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 |
|---|---|---|---|---|
| Partial removal of larynx CPT 31370 | not published | not published | $2,649.36 – $3,067.68 | 9 |
| Partial removal of larynx CPT 31375 | not published | not published | $2,649.36 – $3,067.68 | 9 |
| Partial removal of larynx CPT 31380 | not published | not published | $2,649.36 – $3,067.68 | 9 |
| Partial removal of larynx CPT 31382 | not published | not published | $2,649.36 – $3,067.68 | 9 |
| Partial removal of lip CPT 40530 | not published | not published | $1,215.67 – $3,450.35 | 22 |
| Partial removal of liver CPT 47125 | not published | not published | $2,708.39 – $3,136.03 | 9 |
| Partial removal of liver CPT 47130 | not published | not published | $2,708.39 – $3,136.03 | 9 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $2,476.41 – $2,867.43 | 9 |
| Partial removal of nose CPT 30150 | not published | not published | $3,532.10 – $6,160.68 | 22 |
| Partial removal of pancreas CPT 48145 | not published | not published | $2,708.39 – $3,136.03 | 9 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,708.39 – $3,136.03 | 9 |
| Partial removal of penis CPT 54120 | not published | not published | $2,193.79 – $3,668.39 | 22 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $2,114.59 – $6,160.68 | 22 |
| Partial removal of radius CPT 25151 | not published | not published | $964.10 – $3,405.12 | 22 |
| Partial removal of radius CPT 25230 | not published | not published | $964.10 – $3,405.12 | 22 |
| Partial removal of rectum CPT 45111 | not published | not published | $1,432.71 – $1,658.93 | 9 |
| Partial removal of rectum CPT 45114 | not published | not published | $1,432.71 – $1,658.93 | 9 |
| Partial removal of rectum CPT 45116 | not published | not published | $1,432.71 – $1,658.93 | 9 |
| Partial removal of rib CPT 21600 | not published | not published | $1,343.48 – $7,551.43 | 22 |
| Partial removal of sternum CPT 21620 | not published | not published | $1,343.48 – $3,405.12 | 19 |
| Partial removal of thyroid CPT 60220 | not published | not published | $3,365.00 – $6,291.49 | 22 |
| Partial removal of thyroid CPT 60225 | not published | not published | $3,365.00 – $6,291.49 | 22 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,007.88 – $4,818.98 | 22 |
| Partial removal of toe CPT 28160 | not published | not published | $1,368.94 – $3,405.12 | 22 |
| Partial removal of tongue CPT 41120 | not published | not published | $2,114.59 – $6,160.68 | 22 |
| Partial removal of tongue CPT 41130 | not published | not published | $2,114.59 – $2,448.47 | 9 |
| Partial removal of ulna CPT 25119 | not published | not published | $964.10 – $3,405.12 | 22 |
| Partial removal of ulna CPT 25150 | not published | not published | $964.10 – $3,405.12 | 22 |
| Partial removal of ulna CPT 25240 | not published | not published | $964.10 – $3,405.12 | 22 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $1,146.20 – $3,368.83 | 22 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,194.01 – $4,091.35 | 22 |
| Partial thyroid excision CPT 60210 | not published | not published | $3,365.00 – $6,291.49 | 22 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $3,365.00 – $6,291.49 | 22 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $2.65 – $5.51 | 4 |
| Part removal hip bone deep CPT 27071 | not published | not published | $2,393.05 – $3,405.12 | 19 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,007.88 – $3,694.60 | 22 |
| Part removal of metatarsal CPT 28113 | not published | not published | $1,368.94 – $3,405.12 | 22 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,368.94 – $3,405.12 | 22 |
| Part remove hip bone super CPT 27070 | not published | not published | $2,393.05 – $3,405.12 | 19 |
| Passy muir valve metal trach HCPCS L8501 | $39.98 | $61.50 | $13.41 – $55.35 | 38 |
| Paste skin barrier .5oz adapt HCPCS A4406 | not published | not published | $10.01 – $15.32 | 9 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $27.08 – $177.30 | 22 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $27.08 – $177.30 | 22 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $27.08 – $31.36 | 9 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $27.08 – $54.23 | 22 |
| Pathogen reduced plasma pool HCPCS P9070 | not published | not published | $51.65 – $188.85 | 22 |
| Pathogen reduced plasma sing HCPCS P9071 | $1,311.70 | $2,018.00 | $163.10 – $1,816.20 | 44 |
