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 |
|---|---|---|---|---|
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $11,763.70 | $18,098.00 | $0.01 – $16,288.20 | 44 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $11,763.70 | $18,098.00 | $530.63 – $16,288.20 | 44 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $1,203.73 – $3,687.90 | 22 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $1,203.73 – $1,393.79 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,203.73 – $2,147.22 | 22 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $1,203.73 – $2,147.22 | 22 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,203.73 – $2,147.22 | 22 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $3,567.20 | $5,488.00 | $0.01 – $4,939.20 | 44 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $1,203.73 – $2,147.22 | 22 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | $2,873.65 | $4,421.00 | $0.95 – $3,978.90 | 44 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $550.66 – $3,564.00 | 21 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $4,649.04 – $5,383.10 | 9 |
| Troponin quantitative CPT 84484 | $55.90 | $86.00 | $0.95 – $77.40 | 44 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $329.42 – $572.37 | 22 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $10,312.25 | $15,865.00 | $0.01 – $14,278.50 | 44 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $117.73 – $323.77 | 13 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $25.96 – $30.06 | 9 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $25.96 – $30.06 | 9 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $47.96 – $55.53 | 9 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $47.96 – $55.53 | 9 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,952.95 | $4,543.00 | $289.52 – $4,088.70 | 44 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,952.95 | $4,543.00 | $289.52 – $4,088.70 | 44 |
| Tte w or without fol w/cont, com HCPCS C8921 | $2,952.95 | $4,543.00 | $289.52 – $4,088.70 | 44 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $2,952.95 | $4,543.00 | $289.52 – $4,088.70 | 44 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $2,282.49 – $6,291.49 | 22 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $9.13 – $10.57 | 9 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $141.70 | $218.00 | $17.32 – $71.51 | 37 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $8.32 – $16.09 | 9 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $160.88 | $247.50 | $16.00 – $66.07 | 37 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.08 – $16.09 | 9 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.70 – $16.09 | 9 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $376.61 – $1,499.92 | 22 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $4,506.77 – $7,717.13 | 22 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $2,606.44 – $3,017.98 | 9 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $659.92 – $803.25 | 9 |
| Tx atrial fib pulm vein isol CPT 93656 | $45,258.20 | $69,628.00 | $1,407.23 – $62,665.20 | 44 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $204.59 – $279.98 | 22 |
| Tx closed hip disl traumatic without anes CPT 27250 | $716.95 | $1,103.00 | $204.59 – $992.70 | 44 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $9,701.25 | $14,925.00 | $0.01 – $13,432.50 | 44 |
| Tx closed tib shaft fx without manip CPT 27750 | $716.95 | $1,103.00 | $0.01 – $992.70 | 44 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $544.87 – $1,006.18 | 22 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $319.03 – $769.14 | 22 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $3,099.93 – $3,589.39 | 9 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $3,099.93 – $3,589.39 | 9 |
| Tx l/r atrial fib addl CPT 93657 | $4,333.55 | $6,667.00 | $454.93 – $11,501.07 | 37 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $2,808.13 – $3,418.54 | 22 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $2,808.13 – $3,418.54 | 22 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $2,808.13 – $3,418.54 | 22 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $1,687.38 – $3,450.35 | 22 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $2,808.13 – $3,418.54 | 22 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $2,808.13 – $3,418.54 | 22 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $1,677.45 – $1,942.31 | 9 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $716.95 | $1,103.00 | $0.01 – $992.70 | 44 |
| Tympanic membrane repair CPT 69610 | not published | not published | $769.90 – $1,614.71 | 22 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $1,276.91 – $3,450.35 | 22 |
| Tympanometry & reflex thresh CPT 92550 | $406.90 | $626.00 | $38.20 – $563.40 | 44 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $88.20 – $561.27 | 22 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $2,782.84 – $6,160.68 | 22 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $2,221.13 – $6,160.68 | 22 |
| Tyms gene com variants CPT 81346 | not published | not published | $95.45 – $192.29 | 23 |
| Typhoid vaccine oral CPT 90690 | $45.75 | $70.38 | $8.19 – $63.34 | 37 |
| U2af1 gene common variants CPT 81357 | not published | not published | $95.45 – $212.58 | 23 |
| Ua w/micro/comp poc CPT 81000 | $18.20 | $28.00 | $0.95 – $25.20 | 44 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $4,332.90 | $6,666.00 | $2.17 – $13,531.58 | 44 |
| Ue triple control harness HCPCS L6677 | not published | not published | $74.79 – $86.60 | 9 |
| Ugt1a1 gene analy common variants CPT 81350 | $1,049.75 | $1,615.00 | $0.95 – $1,453.50 | 44 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $95.38 – $108.80 | 16 |
| Ultrasound breast complete CPT 76641 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Ultrasound dx ophth b-scan CPT 76512 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $80.06 – $118.41 | 10 |
| Ultrasound elastography parenchyma CPT 76981 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Ultrasound encephalogram CPT 76506 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $80.06 – $92.70 | 9 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $560.95 | $863.00 | $0.87 – $776.70 | 37 |
| Ultrasound guidance for vascular access CPT 76937 | $172.90 | $266.00 | $0.87 – $239.40 | 37 |
| Ultrasound guide intraoperative CPT 76998 | $547.95 | $843.00 | $0.87 – $758.70 | 37 |
| Ultrasound guide tissue ablation CPT 76940 | $453.70 | $698.00 | $0.87 – $628.20 | 37 |
| Ultrasound hips infant dynamic CPT 76885 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
| Ultrasound infant hips ltd without stress CPT 76886 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
| Ultrasound joint complete left CPT 76881 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $462.15 | $711.00 | $0.87 – $639.90 | 37 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $462.15 | $711.00 | $0.87 – $639.90 | 37 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Ultrasound prostate/transrectal CPT 76872 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Ultrasound spinal canal and contents CPT 76800 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Ultrasound transabd ea addl gest CPT 76812 | $425.10 | $654.00 | $0.87 – $588.60 | 37 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $123.12 – $363.07 | 22 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $123.12 – $502.89 | 10 |
| Ultraviolet therapy CPT 97028 | not published | not published | $10.45 – $29.50 | 23 |
| Umbilical artery cath newborn 36660 CPT 36660 | $163.80 | $252.00 | $0.01 – $226.80 | 37 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $278.32 – $2,241.48 | 22 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,404.27 – $1,626.00 | 9 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $15,490.37 – $15,490.37 | 1 |
| Unlistd noninvas vasc dx std CPT 93998 | $819.65 | $1,261.00 | $22.70 – $138.60 | 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.