Supplies, drugs & other prices at Lutheran Hospital

Cleveland, OH · every code in this section with a posted price and a Medicare benchmark.

163 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
2019-ncov diagnostic p (U0001) $161.20 $248 4.5×
2d tee w or w/o fol w/con,in (C8925) $2,952.95 $4,543 4.0×
2d tte w or w/o fol w/con,co (C8923) $2,952.95 $4,543 4.0×
2d tte w or w/o fol w/con,fu (C8924) $1,334.45 $2,053 4.0×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $9,956.05 $15,317 2.7×
Adm tocilizu covid-19 1st (M0249) $1,171.30 $1,802 2.8×
Adm tocilizu covid-19 2nd (M0250) $1,171.30 $1,802 2.8×
Admin hepatitis b vaccine (G0010) $120.25 $185 2.7×
Admin influenza virus vac (G0008) $120.25 $185 2.7×
Annual alcohol screen 15 min (G0442) $133.90 $206 3.8×
Asstv alg ECG rsk asmt cncrt (0764T) $335.40 $516 2.7×
Asstv alg ECG rsk asmt prev (0765T) $335.40 $516 2.7×
Behavior counsel obesity 15m (G0447) $414.70 $638 4.3×
Bia whole body composition assessment w/i&r (0358T) $63.70 $98 2.3×
Brief alcohol misuse counsel (G0443) $414.70 $638 4.3×
Ca screen;flexi sigmoidscope (G0104) $2,370.55 $3,647 2.7×
Ca screen;pelvic/breast exam (G0101) $240.50 $370 2.5×
Catheterize for urine spec (P9612) $40.95 $63 4.4×
Chemo extend iv infus w/pump (G0498) $1,487.85 $2,289 4.8×
Colon ca scrn not hi rsk ind (G0121) $2,370.55 $3,647 2.7×
Colorectal scrn; hi risk ind (G0105) $2,370.55 $3,647 2.7×
Covid-19 lab test non-cdc (U0002) $230.10 $354 4.5×
Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) $8,451.30 $13,002 2.1×
Cysto impl 4 or more (C9740) $7,512.05 $11,557 0.8×
Depression screen annual (G0444) $77.35 $119 2.2×
Devlopment test interpt&rep (G0451) $276.25 $425 2.9×
Diab manage trn per indiv (G0108) $115.05 $177 2.1×
Diab manage trn ind/group (G0109) $78.65 $121 4.9×
Direct refer hospital observ (G0379) $1,593.80 $2,452 2.8×
Drug test def 1-7 classes (G0480)
range across 205 matching MRF lines		 $13.65–$482.30 $21–$742 varies
Drug test def 15-21 classes (G0482) $837.20 $1,288 4.2×
Drug test def 22+ classes (G0483) $1,040 $1,600 4.2×
Drug test def 8-14 classes (G0481) $659.75 $1,015 4.2×
Ekg tracing for initial prev (G0404) $63.70 $98 2.3×
Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) $238.55 $367 2.7×
Elec alys impl s-sclp cont bi EEG sys prgrmg 1st (1005T) $252.85 $389 2.8×
Elec alys impl s-sclp cont bi EEG sys w/o prgrmg (1004T) $353.60 $544 2.8×
Elec alys int nstimj sys vagus nrv w/o prgrmg (0911T) $271.70 $418 4.9×
Elec alys int nstimj sys vagus nrv w/smpl prgrmg (0912T) $193.70 $298 2.2×
Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) $238.55 $367 2.7×
Elec stim other than wound (G0283) $94.25 $145 7.4×
Elec stim unattend for press (G0281) $95.55 $147 8.2×
Electrophysiologic eval ccm-d leads at 1st impl (0930T) $3,156.40 $4,856 2.7×
Electrophysiologic eval ccm-d leads separate (0931T) $3,156.40 $4,856 2.7×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure		 $18,445.70 $28,378 0.4×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $30,665.05 $47,177 2.8×
Fern test (Q0114) $43.55 $67 4.5×
Flt3 gene int tandem dupl variants quantitative (0046U) $1,827.15 $2,811 4.5×
Hbot, full body chamber, 30m (G0277) $358.80 $552 2.8×
High inten beh couns std 30m (G0445) $414.70 $638 4.3×
Home sleep test/type 3 porta (G0399) $406.90 $626 2.0×
Hopd mntl hlt, grp (C7903) $57.85 $89 1.6×
Hospital outpt clinic visit (G0463) $334.75 $515 2.7×
Initial preventive exam (G0402) $334.75 $515 2.7×
Inj for sacroiliac jt anesth (G0260) $1,800.50 $2,770 2.7×
Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) $33,745.40 $51,916 3.2×
