▸ Hospital · OH · CCN 363302

Rainbow Babies And Childrens Hospital

11100 EUCLID AVENUE, CLEVELAND, OH, 44106-5022

266 bedsChildrens2
Compliance grade
A
100/100
Procedures tracked
176
of 209 target codes
Payers
30
with negotiated rates
Rates published
52,520
last crawl 2026-05-24

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG88515$15,603$15,603$16,383
Psychiatric diagnostic evaluationCPT9079140$506$379.5$148.95$320.3$455.4
Psychiatric eval with medical servicesCPT9079240$506$379.5$148.95$320.3$455.4
Psychotherapy 30 minutesCPT9083240$248$186$82.58$156.98$223.2
Psychotherapy 45 minutesCPT9083440$342$256.5$113.89$216.49$307.8
Psychotherapy 60 minutesCPT9083740$421$315.75$140.19$266.49$378.9
Crisis psychotherapy 60 minutesCPT9083940$727$545.25$148.95$460.19$654.3
emergency
ED visit level 1CPT9928140$329$246.75$81.63$212.21$364
ED visit level 2CPT9928240$539$404.25$146.81$347.66$494
ED visit level 3CPT9928340$1,029$771.75$256.69$663.71$926.1
ED visit level 4CPT9928440$1,406$1,054.5$394.75$906.87$1,265.4
ED visit level 5CPT9928540$10,275$7,706.25$568.37$3,299$9,247.5
Critical care, first hourCPT9929140$3,879$2,909.25$781.13$2,455.41$3,491.1
imaging
CT head without contrastCPT7045015$98.58$98.58$288.66
CT head with contrastCPT7046015$165.03$165.03$418.63
CT head with and without contrastCPT7047015$165.03$165.03$503.92
CT neck with contrastCPT7049115$165.03$165.03$531
MRI brain without contrastCPT7055115$224.08$224.08$575.96
MRI brain with contrastCPT7055215$331.07$331.07$852.17
MRI brain with and without contrastCPT7055340$3,352$2,514$331.07$2,111.76$3,016.8
Chest X-ray single viewCPT7104515$63.96$81.63$85.71
Chest X-ray 2 viewsCPT7104640$376$282$81.63$238.01$338.4
Chest X-ray 3 viewsCPT7104715$81.63$81.63$110.76
CT chest without contrastCPT7125015$98.58$98.58$360.4
CT chest with contrastCPT7126015$165.03$165.03$494.45
CT chest with and without contrastCPT7127015$165.03$165.03$612.26
MRI chest without contrastCPT7155015$224.08$224.08$892.5
MRI chest with contrastCPT7155115$732.42$732.42$1,363.15
MRI chest with and without contrastCPT7155215$331.07$331.07$1,429.23
Lumbosacral spine X-rayCPT7210015$98.58$98.58$109.44
CT cervical spine without contrastCPT7212515$98.58$98.58$364.48
CT thoracic spine without contrastCPT7212815$98.58$98.58$363.12
CT lumbar spine without contrastCPT7213115$98.58$98.58$361.76
MRI cervical spine without contrastCPT7214115$224.08$224.08$555.39
MRI thoracic spine without contrastCPT7214615$224.08$224.08$555.39
MRI lumbar spine without contrastCPT7214815$224.08$224.08$556.75
MRI lumbar spine with and without contrastCPT7214915$331.07$331.07$860.29
MRI cervical spine with and without contrastCPT7215615$331.07$331.07$983.49
MRI lumbar spine with contrastCPT7215815$331.07$331.07$980.77
CT pelvis without contrastCPT7219215$98.58$98.58$360.4
CT pelvis with contrastCPT7219315$165.03$165.03$693.47
Shoulder X-rayCPT7303015$81.63$81.63$95.16
Humerus X-rayCPT7306015$81.63$81.63$91.25
Hand X-ray 3 viewsCPT7313015$81.63$81.63$105.53
MRI upper extremity joint without contrastCPT7322115$224.08$224.08$628.75
MRI upper extremity joint with and without contrastCPT7322315$331.07$331.07$1,340.92
