fairview hospital
18101 Lorain Avenue, Cleveland, OH · Cleveland Clinic · · NPI 1215989611
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 |
|---|---|---|---|---|
| Slitting of prepuce CPT 54001 | $6,124.95 | $9,423.00 | $0.01 – $8,480.70 | 44 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $57.96 – $67.11 | 9 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $57.96 – $67.11 | 9 |
| Slp pure tone screening CPT 92551 | $41.60 | $64.00 | $9.95 – $57.60 | 37 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $53.07 – $81.90 | 22 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $25.48 – $29.50 | 9 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $17,259.85 | 22 |
| Small animal inoculation CPT 87003 | not published | not published | $13.63 – $68.73 | 23 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $798.20 | $1,228.00 | $0.87 – $1,105.20 | 44 |
| Small bowel endoscopy CPT 44360 | $5,671.90 | $8,726.00 | $227.17 – $7,853.40 | 44 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,229.59 – $1,996.98 | 22 |
| Small bowel endoscopy CPT 44366 | $5,671.90 | $8,726.00 | $377.77 – $7,853.40 | 44 |
| Small bowel endoscopy CPT 44369 | not published | not published | $639.34 – $1,996.98 | 22 |
| Small bowel endoscopy CPT 44376 | $5,671.90 | $8,726.00 | $447.34 – $7,853.40 | 44 |
| Small bowel endoscopy CPT 44378 | $5,671.90 | $8,726.00 | $603.75 – $7,853.40 | 44 |
| Small bowel endoscopy CPT 44382 | not published | not published | $729.43 – $943.89 | 22 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,650.80 – $1,996.98 | 16 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,229.59 – $1,996.98 | 22 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,229.59 – $1,996.98 | 22 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $639.34 – $1,996.98 | 22 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $639.34 – $1,996.98 | 22 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $729.43 – $943.89 | 22 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $729.43 – $1,996.98 | 22 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $1,229.59 – $6,317.89 | 22 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $510.71 | $785.70 | $0.01 – $707.13 | 44 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $24.05 | $37.00 | $0.95 – $33.30 | 44 |
| Smear gram stain CPT 87205 | $18.85 | $29.00 | $0.95 – $26.10 | 44 |
| Smear nasal eosinophil CPT 89190 | $26.00 | $40.00 | $0.95 – $36.00 | 44 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $26.65 | $41.00 | $0.95 – $54.01 | 44 |
| Smear wet mount CPT 87210 | $26.00 | $40.00 | $0.95 – $36.00 | 44 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $95.45 – $331.49 | 23 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $95.45 – $203.72 | 23 |
| Smpd1 gene common variants CPT 81330 | $210.60 | $324.00 | $0.95 – $291.60 | 44 |
| Snrpn/ube3a gene CPT 81331 | $228.80 | $352.00 | $0.95 – $316.80 | 44 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $548.77 – $635.42 | 9 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $1,055.47 – $1,222.12 | 9 |
| Socket insert above knee HCPCS L5658 | not published | not published | $585.77 – $803.25 | 9 |
| Socket insert below knee HCPCS L5655 | not published | not published | $74.79 – $86.60 | 9 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $554.96 – $803.25 | 9 |
| Socket insert symes HCPCS L5654 | not published | not published | $74.79 – $86.60 | 9 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $272.90 – $315.99 | 9 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $1,014.28 – $1,222.12 | 9 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $29.93 – $34.65 | 9 |
| Sock wool above knee HCPCS L8430 | not published | not published | $29.93 – $34.65 | 9 |
| Sodium 24 hour urine CPT 84300 | $22.75 | $35.00 | $0.95 – $31.50 | 44 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $12.35 | $19.00 | $0.01 – $9.14 | 37 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $14.95 | $23.00 | $0.01 – $9.14 | 37 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $2.93 | $4.50 | $0.01 – $9.14 | 37 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $0.60 | $0.93 | $0.01 – $9.14 | 37 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $14.88 | $22.89 | $2.17 – $49.51 | 37 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $222.30 | $342.00 | $2.17 – $307.42 | 37 |
