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 |
|---|---|---|---|---|
| Established Patient Office Visit (level 1) CPT 99211 | $97.50 | $150.00 | $0.01 – $135.00 | 38 |
| Established Patient Office Visit (level 2) CPT 99212 | $97.50 | $150.00 | $0.01 – $135.00 | 38 |
| Established Patient Office Visit (level 3) CPT 99213 | $97.50 | $150.00 | $0.01 – $135.00 | 38 |
| Established Patient Office Visit (level 4) CPT 99214 | $121.55 | $187.00 | $0.01 – $168.30 | 38 |
| Established Patient Office Visit (level 5) CPT 99215 | $156.00 | $240.00 | $0.01 – $227.63 | 38 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1,054.06 – $1,220.49 | 9 |
| Estradiol total CPT 82670 | $125.45 | $193.00 | $0.95 – $173.70 | 44 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $87.56 | $134.70 | $7.51 – $90.13 | 38 |
| Estrogens total-sendout CPT 82672 | not published | not published | $17.16 – $54.14 | 23 |
| Etanercept injection HCPCS J1438 | $4,772.20 | $7,341.84 | $611.90 – $6,607.66 | 40 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $618.46 | $951.48 | $269.08 – $856.33 | 44 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $110.64 – $319.55 | 12 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,215.67 – $3,450.35 | 22 |
| Ethylene glycol -sendout CPT 82693 | $66.95 | $103.00 | $0.95 – $92.70 | 44 |
| Etonogestrel implant system HCPCS J7307 | $1,989.56 | $3,060.86 | $315.52 – $1,851.65 | 38 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $531.49 | $817.68 | $1.53 – $14.93 | 38 |
| Etoposide 50 mg cap HCPCS J8560 | $135.02 | $207.72 | $58.74 – $321.42 | 43 |
| Euflexxa inj per dose HCPCS J7323 | $421.94 | $649.14 | $105.46 – $584.23 | 44 |
| Euglobulin lysis CPT 85360 | $37.70 | $58.00 | $0.95 – $54.46 | 44 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,947.55 – $3,417.22 | 22 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $55.18 – $63.89 | 9 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $406.90 | $626.00 | $55.18 – $563.40 | 44 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $923.00 | $1,420.00 | $55.18 – $1,278.00 | 44 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $6.99 – $40.37 | 23 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $440.05 | $677.00 | $0.95 – $609.30 | 44 |
| Evaluation heart device CPT 93640 | not published | not published | $1,216.96 – $1,409.11 | 9 |
| Evaluation of speech fluency 92521 CPT 92521 | $385.45 | $593.00 | $55.18 – $533.70 | 44 |
| Evaluation psychiatric diagnostic CPT 90791 | $313.30 | $482.00 | $136.31 – $433.80 | 44 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $4,420.65 | $6,801.00 | $1,100.68 – $6,947.20 | 38 |
| Evasc prlng admn rx agnt add CPT 61651 | $4,056.65 | $6,241.00 | $471.16 – $6,947.20 | 38 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $20,476.30 | $31,502.00 | $2,271.06 – $28,351.80 | 38 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $19,352.45 | $29,773.00 | $2,273.26 – $26,795.70 | 38 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $4,210.70 | $6,478.00 | $1,412.20 – $9,434.71 | 38 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $10,294.05 | $15,837.00 | $3,452.47 – $14,253.30 | 38 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $22,506.25 | $34,625.00 | $817.04 – $31,162.50 | 38 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $10,294.05 | $15,837.00 | $2,524.42 – $14,253.30 | 38 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $10,294.05 | $15,837.00 | $3,452.47 – $14,253.30 | 38 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $10,294.05 | $15,837.00 | $2,139.75 – $14,253.30 | 38 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $10,294.05 | $15,837.00 | $3,383.99 – $14,253.30 | 38 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $8,148.16 – $9,434.71 | 9 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $8,148.16 – $9,434.71 | 9 |
| Event monitor CPT 93270 | $139.10 | $214.00 | $18.73 – $192.60 | 38 |
| Evoked auditory tst complete CPT 92588 | $809.90 | $1,246.00 | $69.51 – $1,121.40 | 44 |
| Evoked oa emissions ltd CPT 92587 | $809.90 | $1,246.00 | $45.01 – $1,121.40 | 44 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $410.15 | $631.00 | $31.21 – $567.90 | 38 |
| Evoked potentials upper limbs CPT 95925 | $1,396.85 | $2,149.00 | $204.28 – $1,934.10 | 44 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $204.28 – $353.85 | 22 |
| Evok oa screening qual CPT 92558 | $120.90 | $186.00 | $31.21 – $167.40 | 38 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $522.44 – $604.93 | 9 |
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $1,004.83 – $1,163.49 | 9 |
| Exam of vagina w/scope 57420 CPT 57420 | $909.35 | $1,399.00 | $0.01 – $1,259.10 | 44 |
| Exam pelvic add-on CPT 99459 | not published | not published | $53.61 – $62.07 | 9 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $53.50 – $3,368.83 | 22 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,054.06 – $3,022.89 | 22 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $964.10 – $3,022.89 | 22 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $2,476.41 – $7,551.43 | 19 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $1,054.06 – $3,022.89 | 22 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $1,054.06 – $3,022.89 | 22 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $1,054.06 – $3,022.89 | 22 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,583.52 – $1,833.55 | 9 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $1,583.52 – $1,833.55 | 9 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $1,054.06 – $3,022.89 | 22 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,054.06 – $1,718.79 | 22 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $1,215.67 – $1,407.62 | 9 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $2,114.59 – $6,160.68 | 22 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $2,649.36 – $6,160.68 | 22 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,054.06 – $1,718.79 | 22 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $1,054.06 – $3,022.89 | 22 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $1,146.20 – $3,368.83 | 22 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $3,159.65 | $4,861.00 | $0.01 – $4,374.90 | 44 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $5,580.90 | $8,586.00 | $0.01 – $7,727.40 | 44 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $827.29 – $1,718.79 | 22 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $1,372.15 | $2,111.00 | $0.01 – $1,899.90 | 44 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,372.15 | $2,111.00 | $0.01 – $1,899.90 | 44 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,372.15 | $2,111.00 | $0.01 – $1,899.90 | 44 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $3,159.65 | $4,861.00 | $0.01 – $4,374.90 | 44 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,372.15 | $2,111.00 | $0.01 – $1,899.90 | 44 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $3,159.65 | $4,861.00 | $0.01 – $4,374.90 | 44 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $5,580.90 | $8,586.00 | $0.01 – $7,727.40 | 44 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $779.35 | $1,199.00 | $0.01 – $1,079.10 | 44 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,372.15 | $2,111.00 | $0.01 – $1,899.90 | 44 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $804.88 – $4,074.73 | 22 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $857.21 – $992.56 | 9 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $2,173.01 – $5,205.97 | 22 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $2,173.01 – $2,516.12 | 9 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $1,329.15 – $5,205.97 | 22 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $1,343.48 – $3,022.89 | 22 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $2,476.41 – $7,551.43 | 19 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $2,476.41 – $7,551.43 | 19 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $2,046.23 – $2,369.32 | 9 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $2,046.23 – $2,369.32 | 9 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $436.54 – $3,687.90 | 22 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $436.54 – $3,022.89 | 22 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $1,492.19 – $3,405.12 | 22 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $964.10 – $3,405.12 | 22 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $2,554.95 – $7,551.43 | 22 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $2,554.95 – $7,551.43 | 22 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $964.10 – $3,405.12 | 22 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $3,247.19 – $7,551.43 | 22 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $3,190.79 – $7,551.43 | 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.