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 |
|---|---|---|---|---|
| Extended visual field xm CPT 92083 | $385.45 | $593.00 | $37.94 – $533.70 | 44 |
| Extension drainage tubing HCPCS A4331 | not published | not published | $5.56 – $15.32 | 9 |
| Extension per extension per HCPCS L2760 | not published | not published | $24.72 – $28.62 | 9 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $2,114.59 – $6,160.68 | 22 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $2,649.36 – $3,067.68 | 9 |
| Extensive hand surgery CPT 26250 | not published | not published | $911.34 – $3,405.12 | 22 |
| Extensive hysterectomy CPT 58285 | not published | not published | $2,481.42 – $2,873.22 | 9 |
| Extensive jaw surgery CPT 21045 | not published | not published | $3,532.10 – $6,160.68 | 19 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $2,649.36 – $6,160.68 | 22 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $2,649.36 – $6,160.68 | 22 |
| Extensive prostate surgery CPT 55810 | not published | not published | $2,562.31 – $2,966.89 | 9 |
| Extensive prostate surgery CPT 55812 | not published | not published | $2,562.31 – $2,966.89 | 9 |
| Extensive prostate surgery CPT 55815 | not published | not published | $2,562.31 – $2,966.89 | 9 |
| Extensive prostate surgery CPT 55840 | not published | not published | $2,562.31 – $2,966.89 | 9 |
| Extensive prostate surgery CPT 55842 | not published | not published | $2,562.31 – $2,966.89 | 9 |
| Extensive prostate surgery CPT 55845 | not published | not published | $2,562.31 – $2,966.89 | 9 |
| Extensive prostate surgery CPT 55862 | not published | not published | $2,562.31 – $2,966.89 | 9 |
| Extensive prostate surgery CPT 55865 | not published | not published | $2,562.31 – $2,966.89 | 9 |
| Extensive removal of liver CPT 47122 | not published | not published | $2,708.39 – $3,136.03 | 9 |
| Extensive sternum surgery CPT 21632 | not published | not published | $2,476.41 – $2,867.43 | 9 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,119.04 – $6,160.68 | 22 |
| Extensive surgery of throat CPT 42844 | not published | not published | $1,119.04 – $6,160.68 | 22 |
| Extensive surgery of throat CPT 42845 | not published | not published | $1,119.04 – $1,295.73 | 9 |
| Extensive testis surgery CPT 54535 | not published | not published | $930.51 – $3,668.39 | 22 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $3,365.00 – $3,896.32 | 9 |
| Extensive vulva surgery CPT 56632 | not published | not published | $3,142.13 – $3,638.26 | 9 |
| External cannula declotting CPT 36860 | $5,805.80 | $8,932.00 | $0.01 – $8,038.80 | 44 |
| External chromosome analysis 20-25 cells CPT 88264 | $648.70 | $998.00 | $0.95 – $898.20 | 44 |
| External newborn metabolic screening panel HCPCS S3620 | not published | not published | $15.34 – $158.86 | 10 |
| External ocular photography CPT 92285 | not published | not published | $35.34 – $43.11 | 22 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $109.85 | $169.00 | $0.95 – $152.10 | 44 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $524.24 – $4,260.30 | 23 |
| External recharg sys extern HCPCS L8695 | not published | not published | $8.69 – $10.07 | 9 |
| External recharg sys intern HCPCS L8689 | not published | not published | $522.44 – $604.93 | 9 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $644.80 | $992.00 | $0.95 – $892.80 | 44 |
| Extnd color vision xm CPT 92283 | not published | not published | $37.94 – $61.39 | 22 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $80.60 | $124.00 | $0.95 – $111.60 | 44 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $611.63 – $1,573.00 | 22 |
| Extraction of lens CPT 66930 | not published | not published | $1,029.75 – $4,301.59 | 22 |
| Extraction of lens CPT 66940 | not published | not published | $1,029.75 – $2,401.72 | 22 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,029.75 – $2,401.72 | 22 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $67.58 – $138.46 | 22 |
| Eye allergy tests CPT 95060 | not published | not published | $119.50 – $138.46 | 16 |
| Eye implant band 40 HCPCS C1784 | not published | not published | $156.74 – $181.49 | 9 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $313.62 – $363.14 | 9 |
