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 |
|---|---|---|---|---|
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $2.33 – $198.36 | 22 |
| Fructosamine glycated protein CPT 82985 | $75.40 | $116.00 | $0.95 – $104.40 | 44 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $25.96 – $30.06 | 9 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1,203.73 – $1,393.79 | 9 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1,203.73 – $1,393.79 | 9 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $74.79 – $86.60 | 9 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $550.66 – $1,636.11 | 23 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $68.78 – $79.64 | 23 |
| Ftl cgen abnor four anal CPT 81511 | $688.35 | $1,059.00 | $0.95 – $953.10 | 44 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.54 – $79.64 | 23 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $54.30 – $79.64 | 23 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $74.79 – $86.60 | 9 |
| Full field erg w/i&r CPT 92273 | not published | not published | $39.85 – $288.68 | 22 |
| Full mouth x-ray of teeth CPT 70320 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $25.96 – $30.06 | 9 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,203.73 – $2,147.22 | 22 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,203.73 – $2,147.22 | 22 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1,203.73 – $1,393.79 | 9 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,203.73 – $2,147.22 | 22 |
| Functional brain mapping CPT 96020 | not published | not published | $169.10 – $195.80 | 9 |
| Fundus photography with i&r 92250 CPT 92250 | $385.45 | $593.00 | $39.10 – $533.70 | 44 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $548.77 – $635.42 | 9 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $4.89 | $7.53 | $0.04 – $9.14 | 37 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.40 – $9.14 | 11 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,844.85 – $3,294.04 | 9 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $2,465.88 – $2,855.23 | 9 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $2,465.88 – $2,855.23 | 9 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $2,586.01 – $2,994.33 | 9 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $2,476.97 – $2,868.07 | 9 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $2,476.97 – $2,868.07 | 9 |
| Fuse/graft added joint CPT 26863 | not published | not published | $957.25 – $1,108.39 | 9 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,117.32 – $1,293.74 | 9 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,844.85 – $3,294.04 | 9 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,117.32 – $1,293.74 | 9 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,117.32 – $1,293.74 | 9 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,117.32 – $1,293.74 | 9 |
| Fuse upper gi structures CPT 47721 | not published | not published | $2,476.97 – $2,868.07 | 9 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $957.25 – $3,405.12 | 22 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $1,567.38 – $7,551.43 | 22 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $4,371.53 – $13,361.02 | 22 |
| Fusion of big toe joint CPT 28750 | not published | not published | $3,351.55 – $7,551.43 | 22 |
| Fusion of big toe joint CPT 28755 | not published | not published | $1,437.91 – $7,551.43 | 22 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $2,913.53 – $3,373.56 | 9 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $957.25 – $1,108.39 | 9 |
| Fusion of finger joint CPT 26860 | not published | not published | $957.25 – $3,405.12 | 22 |
| Fusion of finger tendons CPT 26471 | not published | not published | $957.25 – $3,405.12 | 22 |
| Fusion of finger tendons CPT 26474 | not published | not published | $957.25 – $1,673.41 | 22 |
| Fusion of foot bones CPT 28730 | not published | not published | $3,351.55 – $13,361.02 | 22 |
| Fusion of foot bones CPT 28735 | not published | not published | $3,351.55 – $13,361.02 | 22 |
| Fusion of foot bones CPT 28740 | not published | not published | $3,351.55 – $7,551.43 | 22 |
| Fusion of hand joint CPT 26843 | not published | not published | $957.25 – $7,551.43 | 22 |
| Fusion of knee CPT 27580 | not published | not published | $4,371.53 – $33,402.55 | 20 |
| Fusion of knuckle CPT 26850 | not published | not published | $1,567.38 – $7,551.43 | 22 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $957.25 – $3,405.12 | 22 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $957.25 – $3,405.12 | 22 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $1,567.38 – $7,551.43 | 22 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $1,567.38 – $7,551.43 | 22 |
| Fusion of skull arteries CPT 61711 | not published | not published | $900.40 – $1,042.57 | 9 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,224.77 – $2,175.43 | 22 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $977.39 – $3,668.39 | 22 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $2,808.13 – $3,949.33 | 22 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $1,012.67 – $3,405.12 | 22 |
| Fusion of thumb CPT 26841 | not published | not published | $1,567.38 – $7,551.43 | 22 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $4,371.53 – $13,361.02 | 22 |
| Fusion of toes CPT 28280 | not published | not published | $1,437.91 – $3,405.12 | 22 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $4,649.04 – $5,383.10 | 9 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $4,649.04 – $5,383.10 | 9 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $4,649.04 – $5,383.10 | 9 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $95.45 – $302.31 | 23 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $95.45 – $150.70 | 23 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $95.45 – $302.31 | 23 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $95.45 – $203.72 | 23 |
| G0180 home health certification HCPCS G0180 | not published | not published | $17.91 – $20.74 | 9 |
| G6pc gene CPT 81250 | $262.60 | $404.00 | $0.95 – $363.60 | 44 |
| G6pd full gene sequence CPT 81249 | not published | not published | $141.84 – $660.00 | 23 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $95.45 – $192.29 | 23 |
| G6pd known familial variant CPT 81248 | not published | not published | $89.87 – $412.78 | 23 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $1,706.90 | $2,626.00 | $0.01 – $2,363.40 | 37 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $98.80 | $152.00 | $0.01 – $136.80 | 43 |
| Gabapentin non-blood CPT 80355 | $20.80 | $32.00 | $0.95 – $28.80 | 37 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1.94 | $2.99 | $0.01 – $23.71 | 37 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $20.80 | $32.00 | $0.01 – $23.71 | 37 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $13.18 | $20.28 | $0.01 – $23.71 | 37 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $95.55 | $147.00 | $0.01 – $46.01 | 37 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $94.25 | $145.00 | $0.95 – $150.20 | 44 |
| Galactokinase - sendout CPT 82759 | not published | not published | $14.87 – $187.11 | 23 |
| Galactose transferase test CPT 82776 | $52.65 | $81.00 | $0.95 – $72.90 | 44 |
| Galectin-3 CPT 82777 | not published | not published | $17.09 – $48.68 | 23 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,802.45 | $2,773.00 | $0.87 – $2,495.70 | 44 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $2,414.10 | $3,714.00 | $0.87 – $3,342.60 | 44 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $17,444.70 | $26,838.00 | $1,058.08 – $24,154.20 | 44 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.61 – $122.86 | 21 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | $10,617.75 | $16,335.00 | $0.01 – $14,701.50 | 44 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $106.11 – $886.76 | 22 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $106.11 – $1,026.05 | 22 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $88.99 – $873.44 | 23 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $2.77 – $4,632.42 | 11 |
| Galsulfase injection HCPCS J1458 | $1,163.92 | $1,790.64 | $2.17 – $13,531.58 | 44 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $104.52 – $507.30 | 23 |
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.