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 |
|---|---|---|---|---|
| Endoscopy bowel pouch/biop CPT 44386 | $7,024.38 | $11,707.30 | $1,902.48 – $1,940.53 | 4 |
| Endoscopy maxillary sinus CPT 31267 | $35,671.51 | $59,452.52 | $6,997.04 – $7,136.98 | 4 |
| Endoscopy swallow (fees) vid CPT 92612 | $440.40 | $734.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $3,163.80 | $5,273.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $8,135.08 | $13,558.47 | not published | 0 |
| Endoskel knee-shin mnl lock HCPCS L5810 | $1,097.21 | $1,828.69 | not published | 0 |
| Endovasc tempory vessel occl CPT 61623 | $9,590.40 | $15,984.00 | not published | 0 |
| Endovenous rf abl vein addl CPT 36476 | $33,086.96 | $55,144.93 | $5,516.85 – $5,627.18 | 4 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $144.66 | $241.10 | not published | 0 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $25.80 | $43.00 | not published | 0 |
| Entamoeb hist dispr ag ia CPT 87336 | $164.40 | $274.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $162.60 | $271.00 | not published | 0 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $1,076.93 | $1,794.88 | not published | 0 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $307.48 | $512.47 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $3,060.60 | $5,101.00 | $876.90 – $876.90 | 3 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $62.04 | $103.40 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $1,154.52 | $1,924.20 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,906.02 | $3,176.70 | not published | 0 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $4,618.08 | $7,696.80 | not published | 0 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $249.36 | $415.60 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $46.80 | $78.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $46.80 | $78.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $46.80 | $78.00 | not published | 0 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $406.08 | $676.80 | not published | 0 |
| Ercp biliary & pancreas CPT 74330 | $1,558.20 | $2,597.00 | not published | 0 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $26,422.71 | $44,037.85 | $6,018.92 – $6,139.30 | 4 |
| Ercp ea duct/ampulla dilate CPT 43277 | $14,236.84 | $23,728.07 | $3,822.46 – $3,898.91 | 4 |
| Ercp remove duct calculi 43264 CPT 43264 | $16,212.58 | $27,020.97 | $3,822.46 – $3,898.91 | 4 |
| Ercp remove forgn body duct 43275 CPT 43275 | $15,270.22 | $25,450.37 | $1,902.48 – $1,940.53 | 4 |
| Ercp stent exchange w/dilate CPT 43276 | $13,221.76 | $22,036.27 | $6,018.92 – $6,139.30 | 4 |
| Ercp w/specimen collection CPT 43260 | $8,921.13 | $14,868.55 | $3,822.46 – $3,898.91 | 4 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $7,191.00 | $11,985.00 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $63.66 | $106.10 | not published | 0 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $495.18 | $825.30 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $584.34 | $973.90 | not published | 0 |
| Esophageal dilat s&i CPT 74360 | $1,032.60 | $1,721.00 | not published | 0 |
| Esophagus motility study CPT 91010 | $2,502.60 | $4,171.00 | $369.96 – $377.36 | 4 |
| Esoph balloon distension tst CPT 91040 | $7,255.84 | $12,093.07 | $369.96 – $377.36 | 4 |
| Esoph egd dilation <30 mm CPT 43249 | $8,515.37 | $14,192.28 | $1,902.48 – $1,940.53 | 4 |
| Establish access to aorta CPT 36160 | $882.00 | $1,470.00 | not published | 0 |
| Establish access to artery CPT 36100 | $965.40 | $1,609.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $58.20 | $97.00 | not published | 0 |
| Ethylene glycol -sendout CPT 82693 | $191.40 | $319.00 | not published | 0 |
| Etoposide 50 mg cap HCPCS J8560 | $259.68 | $432.80 | not published | 0 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $390.00 | $650.00 | not published | 0 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $75.60 | $126.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $289.20 | $482.00 | not published | 0 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $7,712.40 | $12,854.00 | not published | 0 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $7,712.40 | $12,854.00 | not published | 0 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $2,923.88 | $4,873.13 | not published | 0 |
| Ewho w/joint(s) cf HCPCS L3764 | $1,686.43 | $2,810.71 | not published | 0 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $11,384.40 | $18,974.00 | $2,879.85 – $2,937.44 | 3 |
