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 |
|---|---|---|---|---|
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $2,246.40 | $3,744.00 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $175.20 | $292.00 | not published | 0 |
| Alpha-fetoprotein amniotic CPT 82106 | $43.20 | $72.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $51.60 | $86.00 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $39,707.28 | $66,178.80 | not published | 0 |
| Alt/sgpt CPT 84460 | $36.60 | $61.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $54.60 | $91.00 | not published | 0 |
| Alveoloplasty each quadrant CPT 41874 | $40,074.25 | $66,790.42 | $3,287.07 – $3,352.82 | 4 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $33.84 | $56.40 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $32.88 | $54.80 | not published | 0 |
| Aminolevulinic acid delta CPT 82135 | $36.60 | $61.00 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $18.06 | $30.10 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $13.38 | $22.30 | not published | 0 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $823.20 | $1,372.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $6,061.80 | $10,103.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $216.60 | $361.00 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $736.44 | $1,227.40 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $60.48 | $100.80 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $34.80 | $58.00 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $5,304.60 | $8,841.00 | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $9,878.46 | $16,464.10 | $3,243.99 – $3,308.87 | 4 |
| Amylase CPT 82150 | $63.00 | $105.00 | not published | 0 |
| Ana ds-dna CPT 86226 | $28.20 | $47.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $235.80 | $393.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $178.20 | $297.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $93.00 | $155.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $80.40 | $134.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $5,892.00 | $9,820.00 | not published | 0 |
| Androstanediol CPT 82154 | $62.40 | $104.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $562.20 | $937.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $7,054.80 | $11,758.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $346.32 | $577.20 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $7,921.80 | $13,203.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $7,921.80 | $13,203.00 | not published | 0 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $8,466.00 | $14,110.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $8,466.00 | $14,110.00 | not published | 0 |
| Anidulafungin injection HCPCS J0348 | $861.30 | $1,435.50 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29898 | $36,223.64 | $60,372.73 | $3,243.99 – $3,308.87 | 4 |
| Ankle X-ray CPT 73610 | $329.40 | $549.00 | not published | 0 |
| Anterior asis pad HCPCS L1250 | $187.13 | $311.89 | not published | 0 |
| Anterior swing band HCPCS L2335 | $665.14 | $1,108.56 | not published | 0 |
| Anterior thoracic derotation HCPCS L1260 | $223.16 | $371.94 | not published | 0 |
| Anterior thoracic extension HCPCS L1220 | $515.37 | $858.95 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $91.20 | $152.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $151.20 | $252.00 | not published | 0 |
| Antibody htlv/hiv confirm test CPT 86689 | $48.60 | $81.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $16.80 | $28.00 | not published | 0 |
| Antibody htlv-ii CPT 86688 | $16.80 | $28.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $448.80 | $748.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $283.80 | $473.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $44.40 | $74.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $75.00 | $125.00 | not published | 0 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $17,107.20 | $28,512.00 | not published | 0 |
| Anti mog serum - sendout CPT 86362 | $164.40 | $274.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $20.40 | $34.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $24.60 | $41.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $25.80 | $43.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $41.40 | $69.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $36.60 | $61.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $114.00 | $190.00 | not published | 0 |
| Antithrombin iii injection HCPCS J7197 | $9,633.60 | $16,056.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81410 | $1,437.00 | $2,395.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81411 | $1,437.00 | $2,395.00 | not published | 0 |
| Apc gene dup/delet variants CPT 81203 | $465.60 | $776.00 | not published | 0 |
| Apc gene full sequence CPT 81201 | $1,297.20 | $2,162.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $399.60 | $666.00 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $19,169.15 | $31,948.58 | $5,993.77 – $6,113.65 | 4 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,298.00 | $3,830.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $1,939.20 | $3,232.00 | not published | 0 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $1,939.20 | $3,232.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $5,681.40 | $9,469.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,939.20 | $3,232.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $1,553.40 | $2,589.00 | not published | 0 |
| Appl hip spica cast 1 leg CPT 29305 | $544.20 | $907.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $149.40 | $249.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $363.00 | $605.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $50,096.76 | $83,494.60 | $7,194.09 – $7,337.97 | 4 |
| Application multi layer compression below knee (both sides) CPT 29581 | $1,057.20 | $1,762.00 | not published | 0 |
| Application of cylinder cast 29365 CPT 29365 | $544.20 | $907.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $282.60 | $471.00 | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $282.60 | $471.00 | not published | 0 |
| Application of long leg cast CPT 29355 | $544.20 | $907.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $544.20 | $907.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $1,081.20 | $1,802.00 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $745.80 | $1,243.00 | not published | 0 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $6,198.95 | $10,331.58 | $732.74 – $747.40 | 4 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,553.40 | $2,589.00 | not published | 0 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $6,547.43 | $10,912.38 | not published | 0 |
| Appl mltpln uni ext fixj sys CPT 20692 | $28,813.01 | $48,021.68 | $12,728.77 – $12,728.77 | 3 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $58.20 | $97.00 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $58.20 | $97.00 | not published | 0 |
| Appl modality 1+lllt po pain CPT 97037 | $60.60 | $101.00 | not published | 0 |
| Apply forearm splintdynamic 29126 CPT 29126 | $283.80 | $473.00 | not published | 0 |
| Apply halo w/removal cranial CPT 20661 | $1,026.00 | $1,710.00 | not published | 0 |
| Apply hand/wrist cast 29085 CPT 29085 | $282.60 | $471.00 | not published | 0 |
| Apply interstit radiat compl CPT 77778 | $1,903.80 | $3,173.00 | not published | 0 |
| Apply of finger splint 29131 CPT 29131 | $149.40 | $249.00 | not published | 0 |
| Apply rigid leg cast 29445 CPT 29445 | $955.20 | $1,592.00 | not published | 0 |
| Apply short leg castambul type 29425 CPT 29425 | $633.60 | $1,056.00 | not published | 0 |
| #aptt mix-1:1 incubated CPT 87532 | $40.80 | $68.00 | 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.