marymount hospital
12300 McCracken Road, Garfield Heights, OH · Cleveland Clinic · · NPI 1942248737
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 |
|---|---|---|---|---|
| Drug screen quant tiagabine CPT 80199 | not published | not published | $14.10 – $29.82 | 23 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $16.43 – $26.86 | 9 |
| Drug test def 15-21 classes HCPCS G0482 | $837.20 | $1,288.00 | $58.10 – $1,159.20 | 44 |
| Drug test def 1-7 classes HCPCS G0480 | $482.30 | $742.00 | $3.58 – $125.87 | 44 |
| Drug test def 22+ classes HCPCS G0483 | $1,040.00 | $1,600.00 | $58.10 – $1,440.00 | 44 |
| Drug test def 8-14 classes HCPCS G0481 | $659.75 | $1,015.00 | $58.10 – $913.50 | 44 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $26.82 – $68.35 | 23 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $13.21 – $26.86 | 24 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $278.85 | $429.00 | $0.95 – $386.10 | 44 |
| Drvvt confirm - quest CPT 85597 | $80.60 | $124.00 | $0.95 – $111.60 | 44 |
| Dry needling (97799) CPT 97799 | $65.00 | $100.00 | $15.34 – $81.00 | 39 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $2,222.22 – $4,091.35 | 22 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $8,758.10 | $13,474.00 | $0.01 – $12,126.60 | 44 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $130.01 – $423.05 | 22 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $130.01 – $423.05 | 22 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $130.01 – $769.14 | 22 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $130.01 – $769.14 | 22 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $309.66 – $572.37 | 22 |
| Ductogram sgl duct CPT 77053 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,050.31 – $1,216.15 | 9 |
| Duodenal motility study CPT 91022 | not published | not published | $230.62 – $491.89 | 22 |
| Duplex scan bilateral study 93985 CPT 93985 | $903.50 | $1,390.00 | $75.25 – $1,251.00 | 44 |
| Duplex scan unilateral study 93986 CPT 93986 | $397.15 | $611.00 | $75.25 – $549.90 | 44 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $397.15 | $611.00 | $75.25 – $549.90 | 44 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $585.00 | $900.00 | $75.25 – $810.00 | 44 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $903.50 | $1,390.00 | $75.25 – $1,251.00 | 44 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $41.67 – $982.36 | 11 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | not published | not published | $117.73 – $254.88 | 11 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $1,339.94 | $2,061.44 | $80.52 – $3,160.62 | 44 |
| Dxa bone density axl vrt fx CPT 77085 | $477.10 | $734.00 | $0.87 – $660.60 | 38 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $406.90 | $626.00 | $17.59 – $563.40 | 44 |
| Dx aly aud oi snd prcsr each CPT 92623 | $101.40 | $156.00 | $17.59 – $140.40 | 39 |
| Dx bronchoscope/brush 31623 CPT 31623 | $5,156.45 | $7,933.00 | $0.01 – $7,139.70 | 44 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $5,156.45 | $7,933.00 | $0.01 – $7,139.70 | 44 |
| Dx bronchoscope/wash 31622 CPT 31622 | $5,156.45 | $7,933.00 | $0.01 – $7,139.70 | 44 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $37.47 – $464.90 | 22 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $230.62 – $943.89 | 22 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $230.62 – $943.89 | 22 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $25.85 – $288.68 | 22 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $121.73 – $267.04 | 22 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $518.67 – $600.57 | 9 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $518.67 – $600.57 | 9 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $518.67 – $600.57 | 9 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $205.57 – $407.03 | 22 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $205.57 – $1,852.31 | 22 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $518.67 – $600.57 | 9 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $214.41 – $1,063.83 | 22 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $272.31 – $349.38 | 9 |
| Dynamic surface emg CPT 96002 | not published | not published | $204.28 – $349.38 | 22 |