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) $32,422.65 $49,881 3.1×
Insertion perm ccm-d system pulse generator only (0916T) $18,547.10 $28,534 0.9×
Insj perm ccm-d sys 1 transvns lead only (0917T) $7,044.70 $10,838 0.9×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $7,044.70 $10,838 0.9×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $24,674.65 $37,961 0.8×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $18,805.80 $28,932 0.6×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $21,517.60 $33,104 2.7×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $21,517.60 $33,104 2.7×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T)
likely a partial charge, not the full procedure		 $5,631.60 $8,664 0.3×
Instill pharm renal pelvis (C9789) $6,728.80 $10,352 5.8×
Instlj fecal microbiota ssp (0780T) $335.40 $516 2.7×
Intens behave ther cardio dx (G0446) $133.90 $206 3.8×
Interrog dev eval impl ccm-d system in person (0927T) $96.85 $149 2.7×
Low intensity eswt corpus cavernosum low energy (0864T) $632.45 $973 2.7×
Monthly tx for dmht 20mins (G0553) $334.75 $515 2.7×
Mri w/o fol w/cont, breast, (C8908) $696.15 $1,071 2.1×
N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) $633.75 $975 2.8×
Neuro csf prion prtn qual (0035U) $2,426.45 $3,733 4.5×
Non-ophthalmic fva (C9733) $1,601.60 $2,464 4.9×
Obtaining screen pap smear (Q0091) $63.70 $98 2.3×
Opto-acoustic img breast uni augmnt alys&reprt (0857T) $276.25 $425 2.8×
Oth resp proc, group (G0239) $102.05 $157 2.9×
Oth resp proc, indiv (G0238) $63.70 $98 2.3×
Pathogen test for platelets (P9100) $266.50 $410 4.8×
Pemivibart infusion (M0224) $1,170 $1,800 2.8×
Perc d-e cor revasc chro sin (C9607) $33,315.10 $51,254 1.9×
Perc d-e cor revasc t cabg s (C9604) $27,682.20 $42,588 2.5×
Perc d-e cor stent ather s (C9602) $29,053.05 $44,697 1.7×
Perc drug-el cor stent sing (C9600) $27,071.85 $41,649 2.5×
Perq Sacral Augmt Bilat Inj (0201T) $18,573.75 $28,575 2.7×
Perq Sacral Augmt Unilat Inj (0200T) $12,284.35 $18,899 1.8×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $14,823.90 $22,806 1.4×
Post op service lvrs min 6 (G0305) $1,379.30 $2,122 3.9×
Potassium hydroxide preps (Q0112) $26 $40 4.5×
Ppps, subseq visit (G0439) $122.85 $189 0.9×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $96.85 $149 2.7×
Programming device eval impl ccm-d sys in person (0926T) $96.85 $149 2.7×
Prolonged iv inf, req pump (C8957) $1,239.55 $1,907 6.2×
Qmrcp W/Diagnostic MRI Same Anatomy (0724T) $2,471.30 $3,802 2.8×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $2,471.30 $3,802 2.8×
Quan MRI alys brain with diagnostic MRI (0866T) $628.55 $967 2.8×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $3,229.20 $4,968 4.5×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $4,756.05 $7,317 2.4×
Relocation skin pocket implanted ccm-d pg (0925T) $4,756.05 $7,317 2.4×
Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) $353.60 $544 2.8×
Rem multi day cplx uroflowmetry dev sply w/reprt (0812T) $406.90 $626 3.3×
Rem multi day cplx uroflowmetry setup&pt educaj (0811T) $334.75 $515 2.7×
Remote interrog dev eval ccm-d sys <90d tech (0929T) $96.85 $149 2.7×
Removal perm ccm-d system pulse generator only (0919T) $9,462.05 $14,557 2.7×
Repos Cardiac Modulj Transvenous Electrode (0415T) $1,607.45 $2,473 2.7×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $1,607.45 $2,473 2.7×
Revasc intra lithotrip-ather (C9766) $67,113.15 $103,251 3.9×
Revasc intra lithotrip-stent (C9765) $24,252.15 $37,311 1.4×
Revasc intravasc lithotripsy (C9764) $42,385.20 $65,208 3.9×
Revasc lith-sten-ath tib/per (C9775) $25,245.35 $38,839 1.5×
