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 |
|---|---|---|---|---|
| Glaucoma surgery CPT 66150 | not published | not published | $1,864.60 – $4,301.59 | 22 |
| Glaucoma surgery CPT 66155 | not published | not published | $1,864.60 – $4,301.59 | 22 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,864.60 – $2,401.72 | 22 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,864.60 – $2,401.72 | 22 |
| Glove finger flexion right lg xl HCPCS L3912 | $57.20 | $88.00 | $13.06 – $79.20 | 39 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $655.20 | $1,008.00 | $154.56 – $907.20 | 44 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $654.73 | $1,007.28 | $108.93 – $486.00 | 44 |
| Glucagon plasma - sendout CPT 82943 | $64.35 | $99.00 | $0.95 – $101.86 | 44 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $21.33 – $131.32 | 23 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $21.33 – $206.57 | 23 |
| Glucagon tolerance test CPT 82946 | not published | not published | $13.69 – $51.61 | 23 |
| Glucose 1 hr post dose CPT 82950 | $21.45 | $33.00 | $0.95 – $29.70 | 44 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.50 – $31.32 | 23 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $14.95 | $23.00 | $0.95 – $20.70 | 44 |
| Glucose blood quantitative CPT 82947 | $17.55 | $27.00 | $0.95 – $24.30 | 44 |
| Glucose body fluid CPT 82945 | $17.55 | $27.00 | $0.95 – $24.30 | 44 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $154.70 | $238.00 | $30.12 – $214.20 | 44 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $57.85 | $89.00 | $0.95 – $80.10 | 44 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $17.55 | $27.00 | $0.95 – $24.30 | 44 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $30.42 | $46.80 | $0.51 – $20.71 | 41 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $28.51 – $64.82 | 11 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $29,700.35 | $45,692.85 | $11.10 – $2,564.33 | 44 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $83.20 | $128.00 | $0.95 – $115.20 | 44 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $89.73 – $369.06 | 23 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $83.20 | $128.00 | $0.95 – $115.20 | 44 |
| Gonioscopy CPT 92020 | not published | not published | $37.47 – $138.46 | 22 |
| Goniotomy CPT 65820 | not published | not published | $293.57 – $4,301.59 | 22 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $10,024.27 | $15,421.96 | $599.34 – $5,093.35 | 44 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $50.69 | $77.98 | $22.05 – $129.51 | 37 |
| Graft axiofill 1000mg HCPCS J3590 | not published | not published | $40.19 – $46.54 | 9 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $117.73 – $2,493.16 | 13 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $1,261.41 | $1,940.63 | $21.20 – $986.96 | 37 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,473.37 – $3,405.12 | 22 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $4,641.00 | $7,140.00 | $66.89 – $6,426.00 | 43 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $841.78 – $4,294.63 | 4 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $702.00 | $1,080.00 | $184.03 – $972.00 | 32 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $6,727.50 | $10,350.00 | $154.76 – $9,315.00 | 39 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $67.87 – $254.88 | 13 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $292.50 | $450.00 | $29.26 – $227.23 | 37 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $7,183.77 – $8,318.05 | 9 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $1,235.00 | $1,900.00 | $51.85 – $298.31 | 37 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $139.10 | $214.00 | $60.52 – $192.60 | 37 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $117.73 – $254.88 | 11 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $117.73 – $254.88 | 11 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $117.73 – $254.88 | 11 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $38.92 – $294.23 | 13 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | not published | not published | $154.76 – $179.20 | 9 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $178.10 | $274.00 | $46.69 – $246.60 | 39 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $0.76 – $8.59 | 12 |
| Granisetron hcl injection HCPCS J1626 | $21.06 | $32.40 | $0.27 – $29.16 | 39 |
| Granulocyte pheresis ea unit HCPCS P9050 | $4,474.60 | $6,884.00 | $264.18 – $6,195.60 | 39 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,150.53 – $7,551.43 | 19 |
| Great toe with reduction 28495 CPT 28495 | $716.95 | $1,103.00 | $204.59 – $992.70 | 44 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,131.53 – $2,147.22 | 22 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,131.53 – $3,687.90 | 22 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,131.53 – $1,310.19 | 9 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,131.53 – $3,687.90 | 22 |
| Ground mileage HCPCS A0425 | $7.15 | $11.00 | $1.87 – $9.90 | 32 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $24.89 – $117.51 | 22 |
| Group health education CPT 99078 | not published | not published | $34.41 – $39.84 | 9 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $16.62 – $74.23 | 23 |
| Group train without patient HCPCS G0543 | not published | not published | $14.15 – $39.84 | 22 |
| Growth hormone antibody CPT 86277 | not published | not published | $14.30 – $64.28 | 23 |
| Growth hormone panel CPT 80428 | not published | not published | $21.33 – $190.27 | 23 |
| Growth hormone panel CPT 80430 | not published | not published | $21.33 – $223.83 | 23 |
| Growth stimulation gene 2 CPT 83006 | $339.30 | $522.00 | $0.95 – $469.80 | 44 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $24.89 – $162.31 | 22 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $24.89 – $162.31 | 22 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,430.91 – $2,814.74 | 9 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $3,676.32 – $4,256.79 | 9 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $3,676.32 – $4,256.79 | 9 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $3,676.32 – $4,256.79 | 9 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $3,676.32 – $4,256.79 | 9 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,650.80 – $2,683.97 | 22 |
| G-tube reposition CPT 43761 | $727.35 | $1,119.00 | $188.13 – $1,007.10 | 44 |
| Gu dilat ureter/urethra s&i CPT 74485 | $9,187.75 | $14,135.00 | $0.87 – $12,721.50 | 44 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,372.15 | $2,111.00 | $0.01 – $1,899.90 | 44 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $256.53 – $297.03 | 9 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,097.20 | $1,688.00 | $2.39 – $179.20 | 39 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $869.70 | $1,338.00 | $9.82 – $179.20 | 39 |
| Guid loc target vol rad tx CPT 77387 | $254.80 | $392.00 | $0.87 – $352.80 | 39 |
| Gum graft CPT 41870 | not published | not published | $1,323.06 – $1,614.71 | 22 |
| Gw stiffened micro access kit HCPCS C1894 | $6,500.00 | $10,000.00 | $1.87 – $179.20 | 39 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $794.72 – $4,074.73 | 22 |
| Hair analysis HCPCS P2031 | not published | not published | $5.13 – $20.58 | 11 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $130.01 – $769.14 | 22 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $299.90 – $423.05 | 22 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $299.90 – $423.05 | 22 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $28.13 – $32.57 | 9 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $3,170.59 – $3,170.59 | 1 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $4,030.58 – $4,030.58 | 1 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $4,851.46 – $4,851.46 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $120.47 | $185.34 | $7.01 – $71.28 | 39 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $14.02 | $21.57 | $0.74 – $8.59 | 39 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $270.66 – $313.39 | 9 |
| Hand-held pefr meter a4614 HCPCS A4614 | $24.70 | $38.00 | $8.28 – $34.20 | 39 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $31.85 | $49.00 | $2.03 – $44.10 | 39 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $45.08 – $52.20 | 9 |
| Handpiece aquabeam hp2000 HCPCS C2596 | not published | not published | $154.76 – $179.20 | 9 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $515.85 – $597.30 | 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.