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 |
|---|---|---|---|---|
| Proton treatment complex CPT 77525 | not published | not published | $772.08 – $1,300.59 | 22 |
| Proton trmt intermediate CPT 77523 | not published | not published | $772.08 – $1,300.59 | 22 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $772.08 – $1,300.59 | 22 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $279.67 – $575.02 | 22 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $7.82 – $35.10 | 23 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $49.74 – $138.55 | 22 |
| Provox xtraflange 17fr HCPCS L8499 | not published | not published | $13.23 – $15.32 | 9 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $1,583.52 – $1,833.55 | 9 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,900.67 – $3,726.07 | 22 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $414.70 | $638.00 | $0.01 – $574.20 | 44 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $49.74 – $57.60 | 9 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $67,113.15 | $103,251.00 | $667.28 – $92,925.90 | 44 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $67,113.15 | $103,251.00 | $852.49 – $92,925.90 | 44 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $4,579.50 – $5,302.58 | 9 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $4,579.50 – $5,302.58 | 9 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $4,579.50 – $5,302.58 | 9 |
| Prq card revasc mi 1 vsl CPT 92941 | $21,482.50 | $33,050.00 | $799.44 – $29,745.00 | 38 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $21,482.50 | $33,050.00 | $4,338.00 – $29,745.00 | 38 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $4,579.50 – $5,302.58 | 9 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $4,579.50 – $5,302.58 | 9 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $29,038.10 | $44,674.00 | $711.08 – $40,206.60 | 44 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $4,579.50 – $5,302.58 | 9 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $2,810.76 – $7,551.43 | 22 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,483.64 – $3,254.56 | 22 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $2,810.76 – $7,551.43 | 22 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $2,810.76 – $7,551.43 | 22 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $2,810.76 – $7,551.43 | 22 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $27,482.65 | $42,281.00 | $711.56 – $38,052.90 | 44 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $83,998.20 | $129,228.00 | $1,113.04 – $116,305.20 | 43 |
| Prq trlml c athrc st angiop1 CPT 92933 | $29,389.10 | $45,214.00 | $798.31 – $40,692.60 | 44 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $52,897.00 | $81,380.00 | $1,391.60 – $73,242.00 | 43 |
| Prq trluml c angiop 1art&/br CPT 92920 | $21,309.60 | $32,784.00 | $640.02 – $29,505.60 | 44 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $19,632.60 | $30,204.00 | $762.49 – $27,183.60 | 44 |
| Prq trluml revsc ch occ ant CPT 92943 | $24,922.30 | $38,342.00 | $799.28 – $34,507.80 | 44 |
| Pr removal drug delivery implant CPT 11982 | $778.05 | $1,197.00 | $0.01 – $1,077.30 | 44 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $335.40 | $516.00 | $0.01 – $464.40 | 44 |
| Pr removal intrauterine device CPT 58301 | $909.35 | $1,399.00 | $0.01 – $1,259.10 | 44 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $779.35 | $1,199.00 | $0.01 – $1,079.10 | 44 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $387.40 | $596.00 | $0.01 – $536.40 | 44 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $387.40 | $596.00 | $0.01 – $536.40 | 44 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $387.40 | $596.00 | $0.01 – $536.40 | 44 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $387.40 | $596.00 | $0.01 – $536.40 | 44 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $316.41 – $366.37 | 9 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,145.99 – $2,147.22 | 22 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $53.61 – $62.07 | 9 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $964.10 – $3,405.12 | 22 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $3,247.19 – $7,551.43 | 22 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $354.11 – $459.12 | 22 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $2,554.95 – $7,551.43 | 22 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $2,554.95 – $7,551.43 | 22 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $4,644.90 | $7,146.00 | $0.01 – $6,431.40 | 44 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $49.74 – $57.60 | 9 |
