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 |
|---|---|---|---|---|
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $2,205.23 – $4,012.33 | 22 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $2,205.23 – $6,317.89 | 22 |
| Ercp remove duct calculi 43264 CPT 43264 | $11,375.65 | $17,501.00 | $669.03 – $15,750.90 | 38 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,650.80 – $1,996.98 | 16 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,650.80 – $1,996.98 | 16 |
| Ercp stent exchange w/dilate CPT 43276 | $17,798.95 | $27,383.00 | $885.04 – $24,644.70 | 44 |
| Ercp w/specimen collection CPT 43260 | $11,375.65 | $17,501.00 | $592.31 – $15,750.90 | 38 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $5.34 – $46.54 | 11 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $2,199.60 | $3,384.00 | $72.60 – $2,775.60 | 44 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $93.60 | $144.00 | $16.30 – $129.60 | 39 |
| ER Visit (level 1, minor) CPT 99281 | $395.20 | $608.00 | $23.70 – $547.20 | 44 |
| ER Visit (level 2) CPT 99282 | $710.45 | $1,093.00 | $52.93 – $983.70 | 44 |
| ER Visit (level 3) CPT 99283 | $1,242.15 | $1,911.00 | $52.93 – $1,719.90 | 44 |
| ER Visit (level 4) CPT 99284 | $1,909.70 | $2,938.00 | $52.93 – $2,644.20 | 44 |
| ER Visit (level 5, high severity) CPT 99285 | $2,749.50 | $4,230.00 | $52.93 – $3,807.00 | 44 |
| Erwinaze injection HCPCS J9019 | not published | not published | $443.39 – $12,719.98 | 11 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $468.00 | $720.00 | $35.88 – $273.89 | 39 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $184.19 – $213.27 | 9 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $1,155.84 – $4,012.33 | 22 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $1.11 | $1.71 | $0.29 – $46.54 | 39 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $11.80 | $18.15 | $0.22 – $46.54 | 39 |
| Esophageal dilat s&i CPT 74360 | $581.10 | $894.00 | $0.87 – $804.60 | 39 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $3,676.32 – $4,256.79 | 9 |
| Esophageal motility CPT 78258 | not published | not published | $239.81 – $416.04 | 22 |
| Esophageal recording CPT 93615 | not published | not published | $1,032.51 – $1,391.32 | 22 |
| Esophageal recording CPT 93616 | not published | not published | $1,032.51 – $1,391.32 | 22 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $601.00 – $4,012.33 | 22 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $3,676.32 – $4,256.79 | 9 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $3,676.32 – $4,256.79 | 9 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $3,676.32 – $4,256.79 | 9 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,155.84 – $1,996.98 | 22 |
| Esophagosc flex trnsn biopsy CPT 43198 | $2,803.45 | $4,313.00 | $0.01 – $3,881.70 | 44 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $2,430.44 – $6,317.89 | 22 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esophagoscopy balloon <30mm CPT 43220 | $5,671.90 | $8,726.00 | $217.94 – $7,853.40 | 44 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $601.00 – $943.89 | 22 |
| Esophagoscopy flex dx brush CPT 43197 | $2,803.45 | $4,313.00 | $144.87 – $3,881.70 | 44 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $1,155.84 – $4,012.33 | 22 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $2,430.44 – $4,012.33 | 22 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,155.84 – $1,996.98 | 22 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $2,430.44 – $6,160.68 | 22 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,155.84 – $1,996.98 | 22 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,155.84 – $1,996.98 | 22 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,155.84 – $1,996.98 | 22 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,155.84 – $1,996.98 | 22 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $2,445.18 – $2,831.26 | 9 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esophagus motility study CPT 91010 | not published | not published | $230.62 – $491.89 | 22 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $230.62 – $491.89 | 22 |
| Esoph egd dilation <30 mm CPT 43249 | $5,671.90 | $8,726.00 | $283.54 – $7,853.40 | 44 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $3,676.32 – $4,256.79 | 9 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $3,676.32 – $4,256.79 | 9 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $230.62 – $267.04 | 9 |
| Esoph imped function test CPT 91037 | not published | not published | $204.28 – $288.68 | 22 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $230.62 – $491.89 | 22 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,155.84 – $1,996.98 | 22 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $601.00 – $1,996.98 | 22 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $2,430.91 – $2,814.74 | 9 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $2,430.91 – $2,814.74 | 9 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,430.91 – $2,814.74 | 9 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,430.91 – $2,814.74 | 9 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $275.23 – $318.69 | 9 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $287.37 – $332.74 | 9 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $287.37 – $332.74 | 9 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $287.37 – $332.74 | 9 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $287.37 – $332.74 | 9 |
| Essure 58565 CPT 58565 | not published | not published | $2,145.59 – $5,205.97 | 22 |
| Establish access to aorta CPT 36160 | not published | not published | $275.52 – $319.02 | 9 |
| Establish access to artery CPT 36100 | not published | not published | $275.52 – $319.02 | 9 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $4,126.30 – $4,777.82 | 9 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $4,126.30 – $4,777.82 | 9 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $4,126.30 – $4,777.82 | 9 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $4,126.30 – $4,777.82 | 9 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $4,126.30 – $4,777.82 | 9 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $4,126.30 – $4,777.82 | 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.