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 |
|---|---|---|---|---|
| Flow cytometry marker each additional CPT 88185 | $96.85 | $149.00 | $0.95 – $134.10 | 38 |
| Flow cytometry one marker technical component CPT 88184 | $1,613.30 | $2,482.00 | $0.95 – $2,233.80 | 44 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $328.95 – $390.60 | 3 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $95.50 – $187.44 | 13 |
| #flow interp 9 - 15 markers CPT 88188 | $1,265.55 | $1,947.00 | $0.95 – $1,752.30 | 38 |
| Floxuridine injection HCPCS J9200 | $11,358.70 | $17,474.92 | $3,858.03 – $15,727.43 | 38 |
| Flt3 gene CPT 81245 | $742.30 | $1,142.00 | $0.95 – $1,027.80 | 44 |
| Flt3 gene analysis CPT 81246 | $372.45 | $573.00 | $0.95 – $515.70 | 44 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $0.53 | $0.81 | $0.04 – $8.70 | 38 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $424.14 | $652.52 | $88.95 – $469.80 | 34 |
| Fluidotherapy charges pt CPT 97022 | $116.35 | $179.00 | $20.16 – $161.10 | 44 |
| Fluid pressure muscle 20950 CPT 20950 | $2,104.05 | $3,237.00 | $0.01 – $2,913.30 | 44 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $7.79 – $19.60 | 11 |
| Fluocinol acet intravit imp HCPCS J7313 | $14,359.80 | $22,092.00 | $495.38 – $19,882.80 | 44 |
| Fluocinolone acetonide implt HCPCS J7311 | $29,679.00 | $45,660.00 | $333.48 – $41,094.00 | 44 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $154.61 – $491.89 | 22 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $154.61 – $288.68 | 22 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $154.61 – $288.68 | 22 |
| Fluorescent antibody titer dna CPT 86256 | $53.95 | $83.00 | $0.95 – $96.93 | 44 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $101.02 – $2,693.88 | 23 |
| Fluoroestradiol f 18 HCPCS A9591 | $997.10 | $1,534.00 | $0.01 – $1,380.60 | 44 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $647.40 | $996.00 | $0.87 – $896.40 | 38 |
| Fluoroguide needle placement CPT 77002 | $544.70 | $838.00 | $0.87 – $754.20 | 38 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $14.16 – $30.83 | 23 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $4.13 | $6.36 | $0.15 – $14.93 | 38 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $72.52 | $111.57 | $11.04 – $78.41 | 38 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $101.02 – $583.00 | 19 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $1.88 – $491.40 | 12 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $5,460.00 | $8,400.00 | $0.01 – $7,560.00 | 44 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $7.79 – $40.41 | 11 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $7.79 – $27.52 | 11 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $199.29 – $248.31 | 22 |
| Fmri brain by tech CPT 70554 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,104.05 | $3,237.00 | $0.01 – $2,913.30 | 44 |
| Fna bx w/ct gdn ea addl CPT 10010 | $956.15 | $1,471.00 | $143.34 – $1,323.90 | 38 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $300.09 – $736.94 | 22 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $300.09 – $347.47 | 9 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $13.23 – $15.32 | 9 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $8.69 – $10.07 | 9 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $7.80 | $12.00 | $2.62 – $15.32 | 38 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $13.23 – $15.32 | 9 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $28.49 – $32.99 | 9 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $8.11 | $12.48 | $2.72 – $15.32 | 38 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $13.23 – $15.32 | 9 |
| Foam stability fetal lung CPT 83662 | not published | not published | $14.16 – $61.89 | 23 |
| Folic acid CPT 82746 | $65.65 | $101.00 | $0.95 – $90.90 | 44 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $14.96 | $23.01 | $0.09 – $20.71 | 38 |
| Follow-up angiography CPT 75898 | $14,116.70 | $21,718.00 | $0.87 – $19,546.20 | 44 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $53.61 – $138.55 | 22 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $297.32 – $2,474.21 | 22 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,701.32 | $4,155.87 | $6.43 – $2,217.89 | 44 |
| Fondaparinux sodium HCPCS J1652 | $626.98 | $964.59 | $1.44 – $295.11 | 38 |
| Fo nontorsion joint cf HCPCS L3935 | $172.90 | $266.00 | $43.60 – $317.39 | 38 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $24.72 – $28.62 | 9 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $24.72 – $28.62 | 9 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $24.72 – $28.62 | 9 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $274.11 – $317.39 | 9 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $45.65 – $52.86 | 9 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $45.65 – $52.86 | 9 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $45.65 – $52.86 | 9 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $24.72 – $28.62 | 9 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $45.65 – $52.86 | 9 |
| Foot longitud/metatarsal sup HCPCS L3020 | $78.00 | $120.00 | $26.16 – $317.39 | 38 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $24.72 – $28.62 | 9 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $503.68 – $764.72 | 9 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $274.11 – $317.39 | 9 |
| Foot X-ray CPT 73630 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
| Foot X-ray (2 views, both feet) CPT 73620 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $1,004.83 – $1,163.49 | 9 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $259.81 – $300.83 | 9 |
| Forearm X-ray (both sides) CPT 73090 | $395.20 | $608.00 | $0.87 – $547.20 | 44 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,145.99 – $3,687.90 | 22 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $563.05 – $1,315.04 | 2 |
| Forensic cytopathology CPT 88125 | not published | not published | $32.64 – $54.23 | 23 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $727.35 | $1,119.00 | $0.01 – $1,007.10 | 44 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $3.72 – $47.14 | 11 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.76 – $8.70 | 14 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.12 – $47.14 | 14 |
| Foscarnet sodium injection HCPCS J1455 | $4.49 | $6.90 | $0.84 – $181.24 | 40 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $47.31 | $72.78 | $1.34 – $47.14 | 43 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $17.16 – $101.15 | 23 |
| Fracture assessment via dxa CPT 77086 | $395.20 | $608.00 | $0.87 – $547.20 | 38 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $33.05 – $75.81 | 23 |
| Fragmenting of kidney stone CPT 50590 | $10,312.25 | $15,865.00 | $0.01 – $14,278.50 | 44 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $259.81 – $300.83 | 9 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $259.81 – $300.83 | 9 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $1,004.83 – $1,163.49 | 9 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $1,004.83 – $1,163.49 | 9 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $1,145.99 – $1,326.93 | 9 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $2,703.83 – $3,130.75 | 9 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,347.59 – $2,718.27 | 9 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $1,145.99 – $1,326.93 | 9 |
| Free omental flap microvasc CPT 49906 | not published | not published | $1,583.52 – $1,833.55 | 9 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $2,476.41 – $2,867.43 | 9 |
| Free skin flap microvasc CPT 15757 | not published | not published | $1,145.99 – $1,326.93 | 9 |
| Frenectomy 41115 CPT 41115 | $4,429.10 | $6,814.00 | $263.51 – $6,132.60 | 44 |
| Frenotomy 40806 CPT 40806 | not published | not published | $472.10 – $848.71 | 22 |
| Frenulotomy of penis CPT 54164 | $6,124.95 | $9,423.00 | $0.01 – $8,480.70 | 44 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $319.15 | $491.00 | $65.90 – $441.90 | 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.