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 |
|---|---|---|---|---|
| Prcrd drg 6+yr without anomly CPT 33017 | $3,518.45 | $5,413.00 | $0.01 – $4,871.70 | 37 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $10,312.25 | $15,865.00 | $0.01 – $14,278.50 | 44 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $17.91 – $20.74 | 9 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $17.91 – $20.74 | 9 |
| Prealbumin CPT 84134 | $65.65 | $101.00 | $0.95 – $90.90 | 44 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $19.26 – $22.30 | 9 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $70.99 – $82.20 | 9 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $1.14 – $9.14 | 10 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $2.68 | $4.13 | $0.64 – $9.14 | 37 |
| Prednisone 1 mg tablet HCPCS J7512 | $8.45 | $13.00 | $0.02 – $9.14 | 37 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $257.73 – $333.39 | 9 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $611.63 – $1,573.00 | 22 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $611.63 – $1,573.00 | 22 |
| Pregabalin - sendout CPT 80366 | $20.80 | $32.00 | $0.95 – $28.80 | 37 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $5,671.90 | $8,726.00 | $315.11 – $7,853.40 | 44 |
| Pregnancy associated plasma protein-a CPT 84163 | $67.60 | $104.00 | $0.95 – $107.35 | 44 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Pregnancy Ultrasound (limited) CPT 76815 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $120.90 | $186.00 | $0.01 – $167.40 | 37 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $104.91 – $121.47 | 9 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $104.91 – $121.47 | 9 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $204.28 – $384.82 | 22 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $332.35 – $491.89 | 22 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $332.35 – $491.89 | 22 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $2,923.84 – $2,923.84 | 1 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $3,783.50 – $3,783.50 | 1 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $3,628.92 – $3,628.92 | 1 |
| Preparation for bladder xray CPT 51605 | not published | not published | $67.18 – $77.79 | 9 |
| Preparation palate mold CPT 42280 | not published | not published | $472.10 – $1,573.00 | 22 |
| Prepare donor heart CPT 33944 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prepare donor intestine CPT 44715 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prepare donor lung double CPT 32856 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prepare donor lung single CPT 32855 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $20.36 – $641.49 | 23 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $245.34 – $284.08 | 9 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,495.02 – $2,888.97 | 9 |
| Prepare penis study CPT 54230 | not published | not published | $977.39 – $1,131.71 | 9 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $40.71 – $47.14 | 9 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,643.92 – $2,643.92 | 1 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,496.27 – $2,496.27 | 1 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $548.77 – $635.42 | 9 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,677.80 – $2,677.80 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $2,273.56 – $2,632.54 | 9 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep donor liver/venous CPT 47146 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep donor liver whole CPT 47143 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep donor pancreas CPT 48551 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep donor renal graft CPT 50325 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prepj skn cll ssp agrft 1st CPT 15013 | $14,138.80 | $21,752.00 | $0.01 – $19,576.80 | 43 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $4,000.93 – $4,632.65 | 9 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $371.55 – $943.16 | 22 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep renal graft/venous CPT 50327 | not published | not published | $1,007.43 – $1,166.50 | 9 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $152.60 – $7,385.52 | 21 |
| Prep skin to 100cm2 other CPT 15004 | $1,193.40 | $1,836.00 | $0.01 – $1,652.40 | 44 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $3,567.20 | $5,488.00 | $0.01 – $4,939.20 | 44 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $612.95 | $943.00 | $0.01 – $848.70 | 37 |
| Pressure max expiratory/inspiratory CPT 94799 | $313.95 | $483.00 | $31.11 – $135.52 | 44 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $2,465.88 – $2,855.23 | 9 |
| Pressure velocity wire add ves CPT 93572 | $3,087.50 | $4,750.00 | $738.15 – $4,275.00 | 37 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $272.90 – $315.99 | 9 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $768.30 | $1,182.00 | $0.95 – $1,063.80 | 44 |
| Pretreat rbc absorption reference CPT 86978 | $266.50 | $410.00 | $0.95 – $369.00 | 44 |
| Pretreat rbc density gradient separation reference CPT 86972 | $768.30 | $1,182.00 | $0.95 – $1,063.80 | 44 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $266.50 | $410.00 | $0.95 – $369.00 | 44 |
| Pretreat rbc w enzyme reference CPT 86971 | $768.30 | $1,182.00 | $0.95 – $1,063.80 | 44 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $313.30 | $482.00 | $136.31 – $433.80 | 44 |
| Preventive counseling group CPT 99411 | not published | not published | $70.94 – $82.14 | 9 |
| Preventive counseling group CPT 99412 | not published | not published | $70.94 – $82.14 | 9 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $80.60 | $124.00 | $0.01 – $111.60 | 37 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $144.30 | $222.00 | $0.01 – $199.80 | 37 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $219.05 | $337.00 | $0.01 – $303.30 | 37 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $291.20 | $448.00 | $0.01 – $403.20 | 37 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $334.75 | $515.00 | $0.01 – $463.50 | 44 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $3,159.65 | $4,861.00 | $0.01 – $4,374.90 | 44 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $3,159.65 | $4,861.00 | $0.01 – $4,374.90 | 44 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $779.35 | $1,199.00 | $0.01 – $1,079.10 | 44 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $2,586.01 – $10,030.83 | 20 |
| Prgrmg dev eval impltbl sys CPT 93260 | $139.10 | $214.00 | $18.72 – $192.60 | 44 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $139.10 | $214.00 | $18.72 – $192.60 | 44 |
| Prgrmg dev eval scrms ip CPT 93285 | $139.10 | $214.00 | $18.72 – $192.60 | 44 |
| Prgrmg eval implantable dfb CPT 93282 | $139.10 | $214.00 | $18.72 – $192.60 | 44 |
| Prgrmg eval implantable dfb CPT 93283 | $139.10 | $214.00 | $18.72 – $192.60 | 44 |
| Prgrmg eval implantable dfb CPT 93284 | $139.10 | $214.00 | $18.72 – $192.60 | 44 |
| Prgr stim/pace a/iv drug CPT 93623 | $6,281.60 | $9,664.00 | $1,278.27 – $8,697.60 | 37 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $56.32 – $65.21 | 9 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $56.32 – $65.21 | 9 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $56.32 – $65.21 | 9 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $56.32 – $65.21 | 9 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $56.32 – $65.21 | 9 |
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.