| Exc abd les sc 3 cm/> CPT 22903 | $14,402.58 | $24,004.30 | $2,879.85 – $2,937.44 | 4 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $35,739.59 | $59,565.98 | $3,881.91 – $3,881.91 | 2 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $31,643.76 | $52,739.60 | $2,879.85 – $2,937.44 | 3 |
| Exc back tum deep 5 cm/> CPT 21933 | $14,897.94 | $24,829.90 | $2,879.85 – $2,937.44 | 4 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $9,033.36 | $15,055.60 | $1,637.46 – $1,637.46 | 2 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $2,776.80 | $4,628.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,539.00 | $2,565.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $12,381.36 | $20,635.60 | $702.07 – $702.07 | 3 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $14,776.80 | $24,628.00 | $2,879.85 – $2,937.44 | 2 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $2,805.00 | $4,675.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $15,980.94 | $26,634.90 | $2,879.85 – $2,879.85 | 2 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $12,498.48 | $20,830.80 | $2,879.85 – $2,937.44 | 4 |
| Exc forearm les sc 3 cm/> CPT 25071 | $10,849.14 | $18,081.90 | $1,637.46 – $1,637.46 | 3 |
| Exc hand les sc < 1.5 cm CPT 26115 | $7,080.72 | $11,801.20 | $1,637.46 – $1,670.21 | 4 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | $11,263.32 | $18,772.20 | $1,637.46 – $1,637.46 | 3 |
| Exchange biliary drg cath CPT 47536 | $2,893.20 | $4,822.00 | not published | 0 |
| Exchange drainage catheter CPT 49423 | $1,455.60 | $2,426.00 | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $2,290.80 | $3,818.00 | not published | 0 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $12,453.54 | $20,755.90 | $2,879.85 – $2,879.85 | 2 |
| Excise foot tendon sheath CPT 28086 | $70,541.95 | $117,569.92 | $12,728.77 – $12,728.77 | 3 |
| Excise parotid gland/lesion CPT 42415 | $74,322.81 | $123,871.35 | $5,869.15 – $5,986.53 | 4 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $35,739.59 | $59,565.98 | $2,879.85 – $3,881.91 | 4 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $12,363.96 | $20,606.60 | $702.07 – $702.07 | 3 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $9,949.80 | $16,583.00 | $1,637.46 – $1,670.21 | 3 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $15,199.98 | $25,333.30 | $2,879.85 – $2,879.85 | 1 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $15,980.94 | $26,634.90 | $1,637.46 – $2,879.85 | 3 |
| Excision breast lesion CPT 19125 | $22,761.90 | $37,936.50 | $3,881.91 – $3,881.91 | 3 |
| Excision olecranon bursa CPT 24105 | $15,980.04 | $26,633.40 | $3,243.99 – $3,308.87 | 4 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $27,161.28 | $45,268.80 | $1,637.46 – $1,670.21 | 4 |
| Excis partial tal calc CPT 28120 | $123,348.25 | $205,580.42 | $12,728.77 – $12,983.34 | 4 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | $12,836.58 | $21,394.30 | $2,879.85 – $2,937.44 | 4 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $18,078.30 | $30,130.50 | $702.07 – $716.11 | 2 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $14,995.68 | $24,992.80 | $2,879.85 – $2,879.85 | 1 |
| Exc malig feenl >4cm 11646 CPT 11646 | $13,478.64 | $22,464.40 | $2,879.85 – $2,879.85 | 3 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $11,824.80 | $19,708.00 | $1,637.46 – $1,670.21 | 3 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $11,824.80 | $19,708.00 | $1,637.46 – $1,637.46 | 1 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $16,847.40 | $28,079.00 | $702.07 – $702.07 | 3 |
| Exc neck tum deep < 5 cm CPT 21556 | $31,643.76 | $52,739.60 | $3,881.91 – $3,959.55 | 3 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $6,231.60 | $10,386.00 | not published | 0 |
| Exc prtl bn phlnx toe CPT 28124 | $11,764.32 | $19,607.20 | $3,243.99 – $3,308.87 | 4 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $17,413.08 | $29,021.80 | $2,879.85 – $2,879.85 | 2 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $15,084.48 | $25,140.80 | $702.07 – $716.11 | 4 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $11,871.12 | $19,785.20 | $2,879.85 – $2,937.44 | 4 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $20,642.76 | $34,404.60 | $1,637.46 – $1,637.46 | 3 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $13,968.66 | $23,281.10 | $2,879.85 – $2,937.44 | 4 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $9,894.60 | $16,491.00 | $1,594.23 – $1,626.11 | 4 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $16,006.08 | $26,676.80 | $1,637.46 – $1,670.21 | 4 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $17,300.70 | $28,834.50 | $1,637.46 – $1,637.46 | 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.