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 |
|---|---|---|---|---|
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $2,042.23 – $2,364.69 | 7 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $234.59 – $271.63 | 7 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $813.94 – $942.46 | 7 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $813.94 – $942.46 | 7 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $813.94 – $942.46 | 7 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $234.59 – $271.63 | 7 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $1,511.41 – $1,750.06 | 7 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $1,511.41 – $1,750.06 | 7 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $1,511.41 – $1,750.06 | 7 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $234.59 – $271.63 | 7 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $978.15 – $1,132.59 | 7 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $978.15 – $1,132.59 | 7 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $978.15 – $1,132.59 | 7 |
| Destruction ciliary body CPT 66700 | not published | not published | $529.75 – $613.39 | 7 |
| Destruction ciliary body CPT 66720 | not published | not published | $529.75 – $613.39 | 7 |
| Destruction ciliary body CPT 66740 | not published | not published | $529.75 – $613.39 | 7 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $1,511.41 – $1,750.06 | 7 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $1,511.41 – $1,750.06 | 7 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $1,603.66 – $1,856.87 | 7 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $234.59 – $271.63 | 7 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $234.59 – $271.63 | 7 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $234.59 – $271.63 | 7 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $234.59 – $271.63 | 7 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $395.79 – $458.28 | 7 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,657.91 – $1,919.69 | 7 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $234.59 – $271.63 | 7 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,552.71 – $2,955.77 | 7 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $2,042.23 – $2,364.69 | 7 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $2,042.23 – $2,364.69 | 7 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $1,657.91 – $1,919.69 | 7 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $46.73 – $54.11 | 7 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $46.73 – $54.11 | 7 |
| Determination venous press CPT 93770 | not published | not published | $120.42 – $139.44 | 7 |
| Determine refractive state CPT 92015 | not published | not published | $88.63 – $102.62 | 7 |
| Developmental screen/score/document 96110 CPT 96110 | $205.40 | $316.00 | $89.36 – $332.12 | 32 |
| Devel tst phys/qhp 1st hr CPT 96112 | $702.00 | $1,080.00 | $286.83 – $972.00 | 32 |
| Device ablt adv novasure HCPCS C1886 | not published | not published | $279.28 – $323.38 | 7 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | not published | not published | $279.28 – $323.38 | 7 |
| Device intraute mirena HCPCS J7298 | $1,894.83 | $2,915.12 | $824.40 – $2,623.61 | 32 |
| Device sut capio slim opn HCPCS C2631 | not published | not published | $279.28 – $323.38 | 7 |
| Device tiss remov myosure reach HCPCS C1782 | not published | not published | $279.28 – $323.38 | 7 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $31.75 – $36.76 | 7 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,211.72 – $2,560.94 | 7 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $286.83 – $332.12 | 7 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $196.30 | $302.00 | $85.41 – $332.12 | 32 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $998.40 | $1,536.00 | $434.38 – $1,382.40 | 32 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1,008.69 – $1,167.96 | 7 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $2.47 | $3.80 | $0.04 – $15.51 | 32 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $17.55 | $27.00 | $0.40 – $15.51 | 32 |
| Dexamethasone intra implant HCPCS J7312 | $3,119.22 | $4,798.80 | $1,357.10 – $4,318.92 | 32 |
| Dexamethasone panel CPT 80420 | not published | not published | $161.91 – $187.47 | 7 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $72.53 – $83.99 | 7 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $641.76 | $987.33 | $203.62 – $1,918.79 | 32 |
| Dextran 40 infusion HCPCS J7100 | $1.54 | $2.37 | $0.64 – $15.51 | 32 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $13.40 – $15.51 | 7 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $72.53 – $83.99 | 7 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $0.02 | $0.03 | $0.01 – $15.51 | 32 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $13.40 – $15.51 | 7 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $0.27 | $0.42 | $0.01 – $15.51 | 32 |
| Dextrose 5 % IV bolus HCPCS J7070 | $0.88 | $1.35 | $0.01 – $15.51 | 32 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $30.58 – $35.41 | 7 |
| Diabetes (HbA1c) Test CPT 83036 | not published | not published | $16.33 – $18.91 | 7 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $65.49 – $75.83 | 7 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $488.40 – $565.52 | 7 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $50.76 – $58.77 | 7 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $50.76 – $58.77 | 7 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $50.76 – $58.77 | 7 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $20.54 – $71.90 | 8 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $44.04 – $51.00 | 7 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $50.76 – $58.77 | 7 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,548.69 – $1,793.22 | 7 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $2,821.41 – $3,266.89 | 7 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $416.16 – $481.87 | 7 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,237.30 – $1,432.66 | 7 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $416.16 – $481.87 | 7 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $72.05 – $83.42 | 7 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $72.05 – $83.42 | 7 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $149.62 – $173.24 | 7 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $149.62 – $173.24 | 7 |
| Diagnostic Mammogram (both breasts) CPT 77066 | not published | not published | $72.05 – $213.08 | 8 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $72.05 – $168.11 | 8 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $78.92 – $91.38 | 7 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $11,724.47 – $13,575.71 | 7 |
| Dialysis one evaluation CPT 90945 | $1,909.70 | $2,938.00 | $518.56 – $2,644.20 | 32 |
| Dialysis repeated eval CPT 90947 | $3,416.40 | $5,256.00 | $518.56 – $4,730.40 | 32 |
| Dialysis training complete CPT 90989 | not published | not published | $54.35 – $62.93 | 7 |
| Dialysis training incompl CPT 90993 | not published | not published | $54.35 – $62.93 | 7 |
| Diathermy eg microwave CPT 97024 | not published | not published | $9.63 – $50.05 | 8 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.72 | $1.11 | $0.10 – $40.21 | 32 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $46.80 | $72.00 | $5.90 – $18.77 | 32 |
| Dicyclomine injection HCPCS J0500 | $45.63 | $70.20 | $12.34 – $83.99 | 32 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $558.52 – $646.71 | 7 |
| Diffusing capacity CPT 94729 | not published | not published | $90.32 – $104.58 | 7 |
| Digital analysis of eeg CPT 95957 | not published | not published | $31.75 – $36.76 | 7 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,515.23 – $1,754.48 | 7 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $335.15 | $515.61 | $2.80 – $15.51 | 32 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $11,639.16 | $17,906.40 | $5,063.93 – $16,115.76 | 32 |
| Digoxin total therapeutic drug level CPT 80162 | not published | not published | $25.45 – $29.47 | 7 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $245.70 | $378.00 | $72.53 – $340.20 | 32 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $4,825.63 – $5,587.57 | 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.