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 |
|---|---|---|---|---|
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $4.77 – $15.32 | 9 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $6.26 – $15.32 | 9 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $8.32 – $15.32 | 9 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $3.02 – $15.32 | 9 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $13.23 – $15.32 | 9 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $13.23 – $15.32 | 9 |
| Other bone graft microvasc CPT 20962 | not published | not published | $4,161.85 – $7,551.43 | 19 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $18.00 – $48.70 | 23 |
| Oth resp proc, group HCPCS G0239 | $102.05 | $157.00 | $26.78 – $141.30 | 44 |
| Oth resp proc, indiv HCPCS G0238 | $63.70 | $98.00 | $22.70 – $88.20 | 44 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $208.00 | $320.00 | $66.37 – $288.00 | 44 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $49.74 – $57.60 | 9 |
| Otoplasty 69300 CPT 69300 | not published | not published | $2,114.59 – $3,450.35 | 22 |
| Ot re-evaluation patient/family CPT 97168 | $248.95 | $383.00 | $87.79 – $344.70 | 44 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $133.25 | $205.00 | $26.54 – $184.50 | 44 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $133.25 | $205.00 | $28.08 – $184.50 | 44 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $2,375.34 – $2,750.40 | 9 |
| Out of office emerg med serv CPT 99060 | not published | not published | $8.37 – $9.69 | 9 |
| Outrigger HCPCS L1080 | not published | not published | $24.72 – $28.62 | 9 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $24.72 – $28.62 | 9 |
| Ovarian cystectomy 58925 CPT 58925 | $14,760.20 | $22,708.00 | $1,400.78 – $20,437.20 | 44 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $59.93 – $362.97 | 12 |
| Ovulation tests CPT 84830 | not published | not published | $12.70 – $40.94 | 23 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $273.31 | $420.48 | $0.30 – $8.70 | 38 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $14.98 | $23.04 | $0.09 – $47.14 | 38 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $3.01 – $8.70 | 12 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $2.02 – $47.14 | 11 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $8.42 | $12.96 | $0.63 – $8.70 | 38 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $263.54 – $756.38 | 11 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $179.12 – $306.06 | 22 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $90.87 – $150.70 | 23 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | not published | not published | $156.74 – $181.49 | 9 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $3.26 – $15.32 | 9 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $6.24 | $9.60 | $0.18 – $6.16 | 32 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $5,113.58 | $7,867.04 | $8.18 – $6,825.85 | 44 |
| Pad repl cerv collr univ adult HCPCS L0999 | not published | not published | $13.23 – $15.32 | 9 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $135.04 – $744.15 | 23 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $90.87 – $331.49 | 23 |
| Palifermin injection HCPCS J2425 | not published | not published | $33.99 – $2,597.10 | 23 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $117.73 – $2,450.01 | 13 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $302.26 – $3,241.98 | 4 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $5,568.01 | $8,566.17 | $14.76 – $7,708.74 | 44 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $436.75 – $1,911.60 | 23 |
| Palonosetron hcl HCPCS J2469 | $46.80 | $72.00 | $0.62 – $8.70 | 38 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $131.90 | $202.92 | $0.88 – $47.14 | 38 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $2,708.39 – $3,136.03 | 9 |
| Pancreatectomy CPT 48146 | not published | not published | $2,708.39 – $3,136.03 | 9 |
| Pancreatectomy CPT 48152 | not published | not published | $2,708.39 – $3,136.03 | 9 |
| Pancreatectomy CPT 48154 | not published | not published | $2,708.39 – $3,136.03 | 9 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,708.39 – $3,136.03 | 9 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $2,708.39 – $3,136.03 | 9 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $1,063.73 – $1,231.69 | 9 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $1,130.48 | $1,739.20 | $159.33 – $4,410.22 | 44 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $11.88 | $18.27 | $3.11 – $16.44 | 38 |
