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 |
|---|---|---|---|---|
| Sperm identification CPT 89257 | not published | not published | $19.38 – $904.77 | 23 |
| Sperm isolation complex CPT 89261 | not published | not published | $19.38 – $447.94 | 23 |
| Sperm isolation simple CPT 89260 | not published | not published | $19.38 – $367.91 | 23 |
| Sperm washing 58323 CPT 58323 | not published | not published | $117.99 – $210.40 | 22 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,114.59 – $6,160.68 | 22 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,432.71 – $2,888.59 | 22 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $2,833.00 – $8,424.34 | 9 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $7,275.57 – $8,424.34 | 9 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,105.70 | $4,778.00 | $0.01 – $4,300.20 | 44 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $7,275.57 – $13,361.02 | 22 |
| Spine X-ray (single view, one level) CPT 72020 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $99.83 – $288.68 | 22 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $50.68 – $145.04 | 22 |
| Spleen imaging CPT 78185 | not published | not published | $242.88 – $416.04 | 22 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,583.52 – $1,833.55 | 9 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,046.23 – $2,369.32 | 9 |
| Splicing of ureters CPT 50770 | not published | not published | $4,426.04 – $5,124.89 | 9 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | not published | not published | $8.69 – $10.07 | 9 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $378.30 | $582.00 | $96.57 – $764.72 | 38 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $52.65 | $81.00 | $17.66 – $72.90 | 38 |
| Splint finger 4 prong foam sm HCPCS A4570 | $20.80 | $32.00 | $5.45 – $28.80 | 38 |
| Splint finger fold over sm HCPCS L3924 | $60.45 | $93.00 | $20.27 – $83.70 | 38 |
| Splint finger frog med HCPCS L3927 | $27.95 | $43.00 | $9.37 – $38.70 | 38 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $3.29 – $10.07 | 9 |
| Splint func pos polyflex ii med HCPCS L3999 | $48.10 | $74.00 | $12.61 – $66.60 | 38 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $35.10 | $54.00 | $11.12 – $45.90 | 38 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,145.99 – $3,687.90 | 22 |
| Split blood or products CPT 86985 | $768.30 | $1,182.00 | $0.95 – $1,063.80 | 44 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $24.72 – $28.62 | 9 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,145.99 – $1,326.93 | 9 |
| Spontaneous nystagmus study CPT 92531 | $681.20 | $1,048.00 | $31.21 – $943.20 | 38 |
| Sprchoroidal spc njx rx agt CPT 67516 | $991.90 | $1,526.00 | $0.01 – $1,373.40 | 44 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $1,004.83 – $1,163.49 | 9 |
| Sputum specimen collection CPT 89220 | $768.30 | $1,182.00 | $0.95 – $1,063.80 | 44 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $1,740.72 – $5,859.04 | 22 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $3,129.76 – $3,623.93 | 9 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $3,129.76 – $3,623.93 | 9 |
| Srs cran les complex addl CPT 61799 | not published | not published | $3,129.76 – $3,623.93 | 9 |
| Srs cran les simple addl CPT 61797 | not published | not published | $3,129.76 – $3,623.93 | 9 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $90.87 – $192.94 | 23 |
| Srs linear based CPT 77372 | not published | not published | $3,129.76 – $7,664.95 | 22 |
| Srs multisource CPT 77371 | not published | not published | $3,129.76 – $7,664.95 | 22 |
| Srs spinal lesion CPT 63620 | not published | not published | $3,129.76 – $3,623.93 | 9 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $3,129.76 – $3,623.93 | 9 |
| Staggered spondaic word test CPT 92572 | not published | not published | $105.01 – $145.04 | 22 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,583.52 – $1,833.55 | 9 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $274.11 – $317.39 | 9 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $353.60 | $544.00 | $55.18 – $489.60 | 44 |
| Stance phase only HCPCS L5858 | not published | not published | $13,201.23 – $15,285.63 | 9 |
