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 |
|---|---|---|---|---|
| (both sides) donor search management CPT 38204 | not published | not published | $563.76 – $652.77 | 7 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $11.80 – $13.66 | 7 |
| Botulism ig IV CPT 90288 | not published | not published | $19,823.16 – $22,953.13 | 7 |
| Bowel imaging CPT 78290 | not published | not published | $432.73 – $501.06 | 7 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $5,407.16 – $6,260.93 | 7 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $1,527.32 – $1,768.48 | 7 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $3,645.83 – $4,221.49 | 7 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $3,645.83 – $4,221.49 | 7 |
| Bpg iliorenal CPT 35634 | not published | not published | $3,645.83 – $4,221.49 | 7 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $5,407.16 – $6,260.93 | 7 |
| Bpg splenorenal CPT 35636 | not published | not published | $3,645.83 – $4,221.49 | 7 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $5,407.16 – $6,260.93 | 7 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $3,645.83 – $4,221.49 | 7 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $81.34 – $94.18 | 7 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $462.92 – $536.01 | 7 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $488.40 – $565.52 | 7 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $462.92 – $536.01 | 7 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,790.35 – $2,073.04 | 7 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $81.34 – $94.18 | 7 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $81.34 – $94.18 | 7 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $44.04 – $51.00 | 7 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $44.04 – $51.00 | 7 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $1,176.73 – $1,362.53 | 7 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $930.86 – $1,077.84 | 7 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $930.86 – $1,077.84 | 7 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $1,176.73 – $1,362.53 | 7 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $930.86 – $1,077.84 | 7 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $930.86 – $1,077.84 | 7 |
| Brace cust back lso HCPCS L0631 | not published | not published | $930.86 – $1,077.84 | 7 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $126.87 – $146.91 | 7 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $126.87 – $146.91 | 7 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $81.34 – $94.18 | 7 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $462.92 – $536.01 | 7 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $462.92 – $536.01 | 7 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $81.34 – $94.18 | 7 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $462.92 – $536.01 | 7 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $1,790.35 – $2,073.04 | 7 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $81.34 – $94.18 | 7 |
| Brace m arm board HCPCS L3809 | not published | not published | $488.40 – $565.52 | 7 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $191.75 | $295.00 | $83.43 – $265.50 | 32 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $930.86 – $1,077.84 | 7 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $930.86 – $1,077.84 | 7 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $488.40 – $565.52 | 7 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $81.34 – $94.18 | 7 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $44.04 – $51.00 | 7 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,382.01 – $2,758.12 | 7 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $497.17 – $575.67 | 7 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $497.17 – $575.67 | 7 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $497.17 – $575.67 | 7 |
| Brach/thor cath addl CPT 36218 | not published | not published | $497.17 – $575.67 | 7 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $3,810.83 – $4,412.54 | 7 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $430.59 – $498.58 | 7 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $430.59 – $498.58 | 7 |
| Brachy source palladium HCPCS C2640 | not published | not published | $3,810.83 – $4,412.54 | 7 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $3,810.83 – $4,412.54 | 7 |
| Brachy source yttrium-90 HCPCS C2616 | not published | not published | $18,227.68 – $21,105.73 | 7 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $3,810.83 – $4,412.54 | 7 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $430.59 – $498.58 | 7 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $3,810.83 – $4,412.54 | 7 |
| Brachytx isodose complex CPT 77318 | not published | not published | $679.61 – $786.92 | 7 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $679.61 – $786.92 | 7 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $146.93 – $170.13 | 7 |
| Brachytx, non-str, gold-198 HCPCS C1716 | not published | not published | $430.59 – $498.58 | 7 |
| Brachytx, non-str, ha, i-125 HCPCS C2634 | not published | not published | $3,810.83 – $4,412.54 | 7 |
| Brachytx, non-str, ha, p-103 HCPCS C2635 | not published | not published | $430.59 – $498.58 | 7 |
| Brachytx, ns, non-hdrir-192 HCPCS C1719 | not published | not published | $430.59 – $498.58 | 7 |
| Braf gene CPT 81210 | not published | not published | $161.91 – $187.47 | 7 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $1,527.32 – $1,768.48 | 7 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $1,527.32 – $1,768.48 | 7 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $1,527.32 – $1,768.48 | 7 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $7,000.02 – $8,105.28 | 7 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $7,445.87 – $8,621.54 | 7 |
| Brain flow imaging only CPT 78610 | not published | not published | $432.73 – $501.06 | 7 |
| Brain image < 4 views CPT 78600 | not published | not published | $432.73 – $501.06 | 7 |
| Brain image 4+ views CPT 78605 | not published | not published | $432.73 – $501.06 | 7 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $432.73 – $501.06 | 7 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $432.73 – $501.06 | 7 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | not published | not published | $431.94 – $500.14 | 7 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $431.94 – $500.14 | 7 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | not published | not published | $431.94 – $500.14 | 7 |
| Brain MRI (with and without contrast) CPT 70553 | not published | not published | $536.61 – $621.34 | 7 |
| Brain MRI (with contrast) CPT 70552 | not published | not published | $536.61 – $621.34 | 7 |
| Brain MRI (without contrast) CPT 70551 | not published | not published | $355.08 – $411.15 | 7 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $50.76 – $58.77 | 7 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $152.45 – $176.52 | 7 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $152.45 – $176.52 | 7 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $152.45 – $176.52 | 7 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $161.91 – $187.47 | 7 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $161.91 – $187.47 | 7 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $161.91 – $187.47 | 7 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $152.45 – $176.52 | 7 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $161.91 – $187.47 | 7 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $152.45 – $176.52 | 7 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $934.06 – $1,081.54 | 7 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $4,279.58 – $4,955.30 | 7 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | not published | not published | $1,434.07 – $1,660.51 | 7 |
| Breastbone (Sternum) X-ray CPT 71120 | not published | not published | $78.92 – $91.38 | 7 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $81.34 – $94.18 | 7 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $126.87 – $146.91 | 7 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $126.87 – $146.91 | 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.