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 |
|---|---|---|---|---|
| Above knee cushion socket HCPCS L5648 | not published | not published | $1,004.83 – $1,163.49 | 9 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $522.44 – $604.93 | 9 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $3,799.92 – $3,799.92 | 1 |
| Above knee leather socket HCPCS L5642 | not published | not published | $259.81 – $300.83 | 9 |
| Above knee manual lock HCPCS L5925 | not published | not published | $504.74 – $764.72 | 9 |
| Above knee wood socket HCPCS L5644 | not published | not published | $259.81 – $300.83 | 9 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $131.66 – $152.45 | 9 |
| Abrasion lesion single CPT 15786 | $387.40 | $596.00 | $0.01 – $536.40 | 44 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,844.45 | $7,453.00 | $0.01 – $6,707.70 | 44 |
| Abscess imaging ltd area CPT 78805 | not published | not published | $538.69 – $538.69 | 1 |
| Abscess imaging whole body CPT 78806 | not published | not published | $1,058.57 – $1,058.57 | 1 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $5.33 – $15.32 | 9 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $5.69 – $15.32 | 9 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $2.09 – $15.32 | 9 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $3.48 – $15.32 | 9 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $11.08 – $15.32 | 9 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $6,266.00 | $9,640.00 | $227.37 – $9,434.71 | 38 |
| Access thoracic lymph duct CPT 38794 | $4,645.55 | $7,147.00 | $279.03 – $6,432.30 | 38 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.20 | $0.30 | $0.05 – $8.70 | 38 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $57.20 | $88.00 | $13.23 – $79.20 | 38 |
| Acetaminophen level CPT 80143 | $83.85 | $129.00 | $0.95 – $116.10 | 44 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $102.86 | $158.25 | $26.97 – $142.43 | 38 |
| Acetone qualitative CPT 82009 | not published | not published | $4.10 – $12.28 | 23 |
| Acetylcholine receptor modulating antibody CPT 86043 | $53.95 | $83.00 | $0.95 – $74.70 | 44 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $10.16 – $51.85 | 23 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $3.90 | $6.00 | $0.66 – $8.70 | 38 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $7.51 – $29.81 | 14 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $233.57 – $491.89 | 22 |
| Acne surgery 10040 CPT 10040 | $387.40 | $596.00 | $0.01 – $536.40 | 44 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $53.61 – $242.59 | 23 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $122.85 | $189.00 | $0.01 – $190.53 | 44 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $414.70 | $638.00 | $0.01 – $574.20 | 38 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $148.95 – $184.72 | 16 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $334.75 | $515.00 | $67.58 – $463.50 | 44 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $77.35 | $119.00 | $0.01 – $107.10 | 44 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $65.00 | $100.00 | $16.62 – $90.00 | 44 |
| Acoustic immitance testing CPT 92570 | not published | not published | $105.01 – $145.04 | 22 |
| Acoustic refl threshold tst CPT 92568 | $102.05 | $157.00 | $28.01 – $141.30 | 44 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,554.95 – $3,405.12 | 22 |
| Acth stimulation panel CPT 80402 | not published | not published | $21.59 – $247.94 | 23 |
| Acth stimulation panel CPT 80406 | not published | not published | $21.59 – $319.99 | 23 |
| Actigraphy testing CPT 95803 | not published | not published | $55.07 – $78.25 | 22 |
| Actinotherapy uv light CPT 96900 | not published | not published | $24.25 – $38.87 | 22 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $21.45 | $33.00 | $9.33 – $30.10 | 44 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $21.45 | $33.00 | $7.19 – $29.70 | 38 |
| Acup 1/> without estim ea add 15 CPT 97811 | $21.45 | $33.00 | $7.19 – $29.70 | 38 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $21.45 | $33.00 | $9.33 – $30.10 | 44 |
| Acute hepatitis panel CPT 80074 | $213.85 | $329.00 | $0.95 – $296.10 | 44 |
| Acute venous thrombus image CPT 78456 | not published | not published | $242.88 – $1,347.32 | 22 |
