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 |
|---|---|---|---|---|
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $13,866.35 – $16,055.78 | 9 |
| Pyelotomy complicated CPT 50135 | not published | not published | $4,649.04 – $5,383.10 | 9 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $4,649.04 – $5,383.10 | 9 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $4,649.04 – $5,383.10 | 9 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,734.84 – $2,008.77 | 9 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $2,465.88 – $2,855.23 | 9 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $50.86 | $78.24 | $2.17 – $70.42 | 37 |
| Pyruvate CPT 84210 | $65.00 | $100.00 | $0.95 – $90.00 | 44 |
| Pyruvate kinase CPT 84220 | $42.25 | $65.00 | $0.95 – $58.50 | 44 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $74.79 – $86.60 | 9 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $110.82 – $371.67 | 22 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $2,414.10 | $3,714.00 | $0.87 – $3,342.60 | 44 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,802.45 | $2,773.00 | $0.87 – $2,495.70 | 44 |
| Quest t3 uptake CPT 84479 | $29.25 | $45.00 | $0.95 – $40.50 | 44 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $272.90 – $315.99 | 9 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.26 – $1,275.00 | 15 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $1,059.01 | $1,629.24 | $352.44 – $2,727.96 | 44 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $240.13 – $2,727.96 | 23 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $1,624.21 | $2,498.79 | $279.94 – $2,727.96 | 44 |
| Rabies vaccine id CPT 90676 | not published | not published | $13.80 – $279.15 | 22 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $2,925.00 | $4,500.00 | $2.17 – $4,050.00 | 37 |
| Radial keratotomy CPT 65771 | not published | not published | $260.86 – $302.05 | 9 |
| Radiation handling CPT 77790 | $624.65 | $961.00 | $0.87 – $864.90 | 37 |
| Radiation physics consult CPT 77336 | $595.40 | $916.00 | $0.87 – $824.40 | 44 |
| Radiation therapy dose plan CPT 77300 | $595.40 | $916.00 | $0.87 – $824.40 | 44 |
| Radiation therapy management CPT 77431 | not published | not published | $139.22 – $161.21 | 9 |
| Radiation treatment aid(s) CPT 77332 | $595.40 | $916.00 | $0.87 – $824.40 | 44 |
| Radiation treatment aid(s) CPT 77333 | $595.40 | $916.00 | $0.87 – $824.40 | 44 |
| Radiation treatment aid(s) CPT 77334 | $1,641.90 | $2,526.00 | $0.87 – $2,273.40 | 44 |
| Radiation treatment delivery CPT 77401 | not published | not published | $101.51 – $129.53 | 13 |
| Radiation treatment delivery CPT 77402 | $583.05 | $897.00 | $0.87 – $807.30 | 44 |
| Radiation treatment delivery CPT 77412 | $3,155.75 | $4,855.00 | $0.87 – $4,369.50 | 44 |
| Radiation tx management x5 CPT 77427 | not published | not published | $139.22 – $161.21 | 9 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $4,506.77 – $5,218.37 | 9 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $2,683.68 – $18,878.58 | 20 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $2,683.68 – $18,878.58 | 20 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $2,683.68 – $18,878.58 | 20 |
| Radical resection of elbow CPT 24149 | not published | not published | $3,410.79 – $7,551.43 | 22 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $2,601.19 – $18,878.58 | 20 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,107.18 – $3,022.89 | 22 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,465.15 – $3,107.42 | 22 |
| Radiesse injection HCPCS Q2026 | not published | not published | $42.76 – $384.11 | 22 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $3,269.22 – $3,785.41 | 9 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $1,055.47 – $1,222.12 | 9 |
| Radiology port images(s) CPT 77417 | $313.95 | $483.00 | $0.87 – $434.70 | 37 |
