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 |
|---|---|---|---|---|
| Dilate esophagus CPT 43453 | not published | not published | $416.16 – $481.87 | 7 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $416.16 – $481.87 | 7 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $10,690.11 – $12,378.03 | 7 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $10,690.11 – $12,378.03 | 7 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $10,690.11 – $12,378.03 | 7 |
| Dilate tear duct opening CPT 68801 | not published | not published | $275.48 – $318.98 | 7 |
| Dilate urethra stricture CPT 53600 | not published | not published | $69.05 – $79.95 | 7 |
| Dilate urethra stricture CPT 53601 | not published | not published | $69.05 – $79.95 | 7 |
| Dilate urethra stricture CPT 53605 | not published | not published | $395.79 – $458.28 | 7 |
| Dilate urethra stricture CPT 53621 | not published | not published | $395.79 – $458.28 | 7 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $69.05 – $79.95 | 7 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,511.41 – $1,750.06 | 7 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $2,368.20 – $2,742.12 | 7 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,511.41 – $1,750.06 | 7 |
| Dilation of salivary duct CPT 42660 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Dilation of urethra CPT 53661 | not published | not published | $69.05 – $79.95 | 7 |
| Dilation of urethra CPT 53665 | not published | not published | $395.79 – $458.28 | 7 |
| Dilation of vagina CPT 57400 | not published | not published | $2,042.23 – $2,364.69 | 7 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $395.79 – $458.28 | 7 |
| Dilator fascial 10fx20cm HCPCS C2627 | not published | not published | $279.28 – $323.38 | 7 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,395.87 – $1,616.27 | 7 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $1,395.87 – $1,616.27 | 7 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $26.70 | $41.07 | $0.24 – $15.51 | 32 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $72.53 – $83.99 | 7 |
| Dimenhydrinate injection HCPCS J1240 | $30.75 | $47.31 | $13.38 – $42.58 | 32 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $34.14 | $52.53 | $14.86 – $1,167.96 | 32 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $13.40 – $15.51 | 7 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $7.04 | $10.83 | $0.83 – $15.51 | 32 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $287.88 | $442.89 | $13.89 – $398.60 | 32 |
| Dipyridamole injection HCPCS J1245 | $4.64 | $7.14 | $2.02 – $15.51 | 32 |
| Direct advanced life support CPT 99288 | not published | not published | $95.52 – $110.61 | 7 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $214.66 – $248.56 | 7 |
| Disability dlco CPT 94727 | not published | not published | $90.32 – $104.58 | 7 |
| Disaccharidases CPT 82657 | not published | not published | $25.22 – $29.21 | 7 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,878.06 – $2,174.60 | 7 |
| Disarticulation shoulder CPT 23920 | not published | not published | $9,173.77 – $10,622.26 | 7 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $5,298.44 – $6,135.03 | 7 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $12,963.06 – $15,009.86 | 7 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $528.99 – $612.51 | 7 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $44.04 – $51.00 | 7 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $488.40 – $565.52 | 7 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $149.62 – $173.24 | 7 |
| Dissect brain w/scope CPT 62161 | not published | not published | $7,000.02 – $8,105.28 | 7 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $95.52 – $110.61 | 7 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $3,976.11 – $4,603.92 | 7 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $4,382.84 – $5,074.87 | 7 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $3,645.83 – $4,221.49 | 7 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $4,386.56 – $5,079.17 | 7 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $2,553.86 – $2,957.10 | 7 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $41.87 – $48.48 | 7 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $14,517.80 – $16,810.08 | 7 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $161.91 – $187.47 | 7 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $161.91 – $187.47 | 7 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $161.91 – $187.47 | 7 |
| Dna antibody native/double stranded CPT 86225 | not published | not published | $32.08 – $37.15 | 7 |
| Dna gardnerella CPT 87510 | not published | not published | $23.13 – $26.79 | 7 |
| Dna probe chlamydia CPT 87490 | not published | not published | $23.13 – $26.79 | 7 |
| Dna probe gc CPT 87590 | not published | not published | $23.13 – $26.79 | 7 |
| Dna trichomonas CPT 87660 | not published | not published | $23.13 – $26.79 | 7 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $0.90 | $1.38 | $0.09 – $15.51 | 32 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $949.39 | $1,460.60 | $42.71 – $572.68 | 32 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | $108.86 | $167.48 | $47.36 – $572.68 | 32 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $13.40 – $15.51 | 7 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $13.40 – $15.51 | 7 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $95.52 – $110.61 | 7 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $95.52 – $110.61 | 7 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $95.52 – $110.61 | 7 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $95.52 – $110.61 | 7 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $95.52 – $110.61 | 7 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $95.52 – $110.61 | 7 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $95.52 – $110.61 | 7 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $95.52 – $110.61 | 7 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $95.52 – $110.61 | 7 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $2.07 | $3.18 | $0.06 – $15.51 | 32 |
| Doppler echo complete CPT 93320 | not published | not published | $491.11 – $568.66 | 7 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $1,378.85 – $1,596.56 | 7 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $150.87 – $174.69 | 7 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $135.80 – $157.25 | 7 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $197.13 – $228.26 | 7 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $105.35 – $228.26 | 8 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $23,520.99 – $27,234.83 | 7 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $44.04 – $51.00 | 7 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $2,871.39 | $4,417.53 | $1,249.28 – $12,276.51 | 32 |
| Double transfer toe-hand CPT 26554 | not published | not published | $5,685.11 – $6,582.76 | 7 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $820.66 | $1,262.56 | $1.81 – $5.76 | 28 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $210.16 | $323.32 | $43.46 – $1,262.39 | 32 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $61.62 | $94.80 | $16.98 – $83.99 | 32 |
| Dpyd gene common variants CPT 81232 | not published | not published | $161.91 – $187.47 | 7 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $15.49 – $17.94 | 7 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $149.62 – $173.24 | 7 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,305.97 – $1,512.17 | 7 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $149.62 – $173.24 | 7 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $3,144.72 – $3,641.25 | 7 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $3,144.72 – $3,641.25 | 7 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $149.62 – $173.24 | 7 |
| Drainage of abdomen CPT 48000 | not published | not published | $4,825.63 – $5,587.57 | 7 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,878.06 – $2,174.60 | 7 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,482.23 – $1,716.26 | 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.