Knee X-ray 1-2 viewsCPT7356015$81.63$81.63$99.03
Ankle X-ray 3 viewsCPT7361015$81.63$81.63$106.85
MRI lower extremity joint without contrastCPT7372115$224.08$224.08$627.43
MRI lower extremity joint with and without contrastCPT7372315$331.07$331.07$1,336.88
CT abdomen without contrastCPT7415015$98.58$98.58$356.36
CT abdomen with contrastCPT7416015$165.03$165.03$693.47
CT abdomen with and without contrastCPT7417015$165.03$165.03$693.77
CT abdomen and pelvis without contrastCPT7417615$224.08$224.08$445.7
CT abdomen and pelvis with contrastCPT7417715$331.07$331.07$968.62
CT abdomen and pelvis with and without contrastCPT7417815$331.07$331.07$1,094.5
MRI abdomen without contrastCPT7418115$224.08$224.08$589.22
MRI abdomen with and without contrastCPT7418315$331.07$331.07$1,094.5
Abdominal ultrasound completeCPT7670015$98.58$98.58$316.12
Abdominal ultrasound limitedCPT7670540$964$723$98.58$610.21$867.6
Retroperitoneal ultrasound completeCPT7677015$98.58$98.58$294.02
Obstetric ultrasound first trimesterCPT7680115$98.58$98.58$281.01
Obstetric ultrasound after first trimesterCPT7680515$98.58$98.58$351.22
Obstetric ultrasound with fetal anatomyCPT7681115$224.08$224.08$321.56
Transvaginal ultrasoundCPT7683040$1,181$885.75$98.58$747.57$1,062.9
Pelvic ultrasound completeCPT7685640$996$747$98.58$630.47$896.4
Scrotal ultrasoundCPT7687015$98.58$98.58$282.33
Diagnostic mammography unilateralCPT7706515$77.58$77.58$340.81
Diagnostic mammography bilateralCPT7706615$98.8$98.8$435.67
Screening mammography bilateralCPT7706715$81.66$81.66$360.32
EKG tracing onlyCPT9300540$391$293.25$55.07$247.5$351.9
Transthoracic echocardiogram completeCPT9330640$2,435$1,826.25$508.3$1,541.36$2,191.5
Transthoracic echocardiogramCPT9330740$1,673$1,254.75$224.08$1,059.01$1,505.7
Stress echocardiogramCPT9335040$2,499$1,874.25$508.3$1,581.87$2,249.1
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG06415$20,998$20,998$22,048
Intracranial hemorrhage/CVA w CCMS-DRG06515$11,947$11,947$12,544
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG06615$8,888.17$8,888.17$9,332.58
Respiratory infections & inflammations w MCCMS-DRG17715$17,529$17,529$18,405
COPD w MCCMS-DRG19015$12,935$12,935$13,581
COPD w CCMS-DRG19115$10,478$10,478$11,002
COPD w/o CC/MCCMS-DRG19215$8,505.57$8,505.57$8,930.85
Simple pneumonia & pleurisy w CCMS-DRG19415$10,114$10,114$10,620
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19515$8,277.53$8,277.53$8,691.41
AMI discharged alive w MCCMS-DRG28015$17,760$17,760$18,649
AMI discharged alive w CCMS-DRG28115$11,062$11,062$11,615
AMI discharged alive w/o CC/MCCMS-DRG28215$9,230.75$9,230.75$9,692.29
Heart failure & shock w MCCMS-DRG29115$14,627$14,627$15,358
Heart failure & shock w CCMS-DRG29215$10,498$10,498$11,023
Heart failure & shock w/o CC/MCCMS-DRG29315$7,588.66$7,588.66$7,968.09
Cardiac arrhythmia w MCCMS-DRG30815$13,706$13,706$14,392
Cardiac arrhythmia w CCMS-DRG30915$9,362.92$9,362.92$9,831.07
Cardiac arrhythmia w/o CC/MCCMS-DRG31015$7,689.18$7,689.18$8,073.64
GI hemorrhage w CCMS-DRG37815$11,659$11,659$12,241
GI hemorrhage w/o CC/MCCMS-DRG37915$8,407.85$8,407.85$8,828.24
Esophagitis/gastroenteritis w/o MCCMS-DRG39215$9,744.6$9,744.6$10,232