| Radiotherapy dose plan imrt CPT 77301 | $6,136.65 | $9,441.00 | $0.87 – $8,496.90 | 44 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $161.78 – $6,154.25 | 23 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $5,855.20 | $9,008.00 | $0.87 – $8,107.20 | 44 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $5,855.20 | $9,008.00 | $0.87 – $8,107.20 | 44 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $5,855.20 | $9,008.00 | $0.87 – $8,107.20 | 44 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $5,855.20 | $9,008.00 | $0.87 – $8,107.20 | 44 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,802.45 | $2,773.00 | $0.87 – $2,495.70 | 44 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $234.50 – $295.39 | 10 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $2,683.68 – $7,551.43 | 22 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,465.15 – $3,107.42 | 22 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,465.15 – $3,107.42 | 22 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,465.15 – $3,107.42 | 22 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,465.15 – $3,880.75 | 22 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,107.18 – $3,022.89 | 22 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,567.38 – $3,022.89 | 22 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,567.38 – $3,022.89 | 22 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $3,410.79 – $7,551.43 | 22 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,411.17 – $3,022.89 | 22 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $468.26 | $720.40 | $2.17 – $4,560.19 | 44 |
| Range of motion measurements CPT 95852 | $40.95 | $63.00 | $6.76 – $56.70 | 44 |
| Ranibizumab injection HCPCS J2778 | $91,260.00 | $140,400.00 | $2.17 – $75,816.00 | 44 |
| Rapid desensitization CPT 95180 | $778.05 | $1,197.00 | $164.17 – $1,077.30 | 38 |
| Rapid Strep Test CPT 87880 | $74.10 | $114.00 | $0.95 – $102.60 | 44 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $13,081.32 | $20,125.11 | $2.17 – $3,622.54 | 44 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $6,963.19 | $10,712.60 | $2.17 – $17,153.79 | 44 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $106.11 – $122.86 | 9 |
| Rbc count only automated CPT 85041 | $13.65 | $21.00 | $0.95 – $18.90 | 44 |
| Rbc deglycerolized each unit HCPCS P9039 | $2,932.15 | $4,511.00 | $171.31 – $4,059.90 | 44 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $371.96 – $459.12 | 22 |
| Rbc irradiated each unit HCPCS P9038 | $669.50 | $1,030.00 | $134.48 – $927.00 | 44 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $6.95 – $35.07 | 23 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $171.31 – $521.12 | 21 |
| Rbc osmotic fragility CPT 85555 | $33.80 | $52.00 | $0.95 – $46.80 | 44 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $47.31 – $464.90 | 23 |
| Rcm img acquisj&i&r 1st les CPT 96931 | not published | not published | $7.56 – $8.76 | 9 |
| Rcm img acquisj&i&r ea addl CPT 96934 | not published | not published | $7.56 – $8.76 | 9 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $7.56 – $8.76 | 9 |
| Rcm img acquisj only ea addl CPT 96935 | not published | not published | $7.56 – $8.76 | 9 |
| Rcm i&r only 1st lesion CPT 96933 | not published | not published | $7.56 – $8.76 | 9 |
| Rcm i&r only ea addl lesion CPT 96936 | not published | not published | $7.56 – $8.76 | 9 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $3,710.06 – $6,160.68 | 22 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $3,710.06 – $15,401.69 | 20 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $3,710.06 – $15,401.69 | 20 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $3,710.06 – $15,401.69 | 20 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $3,710.06 – $15,401.69 | 20 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $3,710.06 – $15,401.69 | 20 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $3,710.06 – $15,401.69 | 20 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $3,710.06 – $15,401.69 | 20 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $3,710.06 – $15,401.69 | 20 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $3,710.06 – $15,401.69 | 20 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $2,793.19 – $4,295.86 | 22 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $3,710.06 – $6,160.68 | 22 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $3,710.06 – $6,160.68 | 22 |
| Realignment of knee CPT 27457 | not published | not published | $4,371.53 – $18,878.58 | 20 |
| Realignment of knee CPT 27455 | not published | not published | $4,371.53 – $18,878.58 | 20 |
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.