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 |
|---|---|---|---|---|
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $47.72 – $55.25 | 7 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $25.22 – $29.21 | 7 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $652.60 | $1,004.00 | $43.23 – $903.60 | 32 |
| Ghs quinidine CPT 80194 | not published | not published | $25.45 – $29.47 | 7 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $63.30 – $73.29 | 7 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $149.62 – $173.24 | 7 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $149.62 – $173.24 | 7 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,623.76 – $1,880.14 | 7 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,717.77 – $1,989.00 | 7 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $32.08 – $37.15 | 7 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $11.80 – $13.66 | 7 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $23.13 – $26.79 | 7 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $11.80 – $13.66 | 7 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.45 – $14.42 | 7 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $12.45 – $14.42 | 7 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $23.13 – $26.79 | 7 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $258.86 – $299.73 | 7 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $258.86 – $299.73 | 7 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $258.86 – $299.73 | 7 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $258.86 – $299.73 | 7 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $258.86 – $299.73 | 7 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $258.86 – $299.73 | 7 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $258.86 – $299.73 | 7 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $258.86 – $299.73 | 7 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $258.86 – $299.73 | 7 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $119.98 – $138.92 | 7 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $544.48 – $630.45 | 7 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $544.48 – $630.45 | 7 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $111.80 | $172.00 | $48.64 – $154.80 | 32 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $402.14 – $465.63 | 7 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $55.60 – $64.38 | 7 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $408.85 | $629.00 | $118.25 – $566.10 | 32 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $55.60 – $64.38 | 7 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $78.49 – $90.88 | 7 |
| Ghs st - re-eval for alt comm CPT 92597 | $413.40 | $636.00 | $98.32 – $572.40 | 32 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $543.46 – $629.27 | 7 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $385.80 – $446.71 | 7 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $332.37 – $384.85 | 7 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $332.37 – $384.85 | 7 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $16.33 – $18.91 | 7 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $410.16 – $474.93 | 7 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $410.16 – $474.93 | 7 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $30.58 – $35.41 | 7 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $25.22 – $29.21 | 7 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $3,195.85 – $3,700.46 | 7 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $967.07 – $1,119.77 | 7 |
| Ghs windowing of cast CPT 29730 | not published | not published | $146.35 – $169.46 | 7 |
| Giardia ag if CPT 87269 | not published | not published | $23.13 – $26.79 | 7 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $32.08 – $37.15 | 7 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $129.56 – $150.02 | 7 |
| Gi inhouse confirmation CPT 87045 | not published | not published | $23.13 – $26.79 | 7 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $1,358.50 – $1,573.00 | 7 |
| Gi protein loss CPT 78282 | not published | not published | $432.73 – $501.06 | 7 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $416.16 – $481.87 | 7 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $416.16 – $481.87 | 7 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $416.16 – $481.87 | 7 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $416.16 – $481.87 | 7 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $116.67 – $135.09 | 7 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $116.67 – $135.09 | 7 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $116.67 – $135.09 | 7 |
| Glassia injection HCPCS J0257 | not published | not published | $10.87 – $4,627.33 | 8 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $88.63 – $102.62 | 7 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $88.63 – $102.62 | 7 |
| Glaucoma surgery CPT 66150 | not published | not published | $3,364.66 – $3,895.93 | 7 |
| Glaucoma surgery CPT 66155 | not published | not published | $3,364.66 – $3,895.93 | 7 |
| Glaucoma surgery CPT 66160 | not published | not published | $3,364.66 – $3,895.93 | 7 |
| Glaucoma surgery CPT 66170 | not published | not published | $3,364.66 – $3,895.93 | 7 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $23.58 – $27.30 | 7 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $655.20 | $1,008.00 | $278.89 – $907.20 | 32 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $654.73 | $1,007.28 | $152.71 – $486.00 | 32 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $30.58 – $35.41 | 7 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $38.48 – $44.56 | 7 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $38.48 – $44.56 | 7 |
| Glucagon tolerance test CPT 82946 | not published | not published | $25.22 – $29.21 | 7 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $16.33 – $18.91 | 7 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $16.33 – $18.91 | 7 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $14.95 | $23.00 | $6.50 – $20.70 | 32 |
| Glucose blood quantitative CPT 82947 | $17.55 | $27.00 | $7.64 – $24.30 | 32 |
| Glucose body fluid CPT 82945 | not published | not published | $16.33 – $18.91 | 7 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $54.35 – $62.93 | 7 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $25.22 – $29.21 | 7 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | not published | not published | $16.33 – $18.91 | 7 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $30.42 | $46.80 | $6.51 – $20.71 | 32 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $72.53 – $83.99 | 7 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $29,700.35 | $45,692.85 | $508.84 – $4,627.33 | 32 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | not published | not published | $30.58 – $35.41 | 7 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $161.91 – $187.47 | 7 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | not published | not published | $30.58 – $35.41 | 7 |
| Gonioscopy CPT 92020 | not published | not published | $67.61 – $78.29 | 7 |
| Goniotomy CPT 65820 | not published | not published | $529.75 – $613.39 | 7 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $10,024.27 | $15,421.96 | $1,600.44 – $5,093.35 | 32 |
| Graft axiofill 1000mg HCPCS J3590 | not published | not published | $72.53 – $83.99 | 7 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,658.69 – $3,078.48 | 7 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $13.00 | $20.00 | $5.66 – $1,772.66 | 32 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | not published | not published | $279.28 – $323.38 | 7 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $12,963.06 – $15,009.86 | 7 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $398.45 | $613.00 | $173.36 – $551.70 | 28 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | not published | not published | $279.28 – $323.38 | 7 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | not published | not published | $279.28 – $323.38 | 7 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $13.40 – $15.51 | 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.