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 |
|---|---|---|---|---|
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $7,995.00 | $12,300.00 | $164.64 – $4,167.00 | 37 |
| System recell skin grafting/harvesting HCPCS C1832 | not published | not published | $164.64 – $190.64 | 9 |
| System sealant biosentry tract HCPCS C2613 | not published | not published | $164.64 – $190.64 | 9 |
| T3 (triiodothyronine) free CPT 84481 | $76.05 | $117.00 | $0.95 – $105.30 | 44 |
| T3 (triiodothyronine) total CPT 84480 | $63.70 | $98.00 | $0.95 – $88.20 | 44 |
| T4 (thyroxine) free CPT 84439 | $40.30 | $62.00 | $0.95 – $55.80 | 44 |
| T4 (thyroxine) total CPT 84436 | $30.55 | $47.00 | $0.95 – $42.30 | 44 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $9.01 | $13.86 | $1.05 – $12.47 | 37 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $44.58 | $68.58 | $2.00 – $49.51 | 37 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $28.99 | $44.60 | $0.36 – $9.14 | 37 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $596.76 | $918.09 | $2.17 – $826.28 | 44 |
| Tacrolimus therapeutic drug level CPT 80197 | $61.75 | $95.00 | $0.95 – $85.50 | 44 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $4,355.10 | $6,700.16 | $2.17 – $6,030.14 | 44 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $4,506.77 – $5,218.37 | 9 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $4,506.77 – $5,218.37 | 9 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $4,506.77 – $5,218.37 | 9 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $21,795.67 | $33,531.80 | $2.17 – $4,560.19 | 44 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $36,045.46 | $55,454.56 | $2.17 – $4,560.19 | 44 |
| Talymed HCPCS Q4127 | not published | not published | $71.07 – $323.77 | 14 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.52 – $1.70 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | $914.55 | $1,407.00 | $0.01 – $1,266.30 | 37 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $237.07 – $274.51 | 9 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.52 – $16.09 | 9 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,406.65 | $5,241.00 | $0.95 – $4,716.90 | 44 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,973.10 | $4,574.00 | $0.95 – $3,211.56 | 44 |
| Target gsa panel organ neop CPT 81445 | $2,234.70 | $3,438.00 | $0.95 – $1,563.30 | 44 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $46,800.00 | $72,000.00 | $2.17 – $7,237.38 | 43 |
| Tas congenital car anomal CPT 33741 | not published | not published | $11,709.80 – $13,558.72 | 9 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $319.03 – $769.14 | 22 |
| Tavr perq femoral CPT 33361 | $9,826.05 | $15,117.00 | $1,876.65 – $13,605.30 | 37 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,169.67 | $1,799.49 | $0.24 – $1,619.08 | 44 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $95.45 – $150.70 | 23 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | $200.85 | $309.00 | $0.87 – $278.10 | 31 |
| Tbs i&r fx rsk qhp CPT 77092 | $66.30 | $102.00 | $0.87 – $384.82 | 37 |
| Tbs techl calculation only CPT 77091 | $395.20 | $608.00 | $0.87 – $547.20 | 38 |
| Tbs techl prep&transmis data CPT 77090 | $395.20 | $608.00 | $0.87 – $547.20 | 38 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $23.48 – $110.00 | 23 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $278.20 | $428.00 | $0.95 – $385.20 | 44 |
| Tc-99m apcitide diag HCPCS A9504 | $1,181.70 | $1,818.00 | $0.01 – $1,636.20 | 37 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $106.11 – $2,964.00 | 13 |
| Tc-99m bicisate HCPCS A9557 | $2,447.90 | $3,766.00 | $0.01 – $3,389.40 | 43 |
| Tc-99m depreotide HCPCS A9536 | $885.95 | $1,363.00 | $0.01 – $1,226.70 | 37 |
| Tc-99m diag per dose HCPCS A4641 | not published | not published | $106.11 – $122.86 | 9 |
| Tc-99m disofenin HCPCS A9510 | $131.30 | $202.00 | $0.01 – $181.80 | 37 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,669.20 | $2,568.00 | $0.01 – $2,311.20 | 43 |
| Tc-99m exametazime diag HCPCS A9521 | $2,033.20 | $3,128.00 | $0.01 – $2,815.20 | 43 |
| Tc-99m fanolesomab diag HCPCS A9566 | $993.85 | $1,529.00 | $0.01 – $1,376.10 | 37 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $106.11 – $122.86 | 9 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $106.11 – $361.46 | 21 |
