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 |
|---|---|---|---|---|
| MRI breast without cont bi CPT 77047 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| MRI breast w IV cont bi CPT 77049 | $3,889.60 | $5,984.00 | $0.87 – $5,385.60 | 37 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $3,543.15 | $5,451.00 | $0.87 – $4,905.90 | 44 |
| MRI chest without contrast CPT 71550 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| MRI chest without & w/contrast CPT 71552 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| MRI chest w IV cont CPT 71551 | $3,543.15 | $5,451.00 | $0.87 – $4,905.90 | 44 |
| MRI compatible system HCPCS L0859 | not published | not published | $548.77 – $635.42 | 9 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $209.33 – $390.01 | 10 |
| MRI fetal sngl/1st gestation CPT 74712 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $42.70 – $1,147.45 | 10 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $42.70 – $49.45 | 9 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $322.62 – $1,273.79 | 22 |
| MRI loex nonjt w IV cont CPT 73719 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| MRI tmj CPT 70336 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| MRI upper extremity w/dye CPT 73219 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $316.34 – $366.29 | 22 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $159.40 – $366.29 | 22 |
| MRI without fol w/cont, breast HCPCS C8908 | $696.15 | $1,071.00 | $302.88 – $963.90 | 44 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $316.34 – $366.29 | 22 |
| Mr safety determination physician/other qhp CPT 76016 | $395.20 | $608.00 | $0.87 – $547.20 | 43 |
| Mr safety implant elec prepj CPT 76018 | $411.45 | $633.00 | $0.87 – $569.70 | 43 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $222.95 | $343.00 | $0.87 – $308.70 | 37 |
| Mr safety implt pos&/immoblj CPT 76019 | $266.50 | $410.00 | $0.87 – $369.00 | 43 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $109.85 | $169.00 | $0.87 – $152.10 | 43 |
| Mr sfty med physics xm cstmz CPT 76017 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 43 |
| Mr spectroscopy CPT 76390 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $95.45 – $234.63 | 23 |
| Msh2 gene full seq CPT 81295 | not published | not published | $89.87 – $419.87 | 23 |
| Msh2 gene known variants CPT 81296 | not published | not published | $95.45 – $371.50 | 23 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $95.45 – $261.80 | 23 |
| Msh6 gene full seq CPT 81298 | not published | not published | $141.84 – $706.04 | 23 |
| Msh6 gene known variants CPT 81299 | not published | not published | $95.45 – $338.80 | 23 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $3,351.55 – $18,878.58 | 20 |
| Mthfr gene analy common variants CPT 81291 | $293.15 | $451.00 | $0.95 – $405.90 | 44 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $13.63 – $44.31 | 23 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $27.55 – $175.06 | 23 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.86 – $16.73 | 23 |
| Mucopolysaccharides CPT 83864 | $128.05 | $197.00 | $0.95 – $177.30 | 44 |
| Mucormycosis antibody CPT 86732 | not published | not published | $15.00 – $53.85 | 23 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $24.89 – $172.67 | 22 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $5,032.45 – $5,032.45 | 1 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $1,000.92 – $1,222.12 | 9 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $29.93 – $34.65 | 9 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $29.93 – $34.65 | 9 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $272.90 – $315.99 | 9 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $272.90 – $315.99 | 9 |
| Multi family grp psychotherapy CPT 90849 | $313.30 | $482.00 | $52.53 – $433.80 | 44 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $39.85 – $145.04 | 22 |
| Multiple sleep latency test CPT 95805 | $2,379.65 | $3,661.00 | $464.99 – $3,294.90 | 38 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $4,070.12 – $4,070.12 | 1 |
| Mumps antibody igg CPT 86735 | $58.50 | $90.00 | $0.95 – $81.00 | 44 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,203.73 – $2,147.22 | 22 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,203.73 – $3,687.90 | 22 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,203.73 – $3,687.90 | 22 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $204.28 – $371.67 | 22 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $121.73 – $371.67 | 22 |
| Muscle test larynx CPT 95865 | not published | not published | $110.82 – $371.67 | 22 |
| Muscle test one fiber CPT 95872 | not published | not published | $135.52 – $371.67 | 22 |
| Muscle transfers CPT 23397 | not published | not published | $2,683.68 – $7,551.43 | 22 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,683.68 – $7,551.43 | 22 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,203.73 – $3,687.90 | 22 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $3,410.79 – $7,551.43 | 22 |
| Mycobacteria dna amp probe CPT 87551 | $216.45 | $333.00 | $0.95 – $299.70 | 44 |
| Mycobacteria dna dir probe CPT 87550 | $89.70 | $138.00 | $0.95 – $124.20 | 44 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $27.55 – $175.06 | 23 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $28.07 | $43.18 | $0.27 – $9.14 | 37 |
| Mycophenolic acid HCPCS J7518 | $23.27 | $35.80 | $0.57 – $9.14 | 37 |
| Mycoplasma antibody igm CPT 86738 | $59.15 | $91.00 | $0.95 – $81.90 | 44 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $786.50 | $1,210.00 | $0.95 – $1,089.00 | 44 |
| Myelogphy 2/> spine regions CPT 72270 | $3,543.15 | $5,451.00 | $0.87 – $4,905.90 | 44 |
| Myelography l-s spine CPT 72265 | $3,543.15 | $5,451.00 | $0.87 – $4,905.90 | 44 |
| Myelography neck spine CPT 72240 | $3,543.15 | $5,451.00 | $0.87 – $4,905.90 | 44 |
| Myelography thoracic spine CPT 72255 | $3,543.15 | $5,451.00 | $0.87 – $4,905.90 | 44 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $3,543.15 | $5,451.00 | $0.01 – $4,905.90 | 44 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,543.15 | $5,451.00 | $0.01 – $4,905.90 | 44 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,543.15 | $5,451.00 | $0.01 – $4,905.90 | 44 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,543.15 | $5,451.00 | $0.01 – $4,905.90 | 44 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $52.00 | $80.00 | $0.95 – $72.00 | 44 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,495.02 – $2,888.97 | 9 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $1,352.17 – $1,488.13 | 16 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $1,352.17 – $1,488.13 | 16 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $1,435.79 – $1,715.49 | 16 |
| Myocrd img pet 2rtracer CT CPT 78433 | $8,216.00 | $12,640.00 | $0.87 – $11,376.00 | 38 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $1,352.17 – $1,488.13 | 16 |
| Myocrd img pet rst&strs CT CPT 78431 | $9,479.60 | $14,584.00 | $0.87 – $13,125.60 | 38 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $1,352.17 – $1,488.13 | 16 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $4,506.77 – $5,218.37 | 9 |
| Myomectomy abdom method CPT 58140 | $2,815.80 | $4,332.00 | $944.38 – $5,218.37 | 37 |
| Myomectomy vag method CPT 58145 | $9,506.90 | $14,626.00 | $860.80 – $13,163.40 | 44 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $3,283.20 – $3,283.20 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $1,276.91 – $3,450.35 | 22 |
| Nabilone oral HCPCS J8650 | not published | not published | $13.54 – $107.25 | 10 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $67.61 | $104.01 | $0.11 – $30.78 | 37 |
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.