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 |
|---|---|---|---|---|
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $882.70 | $1,358.00 | $0.01 – $1,222.20 | 44 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $882.70 | $1,358.00 | $0.01 – $1,222.20 | 44 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $317.20 | $488.00 | $37.32 – $439.20 | 37 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $14.40 – $2,727.96 | 11 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $8.14 – $49.51 | 10 |
| Injection treatment of eye CPT 66020 | not published | not published | $312.30 – $2,401.72 | 22 |
| Injection treatment of eye CPT 66030 | not published | not published | $312.30 – $2,401.72 | 22 |
| Injection treatment of nerve CPT 64605 | not published | not published | $576.65 – $2,032.17 | 22 |
| Injection treatment of nerve CPT 64610 | not published | not published | $576.65 – $2,032.17 | 22 |
| Injection treatment of nerve CPT 64681 | not published | not published | $576.65 – $920.46 | 22 |
| Injection treatment of nose CPT 30200 | not published | not published | $88.20 – $561.27 | 22 |
| Inject sacroiliac joint CPT 27096 | $1,253.20 | $1,928.00 | $0.01 – $1,735.20 | 37 |
| Inject/treat eye socket CPT 67500 | not published | not published | $162.40 – $330.32 | 22 |
| Inject/treat eye socket CPT 67505 | not published | not published | $162.40 – $330.32 | 22 |
| Inject/treat eye socket CPT 67515 | not published | not published | $162.40 – $330.32 | 22 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | $474.86 | $730.56 | $31.67 – $2,727.96 | 43 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | $610.56 | $939.32 | $42.34 – $2,727.96 | 43 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $6,857.14 | $10,549.44 | $2.17 – $9,494.50 | 44 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $22.75 – $4,632.42 | 23 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $4,341.87 | $6,679.80 | $2.17 – $17,153.79 | 44 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | $42,437.44 | $65,288.37 | $2.17 – $17,153.79 | 44 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $3,105.70 | $4,778.00 | $0.01 – $4,300.20 | 44 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $3,992.95 | $6,143.00 | $0.01 – $5,528.70 | 44 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $1.89 – $9.14 | 12 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $170.63 | $262.50 | $1.11 – $236.25 | 44 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.30 – $1,329.32 | 20 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.29 – $134.56 | 22 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | $1,872.00 | $2,880.00 | $2.17 – $13,531.58 | 43 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $179.14 – $4,560.19 | 23 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $16.89 – $4,560.19 | 23 |
| Inj, exagamglogene autotem HCPCS J3392 | $6,864,000.00 | $10,560,000.00 | $0.02 – $9,504,000.00 | 43 |
| Inj, factor x, (human), 1iu HCPCS J7175 | $26.64 | $40.98 | $2.17 – $17,153.79 | 44 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $109,834.45 | $168,976.08 | $2.17 – $152,078.47 | 44 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | $154.28 | $237.35 | $0.01 – $213.62 | 37 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $854.61 | $1,314.78 | $2.17 – $1,183.30 | 44 |
| Inj fensolvi 0.25 mg HCPCS J1951 | $67,427.61 | $103,734.78 | $2.17 – $93,361.30 | 44 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.09 – $49.51 | 10 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.11 – $2,727.96 | 23 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $44.95 | $69.15 | $2.17 – $62.24 | 38 |
| Inj, focinvez, 1mg HCPCS J1434 | $22.05 | $33.93 | $2.17 – $49.51 | 43 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $116.21 – $660.77 | 11 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $42.76 – $595.08 | 11 |
| Inj for ext venography CPT 36005 | $1,433.90 | $2,206.00 | $0.01 – $1,985.40 | 37 |
| Inj for mammo ductogram CPT 19030 | $315.90 | $486.00 | $0.01 – $437.40 | 37 |
| Inj, fosaprepitant (teva) HCPCS J1456 | $152.10 | $234.00 | $0.63 – $210.60 | 44 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $329.27 – $708.35 | 23 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | $1,178.03 | $1,812.36 | $1.82 – $1,631.12 | 38 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $604.99 | $930.76 | $2.17 – $516.16 | 44 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $3.18 – $516.16 | 23 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $25.84 | $39.75 | $0.01 – $23.71 | 37 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $7.89 – $136.80 | 11 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $129.75 – $503.42 | 11 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $4.24 – $516.16 | 13 |
| Inj givosiran 0.5 mg HCPCS J0223 | $102,711.96 | $158,018.40 | $2.17 – $142,216.56 | 44 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $3,382.50 | $5,203.84 | $2.17 – $4,683.42 | 44 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.72 – $9.14 | 15 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $2.44 – $9.14 | 11 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $166.21 – $13,531.58 | 12 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $0.91 – $49.51 | 23 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $34,085.47 | $52,439.19 | $2.17 – $7,237.38 | 44 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $31.07 – $4,632.42 | 10 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $14,814.63 – $4,053,793.33 | 22 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $12.17 | $18.72 | $0.19 – $9.14 | 38 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $2,917.36 | $4,488.24 | $2.17 – $4,632.42 | 44 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $37.15 – $3,362.28 | 20 |
| Inj herzuma 10 mg HCPCS Q5113 | $9,528.79 | $14,659.68 | $2.17 – $4,712.04 | 44 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,950.35 | $4,539.00 | $56.98 – $4,085.10 | 37 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $67.18 – $77.79 | 9 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $67.18 – $77.79 | 9 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $67.18 – $77.79 | 9 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $67.18 – $77.79 | 9 |
| Inj human fibrinogen con nos HCPCS J7178 | $3.55 | $5.46 | $1.21 – $4,560.19 | 44 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $2,452.32 | $3,772.80 | $2.17 – $3,395.52 | 44 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $18.18 – $134.56 | 11 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | $2,682.21 | $4,126.47 | $2.17 – $4,560.19 | 44 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $14.63 – $190.38 | 13 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $739.77 | $1,138.11 | $2.17 – $1,024.30 | 39 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $72.97 – $744.22 | 22 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.14 – $9.14 | 15 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $10,939.38 | $16,829.82 | $2.17 – $15,146.84 | 44 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $3,992.95 | $6,143.00 | $0.01 – $5,528.70 | 44 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $25.60 – $971.25 | 15 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $3.97 – $9.14 | 10 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $387.40 | $596.00 | $0.01 – $536.40 | 44 |
| Inj intralesional > 7 lsns CPT 11901 | $387.40 | $596.00 | $0.01 – $536.40 | 44 |
| Inj, invega hafyera/trinza HCPCS J2427 | $10,022.18 | $15,418.74 | $2.17 – $13,140.79 | 44 |
| Inj ivig privigen 500 mg HCPCS J1459 | $46.23 | $71.13 | $2.17 – $2,727.96 | 44 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.81 – $4,560.19 | 23 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.34 – $4,560.19 | 23 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.42 – $4,560.19 | 23 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $2.48 | $3.81 | $0.06 – $9.14 | 38 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $87.19 – $13,531.58 | 21 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $41,617.64 | $64,027.14 | $2.17 – $57,624.43 | 44 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $308.70 | $474.93 | $1.33 – $744.22 | 44 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.72 – $190.38 | 12 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | $15,210.00 | $23,400.00 | $2.17 – $21,060.00 | 44 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $18.19 | $27.99 | $2.17 – $49.51 | 37 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.02 – $337.61 | 13 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $103.76 | $159.63 | $2.17 – $134.56 | 44 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $3.97 – $134.56 | 16 |
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.