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 |
|---|---|---|---|---|
| Dilation of urethra CPT 53661 | $385.45 | $593.00 | $0.01 – $533.70 | 44 |
| Dilation of urethra CPT 53665 | not published | not published | $233.33 – $2,175.43 | 22 |
| Dilation of vagina CPT 57400 | not published | not published | $1,203.95 – $3,368.83 | 22 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,323.06 – $1,614.71 | 22 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $1,995.50 | $3,070.00 | $0.01 – $2,763.00 | 44 |
| Dilator fascial 10fx20cm HCPCS C2627 | $65.00 | $100.00 | $15.54 – $190.64 | 37 |
| Dilat xst trc ndurlgc px CPT 50436 | $10,312.25 | $15,865.00 | $243.21 – $14,278.50 | 44 |
| Dilat xst trc new access rcs CPT 50437 | $10,312.25 | $15,865.00 | $405.52 – $14,278.50 | 44 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $26.70 | $41.07 | $0.05 – $9.14 | 37 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $42.76 – $146.33 | 12 |
| Dimenhydrinate injection HCPCS J1240 | $30.75 | $47.31 | $1.64 – $42.58 | 37 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $34.14 | $52.53 | $2.17 – $824.15 | 44 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.05 – $9.14 | 11 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $7.04 | $10.83 | $0.46 – $9.14 | 37 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $287.88 | $442.89 | $8.19 – $199.80 | 37 |
| Dipyridamole injection HCPCS J1245 | $4.64 | $7.14 | $1.11 – $9.14 | 37 |
| Direct advanced life support CPT 99288 | not published | not published | $56.32 – $65.21 | 9 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $34.79 – $146.53 | 22 |
| Disability dlco CPT 94727 | $468.00 | $720.00 | $53.24 – $648.00 | 44 |
| Disaccharidases CPT 82657 | $99.45 | $153.00 | $0.95 – $137.70 | 44 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,107.18 – $2,147.22 | 22 |
| Disarticulation shoulder CPT 23920 | not published | not published | $5,408.22 – $33,402.55 | 20 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $3,123.59 – $3,616.79 | 9 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $7,642.13 – $8,848.79 | 9 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $311.86 – $2,032.17 | 22 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $25.96 – $30.06 | 9 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $276.46 – $333.39 | 9 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $88.20 – $1,852.31 | 22 |
| Dissect brain w/scope CPT 62161 | not published | not published | $4,126.72 – $4,778.31 | 9 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $56.32 – $65.21 | 9 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $2,344.04 – $2,714.15 | 9 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $2,583.82 – $5,790.88 | 22 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $2,149.33 – $2,488.70 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $2,586.01 – $6,160.68 | 22 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $1,505.58 – $1,743.30 | 9 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $24.68 – $28.58 | 9 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $6,670.30 | $10,262.00 | $465.03 – $9,910.07 | 37 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $95.45 – $306.90 | 23 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $95.45 – $302.31 | 23 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $95.45 – $150.70 | 23 |
| Dna antibody native/double stranded CPT 86225 | $61.75 | $95.00 | $0.95 – $85.50 | 44 |
| Dna gardnerella CPT 87510 | $89.70 | $138.00 | $0.95 – $124.20 | 44 |
| Dna probe chlamydia CPT 87490 | not published | not published | $13.63 – $81.91 | 23 |
| Dna probe gc CPT 87590 | not published | not published | $13.63 – $81.91 | 23 |
| Dna trichomonas CPT 87660 | $89.70 | $138.00 | $0.95 – $124.20 | 44 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $18.85 | $29.00 | $0.05 – $9.14 | 37 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $949.39 | $1,460.60 | $1.16 – $337.61 | 37 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | $108.86 | $167.48 | $2.17 – $337.61 | 43 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $7.27 – $16.05 | 11 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $7.89 – $165.03 | 11 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $56.32 – $65.21 | 9 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $56.32 – $65.21 | 9 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $56.32 – $65.21 | 9 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $56.32 – $65.21 | 9 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $56.32 – $65.21 | 9 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $56.32 – $65.21 | 9 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $56.32 – $65.21 | 9 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $56.32 – $65.21 | 9 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $56.32 – $65.21 | 9 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $2.07 | $3.18 | $0.03 – $9.14 | 37 |
| Doppler echo complete CPT 93320 | $866.45 | $1,333.00 | $94.64 – $1,199.70 | 37 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,006.25 | $4,625.00 | $718.73 – $4,162.50 | 37 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $585.00 | $900.00 | $88.94 – $810.00 | 44 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $481.65 | $741.00 | $80.06 – $666.90 | 44 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.77 – $134.56 | 11 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $55.61 – $134.56 | 12 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $13,866.35 – $16,055.78 | 9 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $25.96 – $30.06 | 9 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $2,871.39 | $4,417.53 | $2.17 – $7,237.38 | 44 |
| Double transfer toe-hand CPT 26554 | not published | not published | $3,351.55 – $18,878.58 | 20 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $820.66 | $1,262.56 | $0.99 – $7.14 | 31 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $210.16 | $323.32 | $2.17 – $744.22 | 44 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $61.62 | $94.80 | $0.18 – $54.03 | 37 |
| Dpyd gene common variants CPT 81232 | $783.90 | $1,206.00 | $0.95 – $1,085.40 | 44 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $9.13 – $10.57 | 9 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $2,104.05 | $3,237.00 | $0.01 – $2,913.30 | 44 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,829.10 | $2,814.00 | $88.20 – $2,532.60 | 44 |
| Drainage external ear complex 69005 CPT 69005 | $4,212.65 | $6,481.00 | $246.34 – $5,832.90 | 44 |
| Drainage external ear simple 69000 CPT 69000 | $1,829.10 | $2,814.00 | $0.01 – $2,532.60 | 44 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $1,853.91 – $3,022.89 | 22 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $1,853.91 – $3,022.89 | 22 |
| Drainage mouth roof lesion CPT 42000 | $694.20 | $1,068.00 | $0.01 – $961.20 | 44 |
| Drainage of abdomen CPT 48000 | not published | not published | $2,844.85 – $3,294.04 | 9 |
| Drainage of arm bursa 23931 CPT 23931 | $4,844.45 | $7,453.00 | $0.01 – $6,707.70 | 44 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $873.82 – $3,022.89 | 22 |
| Drainage of bone lesion CPT 26992 | not published | not published | $2,513.62 – $8,512.80 | 20 |
| Drainage of bone lesion CPT 27303 | not published | not published | $2,034.58 – $8,512.80 | 20 |
| Drainage of eye CPT 65800 | not published | not published | $312.30 – $2,401.72 | 22 |
| Drainage of eye CPT 65810 | not published | not published | $312.30 – $2,401.72 | 22 |
| Drainage of eye CPT 65815 | not published | not published | $312.30 – $2,401.72 | 22 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,012.67 – $1,673.41 | 22 |
| Drainage of kidney lesion CPT 50390 | $2,104.05 | $3,237.00 | $0.01 – $2,913.30 | 44 |
| Drainage of mouth lesion CPT 41005 | $694.20 | $1,068.00 | $88.20 – $961.20 | 44 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $769.90 – $1,614.71 | 22 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $769.90 – $1,614.71 | 22 |
| Drainage of mouth lesion CPT 41008 | $9,696.70 | $14,918.00 | $0.01 – $13,426.20 | 44 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $472.10 – $891.46 | 22 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $472.10 – $1,573.00 | 22 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,358.50 – $6,160.68 | 22 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $1,358.50 – $3,450.35 | 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.