,622.26 | 7 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $12,963.06 – $15,009.86 | 7 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $12,963.06 – $15,009.86 | 7 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $19,537.41 – $22,622.26 | 7 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $4,386.56 – $5,079.17 | 7 |
| Tot estradiol response panel CPT 80415 | not published | not published | $38.48 – $44.56 | 7 |
| Toxoplasma antibody igg CPT 86777 | not published | not published | $32.08 – $37.15 | 7 |
| Toxoplasma antibody igm CPT 86778 | not published | not published | $32.08 – $37.15 | 7 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $240.61 – $278.60 | 7 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $161.91 – $187.47 | 7 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $161.91 – $187.47 | 7 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $161.91 – $187.47 | 7 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $395.79 – $458.28 | 7 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $5,052.40 – $5,850.15 | 7 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $2,935.26 – $3,398.73 | 7 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $2,935.26 – $3,398.73 | 7 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $15,200.25 | $23,385.00 | $4,565.35 – $21,046.50 | 32 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $11,510.75 | $17,708.84 | $5,008.06 – $15,937.96 | 32 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $529.75 – $613.39 | 7 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $23.58 – $27.30 | 7 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $2,368.20 – $2,742.12 | 7 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,522.95 | $2,343.00 | $662.60 – $2,108.70 | 32 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $6,633.90 – $7,681.36 | 7 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $4,412.30 – $5,108.98 | 7 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $23.58 – $27.30 | 7 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $44.04 – $51.00 | 7 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $23.58 – $27.30 | 7 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $23.58 – $27.30 | 7 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $30.26 – $62.93 | 8 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | not published | not published | $54.35 – $71.79 | 8 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $1.40 | $2.16 | $0.45 – $83.99 | 32 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $917.97 – $1,062.91 | 7 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $7,754.04 – $8,978.37 | 7 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $7,754.04 – $8,978.37 | 7 |
| Transcath biopsy CPT 37200 | not published | not published | $3,507.43 – $4,061.23 | 7 |
| Transcath closure of asd CPT 93580 | not published | not published | $19,862.91 – $22,999.16 | 7 |
| Transcath closure of vsd CPT 93581 | not published | not published | $19,862.91 – $22,999.16 | 7 |
| Transcatheter bx s&i CPT 75970 | not published | not published | $156.62 – $181.35 | 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.