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 |
|---|---|---|---|---|
| Above knee flex cover system HCPCS L5964 | not published | not published | $930.86 – $1,077.84 | 7 |
| Above knee leather socket HCPCS L5642 | not published | not published | $462.92 – $536.01 | 7 |
| Above knee manual lock HCPCS L5925 | not published | not published | $1,176.73 – $1,362.53 | 7 |
| Above knee wood socket HCPCS L5644 | not published | not published | $462.92 – $536.01 | 7 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $234.59 – $271.63 | 7 |
| Abrasion lesion single CPT 15786 | not published | not published | $234.59 – $271.63 | 7 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $641.94 – $743.30 | 7 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $23.58 – $27.30 | 7 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $23.58 – $27.30 | 7 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $23.58 – $27.30 | 7 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $23.58 – $27.30 | 7 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $23.58 – $27.30 | 7 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $14,517.80 – $16,810.08 | 7 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $497.17 – $575.67 | 7 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.20 | $0.30 | $0.08 – $15.51 | 32 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | not published | not published | $23.58 – $27.30 | 7 |
| Acetaminophen level CPT 80143 | not published | not published | $25.45 – $29.47 | 7 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $102.86 | $158.25 | $44.75 – $142.43 | 32 |
| Acetone qualitative CPT 82009 | not published | not published | $16.33 – $18.91 | 7 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $32.08 – $37.15 | 7 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $25.22 – $29.21 | 7 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $3.90 | $6.00 | $1.70 – $15.51 | 32 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $13.40 – $16.15 | 8 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $416.16 – $481.87 | 7 |
| Acne surgery 10040 CPT 10040 | not published | not published | $234.59 – $271.63 | 7 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $95.52 – $220.54 | 8 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $95.52 – $173.21 | 8 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $120.42 – $139.44 | 7 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $65.49 – $75.83 | 7 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $16.62 – $133.95 | 8 |
| Acoustic immitance testing CPT 92570 | not published | not published | $187.11 – $216.66 | 7 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $55.60 – $64.38 | 7 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $4,552.23 – $5,271.00 | 7 |
| Acth stimulation panel CPT 80402 | not published | not published | $38.48 – $44.56 | 7 |
| Acth stimulation panel CPT 80406 | not published | not published | $38.48 – $44.56 | 7 |
| Actigraphy testing CPT 95803 | not published | not published | $120.42 – $139.44 | 7 |
| Actinotherapy uv light CPT 96900 | not published | not published | $43.23 – $50.05 | 7 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $21.45 | $33.00 | $9.33 – $50.05 | 32 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $21.45 | $33.00 | $9.33 – $50.05 | 32 |
| Acup 1/> without estim ea add 15 CPT 97811 | $21.45 | $33.00 | $9.33 – $50.05 | 32 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $21.45 | $33.00 | $9.33 – $50.05 | 32 |
| Acute hepatitis panel CPT 80074 | not published | not published | $27.34 – $31.66 | 7 |
| Acute venous thrombus image CPT 78456 | not published | not published | $432.73 – $501.06 | 7 |
| Acyclovir 400 mg tablet HCPCS J8499 | not published | not published | $72.53 – $83.99 | 7 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $3.59 | $5.52 | $1.36 – $15.51 | 32 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $25.22 – $29.21 | 7 |
| Acylcarnitines qual CPT 82016 | not published | not published | $25.22 – $29.21 | 7 |
| Adalimumab injection HCPCS J0135 | not published | not published | $1,872.32 – $2,167.95 | 7 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $252.95 – $292.89 | 7 |
| Adapter b 8 channel 10cm HCPCS C1883 | not published | not published | $279.28 – $323.38 | 7 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $252.95 – $292.89 | 7 |
| Adding walker to prev cast CPT 29440 | not published | not published | $146.35 – $169.46 | 7 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $1,176.73 – $1,362.53 | 7 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $81.34 – $94.18 | 7 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $462.92 – $536.01 | 7 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $126.87 – $146.91 | 7 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $126.87 – $146.91 | 7 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $126.87 – $146.91 | 7 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $1,790.35 – $2,073.04 | 7 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $1,176.73 – $1,362.53 | 7 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $462.92 – $536.01 | 7 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $18.72 | $28.80 | $2.55 – $83.99 | 32 |
| Adenovirus ag ia CPT 87301 | not published | not published | $23.13 – $26.79 | 7 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $32.08 – $37.15 | 7 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $23.13 – $26.79 | 7 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $13.89 – $16.08 | 7 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $3,871.72 – $4,483.04 | 7 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $23.58 – $27.30 | 7 |
| Adh-sendout CPT 84588 | not published | not published | $38.48 – $44.56 | 7 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $4,182.77 – $4,843.21 | 7 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $2,296.25 – $2,658.82 | 7 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Adjustment gastric band HCPCS S2083 | not published | not published | $563.76 – $652.77 | 7 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $223.94 | $344.52 | $0.36 – $15.51 | 32 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $491.11 – $568.66 | 7 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | not published | not published | $543.46 – $629.27 | 7 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $385.80 – $446.71 | 7 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | not published | not published | $385.80 – $446.71 | 7 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $63.30 – $73.29 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | not published | not published | $63.30 – $73.29 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | not published | not published | $63.30 – $73.29 | 7 |
| Administration immunization each additional component CPT 90461 | not published | not published | $23.74 – $27.49 | 7 |
| Administration immunization each additional vaccine CPT 90472 | not published | not published | $23.74 – $27.49 | 7 |
| Administration immunization first component each vaccine CPT 90460 | $13.81 | $21.25 | $6.01 – $27.49 | 32 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $23.74 – $27.49 | 7 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $23.74 – $27.49 | 7 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $23.74 – $27.49 | 7 |
| Administration vaccine hepatitis b HCPCS G0010 | not published | not published | $23.74 – $27.49 | 7 |
| Administration vaccine influenza virus HCPCS G0008 | not published | not published | $23.74 – $27.49 | 7 |
| Administration vaccine pneumococcal HCPCS G0009 | not published | not published | $23.74 – $27.49 | 7 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $23.74 – $27.49 | 7 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $19,916.21 | $30,640.32 | $5,415.69 – $17,235.22 | 32 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,235.19 – $1,430.22 | 7 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $2,821.41 – $3,266.89 | 7 |
| Adrenalin epinephrine inject HCPCS J0171 | $712.08 | $1,095.51 | $13.40 – $486.00 | 32 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $30.37 – $35.17 | 7 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $187.11 – $216.66 | 7 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $187.11 – $216.66 | 7 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $187.11 – $216.66 | 7 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $78,638.30 | $120,982.00 | $19,823.16 – $108,883.80 | 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.