Revasc lithotr-ather tib/per (C9774) $23,623.60 $36,344 1.4×
Revasc lithotr-stent tib/per (C9773) $29,996.85 $46,149 1.7×
Revasc lithotrip tibi/perone (C9772) $17,438.85 $26,829 1.6×
Revasc lithotrip-stent-ather (C9767) $22,399.65 $34,461 1.3×
Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) $8,941.40 $13,756 2.7×
Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) $8,941.40 $13,756 2.7×
Risk ascvd tst once pr 12 mo (G0537) $240.50 $370 6.8×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $21,038.55 $32,367 1.0×
Rmvl Car Modulj Tranvns Elt (0413T) $9,462.05 $14,557 2.7×
Rmvl Cardiac Modulj Pls Gen (0412T) $9,462.05 $14,557 2.7×
Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) $9,462.05 $14,557 2.7×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $9,462.05 $14,557 2.7×
Rmvl perm ccm-d sys dual transvns leads only (0922T) $9,462.05 $14,557 2.7×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) $18,547.10 $28,534 0.9×
Screen pap by tech w md supv (P3000) $81.90 $126 4.4×
Semen analysis (G0027) $29.25 $45 4.5×
Sim ang w/prs cath rad emb (C8004) $20,094.75 $30,915 1.8×
Supply of digital device (G0552) $334.75 $515 2.7×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $8,362.90 $12,866 2.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $14,782.30 $22,742 0.8×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $16,729.70 $25,738 0.9×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $14,782.30 $22,742 0.8×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $18,832.45 $28,973 1.0×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $8,183.50 $12,590 2.7×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $8,183.50 $12,590 2.7×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $8,183.50 $12,590 2.7×
Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) $8,183.50 $12,590 2.7×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $14,782.30 $22,742 0.8×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $18,832.45 $28,973 1.0×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $14,782.30 $22,742 0.8×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $14,782.30 $22,742 0.8×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $14,823.90 $22,806 2.8×
Tee w or w/o fol w/cont,cong (C8926) $2,952.95 $4,543 4.0×
Therapeutic procd strg endur (G0237) $63.70 $98 2.3×
Transcatheter Renal Sympath Denervation Bilat (0339T) $8,436.35 $12,979 1.6×
Transcatheter renal sympath denervation unilat (0338T) $14,823.90 $22,806 2.8×
Transperineal focal laser abltj mal prst8 tiss (0655T) $13,217.10 $20,334 2.6×
Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume greater than… (0867T) $13,217.10 $20,334 2.6×
Transperineal laser destruction of benign prostatic enlargement using imaging guidance for prostate volume less than 50… (0714T) $13,217.10 $20,334 2.6×
Trauma respons w/hosp criti (G0390) $3,440.45 $5,293 2.7×
Trluml Perip Athrc Iliac Art (0238T) $24,949.60 $38,384 1.4×
Tte w or w/o contr, cont ecg (C8930) $2,952.95 $4,543 4.0×
Tte w or w/o fol w/con,stres (C8928) $2,952.95 $4,543 4.0×
Tte w or w/o fol w/cont, com (C8921) $2,952.95 $4,543 4.0×
Tte w or w/o fol w/cont, f/u (C8922) $2,952.95 $4,543 4.0×
Tte w or wo fol wcon,doppler (C8929) $2,952.95 $4,543 4.0×
Unsched dialysis esrd pt hos (G0257) $1,819.35 $2,799 2.8×
Vasc emb/occ w/prs cath (C9797) $22,750 $35,000 1.3×
Visit esketamine 56m or less (G2082) $2,991.30 $4,602 3.1×
Visit esketamine, > 56m (G2083) $3,771.30 $5,802 2.5×
Visit to determ ldct elig (G0296) $240.50 $370 2.5×
Wet mounts/ w preparations (Q0111) $99.45 $153 5.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.