| Papaverin hcl injection HCPCS J2440 | $48.46 | $74.55 | $7.51 – $67.50 | 38 |
| Parathormone (pth) intact CPT 83970 | $185.25 | $285.00 | $0.95 – $256.50 | 44 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $3,365.00 – $3,896.32 | 9 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,414.10 | $3,714.00 | $0.87 – $3,342.60 | 44 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $3,365.00 – $3,896.32 | 9 |
| Parathyroid planar imaging CPT 78070 | $1,802.45 | $2,773.00 | $0.87 – $2,495.70 | 44 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,802.45 | $2,773.00 | $0.87 – $2,495.70 | 44 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $3,142.13 – $5,205.97 | 22 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $2,401.92 – $6,910.32 | 22 |
| Paricalcitol HCPCS J2501 | $35.45 | $54.54 | $1.73 – $49.09 | 38 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $387.40 | $596.00 | $0.01 – $536.40 | 44 |
| Parotid duct diversion CPT 42507 | not published | not published | $2,114.59 – $6,160.68 | 22 |
| Parotid duct diversion CPT 42509 | not published | not published | $2,649.36 – $6,160.68 | 22 |
| Parotid duct diversion CPT 42510 | not published | not published | $2,114.59 – $3,450.35 | 22 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $2,973.77 – $7,551.43 | 22 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $1,146.20 – $3,368.83 | 22 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $2,209.37 – $2,558.22 | 9 |
| Partial exc bone humerus CPT 24140 | not published | not published | $2,554.95 – $3,405.12 | 22 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,007.88 – $3,694.60 | 22 |
| Partial excision of lip CPT 40500 | not published | not published | $732.97 – $3,450.35 | 22 |
| Partial hip replacement CPT 27125 | not published | not published | $1,858.28 – $13,361.02 | 19 |
| Partial hysterectomy CPT 58180 | $2,612.35 | $4,019.00 | $876.14 – $3,617.10 | 38 |
| Partial proctectomy CPT 45113 | not published | not published | $1,432.71 – $1,658.93 | 9 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,432.71 – $1,658.93 | 9 |
| Partial removal donor liver CPT 47140 | not published | not published | $959.10 – $1,110.54 | 9 |
| Partial removal donor liver CPT 47141 | not published | not published | $959.10 – $1,110.54 | 9 |
| Partial removal donor liver CPT 47142 | not published | not published | $959.10 – $1,110.54 | 9 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,483.64 – $1,727.80 | 22 |
| Partial removal finger bone CPT 26236 | not published | not published | $911.34 – $1,673.41 | 22 |
| Partial removal foot fascia CPT 28060 | $9,701.25 | $14,925.00 | $0.01 – $13,432.50 | 44 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $1,936.98 – $3,405.12 | 22 |
| Partial removal of bladder CPT 51550 | not published | not published | $2,209.37 – $2,558.22 | 9 |
| Partial removal of esophagus CPT 43116 | not published | not published | $2,461.97 – $2,850.71 | 9 |
| Partial removal of esophagus CPT 43118 | not published | not published | $2,461.97 – $2,850.71 | 9 |
| Partial removal of esophagus CPT 43121 | not published | not published | $2,461.97 – $2,850.71 | 9 |
| Partial removal of esophagus CPT 43123 | not published | not published | $2,461.97 – $2,850.71 | 9 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,461.97 – $2,850.71 | 9 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $2,461.97 – $2,850.71 | 9 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $313.62 – $2,401.72 | 22 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $313.62 – $2,401.72 | 22 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,936.98 – $3,405.12 | 22 |
| Partial removal of foot bone CPT 28288 | not published | not published | $1,368.94 – $3,405.12 | 22 |
| Partial removal of hand bone CPT 26230 | not published | not published | $1,492.19 – $3,405.12 | 22 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,375.34 – $2,750.40 | 9 |
| Partial removal of larynx CPT 31367 | not published | not published | $2,649.36 – $3,067.68 | 9 |
| Partial removal of larynx CPT 31368 | not published | not published | $2,649.36 – $3,067.68 | 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.