| Eye Socket (Orbit) X-ray CPT 70200 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $798.20 | $1,228.00 | $0.87 – $1,105.20 | 44 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $798.20 | $1,228.00 | $0.87 – $1,105.20 | 44 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $1,510.39 – $1,748.87 | 9 |
| Eye suture during surgery CPT 67335 | not published | not published | $1,510.39 – $1,748.87 | 9 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $90.87 – $192.94 | 23 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $90.87 – $311.17 | 23 |
| F-18 fdg pet diag HCPCS A9552 | $162.50 | $250.00 | $0.01 – $225.00 | 38 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $4,015.70 | $6,178.00 | $0.01 – $5,148.00 | 44 |
| F-18 fluciclovine per mci HCPCS A9588 | $6,427.20 | $9,888.00 | $0.01 – $8,899.20 | 44 |
| F-18 sodium fluoride HCPCS A9580 | $325.00 | $500.00 | $0.01 – $500.00 | 38 |
| F9 full gene sequence CPT 81238 | not published | not published | $135.04 – $660.00 | 23 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $71.20 – $82.45 | 9 |
| Face bone graft CPT 21210 | not published | not published | $3,532.10 – $6,160.68 | 22 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
| Facial Bones X-ray (complete) CPT 70150 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Facial nerve function test CPT 92516 | not published | not published | $191.39 – $288.68 | 22 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $1,358.50 – $3,450.35 | 22 |
| Factor ix CPT 85250 | $85.15 | $131.00 | $0.95 – $117.90 | 44 |
| Factor ix alprolix recomb HCPCS J7201 | $9.46 | $14.55 | $3.59 – $4,341.46 | 44 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.65 – $4,410.22 | 23 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.05 – $4,341.46 | 23 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.36 – $4,341.46 | 23 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.48 – $4,341.46 | 23 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.69 – $4,341.46 | 21 |
| Factor ix recombinant nos HCPCS J7195 | $4.17 | $6.42 | $1.82 – $4,341.46 | 44 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.35 – $4,341.46 | 21 |
| Factor viii CPT 85240 | $80.60 | $124.00 | $0.95 – $111.60 | 44 |
| Factor viii HCPCS J7190 | not published | not published | $1.11 – $4,410.22 | 23 |
| Factor viii fc fusion recomb HCPCS J7205 | $6.53 | $10.05 | $2.34 – $4,341.46 | 44 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.13 – $4,410.22 | 23 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.10 – $4,341.46 | 23 |
| Factor viii recombinant nos HCPCS J7192 | $4.58 | $7.05 | $1.55 – $4,341.46 | 44 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.38 – $4,341.46 | 23 |
| Factor viii recomb obizur HCPCS J7188 | $6.90 | $10.62 | $3.00 – $4,341.46 | 44 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.16 – $16,330.97 | 23 |
| Factor xiii recomb a-subunit HCPCS J7181 | $46.45 | $71.46 | $17.26 – $12,882.52 | 44 |
| Fallopian tube recnl CPT 58345 | not published | not published | $1,329.15 – $3,368.83 | 22 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $27.62 – $164.38 | 22 |
| Family therapy without pt 50min 90846 CPT 90846 | $313.30 | $482.00 | $123.88 – $433.80 | 44 |
| Family therapy with patient 50 min 90847 CPT 90847 | $313.30 | $482.00 | $123.88 – $433.80 | 44 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $1.05 | $1.62 | $0.02 – $47.14 | 38 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $9,629.78 | $14,815.04 | $27.81 – $13,333.54 | 44 |
| Fancc gene CPT 81242 | $164.45 | $253.00 | $0.95 – $227.70 | 44 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $2,393.05 – $3,405.12 | 19 |
| Fat/lipids feces qualitative CPT 82705 | $22.75 | $35.00 | $0.95 – $31.50 | 44 |
| Fatty acids nonesterified CPT 82725 | $84.50 | $130.00 | $0.95 – $117.00 | 44 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $45.65 – $52.86 | 9 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.14 – $18.47 | 23 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $96.43 | $148.36 | $41.96 – $4,341.46 | 44 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $316.41 – $967.79 | 22 |
| #fecal-sodium CPT 84302 | $22.10 | $34.00 | $0.95 – $30.60 | 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.