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 |
|---|---|---|---|---|
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,445.64 | $2,409.40 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $182.46 | $304.10 | not published | 0 |
| Fracture assessment via dxa CPT 77086 | $1,083.60 | $1,806.00 | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $1,069.20 | $1,782.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $1,069.20 | $1,782.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $22.20 | $37.00 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $743.29 | $1,238.81 | not published | 0 |
| Ftl cgen abnor four anal CPT 81511 | $238.80 | $398.00 | not published | 0 |
| Ftl cgen abnor two proteins CPT 81508 | $103.80 | $173.00 | not published | 0 |
| Full sole/heel wedge btween HCPCS L3420 | $129.40 | $215.67 | not published | 0 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $12,363.96 | $20,606.60 | $2,045.62 – $2,045.62 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $11,824.80 | $19,708.00 | $1,637.46 – $1,637.46 | 2 |
| Furnsh initial orthosis only HCPCS L1200 | $4,234.18 | $7,056.96 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $9.48 | $15.80 | not published | 0 |
| Fusion of big toe joint CPT 28750 | $55,604.03 | $92,673.38 | $7,194.09 – $7,337.97 | 4 |
| Fusion of big toe joint CPT 28755 | $40,066.78 | $66,777.97 | $7,194.09 – $7,337.97 | 4 |
| Fusion of finger joint CPT 26860 | $18,794.75 | $31,324.58 | $3,243.99 – $3,308.87 | 4 |
| Fusion of foot bones CPT 28730 | $118,884.89 | $198,141.48 | $12,728.77 – $12,983.34 | 4 |
| Fusion of foot bones CPT 28735 | $88,658.80 | $147,764.67 | $12,728.77 – $12,728.77 | 3 |
| Fusion of foot bones CPT 28740 | $123,348.25 | $205,580.42 | $7,194.09 – $7,337.97 | 4 |
| Fusion of knuckle CPT 26850 | $21,238.76 | $35,397.93 | $7,194.09 – $7,194.09 | 3 |
| G6pc gene CPT 81250 | $123.00 | $205.00 | not published | 0 |
| G6pd full gene sequence CPT 81249 | $1,008.00 | $1,680.00 | not published | 0 |
| G6pd gene alys cmn variant CPT 81247 | $279.60 | $466.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $4,500.00 | $7,500.00 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $60.00 | $100.00 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $342.00 | $570.00 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $188.40 | $314.00 | not published | 0 |
| Galectin-3 CPT 82777 | $111.60 | $186.00 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $27,798.91 | $46,331.52 | $5,993.77 – $6,113.65 | 4 |
| Gammaglobulin iga CPT 82784 | $35.40 | $59.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $74.40 | $124.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $96.60 | $161.00 | not published | 0 |
| Gamunex-c/gammaked HCPCS J1561 | $12,851.16 | $21,418.60 | not published | 0 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $324.90 | $541.50 | not published | 0 |
| Gastrin test CPT 82938 | $37.80 | $63.00 | not published | 0 |
| Gba gene CPT 81251 | $391.20 | $652.00 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $249.90 | $416.50 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $102,132.02 | $170,220.03 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $77,676.91 | $129,461.52 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $91,847.70 | $153,079.50 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $2,395.20 | $3,992.00 | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $57,732.84 | $96,221.40 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $27.84 | $46.40 | not published | 0 |
| Ghs abscess postoperative iandd complex CPT 10180 | $4,511.40 | $7,519.00 | not published | 0 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $72.00 | $120.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $87.60 | $146.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $88.80 | $148.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,701.60 | $2,836.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $5,202.60 | $8,671.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $553.80 | $923.00 | not published | 0 |
| Ghs chemo >8 hrs CPT 96416 | $901.20 | $1,502.00 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $489.00 | $815.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $189.00 | $315.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $592.20 | $987.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $593.40 | $989.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $3,579.60 | $5,966.00 | not published | 0 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $520.80 | $868.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $3,585.60 | $5,976.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $3,750.00 | $6,250.00 | not published | 0 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $520.80 | $868.00 | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,619.80 | $6,033.00 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $3,520.20 | $5,867.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $520.80 | $868.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $584.40 | $974.00 | not published | 0 |
| Ghs community re-entry 15 minutes CPT 97537 | $70.20 | $117.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $397.20 | $662.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $583.80 | $973.00 | not published | 0 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $468.00 | $780.00 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $837.00 | $1,395.00 | not published | 0 |
| Ghs fat & muscle CPT 89160 | $30.00 | $50.00 | not published | 0 |
| Ghs fb removal foot - deep - left CPT 28192 | $19,518.24 | $32,530.40 | $1,637.46 – $1,670.21 | 4 |
| Ghs fb removal from muscle - complicated CPT 20525 | $5,495.40 | $9,159.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $3,178.80 | $5,298.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $3,178.80 | $5,298.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $446.40 | $744.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $213.00 | $355.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $103.20 | $172.00 | not published | 0 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $186.60 | $311.00 | not published | 0 |
| Ghs histoplasma antigen CPT 87385 | $134.40 | $224.00 | not published | 0 |
| Ghs HIV antibody CPT 86703 | $24.00 | $40.00 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,552.80 | $2,588.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,546.20 | $2,577.00 | not published | 0 |
| Ghs inf midline insertion CPT 36140 | $751.20 | $1,252.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $216.00 | $360.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $504.60 | $841.00 | not published | 0 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $65,119.79 | $108,532.98 | $1,936.01 – $1,974.73 | 4 |
| Ghs inj tendon origin/insertion CPT 20551 | $571.80 | $953.00 | not published | 0 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $2,922.30 | $4,870.50 | $876.90 – $894.44 | 4 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $5,264.40 | $8,774.00 | $876.90 – $894.44 | 4 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $15,980.94 | $26,634.90 | $2,879.85 – $2,879.85 | 1 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,309.20 | $2,182.00 | not published | 0 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,579.60 | $5,966.00 | not published | 0 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $465.00 | $775.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $725.40 | $1,209.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $838.20 | $1,397.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $837.00 | $1,395.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $837.00 | $1,395.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $837.00 | $1,395.00 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $835.80 | $1,393.00 | 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.