Fractures of femur w/o MCCMS-DRG53315$16,676$16,676$17,510
Kidney/UTI w MCCMS-DRG68915$13,375$13,375$14,044
Kidney/UTI w/o MCCMS-DRG69015$9,952.18$9,952.18$10,450
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87115$20,746$20,746$21,783
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87215$12,078$12,078$12,682
lab
Basic metabolic panel (BMP)CPT8004815$3.47$8.46$8.88
General health panelCPT800501$17.1$17.1$17.1
Electrolyte panelCPT8005115$2.14$7.01$7.36
Comprehensive metabolic panelCPT8005315$5$10.56$11.09
Lipid panelCPT8006140$184$138$6.02$116.47$165.6
Renal function panelCPT8006940$241$180.75$4.11$152.55$216.9
Hepatic function panelCPT8007640$182$136.5$2.99$115.21$163.8
Urinalysis non-automatedCPT8100240$44$33$2.77$27.85$39.6
Urinalysis automatedCPT8100340$68$51$1.06$43.04$61.2
Glucose quantitativeCPT8294740$58$43.5$3.93$36.71$52.2
Hemoglobin A1cCPT8303640$147$110.25$9$87.91$132.3
Thyroid stimulating hormone (TSH)CPT8444340$237$177.75$7.95$150.02$213.3
Complete blood count with automated differentialCPT8502540$126$94.5$3.68$79.76$113.4
Complete blood count without differentialCPT8502740$116$87$3.06$73.43$104.4
Urine culture bacterialCPT8708640$162$121.5$8.07$102.55$145.8
Urine culture identificationCPT8708815$8.09$8.09$9.54
Tissue exam by pathologist level IVCPT8830540$528$396$49.53$334.22$475.2
maternity
Fetal non-stress testCPT5902540$499$374.25$166.17$315.87$449.1
Vaginal delivery onlyCPT5940940$3,028$2,271$914.75$1,922.9$3,094.93
C-section delivery onlyCPT5951432$6,015$4,511.25$2,003$3,909.75$5,413.5
office
Office visit, established patient, 5 minCPT9921140$131$98.25$42.94$87.77$125.44
Office visit, established patient, 10-19 minCPT9921240$255$191.25$42.94$127.5$229.5
Office visit, established patient, 20-29 minutesCPT9921340$369$276.75$42.94$148.5$332.1
Office visit, established patient, 30-39 minutesCPT9921440$567$425.25$42.94$168.3$510.3
Office visit, established patient, 40-54 minCPT9921540$711$533.25$42.94$189$639.9
preventive
Upper GI endoscopy diagnosticCPT4323540$3,364$2,523$869.16$2,129.41$3,027.6
Upper GI endoscopy with biopsyCPT4323940$3,649$2,736.75$869.16$2,309.82$3,284.1
Sigmoidoscopy diagnosticCPT4533040$2,076$1,557$691.31$1,314.11$1,868.4
Sigmoidoscopy with biopsyCPT4533140$2,598$1,948.5$845.19$1,644.53$2,338.2
Colonoscopy diagnosticCPT4537840$3,337$2,502.75$845.19$2,112.32$3,003.3
Colonoscopy with biopsyCPT4538040$3,385$2,538.75$1,093.05$2,142.71$3,046.5
Colonoscopy with polyp removalCPT4538540$3,297$2,472.75$1,093.05$2,087$2,967.3
surgery
Total shoulder arthroplastyCPT2347215$17,048$17,048$17,901
Total hip replacementCPT2713015$11,928$11,928$12,524
Total knee replacementCPT2744715$11,928$11,928$12,524
Shoulder arthroscopy with decompressionCPT298261$2,453.36$2,453.36$2,453.36
Shoulder arthroscopy with rotator cuff repairCPT2982716$4,118.4$6,622.52$6,953.65
Knee arthroscopy with meniscectomyCPT2988116$2,693.6$3,007.88$3,158.28
ACL reconstructionCPT2988816$2,453.36$6,622.52$6,953.65
Major small/large bowel procedures w MCCMS-DRG32915$45,226$45,226$47,488
Major small/large bowel procedures w CCMS-DRG33015$24,484$24,484$25,709
Major small/large bowel procedures w/o CC/MCCMS-DRG33115$17,850$17,850$18,742
