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 |
|---|---|---|---|---|
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | not published | not published | $117.73 – $323.77 | 12 |
| Tissue exam koh skin/hair/nails CPT 87220 | $18.85 | $29.00 | $0.95 – $26.10 | 44 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $117.73 – $323.77 | 13 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | not published | not published | $117.73 – $323.77 | 12 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | not published | not published | $54.22 – $1,045.03 | 10 |
| Tissue transglutaminase iga CPT 86364 | $52.00 | $80.00 | $0.95 – $72.00 | 44 |
| Tixagev and cilgav inj HCPCS M0220 | not published | not published | $37.32 – $150.68 | 14 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $89.35 – $122.86 | 10 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $4,506.77 – $11,062.31 | 22 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $4,506.77 – $11,062.31 | 22 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $4,506.77 – $11,062.31 | 22 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $4,506.77 – $11,062.31 | 22 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $1,055.47 – $1,222.12 | 9 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $989.14 – $1,222.12 | 9 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $548.77 – $635.42 | 9 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $548.77 – $635.42 | 9 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $272.90 – $315.99 | 9 |
| Tlso corset front HCPCS L0970 | not published | not published | $47.96 – $55.53 | 9 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $74.79 – $86.60 | 9 |
| Tlso full corset HCPCS L0974 | not published | not published | $225.07 – $333.39 | 9 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $488.64 – $803.25 | 9 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $268.76 – $803.25 | 9 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $272.90 – $315.99 | 9 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $272.90 – $315.99 | 9 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $272.90 – $315.99 | 9 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $548.77 – $635.42 | 9 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $548.77 – $635.42 | 9 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,346.75 – $2,346.75 | 1 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $548.77 – $635.42 | 9 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $74.79 – $86.60 | 9 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $74.79 – $86.60 | 9 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,495.02 – $2,888.97 | 9 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,495.02 – $2,888.97 | 9 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $2,683.68 – $3,405.12 | 22 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $124.49 – $381.26 | 9 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $460.69 | $708.75 | $0.40 – $9.14 | 37 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $15.36 – $49.51 | 12 |
| Tobramycin peak therapeutic drug level CPT 80200 | $72.15 | $111.00 | $0.95 – $99.90 | 44 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,072.67 | $6,265.64 | $2.17 – $1,329.32 | 44 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $7.85 – $1,329.32 | 12 |
| Toe joint transfer CPT 26556 | not published | not published | $3,351.55 – $18,878.58 | 20 |
| Toe X-ray (both feet) CPT 73660 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $42.47 – $59.28 | 23 |
| Tomosynthesis breast screen bilateral CPT 77063 | $91.00 | $140.00 | $0.87 – $126.00 | 44 |
| Tone decay hearing test CPT 92563 | not published | not published | $32.78 – $38.87 | 22 |
| Tongue and neck surgery CPT 41135 | not published | not published | $2,782.84 – $3,222.24 | 9 |
| Tongue base vol reduction CPT 41530 | not published | not published | $1,276.91 – $3,450.35 | 22 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $769.90 – $3,450.35 | 22 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $2,782.84 – $3,222.24 | 9 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $2,782.84 – $3,222.24 | 9 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $2,782.84 – $3,222.24 | 9 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $2,782.84 – $3,222.24 | 9 |
| Tongue suspension CPT 41512 | not published | not published | $2,782.84 – $6,160.68 | 22 |
| Tongue to lip surgery CPT 41510 | not published | not published | $769.90 – $3,450.35 | 22 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $1,175.43 – $3,450.35 | 22 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $1,175.43 – $6,160.68 | 22 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $931.45 | $1,433.00 | $2.17 – $467.32 | 31 |
| Topotecan oral HCPCS J8705 | not published | not published | $113.24 – $381.26 | 22 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $5,073.77 | $7,805.80 | $2.17 – $7,025.22 | 43 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $47.96 – $55.53 | 9 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $47.96 – $55.53 | 9 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $4,506.77 – $5,218.37 | 9 |
| Total hip arthroplasty CPT 27132 | not published | not published | $6,458.47 – $33,402.55 | 20 |
| Total Hip Replacement CPT 27130 | not published | not published | $6,458.47 – $13,361.02 | 22 |
| Total hysterectomy CPT 58150 | $3,001.70 | $4,618.00 | $1,006.72 – $5,218.37 | 37 |
| Total Knee Replacement CPT 27447 | not published | not published | $6,458.47 – $13,361.02 | 22 |
| Total lung lavage CPT 32997 | not published | not published | $2,146.65 – $2,485.59 | 9 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $1,308.60 – $1,515.22 | 9 |
| Total tau CPT 84394 | $78.65 | $121.00 | $0.95 – $141.81 | 43 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $272.90 – $315.99 | 9 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $11,517.90 – $18,247.18 | 22 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $7,642.13 – $45,617.94 | 20 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $7,642.13 – $8,848.79 | 9 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $11,517.90 – $13,336.52 | 9 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $2,586.01 – $2,994.33 | 9 |
| Tot estradiol response panel CPT 80415 | not published | not published | $22.69 – $228.52 | 23 |
| Toxoplasma antibody igg CPT 86777 | $64.35 | $99.00 | $0.95 – $89.10 | 44 |
| Toxoplasma antibody igm CPT 86778 | $64.35 | $99.00 | $0.95 – $89.10 | 44 |
| Tp53 gene full gene sequence CPT 81351 | $2,878.85 | $4,429.00 | $0.95 – $3,986.10 | 44 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $95.45 – $338.80 | 23 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,478.10 | $2,274.00 | $0.95 – $2,046.60 | 44 |
| Tpmt gene com vrnts CPT 81335 | $783.90 | $1,206.00 | $0.95 – $1,085.40 | 44 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $214.41 – $270.17 | 22 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $2,978.54 – $13,730.23 | 22 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $1,730.43 – $3,668.39 | 22 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $1,730.43 – $9,851.60 | 22 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $2,691.42 – $5,579.94 | 22 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $11,510.75 | $17,708.84 | $2.17 – $15,937.96 | 44 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $312.30 – $572.37 | 22 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $10.34 – $16.09 | 9 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $1,396.12 – $5,205.97 | 22 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,522.95 | $2,343.00 | $0.01 – $2,108.70 | 44 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $3,910.89 – $4,528.40 | 9 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $2,601.19 – $3,011.90 | 9 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $1.02 – $16.09 | 9 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $2,793.19 – $3,450.35 | 16 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | $333.29 | $512.76 | $25.96 – $215.48 | 37 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $6.95 – $16.09 | 9 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $5.34 – $16.09 | 9 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $30.26 – $37.10 | 22 |
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.