| Patient recorded spirometry CPT 94014 | not published | not published | $99.83 – $464.90 | 22 |
| Patient recorded spirometry CPT 94015 | $930.80 | $1,432.00 | $80.19 – $1,288.80 | 44 |
| Patten bottom HCPCS L2370 | not published | not published | $274.11 – $317.39 | 9 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $90.87 – $280.56 | 23 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $13.14 – $1,213.03 | 14 |
| Pdgfra gene CPT 81314 | $1,478.10 | $2,274.00 | $0.95 – $2,046.60 | 44 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $8.69 – $10.07 | 9 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $131.66 – $208.80 | 22 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,145.99 – $2,147.22 | 22 |
| Ped crit care age 2-5 init CPT 99475 | not published | not published | $53.61 – $62.07 | 9 |
| Ped crit care age 2-5 subsq CPT 99476 | not published | not published | $53.61 – $62.07 | 9 |
| Ped crit care transport CPT 99466 | not published | not published | $53.61 – $62.07 | 9 |
| Ped crit care transport addl CPT 99467 | not published | not published | $53.61 – $62.07 | 9 |
| Ped critical care initial CPT 99471 | not published | not published | $53.61 – $62.07 | 9 |
| Ped critical care subsq CPT 99472 | not published | not published | $53.61 – $62.07 | 9 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $50.68 – $145.04 | 22 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $50.68 – $145.04 | 22 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $3,112.40 – $3,603.83 | 9 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $522.44 – $604.93 | 9 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,145.99 – $2,147.22 | 22 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $522.44 – $604.93 | 9 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $522.44 – $604.93 | 9 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $522.44 – $604.93 | 9 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $259.81 – $300.83 | 9 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $313.47 – $903.94 | 11 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $815.14 – $1,929.67 | 11 |
| Pegaspargase injection HCPCS J9266 | $17,150.98 | $26,386.12 | $7,461.99 – $31,266.46 | 44 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $25,030.16 | $38,507.94 | $31.14 – $34,657.15 | 44 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $15,307.50 | $23,550.00 | $96.55 – $21,195.00 | 44 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $16,282.50 | $25,050.00 | $143.38 – $22,545.00 | 44 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $147.23 – $3,201.00 | 23 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $8,141.25 | $12,525.00 | $98.87 – $11,272.50 | 44 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $9,750.00 | $15,000.00 | $127.22 – $13,500.00 | 44 |
| Peginesatide injection HCPCS J0890 | not published | not published | $17.63 – $181.24 | 11 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $110.64 – $2,899.34 | 12 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $71,938.60 | $110,674.77 | $625.97 – $12,882.52 | 44 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | $1,057.04 | $1,626.21 | $223.55 – $3,201.00 | 44 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $259.81 – $300.83 | 9 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $502.74 – $764.72 | 9 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $71.20 – $82.45 | 9 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $274.11 – $317.39 | 9 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $71.20 – $82.45 | 9 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $259.81 – $300.83 | 9 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $798.20 | $1,228.00 | $0.87 – $1,105.20 | 44 |
| Pelvic CT scan (with contrast) CPT 72193 | $798.20 | $1,228.00 | $0.87 – $1,105.20 | 44 |
| Pelvic CT scan (without contrast) CPT 72192 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Pelvic exenteration CPT 45126 | not published | not published | $1,583.52 – $1,833.55 | 9 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $522.44 – $604.93 | 9 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| Pelvic MRI (with contrast) CPT 72196 | $1,601.60 | $2,464.00 | $0.87 – $2,217.60 | 44 |
| Pelvic MRI (without contrast) CPT 72195 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $2,810.76 – $7,551.43 | 22 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $2,810.76 – $7,551.43 | 19 |
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.