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41815$17,919$17,919$18,815
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41915$14,746$14,746$15,484
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42015$35,337$35,337$37,103
Open appendectomyCPT4495015$5,784.5$5,784.5$6,073.72
Laparoscopic appendectomyCPT4497015$5,408.69$5,408.69$5,679.12
Major joint replacement w MCCMS-DRG46915$32,909$32,909$34,554
Major joint replacement w/o MCCMS-DRG47015$20,033$20,033$21,034
Laparoscopic cholecystectomyCPT4756215$5,408.69$5,408.69$5,679.12
Lap cholecystectomy with cholangiographyCPT4756315$5,408.69$5,408.69$5,679.12
Hip & femur procedures except major joint w MCCMS-DRG48015$29,858$29,858$31,351
Hip & femur procedures except major joint w CCMS-DRG48115$21,796$21,796$22,886
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48215$17,249$17,249$18,111
Open umbilical hernia repairCPT495601$2,693.6$2,693.6$2,693.6
Umbilical hernia repair age 5+CPT495851$2,693.6$2,693.6$2,693.6
Lap inguinal hernia repairCPT4965016$2,693.6$5,408.69$5,679.12
Vaginal hysterectomyCPT5826015$4,576.29$4,576.29$4,805.1
Lap-assisted vaginal hysterectomyCPT5855016$5,408.69$5,408.69$6,786
Lap-assisted vaginal hysterectomy >250gCPT5855215$9,651.62$9,651.62$10,134
Lap salpingo-oophorectomyCPT5866116$4,118.4$5,408.69$5,679.12
OR procedure for obesity w MCCMS-DRG61915$27,862$27,862$29,255
OR procedure for obesity w CCMS-DRG62015$17,347$17,347$18,215
OR procedure for obesity w/o CC/MCCMS-DRG62115$16,089$16,089$16,893
Complex cataract surgeryCPT6698216$2,114.33$2,114.33$4,914
Cataract surgery with lens implantCPT6698416$2,114.33$2,114.33$4,914
Intravitreal injectionCPT6702815$307.49$307.49$322.86
Vitrectomy mechanicalCPT6704215$3,729.35$3,729.35$3,915.82
Uterine & adnexa procedures w CC/MCCMS-DRG74315$13,639$13,639$14,321
Uterine & adnexa procedures w/o CC/MCCMS-DRG74415$20,670$20,670$21,704
PCI single major coronary arteryCPT9292015$5,285.54$5,285.54$5,549.81
PCI with drug-eluting stentCPT9292815$10,513$10,513$11,039
PCI bypass graftCPT9293740$39,092$29,319$10,513$24,745$35,183
Left heart catheterizationCPT9345240$20,147$15,110$2,981.74$12,995$18,132
Coronary angiography with cathCPT9345540$11,746$8,809.5$2,981.74$7,576.17$14,352
Coronary angiography with bypass cathCPT9345840$22,622$16,967$2,981.74$14,352$20,360

Payer mix (top 30)

PayerCodes coveredMedian rate
Anthem BCBS173$331.07
Aetna172$402.27
UnitedHealthcare172$355.21
Cigna172$341.19
summacare172$369.38
medical mutual of ohio172$369.12
the health plan172$354.2
WellCare171$331.07
devoted health171$331.07
Humana171$331.07
Molina171$331.07
paramount171$341.01
perennial advantage of ohio171$347.63
primetime health plan171$331.07
valor health plans171$347.63
university health employee plan (contigo)63$496
First Health52$481.95
fortified provider network52$510.3
health ohio network52$379.89
healthsmart52$368.55
sunrise plain communities52$283.5
immergrun52$340.2
jp farley52$331.8
beech street52$497.7
medical mutual traditional/health ohio52$396.9
amish church fund and workers aid plan52$283.5
Multiplan52$510.3
ohio health choice52$473.88
ohio preferred network52$497.7
amish aid community plan52$283.5