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 |
|---|---|---|---|---|
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $156.62 – $181.35 | 7 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray exam of arm infant CPT 73092 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray exam of femur 1 CPT 73551 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $198.22 – $229.52 | 7 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray exam of penis CPT 74445 | not published | not published | $198.22 – $229.52 | 7 |
| X-ray exam of perineum CPT 74775 | not published | not published | $198.22 – $229.52 | 7 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $198.22 – $229.52 | 7 |
| X-ray exam of teeth CPT 70300 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray exam of teeth CPT 70310 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray exam si joints CPT 72200 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray fallopian tube CPT 74742 | not published | not published | $156.62 – $181.35 | 7 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray male genital tract CPT 74440 | not published | not published | $198.22 – $229.52 | 7 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $198.22 – $229.52 | 7 |
| X-ray optic foramina CPT 70190 | not published | not published | $78.92 – $91.38 | 7 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $156.62 – $181.35 | 7 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $156.62 – $181.35 | 7 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $198.22 – $229.52 | 7 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray sella turcica CPT 70240 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $198.22 – $229.52 | 7 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray small intestine follow-through study CPT 74248 | not published | not published | $198.22 – $229.52 | 7 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray surgical specimen CPT 76098 | not published | not published | $198.22 – $229.52 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $78.92 – $91.38 | 7 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $78.92 – $91.38 | 7 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $120.42 – $139.44 | 7 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $120.42 – $139.44 | 7 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $1,530.93 – $1,772.66 | 7 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $25.22 – $29.21 | 7 |
| Xyntha inj HCPCS J7185 | not published | not published | $3.03 – $5,703.31 | 8 |
| Yersinia antibody CPT 86793 | not published | not published | $32.08 – $37.15 | 7 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $96,361.76 | $148,248.86 | $25,957.61 – $133,423.97 | 32 |
| Ziconotide injection HCPCS J2278 | $2,938.53 | $4,520.82 | $303.34 – $4,627.33 | 32 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $3.41 | $5.25 | $1.48 – $83.99 | 32 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $72.53 – $83.99 | 7 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $46.73 – $54.11 | 7 |
| Zika virus igm antibody CPT 86794 | not published | not published | $32.08 – $37.15 | 7 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $23.58 – $27.30 | 7 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $76.73 | $118.05 | $33.38 – $106.25 | 32 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $13.80 – $2,254.88 | 8 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $14,976.00 | $23,040.00 | $2,171.90 – $7,735.29 | 32 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $276.12 | $424.80 | $0.26 – $83.99 | 32 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $23.42 – $27.12 | 7 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $161.91 – $187.47 | 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.