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 |
|---|---|---|---|---|
| Inj, levothyroxine, freskabi HCPCS J0651 | $1,086.18 | $1,810.30 | not published | 0 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $49.86 | $83.10 | not published | 0 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $2,190.00 | $3,650.00 | not published | 0 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $6.00 | $10.00 | not published | 0 |
| Inj meropenem (wg crit care) HCPCS J2183 | $148.50 | $247.50 | not published | 0 |
| Inj multihance HCPCS A9577 | $120.60 | $201.00 | not published | 0 |
| Inj. mycophenolate mofetil HCPCS J7519 | $327.12 | $545.20 | not published | 0 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,496.40 | $2,494.00 | not published | 0 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $2,881.20 | $4,802.00 | not published | 0 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $2,881.20 | $4,802.00 | not published | 0 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $122.40 | $204.00 | not published | 0 |
| Inj ogivri 10 mg HCPCS Q5114 | $13,387.80 | $22,313.00 | not published | 0 |
| Inj proc ankle arthr CPT 27648 | $286.80 | $478.00 | not published | 0 |
| Inj proc elbow arthro CPT 24220 | $350.40 | $584.00 | not published | 0 |
| Inj proc for lymphang CPT 38790 | $2,300.40 | $3,834.00 | not published | 0 |
| Inj proc myelogram lumbar CPT 62284 | $1,265.40 | $2,109.00 | not published | 0 |
| Inj proc sialogram CPT 42550 | $324.00 | $540.00 | not published | 0 |
| Inj progesterone per 50 mg HCPCS J2675 | $6.00 | $10.00 | not published | 0 |
| Inj retro urethrocysto CPT 51610 | $225.00 | $375.00 | not published | 0 |
| Inj scleros sol mult veins CPT 36471 | $1,475.40 | $2,459.00 | not published | 0 |
| Inj scleros sol sgl vein CPT 36470 | $1,167.60 | $1,946.00 | not published | 0 |
| Inj secretin synthetic human HCPCS J2850 | $1,275.00 | $2,125.00 | not published | 0 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $17,142.84 | $28,571.40 | not published | 0 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $388.74 | $647.90 | not published | 0 |
| Inj testosterone cypionate HCPCS J1071 | $26.88 | $44.80 | not published | 0 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $2,190.00 | $3,650.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $1,095.60 | $1,826.00 | not published | 0 |
| Inj. tigecycline (accord) HCPCS J3244 | $88.14 | $146.90 | not published | 0 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $8,460.30 | $14,100.50 | not published | 0 |
| Inj, vasopressin (baxter) HCPCS J2601 | $338.40 | $564.00 | not published | 0 |
| Inj vocal cord bulking agent HCPCS L8607 | $1,928.80 | $3,214.67 | not published | 0 |
| Inj w/fluor eval cv device CPT 36598 | $595.20 | $992.00 | not published | 0 |
| Ins cath ren art 1st bi CPT 36252 | $6,487.80 | $10,813.00 | not published | 0 |
| Ins cath ren art 1st uni CPT 36251 | $5,941.20 | $9,902.00 | not published | 0 |
| Ins cath ren art 2nd+ bi CPT 36254 | $7,426.80 | $12,378.00 | not published | 0 |
| Ins cath ren art 2nd+ uni CPT 36253 | $7,426.80 | $12,378.00 | not published | 0 |
| Insert and remove bone pin CPT 20650 | $6,061.80 | $10,103.00 | not published | 0 |
| Insert cath pleura with image CPT 32557 | $4,102.80 | $6,838.00 | not published | 0 |
| Insert cath pleura without image CPT 32556 | $3,940.80 | $6,568.00 | not published | 0 |
| Insert hepatic shunt (tips) CPT 37182 | $17,757.60 | $29,596.00 | not published | 0 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $4,197.60 | $6,996.00 | not published | 0 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $10,500.00 | $17,500.00 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $6,815.40 | $11,359.00 | not published | 0 |
| Insertion of catheter vein CPT 36481 | $1,371.00 | $2,285.00 | not published | 0 |
| Insertion of catheter vein CPT 36500 | $542.40 | $904.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $9,278.40 | $15,464.00 | not published | 0 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $10,309.20 | $17,182.00 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,109.00 | $3,515.00 | not published | 0 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $3,481.20 | $5,802.00 | not published | 0 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $131,581.03 | $219,301.72 | $31,120.14 – $31,742.54 | 4 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $6,076.80 | $10,128.00 | not published | 0 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $6,076.80 | $10,128.00 | not published | 0 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $8,203.80 | $13,673.00 | not published | 0 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $14,206.43 | $23,677.38 | $3,130.45 – $3,193.06 | 4 |
