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 |
|---|---|---|---|---|
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $27.62 – $38.99 | 15 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $27.62 – $38.99 | 15 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $85.75 – $105.72 | 15 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $110.30 – $288.68 | 22 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $110.30 – $288.68 | 22 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $110.30 – $288.68 | 22 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $78,638.30 | $120,982.00 | $2.17 – $108,883.80 | 44 |
| Afamitresgene autoleucel HCPCS Q2057 | $2,268,240.00 | $3,489,600.00 | $0.02 – $3,140,640.00 | 43 |
| _afb id by dna probe rflx ast CPT 87149 | $89.70 | $138.00 | $0.95 – $124.20 | 44 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.31 – $16.12 | 23 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $517.40 | $796.00 | $0.95 – $716.40 | 44 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $95.45 – $150.70 | 23 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $95.45 – $302.31 | 23 |
| Aflibercept injection HCPCS J0178 | $90,901.04 | $139,847.76 | $2.17 – $125,862.98 | 44 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $8.19 – $43.78 | 11 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $272.90 – $315.99 | 9 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $548.77 – $635.42 | 9 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $272.90 – $315.99 | 9 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $1,055.47 – $1,222.12 | 9 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $74.79 – $86.60 | 9 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $520.03 – $803.25 | 9 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $74.79 – $86.60 | 9 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $990.51 – $1,222.12 | 9 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $74.79 – $86.60 | 9 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $272.90 – $315.99 | 9 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $548.77 – $635.42 | 9 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $1,015.18 – $1,222.12 | 9 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $272.90 – $315.99 | 9 |
| Afo tibial fracture rigid HCPCS L2116 | $821.60 | $1,264.00 | $275.55 – $1,222.12 | 37 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $272.90 – $315.99 | 9 |
| Afo, walk boot type, cus fab HCPCS L4631 | $2,288.00 | $3,520.00 | $548.77 – $3,168.00 | 37 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $272.90 – $315.99 | 9 |
| After cataract laser surgery CPT 66821 | $1,640.60 | $2,524.00 | $0.01 – $2,271.60 | 44 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $25,154.35 | $38,699.00 | $2.17 – $7,237.38 | 44 |
| Ag detect nos ia single CPT 87450 | not published | not published | $13.63 – $20.74 | 10 |
| Air conduction bilat CPT 92552 | $335.40 | $516.00 | $32.78 – $464.40 | 44 |
| Air injection into abdomen 49400 CPT 49400 | $211.25 | $325.00 | $67.18 – $292.50 | 37 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $468.00 | $720.00 | $89.90 – $648.00 | 44 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $3,144.27 – $3,144.27 | 1 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $548.77 – $635.42 | 9 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $272.90 – $315.99 | 9 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $548.77 – $635.42 | 9 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $272.90 – $315.99 | 9 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $25.96 – $30.06 | 9 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $252.75 – $333.39 | 9 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $47.96 – $55.53 | 9 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,610.29 – $4,610.29 | 1 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $47.96 – $55.53 | 9 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $232.76 – $333.39 | 9 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $47.96 – $55.53 | 9 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $548.77 – $635.42 | 9 |
| Albumin body fluid quantitative each specimen CPT 82042 | $35.10 | $54.00 | $0.95 – $48.60 | 44 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $2.71 | $4.17 | $0.74 – $198.36 | 44 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $3.26 | $5.01 | $1.11 – $198.36 | 44 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $0.84 | $1.29 | $0.15 – $325.40 | 44 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $1.54 | $2.37 | $0.52 – $198.36 | 44 |
| Albumin ischemia modified CPT 82045 | not published | not published | $17.09 – $176.21 | 23 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $26.00 | $40.00 | $0.95 – $36.00 | 44 |
| Albumin serum plasma or whole blood CPT 82040 | $22.10 | $34.00 | $0.95 – $30.60 | 44 |
| Albuterol comp con HCPCS J7610 | not published | not published | $3.31 – $49.51 | 10 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $1.37 – $49.51 | 10 |
| Albuterol ipratrop non-comp HCPCS J7620 | $3.25 | $5.00 | $0.20 – $9.14 | 37 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.18 – $9.14 | 12 |
| Albuterol non-comp unit HCPCS J7613 | $1.30 | $2.00 | $0.12 – $9.14 | 37 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $77.35 | $119.00 | $0.95 – $107.10 | 44 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $24.68 – $28.58 | 9 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $22.70 – $44.70 | 22 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $24.89 – $90.23 | 22 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $97.48 – $184.72 | 22 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $103.60 – $5,301.26 | 23 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $22.69 – $477.10 | 23 |
| Alefacept HCPCS J0215 | not published | not published | $54.24 – $1,329.32 | 10 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $77,335.02 | $118,976.96 | $2.17 – $107,079.26 | 44 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $10.99 – $16.09 | 9 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $9.13 – $10.57 | 9 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $7.88 – $16.09 | 9 |
| Alglucerase injection HCPCS J0205 | not published | not published | $43.57 – $190.38 | 11 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $148.86 – $13,531.58 | 12 |
| Alkaline phosphatase CPT 84075 | $23.40 | $36.00 | $0.95 – $32.40 | 44 |
| Allergen alpha lactalbumin ige CPT 86008 | $80.60 | $124.00 | $0.95 – $111.60 | 44 |
| Allergen egg white ige CPT 86003 | $23.40 | $36.00 | $0.95 – $32.40 | 44 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $35.75 | $55.00 | $0.95 – $49.50 | 44 |
| Allergy injections; 2 or more 95117 CPT 95117 | $128.70 | $198.00 | $16.25 – $178.20 | 44 |
| Allergy injection; single 95115 CPT 95115 | $89.70 | $138.00 | $16.25 – $124.20 | 44 |
| Allergy Skin Testing CPT 95004 | $109.85 | $169.00 | $6.65 – $907.06 | 38 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $812.43 – $943.16 | 16 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $3,562.64 – $13,361.02 | 22 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $17.70 – $38.87 | 2 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $85.89 – $1,045.03 | 21 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $106.04 – $323.77 | 14 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | not published | not published | $902.53 – $1,045.03 | 9 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $117.73 – $323.77 | 12 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $25.39 – $323.77 | 14 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $1,115.40 | $1,716.00 | $54.86 – $174.60 | 37 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $93.52 – $1,045.03 | 21 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,178.45 | $1,813.00 | $281.74 – $1,631.70 | 37 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $117.73 – $323.77 | 14 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $117.73 – $521.87 | 14 |
| Alloskin HCPCS Q4115 | $582.40 | $896.00 | $117.73 – $806.40 | 37 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $39.29 – $323.77 | 14 |
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.