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 |
|---|---|---|---|---|
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $173.40 | $289.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $241.80 | $403.00 | not published | 0 |
| Ivp w/nephrotomography CPT 74415 | $2,364.00 | $3,940.00 | not published | 0 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,635.00 | $2,725.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $591.00 | $985.00 | not published | 0 |
| John cunningham antibody CPT 86711 | $133.20 | $222.00 | not published | 0 |
| J-tube placement CPT 44015 | $942.00 | $1,570.00 | not published | 0 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $2,607.45 | $4,345.75 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $2,562.92 | $4,271.53 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $3,838.16 | $6,396.93 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $2,726.67 | $4,544.45 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $2,710.45 | $4,517.42 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $2,983.95 | $4,973.25 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $4,806.65 | $8,011.09 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $3,923.78 | $6,539.64 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $409.90 | $683.17 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $2,646.89 | $4,411.49 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $9,695.60 | $16,159.33 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $2,064.55 | $3,440.92 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $92.40 | $154.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $14.76 | $24.60 | not published | 0 |
| Kidney imag w/bld flow multi CPT 78709 | $1,265.40 | $2,109.00 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,059.60 | $1,766.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $744.60 | $1,241.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $10,929.88 | $18,216.46 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $12,333.83 | $20,556.39 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $319.20 | $532.00 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $69,279.41 | $115,465.68 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $68,229.72 | $113,716.20 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $28,866.42 | $48,110.70 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,928.80 | $3,214.67 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $35,629.01 | $59,381.68 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $31,351.55 | $52,252.59 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,056.52 | $3,427.54 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $16,894.02 | $28,156.70 | $3,243.99 – $3,308.87 | 4 |
| Knee arthroscopy dx CPT 29870 | $14,652.90 | $24,421.50 | $3,243.99 – $3,308.87 | 4 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $49,702.80 | $82,838.00 | $3,243.99 – $7,337.97 | 4 |
| Knee arthroscopy/surgery CPT 29874 | $17,266.08 | $28,776.80 | $3,243.99 – $3,308.87 | 4 |
| Knee arthroscopy/surgery CPT 29875 | $24,380.63 | $40,634.38 | $3,243.99 – $7,194.09 | 4 |
| Knee arthroscopy/surgery CPT 29876 | $88,694.80 | $147,824.67 | $3,243.99 – $3,308.87 | 4 |
| Knee arthroscopy/surgery CPT 29879 | $14,886.48 | $24,810.80 | $3,243.99 – $3,243.99 | 3 |
| Knee arthroscopy/surgery CPT 29880 | $69,437.26 | $115,728.77 | $3,243.99 – $3,308.87 | 4 |
| Knee arthroscopy/surgery CPT 29882 | $94,702.90 | $157,838.17 | $3,243.99 – $3,308.87 | 4 |
| Knee arthroscopy/surgery CPT 29883 | $61,501.04 | $102,501.73 | $7,194.09 – $7,337.97 | 4 |
| Knee arthroscopy/surgery CPT 29884 | $15,729.01 | $26,215.02 | $3,243.99 – $3,308.87 | 4 |
| Knee arthroscopy/surgery CPT 29888 | $89,906.47 | $149,844.12 | $7,194.09 – $7,337.97 | 4 |
| Knee control condylar pad HCPCS L2810 | $193.25 | $322.08 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $194.03 | $323.39 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $339.18 | $565.30 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $339.18 | $565.30 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $287.46 | $479.10 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $187.66 | $312.76 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $277.51 | $462.52 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $696.37 | $1,160.61 | not published | 0 |