| Insert sq defib electrode CPT 33271 | $12,890.40 | $21,484.00 | not published | 0 |
| Insert vad art access left hrt arterial access CPT 33990 | $3,677.40 | $6,129.00 | not published | 0 |
| Insert vad art access left hrt art & vein access CPT 33991 | $3,677.40 | $6,129.00 | not published | 0 |
| Insitu hybridization (fish) CPT 88366 | $568.80 | $948.00 | not published | 0 |
| Insitu hybridization manual CPT 88368 | $187.20 | $312.00 | not published | 0 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $117.00 | $195.00 | not published | 0 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $506.40 | $844.00 | not published | 0 |
| Insj perq vad r hrt venous CPT 33995 | $4,876.20 | $8,127.00 | not published | 0 |
| Ins mark abd/pel for right perq CPT 49411 | $3,214.20 | $5,357.00 | not published | 0 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $174.51 | $290.85 | not published | 0 |
| Ins picad w subq port 5yr> CPT 36571 | $2,904.60 | $4,841.00 | not published | 0 |
| Ins pq tunnld ip cath w/img CPT 49418 | $9,992.40 | $16,654.00 | not published | 0 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $69,173.69 | $115,289.48 | $30,593.52 – $31,205.39 | 4 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $31,950.60 | $53,251.00 | not published | 0 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $8,416.80 | $14,028.00 | not published | 0 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $8,144.40 | $13,574.00 | not published | 0 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $61,979.36 | $103,298.93 | $19,234.03 – $19,234.03 | 3 |
| Inst fibrinolysis agent ini day CPT 32561 | $1,284.60 | $2,141.00 | not published | 0 |
| Insti hexaminolevulinate hcl HCPCS A9589 | $3,357.66 | $5,596.10 | not published | 0 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,904.60 | $4,841.00 | not published | 0 |
| Ins tun intraperit dia cath CPT 49421 | $5,850.00 | $9,750.00 | not published | 0 |
| Insulin total CPT 83525 | $28.20 | $47.00 | not published | 0 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $12,123.56 | $20,205.93 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $39,765.49 | $66,275.81 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $9,145.40 | $15,242.34 | not published | 0 |
| Interdental fixation CPT 21110 | $2,956.20 | $4,927.00 | not published | 0 |
| Interdiscal perq aspir dx CPT 62267 | $3,070.20 | $5,117.00 | not published | 0 |
| Interfyl, 1 mg HCPCS Q4171 | $5,248.44 | $8,747.40 | not published | 0 |
| Intracran angioplsty w/stent CPT 61635 | $8,257.80 | $13,763.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $37.20 | $62.00 | not published | 0 |
| Intro cath dialysis circuit CPT 36901 | $2,475.00 | $4,125.00 | not published | 0 |
| Intro cath dialysis circuit w/pta CPT 36902 | $8,121.00 | $13,535.00 | not published | 0 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $21,241.20 | $35,402.00 | not published | 0 |
| Intro catheter aorta CPT 36200 | $1,604.40 | $2,674.00 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $1,131.00 | $1,885.00 | not published | 0 |
| Intro long gi tube CPT 44500 | $954.00 | $1,590.00 | not published | 0 |
| Intro long gi tube w/mult fluo CPT 74340 | $1,355.40 | $2,259.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,993.80 | $3,323.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $6.00 | $10.00 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $240.00 | $400.00 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $3.00 | $5.00 | not published | 0 |
| Iron CPT 83540 | $45.60 | $76.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $324.48 | $540.80 | not published | 0 |
| Ivc venogram s&i CPT 75825 | $3,663.60 | $6,106.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $241.80 | $403.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $301.20 | $502.00 | 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.