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 |
|---|---|---|---|---|
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $1,084.50 – $1,255.74 | 7 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $3,386.48 – $3,921.19 | 7 |
| Urea nitrogen CPT 84520 | $17.55 | $27.00 | $7.64 – $24.30 | 32 |
| Urea nitrogen 24 hour urine CPT 84540 | not published | not published | $16.33 – $18.91 | 7 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $16.33 – $18.91 | 7 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $16.33 – $18.91 | 7 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $7,886.01 – $9,131.17 | 7 |
| Ureteral reflux study CPT 78740 | not published | not published | $432.73 – $501.06 | 7 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,395.87 – $1,616.27 | 7 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $2,942.76 – $3,407.40 | 7 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $2,942.76 – $3,407.40 | 7 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,395.87 – $1,616.27 | 7 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $2,942.76 – $3,407.40 | 7 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $2,942.76 – $3,407.40 | 7 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $2,942.76 – $3,407.40 | 7 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $2,942.76 – $3,407.40 | 7 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $3,936.50 – $4,558.05 | 7 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $7,886.01 – $9,131.17 | 7 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $198.22 – $229.52 | 7 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,935.26 – $3,398.73 | 7 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $198.22 – $229.52 | 7 |
| Uric acid blood CPT 84550 | not published | not published | $16.33 – $18.91 | 7 |
| Uric acid urine CPT 84560 | not published | not published | $16.33 – $18.91 | 7 |
| Urinalysis glass test CPT 81020 | not published | not published | $8.86 – $10.26 | 7 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $8.86 – $10.26 | 7 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $8.86 – $10.26 | 7 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $8.86 – $10.26 | 7 |
| Urinalysis (without microscopy) CPT 81003 | $10.40 | $16.00 | $4.52 – $14.40 | 32 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $432.73 – $501.06 | 7 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $23.58 – $27.30 | 7 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $23.58 – $27.30 | 7 |
| Urinary reflex study CPT 51792 | not published | not published | $544.48 – $630.45 | 7 |
| Urinary suspensory HCPCS A5105 | not published | not published | $50.76 – $58.77 | 7 |
| Urine Culture Test CPT 87086 | not published | not published | $23.13 – $26.79 | 7 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $69.05 – $79.95 | 7 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $23.58 – $27.30 | 7 |
| Urine pregnancy test CPT 81025 | not published | not published | $8.86 – $10.26 | 7 |
| Urine screen for bacteria CPT 81007 | not published | not published | $8.86 – $10.26 | 7 |
| Urine shunt to intestine CPT 50815 | not published | not published | $7,886.01 – $9,131.17 | 7 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.67 – $4.25 | 7 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $278.89 – $322.93 | 7 |
| Urography, antegrade CPT 74425 | not published | not published | $198.22 – $229.52 | 7 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $198.22 – $229.52 | 7 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $1,008.69 – $1,167.96 | 7 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $13.40 – $15.51 | 7 |
| Use 1st target lesion CPT 76982 | not published | not published | $135.80 – $157.25 | 7 |
| User adjustable heel height HCPCS L5990 | not published | not published | $930.86 – $1,077.84 | 7 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $190.77 | $293.49 | $83.00 – $7,857.81 | 32 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $68,214.47 | $104,945.34 | $10,602.44 – $94,450.73 | 32 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $2,821.41 – $3,266.89 | 7 |
| Vaccine Administration (one shot) CPT 90471 | $139.10 | $214.00 | $23.74 – $192.60 | 32 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $13.89 – $308.76 | 8 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $1,207.44 | $1,857.60 | $13.89 – $1,671.84 | 32 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $1,324.79 | $2,038.14 | $13.89 – $1,834.33 | 32 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $13.89 – $181.07 | 8 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $13.89 – $16.08 | 7 |
| Vaccine dtap < 7 years im CPT 90700 | $136.99 | $210.75 | $13.89 – $184.25 | 32 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $502.91 | $773.70 | $13.89 – $696.33 | 32 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $291.15 | $447.93 | $13.89 – $399.01 | 32 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $762.18 | $1,172.58 | $13.89 – $1,055.32 | 32 |
| Vaccine dtap-ipv/hib im CPT 90698 | $303.99 | $467.67 | $13.89 – $420.90 | 32 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $143.79 | $221.22 | $13.89 – $199.10 | 32 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $30.79 | $47.37 | $13.40 – $42.63 | 32 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $207.83 | $319.74 | $13.89 – $268.87 | 32 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $327.83 | $504.36 | $23.42 – $453.92 | 32 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $185.00 | $284.61 | $13.89 – $254.26 | 32 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $13.89 – $16.08 | 7 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $13.89 – $143.53 | 8 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $173.98 | $267.66 | $13.89 – $231.55 | 32 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $728.91 | $1,121.40 | $13.89 – $1,009.26 | 32 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $137.40 | $211.38 | $13.89 – $184.79 | 32 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,536.64 | $2,364.06 | $23.42 – $2,127.65 | 32 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $23.42 – $27.12 | 7 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $264.24 | $406.53 | $13.89 – $182.97 | 32 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $13.89 – $187.49 | 8 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $45.31 | $69.70 | $13.89 – $62.73 | 32 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $97.11 | $149.40 | $13.89 – $67.23 | 32 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $43.55 | $67.00 | $13.89 – $60.30 | 32 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $13.89 – $16.08 | 7 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $23.40 | $36.00 | $10.18 – $32.40 | 32 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $45.50 | $70.00 | $13.89 – $63.00 | 32 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $23.40 | $36.00 | $10.18 – $32.40 | 32 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $13.89 – $16.08 | 7 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $13.89 – $16.08 | 7 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $13.89 – $94.54 | 8 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $13.89 – $21.07 | 8 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1,172.61 | $1,804.02 | $23.42 – $1,623.62 | 32 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $1,053.74 | $1,621.14 | $23.42 – $1,459.03 | 32 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $825.36 | $1,269.78 | $23.42 – $1,142.80 | 32 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $411.74 | $633.45 | $23.42 – $570.11 | 32 |
| Vaccine mmr live subcutaneous CPT 90707 | $224.04 | $344.67 | $13.89 – $310.20 | 32 |
| Vaccine mmrv live subcutaneous CPT 90710 | $669.63 | $1,030.20 | $13.89 – $927.18 | 32 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $547.93 | $842.97 | $13.89 – $758.67 | 32 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $1,089.31 | $1,675.86 | $23.42 – $1,462.40 | 32 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $23.42 – $514.37 | 8 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,440.87 | $2,216.73 | $23.42 – $1,934.28 | 32 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $220.25 | $338.85 | $13.89 – $304.97 | 32 |
| Vaccine rabies im CPT 90675 | $1,016.98 | $1,564.59 | $23.42 – $1,405.54 | 32 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $746.62 | $1,148.64 | $13.89 – $1,033.78 | 32 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $2,784.89 | $4,284.45 | $1,211.63 – $3,855.98 | 32 |
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.