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 |
|---|---|---|---|---|
| Platelet pheresis irr ea HCPCS P9036 | $2,635.75 | $4,055.00 | $267.55 – $3,649.50 | 44 |
| Platelets each unit HCPCS P9019 | $340.60 | $524.00 | $49.24 – $471.60 | 44 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $3,487.25 | $5,365.00 | $267.55 – $4,828.50 | 44 |
| Platelets irradiated ea unit HCPCS P9032 | $609.05 | $937.00 | $125.87 – $843.30 | 44 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $564.20 | $868.00 | $116.59 – $781.20 | 44 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $921.05 | $1,417.00 | $175.56 – $1,275.30 | 44 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | not published | not published | $210.67 – $309.79 | 22 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $2,059.85 | $3,169.00 | $267.55 – $2,852.10 | 44 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,184.65 | $3,361.00 | $267.55 – $3,024.90 | 44 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $3,030.30 | $4,662.00 | $267.55 – $4,195.80 | 44 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $2,633.80 | $4,052.00 | $267.55 – $3,646.80 | 44 |
| Platelet survival CPT 78191 | not published | not published | $242.88 – $416.04 | 22 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $24.72 – $28.62 | 9 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $90.87 – $320.50 | 23 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $10,552.10 | $16,234.00 | $491.34 – $14,610.60 | 44 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $15,863.90 | $24,406.00 | $258.62 – $21,965.40 | 38 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $10,312.25 | $15,865.00 | $0.01 – $14,278.50 | 44 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $10,312.25 | $15,865.00 | $0.01 – $14,278.50 | 44 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $6,670.30 | $10,262.00 | $1,466.41 – $9,434.71 | 38 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,372.15 | $2,111.00 | $0.01 – $1,899.90 | 44 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $401.05 | $617.00 | $0.01 – $555.30 | 38 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $6,670.30 | $10,262.00 | $593.63 – $9,434.71 | 38 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $804.88 – $931.96 | 9 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,372.15 | $2,111.00 | $0.01 – $1,899.90 | 38 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,372.15 | $2,111.00 | $0.01 – $1,899.90 | 38 |
| Plerixafor injection HCPCS J2562 | $19,437.74 | $29,904.21 | $30.66 – $4,341.46 | 44 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $930.80 | $1,432.00 | $99.83 – $1,288.80 | 44 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $1,343.48 – $1,555.61 | 9 |
| Plmt access bil tree sm bwl CPT 47541 | $18,656.95 | $28,703.00 | $627.97 – $25,832.70 | 44 |
| Plmt biliary drainage cath CPT 47534 | $10,552.10 | $16,234.00 | $687.74 – $14,610.60 | 44 |
| Plmt nephroureteral catheter CPT 50433 | $10,312.25 | $15,865.00 | $472.29 – $14,278.50 | 44 |
| Plmt ureteral stent prq CPT 50694 | $10,312.25 | $15,865.00 | $0.01 – $14,278.50 | 44 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $24.72 – $28.62 | 9 |
| Pm device progr eval dual CPT 93280 | $139.10 | $214.00 | $17.82 – $192.60 | 44 |
| Pm device progr eval multi CPT 93281 | $139.10 | $214.00 | $17.82 – $192.60 | 44 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $90.87 – $228.04 | 23 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $135.04 – $834.20 | 23 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $135.04 – $846.54 | 23 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $38.90 – $75.81 | 23 |
| Pm phone r-strip device eval CPT 93293 | $139.10 | $214.00 | $17.82 – $192.60 | 44 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $90.87 – $223.85 | 23 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $135.04 – $744.15 | 23 |
| Pms2 known familial variants CPT 81318 | not published | not published | $90.87 – $364.10 | 23 |
| Pne flu hepb cov home admin HCPCS M0201 | not published | not published | $13.33 – $37.54 | 22 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $274.11 – $317.39 | 9 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $573.15 – $686.96 | 22 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $35.46 – $213.10 | 12 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $117.00 | $180.00 | $0.95 – $162.00 | 44 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $58,067.59 | $89,334.76 | $129.78 – $17,228.88 | 44 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $274.11 – $317.39 | 9 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $4,563.00 | $7,020.00 | $812.43 – $6,318.00 | 38 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $812.43 – $943.16 | 16 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,563.00 | $7,020.00 | $812.43 – $6,318.00 | 38 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $8.72 – $39.06 | 23 |
| Porfimer sodium injection HCPCS J9600 | $72,767.76 | $111,950.40 | $14,104.02 – $100,755.36 | 44 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $74.42 – $74.42 | 1 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $74.42 – $74.42 | 1 |
| Positional change of finger CPT 26555 | not published | not published | $1,492.19 – $7,551.43 | 22 |
| Positional nystagmus test CPT 92532 | not published | not published | $31.21 – $36.14 | 9 |
| Positioner proc acufex leg acs HCPCS E0190 | not published | not published | $13.23 – $15.32 | 9 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | not published | not published | $611.63 – $1,573.00 | 22 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | not published | not published | $611.63 – $1,573.00 | 22 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | not published | not published | $611.63 – $1,573.00 | 22 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $11.92 – $40.37 | 23 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $85.75 – $105.72 | 16 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $2,833.00 – $12,696.82 | 9 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $259.81 – $300.83 | 9 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $660.44 – $764.72 | 9 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $259.81 – $300.83 | 9 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $522.44 – $604.93 | 9 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $522.44 – $604.93 | 9 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $259.81 – $300.83 | 9 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $259.81 – $300.83 | 9 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $522.44 – $604.93 | 9 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $522.44 – $604.93 | 9 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $660.44 – $764.72 | 9 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $522.44 – $604.93 | 9 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $522.44 – $604.93 | 9 |
| Post op service lvrs min 6 HCPCS G0305 | $1,379.30 | $2,122.00 | $0.01 – $1,909.80 | 44 |
| Postpartum Care Only CPT 59430 | not published | not published | $99.88 – $115.65 | 9 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $7,275.57 – $8,424.34 | 9 |
| Potassium 24 hour urine CPT 84133 | $21.45 | $33.00 | $0.95 – $29.70 | 44 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $2.32 | $3.57 | $0.01 – $8.70 | 38 |
| Potassium hydroxide preps HCPCS Q0112 | $26.00 | $40.00 | $0.95 – $36.00 | 44 |
| Potassium serum/plasma/whole blood CPT 84132 | $21.45 | $33.00 | $0.95 – $29.70 | 44 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $3.61 – $15.32 | 9 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $6.18 – $15.32 | 9 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $9.63 – $15.32 | 9 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $7.62 – $15.32 | 9 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $3.63 – $15.32 | 9 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $6.27 – $15.32 | 9 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $6.38 – $15.32 | 9 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $90.87 – $150.70 | 23 |
| Pq biliary strict dil s&i CPT 74363 | $1,069.25 | $1,645.00 | $0.87 – $1,480.50 | 38 |
| Pq dr cath chg w cont s&i CPT 75984 | $683.15 | $1,051.00 | $0.87 – $945.90 | 38 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $21,359.65 | $32,861.00 | $0.01 – $29,574.90 | 44 |
| Pq thr inj ext pse CPT 36002 | $2,310.75 | $3,555.00 | $0.01 – $3,199.50 | 44 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,925.65 | $4,501.00 | $378.77 – $10,235.00 | 38 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $9,701.25 | $14,925.00 | $797.50 – $13,432.50 | 44 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $9,701.25 | $14,925.00 | $750.34 – $13,432.50 | 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.