lutheran hospital
1730 West 25th Street, Cleveland, OH · Cleveland Clinic · · NPI 1194763045
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 |
|---|---|---|---|---|
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $7,275.57 – $8,424.34 | 9 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $4,351.98 – $5,039.13 | 9 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $4,351.98 – $5,039.13 | 9 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $1,900.67 – $3,726.07 | 22 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $1,900.67 – $6,291.49 | 22 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $2,046.23 – $2,369.32 | 9 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $2,046.23 – $2,369.32 | 9 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $2,193.79 – $5,579.94 | 22 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $930.51 – $3,668.39 | 22 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $1,900.67 – $3,726.07 | 22 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $1,900.67 – $3,726.07 | 22 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $1,900.67 – $3,726.07 | 22 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $1,900.67 – $6,737.21 | 22 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $1,900.67 – $3,726.07 | 22 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $1,241.34 – $2,888.59 | 22 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $2,114.59 – $6,160.68 | 22 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | $17,687.80 | $27,212.00 | $0.01 – $24,490.80 | 44 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $2,646.21 – $3,064.03 | 9 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $2,646.21 – $3,064.03 | 9 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $2,046.23 – $2,369.32 | 9 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $49.74 – $57.60 | 9 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $37.94 – $61.39 | 22 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $1,900.67 – $3,726.07 | 22 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,046.23 – $2,369.32 | 9 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $2,375.34 – $2,750.40 | 9 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $2,375.34 – $2,750.40 | 9 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $2,375.34 – $2,750.40 | 9 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $2,375.34 – $2,750.40 | 9 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,046.23 – $2,369.32 | 9 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,046.23 – $2,369.32 | 9 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,046.23 – $2,369.32 | 9 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $2,375.34 – $2,750.40 | 9 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,375.34 – $2,750.40 | 9 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $1,900.67 – $2,200.78 | 9 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $1,936.98 – $7,551.43 | 22 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $207.78 – $245.61 | 22 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $2,193.79 – $9,851.60 | 22 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $2,393.05 – $7,551.43 | 19 |
| Rsv assay w/optic CPT 87807 | $58.50 | $90.00 | $0.95 – $81.00 | 44 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $7.79 – $698.32 | 11 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $385.45 | $593.00 | $48.97 – $533.70 | 44 |
| Rtm dev sply cbt 16-30 d CPT 98978 | $72.80 | $112.00 | $31.67 – $100.80 | 44 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $111.80 | $172.00 | $34.57 – $154.80 | 38 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $34.57 – $38.84 | 16 |
| Rtm tx mgmt 1st 20 min CPT 98980 | $46.80 | $72.00 | $20.36 – $254.00 | 37 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | $46.80 | $72.00 | $20.36 – $254.00 | 37 |
| Rubella antibody igg CPT 86762 | $64.35 | $99.00 | $0.95 – $89.10 | 44 |
| Rubeola ag if CPT 87283 | not published | not published | $26.23 – $66.88 | 23 |
| Rubeola antibody igg CPT 86765 | $57.85 | $89.00 | $0.95 – $80.10 | 44 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $90.87 – $362.46 | 23 |
| Russell viper venom diluted CPT 85613 | $42.90 | $66.00 | $0.95 – $59.40 | 44 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $135.04 – $1,008.79 | 22 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $274.11 – $317.39 | 9 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $7,998.12 | $12,304.80 | $34.67 – $11,074.32 | 44 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Safety plan interven HCPCS G0560 | not published | not published | $32.34 – $63.40 | 23 |
| Salivary gland function exam CPT 78232 | $1,802.45 | $2,773.00 | $0.87 – $2,495.70 | 44 |
| Salivary gland imaging CPT 78230 | not published | not published | $242.88 – $416.04 | 22 |
| Salivary glnd img serial img CPT 78231 | $1,802.45 | $2,773.00 | $0.87 – $2,495.70 | 44 |
| Salmonella antibody CPT 86768 | not published | not published | $11.98 – $37.61 | 23 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $1,329.15 – $3,368.83 | 22 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $53.61 – $138.55 | 22 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $2.67 – $181.24 | 12 |
| Sargramostim injection HCPCS J2820 | $736.22 | $1,132.65 | $60.28 – $1,019.39 | 44 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $11.04 – $56.57 | 23 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $7.79 – $676.27 | 14 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $12.98 – $46.91 | 23 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $26.23 – $77.32 | 23 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $1,170.61 – $6,317.89 | 22 |
| Sbrt management CPT 77435 | not published | not published | $132.54 – $153.47 | 9 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $772.08 – $3,476.86 | 22 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $53.61 – $62.07 | 9 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $53.61 – $62.07 | 9 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $53.61 – $62.07 | 9 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $53.61 – $62.07 | 9 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $53.61 – $62.07 | 9 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $85.75 – $105.72 | 16 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $903.50 | $1,390.00 | $117.22 – $1,251.00 | 44 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $397.15 | $611.00 | $76.22 – $549.90 | 44 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $397.15 | $611.00 | $76.22 – $549.90 | 44 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $397.15 | $611.00 | $76.22 – $549.90 | 44 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $397.15 | $611.00 | $76.22 – $549.90 | 44 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $397.15 | $611.00 | $76.22 – $549.90 | 44 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,328.97 – $1,538.81 | 9 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,328.97 – $1,538.81 | 9 |
| Scan proc spinal CPT 61783 | not published | not published | $2,973.77 – $3,443.31 | 9 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $3,112.40 – $3,603.83 | 9 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $4,844.45 | $7,453.00 | $0.01 – $6,707.70 | 44 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $1,368.94 – $3,405.12 | 22 |
| Scope uretscp lithovue dig disp HCPCS C1747 | not published | not published | $156.74 – $181.49 | 9 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $11.92 – $79.35 | 23 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $11.92 – $38.86 | 10 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $11.92 – $79.35 | 23 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $11.92 – $187.62 | 23 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $11.92 – $187.62 | 23 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $11.92 – $108.16 | 23 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $11.92 – $108.16 | 23 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $11.92 – $38.86 | 10 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $2,370.55 | $3,647.00 | $342.50 – $3,282.30 | 44 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $2,370.55 | $3,647.00 | $342.20 – $3,282.30 | 44 |
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.