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 |
|---|---|---|---|---|
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $5,720.80 | $9,534.67 | not published | 0 |
| Exploration maxillary sinus CPT 31256 | $40,849.12 | $68,081.87 | $6,997.04 – $6,997.04 | 3 |
| Exploration of toe joint CPT 28024 | $2,528.40 | $4,214.00 | not published | 0 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,542.60 | $2,571.00 | not published | 0 |
| Explore/treat finger joint CPT 26075 | $6,061.80 | $10,103.00 | not published | 0 |
| Explore/treat finger joint CPT 26080 | $3,034.80 | $5,058.00 | not published | 0 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $35,739.59 | $59,565.98 | $3,881.91 – $3,959.55 | 3 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $11,212.20 | $18,687.00 | $1,637.46 – $1,670.21 | 4 |
| Extended steel shank HCPCS L2360 | $122.00 | $203.33 | not published | 0 |
| Extension per extension per HCPCS L2760 | $134.44 | $224.06 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $552.00 | $920.00 | not published | 0 |
| External recharg sys intern HCPCS L8689 | $2,361.80 | $3,936.33 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $309.00 | $515.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $66.60 | $111.00 | not published | 0 |
| Eye implant band 40 HCPCS C1784 | $3,740.25 | $6,233.75 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $4,543.50 | $7,572.50 | not published | 0 |
| Facial bones <3 CPT 70140 | $297.00 | $495.00 | not published | 0 |
| Facility svs dental rehab HCPCS G0330 | $40,074.25 | $66,790.42 | $3,287.07 – $3,352.82 | 4 |
| Factor ix CPT 85250 | $129.60 | $216.00 | not published | 0 |
| Factor ix recombinant nos HCPCS J7195 | $7,516.80 | $12,528.00 | not published | 0 |
| Factor viii CPT 85240 | $153.00 | $255.00 | not published | 0 |
| Factor viii recombinant nos HCPCS J7192 | $10,499.34 | $17,498.90 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $6.00 | $10.00 | not published | 0 |
| Fancc gene CPT 81242 | $316.20 | $527.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $49.20 | $82.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $54.60 | $91.00 | not published | 0 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,119.49 | $1,865.82 | not published | 0 |
| #fecal-sodium CPT 84302 | $16.20 | $27.00 | not published | 0 |
| Feeding tube reposition CPT 74355 | $1,579.80 | $2,633.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $58.20 | $97.00 | not published | 0 |
| Femoral lgth sock fx or equa HCPCS L2850 | $127.67 | $212.78 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $347.46 | $579.10 | not published | 0 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $6,361.62 | $10,602.70 | not published | 0 |
| Ferritin CPT 82728 | $102.60 | $171.00 | not published | 0 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $790.20 | $1,317.00 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $1,592.40 | $2,654.00 | not published | 0 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,592.40 | $2,654.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $130.80 | $218.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $16.20 | $27.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $22.80 | $38.00 | not published | 0 |
| Fibrin degradj d-dimer CPT 85380 | $57.00 | $95.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $27.60 | $46.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $104.40 | $174.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $99.60 | $166.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $121.20 | $202.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $90.60 | $151.00 | not published | 0 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,581.06 | $2,635.10 | not published | 0 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,185.24 | $1,975.40 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $39,264.89 | $65,441.49 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $5,434.76 | $9,057.93 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,615.20 | $2,692.00 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $2,064.00 | $3,440.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,615.20 | $2,692.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $963.00 | $1,605.00 | not published | 0 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $6,017.39 | $10,028.98 | not published | 0 |
| Fixation of knee joint CPT 27570 | $8,225.64 | $13,709.40 | $1,594.23 – $1,626.11 | 4 |
| Fix g/colon tube w/device CPT 49460 | $2,566.20 | $4,277.00 | not published | 0 |
| Flecainide (tambocor)-sendout CPT 80181 | $84.00 | $140.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $1,491.60 | $2,486.00 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $8,433.36 | $14,055.60 | $922.00 – $940.44 | 4 |
| Flex thermoplastic collar mo HCPCS L0130 | $407.54 | $679.24 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $95.40 | $159.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $565.80 | $943.00 | not published | 0 |
| Floweramniopatch, per sq cm HCPCS Q4178 | $6,716.17 | $11,193.61 | not published | 0 |
| Flt3 gene CPT 81245 | $255.60 | $426.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $183.60 | $306.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $93.90 | $156.50 | not published | 0 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $271.44 | $452.40 | not published | 0 |
| Fluidotherapy charges pt CPT 97022 | $58.80 | $98.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $1,337.40 | $2,229.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $234.60 | $391.00 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $791.40 | $1,319.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $865.80 | $1,443.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $562.80 | $938.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $90.00 | $150.00 | not published | 0 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $866.64 | $1,444.40 | not published | 0 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | $41,250.00 | $68,750.00 | not published | 0 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $4,800.00 | $8,000.00 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,956.20 | $4,927.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $2,064.00 | $3,440.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $6.00 | $10.00 | not published | 0 |
| Follow-up angiography CPT 75898 | $4,954.80 | $8,258.00 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $4,448.88 | $7,414.80 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $264.00 | $440.00 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $475.72 | $792.86 | not published | 0 |
| Foot arch supp premold metat HCPCS L3050 | $111.37 | $185.62 | not published | 0 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $81.51 | $135.85 | not published | 0 |
| Foot external keel sach foot HCPCS L5970 | $482.25 | $803.75 | not published | 0 |
| Foot insert plastazote or eq HCPCS L3002 | $382.14 | $636.90 | not published | 0 |
| Foot insert remov molded spe HCPCS L3001 | $312.97 | $521.61 | not published | 0 |
| Foot insert silicone gel eac HCPCS L3003 | $412.24 | $687.06 | not published | 0 |
| Foot lamin/prepreg composite HCPCS L3031 | $289.76 | $482.94 | not published | 0 |
| Foot longitudinal arch suppo HCPCS L3010 | $280.20 | $467.00 | not published | 0 |
| Foot longitud/metatarsal sup HCPCS L3020 | $280.20 | $467.00 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $120.35 | $200.58 | not published | 0 |
| Foot plate molded stirrup at HCPCS L2250 | $790.34 | $1,317.23 | not published | 0 |
| Foot X-ray CPT 73630 | $295.20 | $492.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $1,951.58 | $3,252.63 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,406.84 | $2,344.74 | not published | 0 |
| Formoterol fumarate, inh HCPCS J7606 | $55.80 | $93.00 | not published | 0 |
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.