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 |
|---|---|---|---|---|
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $46.73 – $54.11 | 7 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $23.13 – $26.79 | 7 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $23.13 – $26.79 | 7 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $23.13 – $26.79 | 7 |
| Infect ag if influenza a CPT 87276 | not published | not published | $23.13 – $26.79 | 7 |
| Infect ag if influenza b CPT 87275 | not published | not published | $23.13 – $26.79 | 7 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $23.13 – $26.79 | 7 |
| Infect ag if nos ea CPT 87299 | not published | not published | $23.13 – $26.79 | 7 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $23.13 – $26.79 | 7 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $23.13 – $26.79 | 7 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $46.73 – $54.11 | 7 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $46.73 – $54.11 | 7 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $46.73 – $54.11 | 7 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $46.73 – $54.11 | 7 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | not published | not published | $68.31 – $79.09 | 7 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $46.73 – $54.11 | 7 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $46.73 – $54.11 | 7 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $68.31 – $79.09 | 7 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $152.45 – $176.52 | 7 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $116.67 – $135.09 | 7 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent nucleic acid amplified probe CPT 87798 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $68.31 – $79.09 | 7 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $23.13 – $26.79 | 7 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $116.67 – $135.09 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $68.31 – $79.09 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $68.31 – $79.09 | 7 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $68.31 – $79.09 | 7 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | not published | not published | $46.73 – $54.11 | 7 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $68.31 – $79.09 | 7 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,732.69 | $4,204.14 | $483.59 – $2,254.88 | 32 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,560.00 | $2,400.00 | $678.72 – $2,160.00 | 32 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $2,214.30 | $3,406.62 | $963.39 – $3,065.96 | 32 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $46.73 – $54.11 | 7 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $184.99 | $284.60 | $13.89 – $256.14 | 32 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $40.89 | $62.90 | $13.89 – $54.95 | 32 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $402.14 – $465.63 | 7 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $6,293.24 – $7,286.91 | 7 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $6,293.24 – $7,286.91 | 7 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $978.15 – $1,132.59 | 7 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $402.14 – $465.63 | 7 |
| Infuse radioactive materials CPT 77750 | not published | not published | $189.74 – $219.70 | 7 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $416.16 – $481.87 | 7 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $416.16 – $481.87 | 7 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $608.40 | $936.00 | $90.32 – $842.40 | 32 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $930.86 – $1,077.84 | 7 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $54.35 – $62.93 | 8 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $930.86 – $1,077.84 | 7 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $95.52 – $110.61 | 7 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $95.52 – $110.61 | 7 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $95.52 – $110.61 | 7 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $95.52 – $110.61 | 7 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $95.52 – $110.61 | 7 |
| Initial observation care CPT 99218 | not published | not published | $95.52 – $110.61 | 7 |
| Initial observation care CPT 99219 | not published | not published | $95.52 – $110.61 | 7 |
| Initial observation care CPT 99220 | not published | not published | $95.52 – $110.61 | 7 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $95.52 – $110.61 | 7 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $95.52 – $110.61 | 7 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $4,247.74 | $6,534.99 | $1,848.10 – $5,881.49 | 32 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $6,796.39 | $10,455.99 | $2,217.72 – $7,057.80 | 32 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.18 – $15.51 | 8 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $0.29 | $0.45 | $0.08 – $15.51 | 32 |
| Inj acetaminophen -fresenius HCPCS J0134 | $0.23 | $0.36 | $0.10 – $15.51 | 32 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $0.86 | $1.32 | $0.11 – $15.51 | 32 |
| Inj. acthar gel to 40 units HCPCS J0801 | $21,202.27 | $32,618.88 | $6,084.30 – $19,363.05 | 32 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $19,998.76 | $30,767.32 | $278.89 – $10,383.93 | 32 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $278.89 – $322.93 | 7 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | $47,502.00 | $73,080.00 | $20,667.02 – $65,772.00 | 32 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $6,786.29 – $7,857.81 | 7 |
| Inj, adzynma, 10 iu HCPCS J7171 | $7.92 | $12.18 | $3.44 – $83.99 | 32 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $1,654.45 – $4,627.33 | 8 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | $91,295.10 | $140,454.00 | $3,996.33 – $126,408.60 | 32 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $3.01 – $7,735.29 | 8 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | 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.