Customized item (list in addition to code for basic item) cost in Ohio
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Cash from
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Cash range · 0 distinct prices
$13
Insurer rates from
7
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Jun 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| LUTHERAN HOSPITAL | Cleveland | — | $13 | Jun 2026123 days old |
| Fairview Hospital | Cleveland | — | $14 | Jun 2026123 days old |
| The Cleveland Clinic Foundation | Brunswick | — | $17 | Jun 2026122 days old |
| The Good Samaritan Hospital of Cincinnati, OH | Cincinnati | — | $427 | Apr 2026198 days old |
| McCullough-Hyde Memorial Hospital, Inc. | Oxford | — | $427 | Apr 2026198 days old |
| Bethesda Hospital Inc. | Lebanon | — | $427 | Apr 2026198 days old |
| Clinton Memorial Hospital | Wilmington | — | $427 | Apr 2026198 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Bethesda Hospital Inc.Customized item
- Clinton Memorial HospitalCustomized item
- Fairview HospitalCustom item
- LUTHERAN HOSPITALCustom item
- McCullough-Hyde Memorial Hospital, Inc.Customized item
- The Cleveland Clinic FoundationCustom item
- The Good Samaritan Hospital of Cincinnati, OHCustomized item
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.