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 |
|---|---|---|---|---|
| Afamitresgene autoleucel HCPCS Q2057 | $2,268,240.00 | $3,489,600.00 | $15,525.20 – $3,140,640.00 | 32 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $23.13 – $26.79 | 7 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $23.13 – $26.79 | 7 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $68.31 – $79.09 | 7 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $161.91 – $187.47 | 7 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $161.91 – $187.47 | 7 |
| Aflibercept injection HCPCS J0178 | $90,901.04 | $139,847.76 | $3,996.33 – $125,862.98 | 32 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $13.89 – $16.08 | 7 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $462.92 – $536.01 | 7 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $930.86 – $1,077.84 | 7 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $462.92 – $536.01 | 7 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $1,790.35 – $2,073.04 | 7 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $126.87 – $146.91 | 7 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $1,176.73 – $1,362.53 | 7 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $126.87 – $146.91 | 7 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $1,790.35 – $2,073.04 | 7 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $126.87 – $146.91 | 7 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $462.92 – $536.01 | 7 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $930.86 – $1,077.84 | 7 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $1,790.35 – $2,073.04 | 7 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $462.92 – $536.01 | 7 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $1,790.35 – $2,073.04 | 7 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $462.92 – $536.01 | 7 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $930.86 – $1,077.84 | 7 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $462.92 – $536.01 | 7 |
| After cataract laser surgery CPT 66821 | not published | not published | $442.49 – $512.36 | 7 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $25,154.35 | $38,699.00 | $1,563.17 – $12,276.51 | 32 |
| Ag detect nos ia single CPT 87450 | not published | not published | $23.13 – $26.79 | 7 |
| Air conduction bilat CPT 92552 | not published | not published | $55.60 – $64.38 | 7 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $113.96 – $131.96 | 7 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $177.86 – $205.94 | 7 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $930.86 – $1,077.84 | 7 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $462.92 – $536.01 | 7 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $930.86 – $1,077.84 | 7 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $462.92 – $536.01 | 7 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $44.04 – $51.00 | 7 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $488.40 – $565.52 | 7 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $81.34 – $94.18 | 7 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $81.34 – $94.18 | 7 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $488.40 – $565.52 | 7 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $81.34 – $94.18 | 7 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $930.86 – $1,077.84 | 7 |
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $16.33 – $18.91 | 7 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $2.71 | $4.17 | $0.95 – $336.48 | 32 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $3.26 | $5.01 | $1.42 – $336.48 | 32 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $0.84 | $1.29 | $0.19 – $551.98 | 32 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $1.54 | $2.37 | $0.67 – $336.48 | 32 |
| Albumin ischemia modified CPT 82045 | not published | not published | $29.00 – $33.58 | 7 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | not published | not published | $8.86 – $10.26 | 7 |
| Albumin serum plasma or whole blood CPT 82040 | not published | not published | $16.33 – $18.91 | 7 |
| Albuterol comp con HCPCS J7610 | not published | not published | $72.53 – $83.99 | 7 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $72.53 – $83.99 | 7 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.38 – $15.51 | 8 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.50 – $15.51 | 8 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.14 – $15.51 | 8 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $41.87 – $48.48 | 7 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $41.87 – $48.48 | 7 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $65.49 – $75.83 | 7 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $132.18 – $153.05 | 7 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $165.36 – $191.47 | 7 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $1,872.32 – $2,167.95 | 7 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $38.48 – $44.56 | 7 |
| Alefacept HCPCS J0215 | not published | not published | $1,947.40 – $2,254.88 | 7 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $77,335.02 | $118,976.96 | $19,823.16 – $107,079.26 | 32 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $23.58 – $27.30 | 7 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $15.49 – $17.94 | 7 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $23.58 – $27.30 | 7 |
| Alglucerase injection HCPCS J0205 | not published | not published | $278.89 – $322.93 | 7 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $19,823.16 – $22,953.13 | 7 |
| Alkaline phosphatase CPT 84075 | not published | not published | $16.33 – $18.91 | 7 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $32.08 – $37.15 | 7 |
| Allergen egg white ige CPT 86003 | not published | not published | $32.08 – $37.15 | 7 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $32.08 – $37.15 | 7 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $27.58 – $31.93 | 7 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $27.58 – $31.93 | 7 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $6,043.19 – $6,997.38 | 7 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $1,530.93 – $1,772.66 | 7 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | not published | not published | $1,530.93 – $1,772.66 | 7 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $1,530.93 – $1,772.66 | 7 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | not published | not published | $1,530.93 – $1,772.66 | 7 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $214.66 – $248.56 | 7 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $214.66 – $248.56 | 7 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $1.52 | $2.34 | $0.63 – $4,627.33 | 32 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $29.00 – $33.58 | 7 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $25.22 – $29.21 | 7 |
| Alpha-fetoprotein tumor marker CPT 82105 | not published | not published | $25.22 – $29.21 | 7 |
| Alprostadil for injection HCPCS J0270 | $1,639.15 | $2,521.77 | $72.53 – $357.26 | 32 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $72.53 – $83.99 | 7 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $20,592.84 | $31,681.29 | $188.51 – $599.94 | 32 |
| Alt/sgpt CPT 84460 | not published | not published | $16.33 – $18.91 | 7 |
| Altuviiio per factor viii iu HCPCS J7214 | $13.32 | $20.49 | $5.79 – $7,857.81 | 32 |
| Aluminum - quest CPT 82108 | not published | not published | $22.53 – $26.09 | 7 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $128.76 – $149.09 | 7 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $48.39 – $56.03 | 7 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $120.42 – $139.44 | 7 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $120.42 – $139.44 | 7 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $120.42 – $139.44 | 7 |
| Amifostine HCPCS J0207 | $2,507.10 | $3,857.07 | $1,090.78 – $5,703.31 | 32 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $9.36 | $14.40 | $3.64 – $15.51 | 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.