| Acyclovir 400 mg tablet HCPCS J8499 | not published | not published | $40.71 – $47.14 | 9 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $3.59 | $5.52 | $0.11 – $8.70 | 38 |
| #acylcarnitineprfl CPT 82017 | $75.40 | $116.00 | $0.95 – $120.22 | 44 |
| Acylcarnitines qual CPT 82016 | not published | not published | $12.61 – $55.61 | 23 |
| Adalimumab injection HCPCS J0135 | not published | not published | $1,050.84 – $3,171.69 | 11 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $141.97 – $184.72 | 22 |
| Adapter b 8 channel 10cm HCPCS C1883 | $6,142.50 | $9,450.00 | $23.00 – $181.49 | 38 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $85.75 – $164.38 | 22 |
| Adding walker to prev cast CPT 29440 | not published | not published | $82.14 – $169.11 | 22 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $622.05 – $764.72 | 9 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $45.65 – $52.86 | 9 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $259.81 – $300.83 | 9 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $71.20 – $82.45 | 9 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $71.20 – $82.45 | 9 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $71.20 – $82.45 | 9 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $1,004.83 – $1,163.49 | 9 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $559.84 – $764.72 | 9 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $259.81 – $300.83 | 9 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $18.72 | $28.80 | $0.69 – $47.14 | 38 |
| Adenovirus ag ia CPT 87301 | $53.95 | $83.00 | $0.95 – $74.70 | 44 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $11.70 – $36.70 | 23 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $12.98 – $52.66 | 23 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $7.79 – $9.02 | 9 |
| Adhesiolysis tube ovary 58740 CPT 58740 | $91.65 | $141.00 | $30.74 – $2,516.12 | 38 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $4.37 – $15.32 | 9 |
| Adh-sendout CPT 84588 | $152.10 | $234.00 | $0.95 – $210.60 | 44 |
| Adj gastric band via subq port CPT 43999 | $4,550.00 | $7,000.00 | $0.01 – $2,718.27 | 44 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $1,288.78 – $7,551.43 | 22 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,145.99 – $2,147.22 | 22 |
| Adjustment gastric band HCPCS S2083 | not published | not published | $316.41 – $366.37 | 9 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $223.94 | $344.52 | $0.21 – $8.70 | 38 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $275.64 – $319.17 | 9 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $319.15 | $491.00 | $60.98 – $441.90 | 44 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $319.15 | $491.00 | $65.98 – $441.90 | 44 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,487.85 | $2,289.00 | $216.52 – $2,060.10 | 44 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $1,487.85 | $2,289.00 | $35.52 – $2,060.10 | 44 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $319.15 | $491.00 | $35.52 – $441.90 | 44 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $319.15 | $491.00 | $35.52 – $441.90 | 44 |
| Administration immunization each additional component CPT 90461 | $17.55 | $27.00 | $5.89 – $24.30 | 38 |
| Administration immunization each additional vaccine CPT 90472 | $41.60 | $64.00 | $13.33 – $57.60 | 38 |
| Administration immunization first component each vaccine CPT 90460 | $45.50 | $70.00 | $4.63 – $19.13 | 38 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $139.10 | $214.00 | $13.33 – $192.60 | 44 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $123.50 | $190.00 | $13.33 – $171.00 | 38 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $102.70 | $158.00 | $4.63 – $19.13 | 38 |
| Administration vaccine hepatitis b HCPCS G0010 | $120.25 | $185.00 | $13.33 – $166.50 | 44 |
| Administration vaccine influenza virus HCPCS G0008 | $120.25 | $185.00 | $13.33 – $166.50 | 44 |
| Administration vaccine pneumococcal HCPCS G0009 | not published | not published | $13.33 – $48.73 | 22 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $102.70 | $158.00 | $13.33 – $142.20 | 38 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $19,916.21 | $30,640.32 | $40.45 – $17,235.22 | 44 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $693.25 – $1,347.32 | 22 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,583.52 – $1,833.55 | 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.