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 |
|---|---|---|---|---|
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $7,000.02 – $8,105.28 | 7 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $7,000.02 – $8,105.28 | 7 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $4,825.63 – $5,587.57 | 7 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $161.91 – $187.47 | 7 |
| Liver elastography 91200 CPT 91200 | not published | not published | $135.80 – $157.25 | 7 |
| Liver Function Test CPT 80076 | not published | not published | $27.34 – $31.66 | 7 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,895.28 – $2,194.53 | 7 |
| Liver imaging CPT 78201 | not published | not published | $1,235.19 – $1,430.22 | 7 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $1,235.19 – $1,430.22 | 7 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $1,235.19 – $1,430.22 | 7 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $1,235.19 – $1,430.22 | 7 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $275.48 – $318.98 | 7 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,451.18 – $3,996.10 | 7 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $11.27 | $17.34 | $4.90 – $40.21 | 32 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $2,534.70 – $2,934.92 | 7 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $67,929.65 | $104,507.16 | $19,823.16 – $94,056.44 | 32 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $81.34 – $94.18 | 7 |
| Loop ostmy bridg ster HCPCS A4421 | not published | not published | $23.58 – $27.30 | 7 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $37.44 | $57.60 | $1.09 – $15.51 | 32 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $1,176.73 – $1,362.53 | 7 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $44.04 – $51.00 | 7 |
| Loudness balance test CPT 92562 | not published | not published | $55.60 – $64.38 | 7 |
| Low back disk surgery CPT 63030 | not published | not published | $5,298.44 – $6,135.03 | 7 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $2,041.84 – $2,364.24 | 7 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | not published | not published | $255.28 – $295.59 | 7 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | not published | not published | $547.26 – $633.67 | 7 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | not published | not published | $547.26 – $633.67 | 7 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | not published | not published | $255.28 – $295.59 | 7 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | not published | not published | $536.61 – $621.34 | 7 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $536.61 – $621.34 | 7 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | not published | not published | $355.08 – $411.15 | 7 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | not published | not published | $78.92 – $91.38 | 7 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | not published | not published | $78.92 – $91.38 | 7 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | not published | not published | $78.92 – $91.38 | 7 |
| Lower jaw bone graft CPT 21215 | not published | not published | $6,293.24 – $7,286.91 | 7 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | not published | not published | $78.92 – $91.38 | 7 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $258.86 – $299.73 | 7 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $197.13 – $228.26 | 7 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $7,644.68 – $8,851.73 | 7 |
| Lso corset front HCPCS L0972 | not published | not published | $81.34 – $94.18 | 7 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $44.04 – $51.00 | 7 |
| Lso full corset HCPCS L0976 | not published | not published | $81.34 – $94.18 | 7 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $81.34 – $94.18 | 7 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $930.86 – $1,077.84 | 7 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $930.86 – $1,077.84 | 7 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $81.34 – $94.18 | 7 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $930.86 – $1,077.84 | 7 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $930.86 – $1,077.84 | 7 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $126.87 – $146.91 | 7 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $126.87 – $146.91 | 7 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $930.86 – $1,077.84 | 7 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $930.86 – $1,077.84 | 7 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $25.22 – $29.21 | 7 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $23.58 – $27.30 | 7 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $44.04 – $51.00 | 7 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $44.04 – $51.00 | 7 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $528.99 – $612.51 | 7 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $44.04 – $51.00 | 7 |
| Lumbar sling HCPCS L1090 | not published | not published | $81.34 – $94.18 | 7 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $12,963.06 – $15,009.86 | 7 |
| Lumizyme injection HCPCS J0221 | $2,370.97 | $3,647.64 | $1,031.55 – $29,097.34 | 32 |
| Lung Function Test Before and After an Inhaler CPT 94060 | not published | not published | $177.86 – $205.94 | 7 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $90.32 – $104.58 | 7 |
| Lung Function Test (Spirometry) CPT 94010 | $468.00 | $720.00 | $90.32 – $648.00 | 32 |
| Lung perfusion imaging CPT 78580 | not published | not published | $1,235.19 – $1,430.22 | 7 |
| Lung transplant double CPT 32853 | not published | not published | $1,708.86 – $1,978.68 | 7 |
| Lung transplant single CPT 32851 | not published | not published | $1,708.86 – $1,978.68 | 7 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,358.48 – $5,046.66 | 7 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,358.48 – $5,046.66 | 7 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $4,412.30 – $5,108.98 | 7 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $25,740.00 | $39,600.00 | $6,786.29 – $35,640.00 | 32 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $38,498.82 | $59,228.96 | $5,583.34 – $17,768.77 | 32 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $25,957.61 – $30,056.18 | 7 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $25,957.61 – $30,056.18 | 7 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $462.92 – $536.01 | 7 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $349.67 – $404.88 | 7 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $126.87 – $146.91 | 7 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $23.13 – $26.79 | 7 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $2,821.41 – $3,266.89 | 7 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $1,235.19 – $1,430.22 | 7 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $93.91 – $108.74 | 7 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $39.83 – $46.12 | 7 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $72.62 – $84.08 | 7 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $93.91 – $108.74 | 7 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $909.90 – $1,053.57 | 7 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $909.90 – $1,053.57 | 7 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $909.90 – $1,053.57 | 7 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $1,378.85 – $1,596.56 | 7 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $1,305.97 – $1,512.17 | 7 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $2,042.23 – $2,364.69 | 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.