Fairfield Hospital
3000 Mack Rd., Fairfield, OH · Mercy · · NPI 1467552471
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 |
|---|---|---|---|---|
| Drain cath image guided visceral pq CPT 49405 | $4,383.60 | $7,306.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $740.40 | $1,234.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $460.80 | $768.00 | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,301.20 | $5,502.00 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $6,279.60 | $10,466.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $700.20 | $1,167.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $600.00 | $1,000.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $798.00 | $1,330.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $32,557.04 | $54,261.74 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $5,064.60 | $8,441.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $6,061.80 | $10,103.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $3,687.00 | $6,145.00 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $6.00 | $10.00 | not published | 0 |
| Drop lock knee HCPCS L2182 | $204.95 | $341.59 | not published | 0 |
| Drop lock retainer each HCPCS L2785 | $70.12 | $116.87 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $6,822.97 | $11,371.62 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $4,523.50 | $7,539.17 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $18,303.94 | $30,506.56 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $4,277.66 | $7,129.44 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $25,588.77 | $42,647.95 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $36,446.01 | $60,743.35 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $25,691.11 | $42,818.52 | not published | 0 |
| Drug assay caffeine CPT 80155 | $67.80 | $113.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $79.80 | $133.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $169.20 | $282.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $77.40 | $129.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $72.60 | $121.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $234.60 | $391.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $127.20 | $212.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $133.20 | $222.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $223.80 | $373.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $187.80 | $313.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $141.60 | $236.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $109.80 | $183.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $8,905.42 | $14,842.37 | $1,936.01 – $1,974.73 | 4 |
| Ductogram sgl duct CPT 77053 | $1,214.40 | $2,024.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $17,796.20 | $29,660.33 | not published | 0 |
| Dxa bone density axl vrt fx CPT 77085 | $1,083.60 | $1,806.00 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $36,792.17 | $61,320.28 | $6,997.04 – $7,136.98 | 4 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $36,792.17 | $61,320.28 | $3,696.43 – $3,770.36 | 4 |
| Dx bronchoscope/wash 31622 CPT 31622 | $11,104.91 | $18,508.18 | $1,764.66 – $1,764.66 | 3 |
| Echo exam of fetal heart CPT 76826 | $471.00 | $785.00 | not published | 0 |
| Echo exam of fetal heart CPT 76828 | $221.40 | $369.00 | not published | 0 |
| Echo exam uterus 76831- CPT 76831 | $804.60 | $1,341.00 | not published | 0 |
| Echograp trans r pros study CPT 76873 | $466.20 | $777.00 | not published | 0 |
| Echo guidance radiotherapy CPT 76965 | $669.00 | $1,115.00 | not published | 0 |
| Echo guide for amniocentesis CPT 76946 | $595.80 | $993.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $2,725.80 | $4,543.00 | not published | 0 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $57,647.40 | $96,079.00 | not published | 0 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $10,070.40 | $16,784.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $60,385.80 | $100,643.00 | not published | 0 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $2,974.80 | $4,958.00 | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $2,974.80 | $4,958.00 | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $2,974.80 | $4,958.00 | not published | 0 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $2,711.40 | $4,519.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $2,711.40 | $4,519.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $2,711.40 | $4,519.00 | not published | 0 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $28,179.36 | $46,965.60 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $70.20 | $117.00 | not published | 0 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $7,924.86 | $13,208.10 | $1,902.48 – $1,940.53 | 3 |
| Egd control bleeding any CPT 43255 | $10,473.26 | $17,455.43 | $1,902.48 – $1,940.53 | 4 |
| Egd dilate stricture CPT 43245 | $5,861.86 | $9,769.77 | $1,902.48 – $1,940.53 | 4 |
| Egd endo mucosal resection CPT 43254 | $13,861.40 | $23,102.33 | $3,822.46 – $3,822.46 | 2 |
| Egd guide wire insertion CPT 43248 | $8,259.50 | $13,765.83 | $899.22 – $917.20 | 4 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $7,328.04 | $12,213.40 | $1,902.48 – $1,940.53 | 4 |
| Egd remove foreign body CPT 43247 | $19,706.36 | $32,843.93 | $899.22 – $917.20 | 4 |
| Egd remove lesion snare CPT 43251 | $7,601.28 | $12,668.80 | $1,902.48 – $1,940.53 | 4 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $10,446.96 | $17,411.60 | $1,902.48 – $1,940.53 | 4 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $15,380.24 | $25,633.73 | $1,902.48 – $1,940.53 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $12,779.65 | $21,299.42 | $1,902.48 – $1,940.53 | 4 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $13,792.03 | $22,986.72 | $1,902.48 – $1,940.53 | 4 |
| Egd varices ligation CPT 43244 | $15,341.16 | $25,568.60 | $1,902.48 – $1,940.53 | 4 |
| Egfr gene com variants CPT 81235 | $639.00 | $1,065.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $93.00 | $155.00 | not published | 0 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | $16.80 | $28.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $14,144.54 | $23,574.24 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $123.00 | $205.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $50.40 | $84.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $654.60 | $1,091.00 | not published | 0 |
| Electrophysiology evaluation CPT 93644 | $2,301.00 | $3,835.00 | not published | 0 |
| Embolization s&i CPT 75894 | $5,979.60 | $9,966.00 | not published | 0 |
| Embo or occlude vascular arterial s&i CPT 37242 | $10,128.60 | $16,881.00 | not published | 0 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $10,128.60 | $16,881.00 | not published | 0 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $10,128.60 | $16,881.00 | not published | 0 |
| Embo or occlude vascular venous s&i CPT 37241 | $10,128.60 | $16,881.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $70.20 | $117.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $75.60 | $126.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $70.20 | $117.00 | not published | 0 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $42,088.82 | $70,148.03 | $5,516.85 – $5,627.18 | 4 |
| Endo ak/hip alignable system HCPCS L5920 | $1,165.55 | $1,942.58 | not published | 0 |
| Endo below knee alignable sy HCPCS L5910 | $801.25 | $1,335.42 | not published | 0 |
| Endo bk ultra-light material HCPCS L5940 | $1,101.88 | $1,836.47 | not published | 0 |
| Endo cath bile duct s&i CPT 74328 | $1,269.60 | $2,116.00 | not published | 0 |
| Endo cath panc duct s&i CPT 74329 | $1,269.60 | $2,116.00 | not published | 0 |
| Endo cholangiopancreatograph CPT 43261 | $21,276.26 | $35,460.43 | $6,018.92 – $6,139.30 | 4 |
| Endo cholangiopancreatograph CPT 43262 | $17,620.21 | $29,367.02 | $3,822.46 – $3,898.91 | 4 |
| Endo knee-shin frct swg & st HCPCS L5812 | $1,241.78 | $2,069.63 | not published | 0 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $1,602.08 | $2,670.14 | not published | 0 |
| Endoscopic pancreatoscopy CPT 43273 | $17,620.21 | $29,367.02 | $6,018.92 – $6,139.30 | 4 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $9,153.72 | $15,256.20 | $1,902.48 – $1,902.48 | 3 |
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.