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 |
|---|---|---|---|---|
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $378.30 | $582.00 | $72.81 – $523.80 | 44 |
| Fresh frozen plasma thawing ea un CPT 86927 | $768.30 | $1,182.00 | $0.95 – $1,063.80 | 44 |
| Fr frz plasma donor retested HCPCS P9060 | $219.70 | $338.00 | $45.36 – $304.20 | 44 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $34.79 – $140.92 | 23 |
| Frozen blood prep CPT 86930 | not published | not published | $49.41 – $177.30 | 23 |
| Frozen blood thaw CPT 86931 | not published | not published | $45.25 – $177.30 | 23 |
| Frozen cell preparation CPT 88241 | not published | not published | $6.90 – $71.98 | 23 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $2.21 – $186.46 | 22 |
| Fructosamine glycated protein CPT 82985 | $75.40 | $116.00 | $0.95 – $104.40 | 44 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $24.41 – $28.26 | 9 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1,131.53 – $1,310.19 | 9 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1,131.53 – $1,310.19 | 9 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $70.31 – $81.41 | 9 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $517.63 – $1,636.11 | 23 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $51.18 – $76.47 | 23 |
| Ftl cgen abnor four anal CPT 81511 | $688.35 | $1,059.00 | $0.95 – $953.10 | 44 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $40.89 – $74.87 | 23 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $39.97 – $74.87 | 23 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $70.31 – $81.41 | 9 |
| Full field erg w/i&r CPT 92273 | not published | not published | $37.47 – $288.68 | 22 |
| Full mouth x-ray of teeth CPT 70320 | $1,084.20 | $1,668.00 | $0.87 – $1,501.20 | 44 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $24.41 – $28.26 | 9 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $477.10 | $734.00 | $0.87 – $660.60 | 44 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,131.53 – $2,147.22 | 22 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,131.53 – $2,147.22 | 22 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1,131.53 – $1,310.19 | 9 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,131.53 – $2,147.22 | 22 |
| Functional brain mapping CPT 96020 | not published | not published | $158.95 – $184.05 | 9 |
| Fundus photography with i&r 92250 CPT 92250 | $385.45 | $593.00 | $36.76 – $533.70 | 44 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $515.85 – $597.30 | 9 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $4.89 | $7.53 | $0.04 – $8.59 | 39 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.40 – $8.59 | 11 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,674.22 – $3,096.47 | 9 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $2,317.97 – $2,683.97 | 9 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $2,317.97 – $2,683.97 | 9 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $2,430.91 – $2,814.74 | 9 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $2,328.40 – $2,696.05 | 9 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $2,328.40 – $2,696.05 | 9 |
| Fuse/graft added joint CPT 26863 | not published | not published | $899.84 – $1,041.92 | 9 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,050.31 – $1,216.15 | 9 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,674.22 – $3,096.47 | 9 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,050.31 – $1,216.15 | 9 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,050.31 – $1,216.15 | 9 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,050.31 – $1,216.15 | 9 |
| Fuse upper gi structures CPT 47721 | not published | not published | $2,328.40 – $2,696.05 | 9 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $899.84 – $3,405.12 | 22 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $1,473.37 – $7,551.43 | 22 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $4,109.33 – $13,361.02 | 22 |
| Fusion of big toe joint CPT 28750 | not published | not published | $3,150.53 – $7,551.43 | 22 |
| Fusion of big toe joint CPT 28755 | not published | not published | $1,351.67 – $7,551.43 | 22 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $2,738.78 – $3,171.22 | 9 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $899.84 – $1,041.92 | 9 |
| Fusion of finger joint CPT 26860 | not published | not published | $899.84 – $3,405.12 | 22 |
| Fusion of finger tendons CPT 26471 | not published | not published | $899.84 – $3,405.12 | 22 |
| Fusion of finger tendons CPT 26474 | not published | not published | $899.84 – $1,673.41 | 22 |
| Fusion of foot bones CPT 28730 | not published | not published | $3,150.53 – $13,361.02 | 22 |
| Fusion of foot bones CPT 28735 | not published | not published | $3,150.53 – $13,361.02 | 22 |
| Fusion of foot bones CPT 28740 | not published | not published | $3,150.53 – $7,551.43 | 22 |
| Fusion of hand joint CPT 26843 | not published | not published | $899.84 – $7,551.43 | 22 |
| Fusion of knee CPT 27580 | not published | not published | $4,109.33 – $13,361.02 | 19 |
| Fusion of knuckle CPT 26850 | not published | not published | $1,473.37 – $7,551.43 | 22 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $899.84 – $3,405.12 | 22 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $899.84 – $3,405.12 | 22 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $1,473.37 – $7,551.43 | 22 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $1,473.37 – $7,551.43 | 22 |
| Fusion of skull arteries CPT 61711 | not published | not published | $846.39 – $980.03 | 9 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,151.31 – $2,175.43 | 22 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $918.76 – $3,668.39 | 22 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $2,808.13 – $3,712.46 | 22 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $951.94 – $3,405.12 | 22 |
| Fusion of thumb CPT 26841 | not published | not published | $1,473.37 – $7,551.43 | 22 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $4,109.33 – $13,361.02 | 22 |
| Fusion of toes CPT 28280 | not published | not published | $1,351.67 – $3,405.12 | 22 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $4,370.20 – $5,060.23 | 9 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $4,370.20 – $5,060.23 | 9 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $4,370.20 – $5,060.23 | 9 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $89.73 – $302.31 | 23 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $89.73 – $150.70 | 23 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $89.73 – $302.31 | 23 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $89.73 – $203.72 | 23 |
| G0180 home health certification HCPCS G0180 | not published | not published | $16.83 – $19.49 | 9 |
| G6pc gene CPT 81250 | $262.60 | $404.00 | $0.95 – $363.60 | 44 |
| G6pd full gene sequence CPT 81249 | not published | not published | $133.33 – $660.00 | 23 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $89.73 – $192.29 | 23 |
| G6pd known familial variant CPT 81248 | not published | not published | $84.48 – $412.78 | 23 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $1,706.90 | $2,626.00 | $0.01 – $2,363.40 | 39 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $98.80 | $152.00 | $0.01 – $136.80 | 44 |
| Gabapentin non-blood CPT 80355 | $20.80 | $32.00 | $0.95 – $28.80 | 39 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1.94 | $2.99 | $0.01 – $22.29 | 39 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $20.80 | $32.00 | $0.01 – $22.29 | 39 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $13.18 | $20.28 | $0.01 – $22.29 | 39 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $95.55 | $147.00 | $0.01 – $46.01 | 39 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $94.25 | $145.00 | $0.95 – $150.20 | 44 |
| Galactokinase - sendout CPT 82759 | not published | not published | $13.97 – $187.11 | 23 |
| Galactose transferase test CPT 82776 | $52.65 | $81.00 | $0.95 – $72.90 | 44 |
| Galectin-3 CPT 82777 | not published | not published | $16.06 – $48.68 | 23 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,802.45 | $2,773.00 | $0.87 – $2,495.70 | 44 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $2,414.10 | $3,714.00 | $0.87 – $3,342.60 | 44 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $17,444.70 | $26,838.00 | $1,238.71 – $24,154.20 | 44 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.61 – $115.50 | 22 |
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.