| Ear and throat examination CPT 92502 | not published | not published | $82.91 – $561.27 | 22 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $723.73 – $1,614.71 | 22 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,586.18 – $6,160.68 | 22 |
| Ear irrigation 69209 CPT 69209 | $154.70 | $238.00 | $0.01 – $214.20 | 44 |
| Ear protector evaluation CPT 92596 | not published | not published | $30.81 – $38.87 | 22 |
| Ecallantide injection HCPCS J1290 | $13,353.39 | $20,543.67 | $545.62 – $18,489.30 | 44 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $18.11 – $20.97 | 9 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $222.30 | $342.00 | $17.96 – $307.80 | 44 |
| Ecg < 30 days transmission & analysis CPT 93271 | $343.20 | $528.00 | $83.98 – $475.20 | 38 |
| Ecg external < 48 hours recording CPT 93225 | $481.65 | $741.00 | $41.01 – $666.90 | 44 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $222.30 | $342.00 | $53.07 – $307.80 | 44 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $146.90 | $226.00 | $26.40 – $203.40 | 44 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $146.90 | $226.00 | $26.40 – $203.40 | 44 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,049.45 | $3,153.00 | $272.16 – $2,837.70 | 44 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $903.50 | $1,390.00 | $212.58 – $1,251.00 | 44 |
| Echocardiography doppler color flow mapping CPT 93325 | $692.90 | $1,066.00 | $53.31 – $959.40 | 39 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,952.95 | $4,543.00 | $272.16 – $4,088.70 | 44 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,334.45 | $2,053.00 | $272.16 – $1,847.70 | 44 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $390.00 | $600.00 | $55.25 – $540.00 | 39 |
| Echo exam of eye CPT 76516 | not published | not published | $75.25 – $108.80 | 22 |
| Echo exam of eye CPT 76519 | not published | not published | $75.25 – $108.80 | 22 |
| Echo exam of eye CPT 76529 | not published | not published | $36.76 – $90.57 | 22 |
| Echo exam of eye thickness CPT 76514 | $109.85 | $169.00 | $0.87 – $152.10 | 44 |
| Echo exam of fetal heart CPT 76825 | $2,458.95 | $3,783.00 | $0.87 – $3,404.70 | 44 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $90.03 – $248.31 | 22 |
| Echo exam of fetal heart CPT 76827 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $70.01 – $108.80 | 22 |
| Echo exam uterus 76831- CPT 76831 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| Echograp trans r pros study CPT 76873 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Echo guidance radiotherapy CPT 76965 | $774.80 | $1,192.00 | $0.87 – $1,072.80 | 39 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $71.79 – $83.13 | 9 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $186.40 – $186.40 | 1 |
| Echo guide for amniocentesis CPT 76946 | $237.90 | $366.00 | $0.87 – $329.40 | 39 |
| Echo guide for artery repair CPT 76936 | $1,396.85 | $2,149.00 | $0.87 – $1,934.10 | 44 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $71.79 – $128.93 | 11 |
| Echo guide for transfusion CPT 76941 | not published | not published | $71.79 – $271.49 | 11 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $37.10 – $147.36 | 12 |
| Echo guide villus sampling CPT 76945 | not published | not published | $71.79 – $134.07 | 11 |
| Echo stress CPT 93350 | $2,049.45 | $3,153.00 | $272.16 – $2,837.70 | 44 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $272.16 – $568.65 | 22 |
| Echo tee guidance CPT 93355 | $2,631.20 | $4,048.00 | $272.16 – $3,643.20 | 39 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,049.45 | $3,153.00 | $272.16 – $2,837.70 | 44 |
| Echo transesophageal CPT 93313 | not published | not published | $272.16 – $568.65 | 22 |
| Echo transesophageal CPT 93314 | $1,454.05 | $2,237.00 | $272.16 – $2,013.30 | 39 |
| Echo transesophageal CPT 93315 | $2,049.45 | $3,153.00 | $272.16 – $2,837.70 | 44 |
| Echo transesophageal CPT 93317 | not published | not published | $272.16 – $315.13 | 9 |
| Echo transesophageal intraop CPT 93318 | $2,049.45 | $3,153.00 | $272.16 – $2,837.70 | 44 |
| Echo transthoracic CPT 93303 | $2,049.45 | $3,153.00 | $272.16 – $2,837.70 | 44 |
| Echo transthoracic CPT 93304 | $2,049.45 | $3,153.00 | $272.16 – $2,837.70 | 44 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $903.50 | $1,390.00 | $212.58 – $1,251.00 | 44 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $1,331.95 – $1,542.26 | 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.