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 |
|---|---|---|---|---|
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $25.96 – $30.06 | 9 |
| Loudness balance test CPT 92562 | not published | not published | $32.78 – $288.68 | 22 |
| Low back disk surgery CPT 63030 | not published | not published | $3,123.59 – $7,551.43 | 22 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $544.87 – $1,393.79 | 13 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,203.73 – $1,831.43 | 13 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $544.87 – $1,393.79 | 13 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $544.87 – $1,393.79 | 13 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $1,203.73 – $1,393.79 | 9 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $1,203.73 – $1,393.79 | 9 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $1,203.73 – $1,393.79 | 9 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $1,203.73 – $1,393.79 | 9 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $798.20 | $1,228.00 | $0.87 – $1,105.20 | 44 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Lower jaw bone graft CPT 21215 | not published | not published | $3,710.06 – $6,160.68 | 22 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
| Low frequency non-thermal Ultrasound CPT 97610 | $594.10 | $914.00 | $29.78 – $822.60 | 44 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.90 – $134.56 | 20 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $4,506.77 – $11,062.31 | 22 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $4,506.77 – $11,062.31 | 22 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $4,506.77 – $11,062.31 | 22 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $4,506.77 – $11,062.31 | 22 |
| Lso corset front HCPCS L0972 | not published | not published | $47.96 – $55.53 | 9 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $25.96 – $30.06 | 9 |
| Lso full corset HCPCS L0976 | not published | not published | $47.96 – $55.53 | 9 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $47.96 – $55.53 | 9 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $548.77 – $635.42 | 9 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $548.77 – $635.42 | 9 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $47.96 – $55.53 | 9 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $548.77 – $635.42 | 9 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $548.77 – $635.42 | 9 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $74.79 – $86.60 | 9 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $74.79 – $86.60 | 9 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $548.77 – $635.42 | 9 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $548.77 – $635.42 | 9 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $14.87 – $62.69 | 23 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $2.38 – $16.09 | 9 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $25.96 – $30.06 | 9 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $25.96 – $30.06 | 9 |
| Lumbar diskogram s&i CPT 72295 | $8,758.10 | $13,474.00 | $0.87 – $12,126.60 | 44 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $25.96 – $30.06 | 9 |
| Lumbar sling HCPCS L1090 | not published | not published | $47.96 – $55.53 | 9 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $7,642.13 – $18,247.18 | 22 |
| Lumizyme injection HCPCS J0221 | $2,370.97 | $3,647.64 | $2.17 – $17,153.79 | 44 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $930.80 | $1,432.00 | $81.31 – $1,288.80 | 44 |
| Lung function test (mbc/mvv) CPT 94200 | $177.45 | $273.00 | $30.57 – $245.70 | 44 |
| Lung Function Test (Spirometry) CPT 94010 | $468.00 | $720.00 | $53.24 – $648.00 | 44 |
| Lung perfusion imaging CPT 78580 | $1,802.45 | $2,773.00 | $0.87 – $2,495.70 | 44 |
| Lung transplant double CPT 32853 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Lung transplant single CPT 32851 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,569.46 – $2,975.16 | 9 |
| Lung transplant with bypass CPT 32854 | not published | not published | $2,569.46 – $2,975.16 | 9 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $2,601.19 – $3,011.90 | 9 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $25,740.00 | $39,600.00 | $2.17 – $35,640.00 | 44 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $38,498.82 | $59,228.96 | $2.17 – $17,768.77 | 44 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $436.15 | $671.00 | $2.17 – $17,719.05 | 44 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $332.80 | $512.00 | $144.79 – $17,719.05 | 44 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $272.90 – $315.99 | 9 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $22.70 – $238.69 | 22 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $74.79 – $86.60 | 9 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $13.63 – $81.91 | 23 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $1,663.31 – $21,264.80 | 20 |
| Lymphatics/lymph node imaging CPT 78195 | $2,414.10 | $3,714.00 | $0.87 – $3,342.60 | 44 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $131.96 | 23 |
| Lymphocyte transformation mitogen CPT 86353 | $219.70 | $338.00 | $0.95 – $332.10 | 44 |
| Lymphocytotoxicity assay CPT 86805 | $850.20 | $1,308.00 | $0.95 – $1,177.20 | 44 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $194.56 | 23 |
| Lymph vessel x-ray arm/leg CPT 75801 | $2,772.90 | $4,266.00 | $0.87 – $3,839.40 | 44 |
| Lymph vessel x-ray arms/legs CPT 75803 | $6,967.35 | $10,719.00 | $0.87 – $9,647.10 | 44 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $536.42 – $3,285.94 | 22 |
| Lymph vessel x-ray trunk CPT 75807 | $14,116.70 | $21,718.00 | $0.87 – $19,546.20 | 44 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $472.10 – $891.46 | 22 |
| Lysis of labial adhesions CPT 56441 | $9,506.90 | $14,626.00 | $0.01 – $13,163.40 | 44 |
| Lysis penil circumic lesion CPT 54162 | $6,124.95 | $9,423.00 | $0.01 – $8,480.70 | 44 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.68 – $49.51 | 13 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $18.08 – $60.27 | 10 |
| Macroscopic exam arthropod CPT 87168 | $18.85 | $29.00 | $0.95 – $36.52 | 44 |
| Macroscopic exam parasite CPT 87169 | $19.50 | $30.00 | $0.95 – $30.44 | 44 |
| Magnesium CPT 83735 | $29.90 | $46.00 | $0.95 – $41.40 | 44 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $2.32 | $3.57 | $0.01 – $9.14 | 37 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $209.33 – $248.31 | 22 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $12.08 – $134.56 | 14 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $94.03 | 23 |
| Male sling procedure CPT 53440 | not published | not published | $2,978.54 – $13,730.23 | 22 |
| Mammosite ced HCPCS C1728 | $36.40 | $56.00 | $8.70 – $190.64 | 37 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,844.85 – $3,294.04 | 9 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $675.71 – $1,673.41 | 22 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $675.71 – $1,673.41 | 22 |
| Manipulation of hip joint CPT 27275 | not published | not published | $675.71 – $1,673.41 | 22 |
| Manipulation of spine CPT 22505 | not published | not published | $675.71 – $1,673.41 | 22 |
| Manipulat palm cord post inj CPT 26341 | $716.95 | $1,103.00 | $0.01 – $992.70 | 44 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $0.51 | $0.78 | $0.07 – $9.14 | 37 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $0.69 – $17.99 | 11 |
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.