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 |
|---|---|---|---|---|
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $13.89 – $16.08 | 7 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $355.08 – $411.15 | 7 |
| Fmri brain by tech CPT 70554 | not published | not published | $355.08 – $411.15 | 7 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $534.67 – $619.09 | 7 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $534.67 – $619.09 | 7 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $534.67 – $619.09 | 7 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $534.67 – $619.09 | 7 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $23.58 – $27.30 | 7 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $15.49 – $17.94 | 7 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $23.58 – $27.30 | 7 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $23.58 – $27.30 | 7 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $50.76 – $58.77 | 7 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $23.58 – $27.30 | 7 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $23.58 – $27.30 | 7 |
| Foam stability fetal lung CPT 83662 | not published | not published | $25.22 – $29.21 | 7 |
| Folic acid CPT 82746 | not published | not published | $25.22 – $29.21 | 7 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $14.96 | $23.01 | $6.51 – $20.71 | 32 |
| Follow-up angiography CPT 75898 | not published | not published | $909.90 – $1,053.57 | 7 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $95.52 – $110.61 | 7 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $529.75 – $613.39 | 7 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,701.32 | $4,155.87 | $558.52 – $2,217.89 | 32 |
| Fondaparinux sodium HCPCS J1652 | $626.98 | $964.59 | $13.40 – $295.11 | 32 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $488.40 – $565.52 | 7 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $44.04 – $51.00 | 7 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $44.04 – $51.00 | 7 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $44.04 – $51.00 | 7 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $488.40 – $565.52 | 7 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $81.34 – $94.18 | 7 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $81.34 – $94.18 | 7 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $81.34 – $94.18 | 7 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $44.04 – $51.00 | 7 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $81.34 – $94.18 | 7 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $488.40 – $565.52 | 7 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $44.04 – $51.00 | 7 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $1,176.73 – $1,362.53 | 7 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $488.40 – $565.52 | 7 |
| Foot X-ray CPT 73630 | not published | not published | $78.92 – $91.38 | 7 |
| Foot X-ray (2 views, both feet) CPT 73620 | not published | not published | $78.92 – $91.38 | 7 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $1,790.35 – $2,073.04 | 7 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $462.92 – $536.01 | 7 |
| Forearm X-ray (both sides) CPT 73090 | not published | not published | $78.92 – $91.38 | 7 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Forensic cytopathology CPT 88125 | not published | not published | $63.19 – $73.17 | 7 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $395.79 – $458.28 | 7 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $72.53 – $83.99 | 7 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $4.19 – $15.51 | 8 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.20 – $83.99 | 8 |
| Foscarnet sodium injection HCPCS J1455 | $4.49 | $6.90 | $1.40 – $322.93 | 32 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $47.31 | $72.78 | $2.04 – $83.99 | 32 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $30.58 – $35.41 | 7 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $116.67 – $135.09 | 7 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $2,942.76 – $3,407.40 | 7 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $462.92 – $536.01 | 7 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $462.92 – $536.01 | 7 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $1,790.35 – $2,073.04 | 7 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $1,790.35 – $2,073.04 | 7 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $4,817.50 – $5,578.16 | 7 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $4,182.77 – $4,843.21 | 7 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,821.41 – $3,266.89 | 7 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $4,412.30 – $5,108.98 | 7 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,305.97 – $1,512.17 | 7 |
| Frenotomy 40806 CPT 40806 | not published | not published | $1,305.97 – $1,512.17 | 7 |
| Frenulotomy of penis CPT 54164 | not published | not published | $1,657.91 – $1,919.69 | 7 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | not published | not published | $290.60 – $336.48 | 7 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | not published | not published | $290.60 – $336.48 | 7 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $89.17 – $103.25 | 7 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $290.60 – $336.48 | 7 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $89.17 – $103.25 | 7 |
| Frozen blood prep CPT 86930 | not published | not published | $89.17 – $103.25 | 7 |
| Frozen blood thaw CPT 86931 | not published | not published | $89.17 – $103.25 | 7 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.45 – $14.42 | 7 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $290.60 – $336.48 | 7 |
| Fructosamine glycated protein CPT 82985 | not published | not published | $25.22 – $29.21 | 7 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $44.04 – $51.00 | 7 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $126.87 – $146.91 | 7 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $934.06 – $1,081.54 | 7 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $116.67 – $135.09 | 7 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $161.91 – $187.47 | 7 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $116.67 – $135.09 | 7 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $116.67 – $135.09 | 7 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $126.87 – $146.91 | 7 |
| Full field erg w/i&r CPT 92273 | not published | not published | $67.61 – $78.29 | 7 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $78.92 – $91.38 | 7 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $44.04 – $51.00 | 7 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | not published | not published | $78.92 – $91.38 | 7 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Functional brain mapping CPT 96020 | not published | not published | $286.83 – $332.12 | 7 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $66.34 – $76.81 | 7 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $930.86 – $1,077.84 | 7 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $4.89 | $7.53 | $0.16 – $15.51 | 32 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $13.40 – $15.51 | 7 |
| Fuse bile ducts and bowel 47785 CPT 47785 | 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.