| Sodium serum/plasma/whole blood CPT 84295 | $21.45 | $33.00 | $0.95 – $29.70 | 44 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $4.68 | $7.20 | $0.88 – $4,560.19 | 43 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $25.96 – $30.06 | 9 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $82.33 – $226.41 | 20 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $89.87 – $1,479.84 | 21 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $89.87 – $1,315.41 | 21 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $89.87 – $3,617.36 | 21 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $89.87 – $1,150.99 | 21 |
| Solid skin barrier HCPCS A4362 | not published | not published | $5.08 – $16.09 | 9 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $10.66 – $16.09 | 9 |
| Somatosensory testing CPT 95927 | not published | not published | $204.28 – $371.67 | 22 |
| Somatropin injection HCPCS J2941 | $2,770.40 | $4,262.16 | $2.17 – $163.55 | 39 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $89.87 – $3,288.51 | 21 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $89.87 – $986.56 | 21 |
| Sotalol hydrochloride IV HCPCS C9482 | $771.26 | $1,186.56 | $2.17 – $1,067.90 | 44 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $25.96 – $30.06 | 9 |
| Spacer bag/reservoir HCPCS A4627 | $31.20 | $48.00 | $7.46 – $43.20 | 37 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $7,642.13 – $8,848.79 | 9 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $7,642.13 – $8,848.79 | 9 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $7,642.13 – $8,848.79 | 9 |
| Special casting material HCPCS A4590 | $47.45 | $73.00 | $11.34 – $65.70 | 37 |
| Special physics consult CPT 77370 | $595.40 | $916.00 | $0.87 – $824.40 | 44 |
| Special pump services CPT 99190 | not published | not published | $332.35 – $384.82 | 9 |
| Special pump services CPT 99191 | not published | not published | $332.35 – $384.82 | 9 |
| Special pump services CPT 99192 | not published | not published | $332.35 – $384.82 | 9 |
| Special radiation dosimetry CPT 77331 | $595.40 | $916.00 | $0.87 – $824.40 | 44 |
| Special radiation treatment CPT 77470 | $2,594.15 | $3,991.00 | $0.87 – $3,591.90 | 44 |
| Special supplies phys/qhp CPT 99070 | not published | not published | $13.90 – $16.09 | 9 |
| Special teletx port plan CPT 77321 | $1,641.90 | $2,526.00 | $0.87 – $2,273.40 | 44 |
| Specific gravity body fluid CPT 84315 | $14.95 | $23.00 | $0.95 – $20.70 | 44 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $16.00 | 23 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $651.30 | $1,002.00 | $57.96 – $901.80 | 44 |
| Speech audiometry complete CPT 92556 | $154.70 | $238.00 | $32.78 – $214.20 | 44 |
| Speech evaluation complex CPT 70371 | not published | not published | $116.86 – $248.31 | 22 |
| Speech recep thresh CPT 92555 | $154.70 | $238.00 | $32.78 – $214.20 | 44 |
| Speech Therapy Session (one-on-one) CPT 92507 | $307.45 | $473.00 | $57.96 – $425.70 | 44 |
| Sperm antibody test CPT 89325 | not published | not published | $7.34 – $32.52 | 23 |
| Sperm evaluation test CPT 89329 | not published | not published | $7.34 – $85.65 | 23 |
| Sperm identification CPT 89257 | not published | not published | $20.36 – $904.77 | 23 |
| Sperm isolation complex CPT 89261 | not published | not published | $20.36 – $447.94 | 23 |
| Sperm isolation simple CPT 89260 | not published | not published | $20.36 – $367.91 | 23 |
| Sperm washing 58323 CPT 58323 | not published | not published | $123.94 – $210.40 | 22 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,221.13 – $6,160.68 | 22 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,504.90 – $2,888.59 | 22 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $7,642.13 – $8,848.79 | 9 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $7,642.13 – $8,848.79 | 9 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,105.70 | $4,778.00 | $0.01 – $4,300.20 | 44 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $7,642.13 – $13,361.02 | 22 |
| Spine X-ray (single view, one level) CPT 72020 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
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.