| Standard control cable extra HCPCS L6655 | not published | not published | $24.72 – $28.62 | 9 |
| Staph a dna amp probe CPT 87640 | $157.30 | $242.00 | $0.95 – $217.80 | 44 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $45.65 – $52.86 | 9 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $82.90 – $82.90 | 1 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $82.90 – $82.90 | 1 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $430.30 | $662.00 | $129.95 – $595.80 | 44 |
| Stem cells total count CPT 86367 | not published | not published | $22.35 – $110.82 | 23 |
| Stenger test pure tone CPT 92565 | not published | not published | $31.21 – $61.39 | 22 |
| Stenger test speech CPT 92577 | not published | not published | $105.01 – $491.89 | 22 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $6,580.39 – $17,978.33 | 13 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $6,823.05 | $10,497.00 | $134.96 – $712.80 | 38 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $487.50 | $750.00 | $42.26 – $223.20 | 38 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $20,962.50 | $32,250.00 | $104.46 – $551.70 | 38 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $212.06 | $326.25 | $55.59 – $293.63 | 38 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $6,580.39 – $11,354.21 | 13 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $6,580.39 – $7,619.40 | 9 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $5,999.86 – $6,947.20 | 9 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $6,580.39 – $17,978.33 | 13 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $87.89 – $101.77 | 9 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $3,928.78 – $4,549.12 | 9 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $132.54 – $153.47 | 9 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.18 – $15.32 | 9 |
| Sterile needle HCPCS A4215 | $190.13 | $292.50 | $13.23 – $263.25 | 38 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.66 – $15.32 | 9 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $5.48 – $15.32 | 9 |
| Sternal debridement CPT 21627 | not published | not published | $1,343.48 – $3,405.12 | 19 |
| Sternal pad HCPCS L1050 | not published | not published | $24.72 – $28.62 | 9 |
| St evaluate speech sound production CPT 92522 | $372.45 | $573.00 | $55.18 – $515.70 | 44 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $538.85 | $829.00 | $111.25 – $746.10 | 44 |
| Stimulants synthetic CPT 80371 | $27.30 | $42.00 | $0.95 – $37.80 | 38 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,810.30 – $3,443.31 | 22 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $8.69 – $10.07 | 9 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $1.13 – $15.32 | 9 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,802.45 | $2,773.00 | $0.87 – $2,495.70 | 44 |
| Storage/year embryo(s) CPT 89342 | $455.00 | $700.00 | $0.95 – $630.00 | 44 |
| Storage/year oocyte(s) CPT 89346 | $325.00 | $500.00 | $0.95 – $450.00 | 44 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $19.38 – $177.30 | 22 |
| Storage/year sperm/semen CPT 89343 | $207.35 | $319.00 | $0.95 – $287.10 | 44 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | $2,723.50 | $4,190.00 | $901.20 – $3,771.00 | 38 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $45.65 – $52.86 | 9 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $8.69 – $10.07 | 9 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $5.77 – $15.32 | 9 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $471.90 | $726.00 | $0.01 – $653.40 | 44 |
| Strapping of chest CPT 29200 | not published | not published | $44.05 – $169.11 | 22 |
| Strapping of elbow or wrist 29260 CPT 29260 | $177.45 | $273.00 | $0.01 – $245.70 | 44 |
| Strapping of hand or finger CPT 29280 | $177.45 | $273.00 | $0.01 – $245.70 | 44 |
| Strapping of hip CPT 29520 | not published | not published | $44.05 – $138.46 | 22 |
| Strapping of knee CPT 29530 | $385.45 | $593.00 | $0.01 – $533.70 | 44 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $44.05 – $61.39 | 22 |
| Strep a ag ia CPT 87430 | $75.40 | $116.00 | $0.95 – $104.40 | 44 |
| Strep a dna dir probe CPT 87650 | not published | not published | $12.98 – $57.20 | 23 |
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.