| Knee X-ray CPT 73564 | $414.60 | $691.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $1,360.92 | $2,268.20 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $1,360.92 | $2,268.20 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $2,225.10 | $3,708.50 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $190.81 | $318.01 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $315.67 | $526.11 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $2,123.02 | $3,538.37 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $2,950.46 | $4,917.44 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $674.08 | $1,123.47 | not published | 0 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $1,892.06 | $3,153.44 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $2,768.42 | $4,614.03 | not published | 0 |
| Kras gene addl variants CPT 81276 | $319.20 | $532.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $319.20 | $532.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $254.97 | $424.95 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $367.87 | $613.11 | not published | 0 |
| Lacer molded to patient mode HCPCS L2330 | $868.72 | $1,447.87 | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $111.78 | $186.30 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $26.40 | $44.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $37.80 | $63.00 | not published | 0 |
| Lactic acid CPT 83605 | $58.20 | $97.00 | not published | 0 |
| Lactoferrin fecal qualitative CPT 83630 | $141.60 | $236.00 | not published | 0 |
| Lactoferrin fecal quant CPT 83631 | $49.80 | $83.00 | not published | 0 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $36.06 | $60.10 | not published | 0 |
| Laparo ablate renal cyst CPT 50541 | $32,579.95 | $54,299.92 | $10,538.83 – $10,749.61 | 4 |
| Laparo-asst vag hysterectomy CPT 58550 | $34,510.26 | $57,517.10 | $5,993.77 – $5,993.77 | 3 |
| Laparo cholecystectomy/graph CPT 47563 | $26,169.49 | $43,615.82 | $5,993.77 – $6,113.65 | 4 |
| Laparo partial nephrectomy CPT 50543 | $50,592.96 | $84,321.60 | $10,538.83 – $10,749.61 | 3 |
| Laparoscopic myomectomy CPT 58545 | $36,810.97 | $61,351.62 | $5,993.77 – $6,113.65 | 4 |
| Laparoscopy biopsy CPT 49321 | $35,907.00 | $59,845.00 | $5,993.77 – $6,113.65 | 4 |
| Laparoscopy excise lesions CPT 58662 | $35,907.00 | $59,845.00 | $5,993.77 – $6,113.65 | 4 |
| Laparoscopy lymphadenectomy CPT 38571 | $56,228.14 | $93,713.57 | $10,538.83 – $10,749.61 | 4 |
| Laparoscopy splenectomy CPT 38120 | $54,237.76 | $90,396.27 | $10,538.83 – $10,538.83 | 2 |
| Laparo-vag hyst incl t/o CPT 58552 | $32,013.61 | $53,356.02 | $10,538.83 – $10,749.61 | 4 |
| Lap ing hernia repair init CPT 49650 | $26,529.62 | $44,216.03 | $5,993.77 – $6,113.65 | 4 |
| Lap ing hernia repair recur CPT 49651 | $24,934.66 | $41,557.77 | $5,993.77 – $6,113.65 | 4 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $39,211.28 | $65,352.13 | $10,538.83 – $10,749.61 | 3 |
| Lap rmvl gastr adj all parts CPT 43774 | $25,492.93 | $42,488.22 | $3,822.46 – $3,898.91 | 3 |
| Lap sleeve gastrectomy CPT 43775 | $36,386.90 | $60,644.83 | $355.38 – $362.49 | 3 |
| Laps surg prst8ect rpbic rad CPT 55866 | $56,126.95 | $93,544.92 | $10,538.83 – $10,538.83 | 3 |
| Laps surg prst8ect smpl stot CPT 55867 | $44,117.59 | $73,529.32 | $10,538.83 – $10,749.61 | 3 |
| Laryngoscop w/vc inj + scope CPT 31571 | $13,161.82 | $21,936.37 | $3,696.43 – $3,770.36 | 4 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $3,670.20 | $6,117.00 | not published | 0 |
| Laryngoscopy telescopic CPT 31579 | $1,361.40 | $2,269.00 | not published | 0 |
| Laryngoscopy w/biopsy CPT 31535 | $14,695.20 | $24,492.00 | $3,696.43 – $3,770.36 | 4 |
| Laryngoscopy w/bx & op scope CPT 31536 | $15,347.88 | $25,579.80 | $3,696.43 – $3,770.36 | 4 |
| Laryngoscopy w/fb removal CPT 31530 | $3,163.80 | $5,273.00 | 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.