| PSA (Prostate) Test CPT 84153 | $82.55 | $127.00 | $0.95 – $114.30 | 44 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $47.45 | $73.00 | $3.09 – $186.41 | 44 |
| Psychoanalysis CPT 90845 | not published | not published | $92.81 – $184.72 | 22 |
| Psychoeducation 45 min + HCPCS G0177 | not published | not published | $37.92 – $43.91 | 9 |
| Psychophysiological therapy CPT 90875 | not published | not published | $81.37 – $110.26 | 10 |
| Psychophysiological therapy CPT 90876 | not published | not published | $95.23 – $138.02 | 10 |
| Psychotherapy group therapy CPT 90853 | $542.10 | $834.00 | $36.05 – $250.20 | 44 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $313.30 | $482.00 | $74.19 – $433.80 | 44 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $313.30 | $482.00 | $92.81 – $433.80 | 44 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $313.30 | $482.00 | $92.81 – $433.80 | 44 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $607.10 | $934.00 | $154.50 – $840.60 | 44 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $253.50 | $390.00 | $85.02 – $351.00 | 38 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $194.35 | $299.00 | $50.95 – $269.10 | 38 |
| Psycl/nrpsyc tech 1st CPT 96138 | $778.05 | $1,197.00 | $45.32 – $1,077.30 | 44 |
| Psy evaluation of records CPT 90885 | not published | not published | $32.34 – $37.44 | 9 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $251.55 | $387.00 | $48.51 – $348.30 | 44 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $253.50 | $390.00 | $38.46 – $351.00 | 38 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $253.50 | $390.00 | $45.32 – $351.00 | 38 |
| Psytx complex interactive CPT 90785 | $99.45 | $153.00 | $19.57 – $137.70 | 38 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $105.30 | $162.00 | $35.32 – $145.80 | 38 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $122.85 | $189.00 | $41.20 – $170.10 | 38 |
| Psytx pt w/e&m 53+ min CPT 90838 | $128.05 | $197.00 | $42.95 – $177.30 | 38 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $24.25 – $28.08 | 9 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $122.85 | $189.00 | $23.82 – $170.10 | 44 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $113.10 | $174.00 | $17.72 – $156.60 | 44 |
| Pt application of modality traction mechanical CPT 97012 | $126.10 | $194.00 | $18.61 – $174.60 | 44 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $30.50 – $35.32 | 9 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $90.87 – $330.00 | 23 |
| Pten gene full sequence CPT 81321 | not published | not published | $135.04 – $660.00 | 23 |
| Pten gene known fam variant CPT 81322 | not published | not published | $38.90 – $75.81 | 23 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $3,532.10 – $6,160.68 | 22 |
| Pt-focused hlth risk assmt CPT 96160 | $57.85 | $89.00 | $0.01 – $80.10 | 44 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $31.91 – $58.69 | 23 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $522.44 – $604.93 | 9 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $156.00 | $240.00 | $41.92 – $216.00 | 44 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $94.25 | $145.00 | $15.57 – $130.50 | 44 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $131.30 | $202.00 | $24.25 – $181.80 | 44 |
| Pt wheelchair management each 15 minutes CPT 97542 | $165.10 | $254.00 | $39.57 – $228.60 | 44 |
| Pul art balloon repr percut CPT 92997 | $42,385.20 | $65,208.00 | $774.93 – $58,687.20 | 44 |
| Pul art balloon repr percut CPT 92998 | $3,766.10 | $5,794.00 | $387.02 – $5,302.58 | 38 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $524.24 – $5,950.56 | 23 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,046.23 – $2,369.32 | 9 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,343.48 – $1,555.61 | 9 |
| Pulmonary vent imaging CPT 78579 | $1,802.45 | $2,773.00 | $0.87 – $2,495.70 | 44 |
| Pulse ox continuous overnight monitoring CPT 94762 | $468.00 | $720.00 | $50.68 – $648.00 | 44 |
| Pulse ox multiple CPT 94761 | $226.20 | $348.00 | $9.51 – $313.20 | 38 |
| Pulse ox single CPT 94760 | $226.20 | $348.00 | $8.74 – $313.20 | 38 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | not published | not published | $156.74 – $181.49 | 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.