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 |
|---|---|---|---|---|
| Cystouretero & or pyeloscope CPT 52351 | $10,312.25 | $15,865.00 | $0.01 – $14,278.50 | 44 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $831.91 – $3,668.39 | 22 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $1,651.63 – $5,579.94 | 22 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $1,651.63 – $5,579.94 | 22 |
| Cysto/uretero w/lithotripsy CPT 52356 | $15,200.25 | $23,385.00 | $0.01 – $21,046.50 | 44 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $1,651.63 – $5,579.94 | 22 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $1,651.63 – $5,579.94 | 22 |
| Cystouretero w/stone remove CPT 52352 | $10,312.25 | $15,865.00 | $0.01 – $14,278.50 | 44 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $2,209.37 – $3,668.39 | 22 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $1,647.42 – $3,668.39 | 22 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $6,124.95 | $9,423.00 | $0.01 – $8,480.70 | 44 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $6,124.95 | $9,423.00 | $0.01 – $8,480.70 | 44 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $2,562.31 – $2,966.89 | 9 |
| Cystourethro w/implant CPT 52441 | not published | not published | $879.86 – $1,018.79 | 9 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $831.91 – $963.26 | 9 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $783.44 – $3,668.39 | 22 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $783.44 – $3,668.39 | 22 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $831.91 – $3,668.39 | 22 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $4.11 | $6.32 | $0.48 – $14.93 | 38 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $652.08 – $3,201.00 | 11 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $524.24 – $1,317.73 | 22 |
| Cytogenetics 25-99 CPT 88274 | $189.80 | $292.00 | $0.95 – $262.80 | 44 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $75.81 | 23 |
| Cytogenomic neo microra alys CPT 81277 | $5,202.60 | $8,004.00 | $0.95 – $7,203.60 | 44 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $135.04 – $990.00 | 23 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $524.24 – $2,049.54 | 22 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $10.89 – $48.93 | 23 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $64.35 | $99.00 | $0.95 – $89.10 | 44 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $75.40 | $116.00 | $0.95 – $104.40 | 44 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $10.89 – $46.32 | 23 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $84.69 | $130.29 | $36.85 – $4,410.22 | 44 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $22.10 – $81.91 | 23 |
| Cyto/molecular report CPT 88291 | not published | not published | $27.08 – $78.71 | 12 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $11.92 – $42.67 | 23 |
| Cytopath c/v automated CPT 88147 | not published | not published | $11.92 – $55.62 | 23 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $11.92 – $56.69 | 23 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $11.92 – $43.12 | 23 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $11.92 – $16.78 | 23 |
| Cytopath c/v manual CPT 88150 | not published | not published | $11.86 – $20.39 | 23 |
| Cytopath c/v redo CPT 88153 | not published | not published | $11.92 – $26.43 | 23 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $11.92 – $58.79 | 23 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $22.70 – $66.05 | 23 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $239.85 | $369.00 | $0.95 – $332.10 | 44 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $119.60 | $184.00 | $0.95 – $165.60 | 44 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $91.00 | $140.00 | $0.95 – $126.00 | 44 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $176.15 | $271.00 | $0.95 – $243.90 | 44 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $35.34 – $69.58 | 23 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $95.55 | $147.00 | $0.95 – $132.30 | 38 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $168.35 | $259.00 | $0.95 – $233.10 | 44 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $239.85 | $369.00 | $0.95 – $332.10 | 44 |
| Cytopath smear other source CPT 88160 | $109.85 | $169.00 | $0.95 – $152.10 | 44 |
| Cytopath smear other source CPT 88162 | not published | not published | $35.46 – $98.55 | 23 |
| Cytopath smear oth prep screen & interp CPT 88161 | $109.85 | $169.00 | $0.95 – $152.10 | 44 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $11.92 – $23.42 | 23 |
| Cytopath tbs c/v manual CPT 88164 | $81.90 | $126.00 | $0.95 – $113.40 | 44 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $11.92 – $46.44 | 23 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $11.92 – $23.42 | 23 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $52.71 – $239.68 | 23 |
| Cytotoxic antibody screening CPT 86808 | $133.25 | $205.00 | $0.95 – $211.61 | 44 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $47.38 – $177.30 | 22 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $38.66 | $59.48 | $7.33 – $51.84 | 32 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,725.75 | $2,655.00 | $282.13 – $2,389.50 | 44 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $4,162.86 | $6,404.40 | $15.58 – $5,763.96 | 44 |
| Dalteparin sodium HCPCS J1645 | $1,847.31 | $2,842.02 | $26.52 – $1,023.00 | 38 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $47.14 | 14 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.04 – $47.14 | 17 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $1,649.21 | $2,537.25 | $51.41 – $4,410.22 | 44 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $9,055.80 | $13,932.00 | $3.02 – $655.52 | 44 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $3.02 – $181.24 | 23 |
| Dark field exam spec collj CPT 87164 | not published | not published | $9.75 – $43.75 | 23 |
| Dark field exam without collj CPT 87166 | not published | not published | $10.27 – $46.12 | 23 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $34,257.60 | $52,704.00 | $242.50 – $47,433.60 | 44 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $104.62 | $160.96 | $24.44 – $491.40 | 40 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $18.50 – $598.92 | 11 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $131.66 – $208.80 | 22 |
| D&c after delivery 59160 CPT 59160 | $8,266.70 | $12,718.00 | $0.01 – $3,368.83 | 44 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $9,506.90 | $14,626.00 | $419.65 – $13,163.40 | 44 |
| Dch glucoscan CPT 82948 | $22.75 | $35.00 | $0.95 – $31.50 | 44 |
| Dch pulmonary stress test CPT 94621 | $930.80 | $1,432.00 | $99.83 – $1,288.80 | 44 |
| Dch validity tests CPT 81002 | $15.60 | $24.00 | $0.95 – $21.60 | 44 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,810.30 – $3,443.31 | 22 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,105.27 – $3,450.35 | 22 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $850.43 – $2,032.17 | 22 |
| D&c of cervical stump CPT 57558 | not published | not published | $1,329.15 – $3,368.83 | 22 |
| Deamidated gliadin antibody iga CPT 86258 | $53.95 | $83.00 | $0.95 – $74.70 | 44 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $436.54 – $505.47 | 9 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,193.40 | $1,836.00 | $0.01 – $1,652.40 | 44 |
| Debridement (>20 cm) charge pt CPT 97598 | $484.90 | $746.00 | $0.01 – $671.40 | 38 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,159.65 | $4,861.00 | $0.01 – $4,374.90 | 44 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,593.80 | $2,452.00 | $0.01 – $2,206.80 | 38 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,479.75 | $3,815.00 | $0.01 – $3,433.50 | 38 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $779.35 | $1,199.00 | $0.01 – $1,079.10 | 44 |
| Debride nail1-5 11720 CPT 11720 | $115.70 | $178.00 | $0.01 – $160.20 | 44 |
| Debride nail6 or more 11721 CPT 11721 | $115.70 | $178.00 | $0.01 – $160.20 | 44 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $186.54 – $736.94 | 22 |
| Debride skin bone at fx site CPT 11012 | $5,580.90 | $8,586.00 | $436.54 – $7,727.40 | 44 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $739.70 | $1,138.00 | $0.01 – $1,024.20 | 38 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $436.54 – $505.47 | 9 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $1,123.85 | $1,729.00 | $0.01 – $1,556.10 | 38 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $83.97 – $208.80 | 22 |
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.