| Tc-99m labeled rbc HCPCS A9560 | $227.50 | $350.00 | $0.01 – $315.00 | 37 |
| Tc-99m maa HCPCS A9540 | $709.80 | $1,092.00 | $0.01 – $982.80 | 37 |
| Tc-99m mebrofenin HCPCS A9537 | $40.30 | $62.00 | $0.01 – $122.86 | 37 |
| Tc-99m medronate HCPCS A9503 | $36.40 | $56.00 | $0.01 – $122.86 | 37 |
| Tc-99m mertiatide HCPCS A9562 | $369.20 | $568.00 | $0.01 – $511.20 | 37 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $10.00 – $23.71 | 13 |
| Tc-99m oxidronate HCPCS A9561 | $53.30 | $82.00 | $0.01 – $122.86 | 37 |
| Tc-99m pentetate dtpa HCPCS A9539 | $276.90 | $426.00 | $0.01 – $216.00 | 37 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $156.00 | $240.00 | $0.01 – $216.00 | 37 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $22.10 | $34.00 | $0.01 – $122.86 | 37 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $76.70 | $118.00 | $0.01 – $122.86 | 37 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $42.90 | $66.00 | $0.01 – $122.86 | 37 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $187.20 | $288.00 | $0.01 – $725.92 | 43 |
| Tc-99m sulfur colloid HCPCS A9541 | $130.00 | $200.00 | $0.01 – $180.00 | 37 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $40.30 | $62.00 | $0.01 – $122.86 | 37 |
| Tc-99m tilmanocept diag HCPCS A9520 | $773.50 | $1,190.00 | $0.01 – $1,071.00 | 37 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $138.30 – $769.14 | 22 |
| Tcd emboli detect w/inj CPT 93893 | $397.15 | $611.00 | $80.06 – $549.90 | 44 |
| Tcd emboli detect without inj CPT 93892 | $397.15 | $611.00 | $95.38 – $549.90 | 44 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $80.06 – $212.58 | 10 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $376.61 – $1,499.92 | 22 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $210.60 | $324.00 | $0.95 – $291.60 | 44 |
| T cells absolute cd 4 count CPT 86361 | $120.25 | $185.00 | $0.95 – $166.50 | 44 |
| T cells total count CPT 86359 | $169.00 | $260.00 | $0.95 – $234.00 | 44 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $204.28 – $511.04 | 23 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $204.28 – $511.04 | 23 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $204.28 – $511.04 | 23 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $4,126.72 – $4,778.31 | 9 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $4,327.70 | $6,658.00 | $1,451.44 – $5,992.20 | 37 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $17.91 – $20.74 | 9 |
| Team conf without pat by phys CPT 99367 | not published | not published | $17.91 – $20.74 | 9 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $17.91 – $20.74 | 9 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $130,977.60 | $201,504.00 | $2.17 – $181,353.60 | 44 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $2,952.95 | $4,543.00 | $289.52 – $4,088.70 | 44 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $289.52 – $815.81 | 22 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $25.96 – $30.06 | 9 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.38 – $381.26 | 23 |
| Telehealth original site facility fee HCPCS Q3014 | $27.95 | $43.00 | $0.01 – $38.70 | 37 |
| Telethx isodose plan cplx CPT 77307 | $1,641.90 | $2,526.00 | $0.87 – $2,273.40 | 44 |
| Telethx isodose plan simple CPT 77306 | $1,641.90 | $2,526.00 | $0.87 – $2,273.40 | 44 |
| Temozolomide HCPCS J8700 | $673.36 | $1,035.94 | $0.40 – $25.72 | 37 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $3,129.70 | $4,814.92 | $2.17 – $4,333.43 | 44 |
| Temperature gradient studies CPT 93740 | not published | not published | $71.14 – $145.04 | 22 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $3,721.06 – $4,308.59 | 9 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $4,914.80 | $7,561.23 | $2.17 – $4,179.25 | 44 |
| Tendon lengthening CPT 26476 | not published | not published | $957.25 – $3,405.12 | 22 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,012.67 – $3,405.12 | 22 |
| Tendon shortening CPT 26477 | not published | not published | $957.25 – $3,405.12 | 22 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,567.38 – $3,405.12 | 22 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $19,998.07 | $30,766.26 | $2.17 – $26,883.12 | 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.