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 |
|---|---|---|---|---|
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,456.00 | $5,760.00 | not published | 0 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,456.00 | $5,760.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $72.60 | $121.00 | not published | 0 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $10.08 | $16.80 | not published | 0 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $29.82 | $49.70 | not published | 0 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $422.40 | $704.00 | not published | 0 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | $31,792.70 | $52,987.83 | $6,997.04 – $6,997.04 | 2 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $49,842.50 | $83,070.83 | $6,997.04 – $6,997.04 | 3 |
| Natriuretic peptide CPT 83880 | $181.20 | $302.00 | not published | 0 |
| Natural killer cells total count CPT 86357 | $192.00 | $320.00 | not published | 0 |
| Navigational bronchoscopy 31627 CPT 31627 | $29,357.44 | $48,929.07 | $6,997.04 – $7,136.98 | 3 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $30.00 | $50.00 | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | $36.00 | $60.00 | not published | 0 |
| Ndl round specialty proguide HCPCS C1715 | $910.60 | $1,517.67 | not published | 0 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,740.00 | $2,900.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,527.60 | $2,546.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $898.80 | $1,498.00 | not published | 0 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $14.10 | $23.50 | not published | 0 |
| Neox 100 or clarix 100 HCPCS Q4156 | $6,429.34 | $10,715.57 | not published | 0 |
| Neurolysis celiac plexus CPT 64680 | $1,542.00 | $2,570.00 | not published | 0 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $2,826.28 | $4,710.47 | not published | 0 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | $435.00 | $725.00 | not published | 0 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $733.68 | $1,222.80 | not published | 0 |
| N-invas est c ffr sw aly cta CPT 75580 | $2,776.20 | $4,627.00 | not published | 0 |
| Nipple/areola reconst 19350 CPT 19350 | $17,746.24 | $29,577.07 | $3,881.91 – $6,714.99 | 4 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $101.52 | $169.20 | not published | 0 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $5,302.80 | $8,838.00 | not published | 0 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $3,883.20 | $6,472.00 | not published | 0 |
| Njx interlaminar crv/thrc CPT 62325 | $1,877.40 | $3,129.00 | not published | 0 |
| Njx interlaminar lmbr/sac CPT 62327 | $1,804.20 | $3,007.00 | not published | 0 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,668.00 | $2,780.00 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,947.00 | $3,245.00 | not published | 0 |
| Nm imaging bone/joint whole body CPT 78306 | $1,535.40 | $2,559.00 | not published | 0 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,424.40 | $2,374.00 | not published | 0 |
| Nm imaging gastric emptying study CPT 78264 | $1,330.80 | $2,218.00 | not published | 0 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,220.40 | $2,034.00 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,066.80 | $1,778.00 | not published | 0 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,793.40 | $2,989.00 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,552.80 | $2,588.00 | not published | 0 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,374.00 | $2,290.00 | not published | 0 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $2,250.60 | $3,751.00 | not published | 0 |
| Non-card vasc flow imaging CPT 78445 | $927.00 | $1,545.00 | not published | 0 |
| Non-corrosive finish HCPCS L2780 | $149.74 | $249.56 | not published | 0 |
| Novachor 1 sq cm HCPCS Q4194 | $6,560.55 | $10,934.25 | not published | 0 |
| Npm1 gene CPT 81310 | $410.40 | $684.00 | not published | 0 |
| Nras gene variants exon 2&3 CPT 81311 | $788.40 | $1,314.00 | not published | 0 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $48,522.08 | $80,870.13 | $6,997.04 – $7,136.98 | 4 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $36,379.40 | $60,632.33 | $6,997.04 – $7,136.98 | 4 |
| Ntrk translocation analysis CPT 81194 | $979.80 | $1,633.00 | not published | 0 |
| Nuclear rx intra-arterial CPT 79445 | $448.80 | $748.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,200.60 | $7,001.00 | not published | 0 |
| Nudt15 gene common variants CPT 81306 | $486.60 | $811.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $3,904.84 | $6,508.07 | not published | 0 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $829.80 | $1,383.00 | not published | 0 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $588.00 | $980.00 | not published | 0 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $90.00 | $150.00 | not published | 0 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $35,254.08 | $58,756.80 | not published | 0 |
| Offset knee joint each HCPCS L2390 | $242.19 | $403.65 | not published | 0 |
| Offset knee joint heavy duty HCPCS L2395 | $346.13 | $576.89 | not published | 0 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $2,624.22 | $4,373.70 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $149.82 | $249.70 | not published | 0 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $6,362.34 | $10,603.90 | not published | 0 |
| Oncoprotein her-2/neu CPT 83950 | $383.40 | $639.00 | not published | 0 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $3.00 | $5.00 | not published | 0 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $6.00 | $10.00 | not published | 0 |
| Open bx/exc inguinofem nodes CPT 38531 | $19,958.37 | $33,263.95 | $3,881.91 – $3,959.55 | 4 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $22,905.06 | $38,175.10 | $7,194.09 – $7,337.97 | 4 |
| Opn ax/subcla art expos CPT 34715 | $1,269.60 | $2,116.00 | not published | 0 |
| Opn impltj nea sacral nerve CPT 64581 | $61,979.36 | $103,298.93 | $19,234.03 – $19,618.71 | 4 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $101,635.58 | $169,392.63 | $30,593.52 – $31,205.39 | 4 |
| Optx clavicular fx w/int fix CPT 23515 | $38,636.65 | $64,394.42 | $7,194.09 – $7,194.09 | 3 |
| Optx medial ankle fx CPT 27766 | $27,649.88 | $46,083.13 | $7,194.09 – $7,194.09 | 3 |
| Optx prox humrl fx w/int fix CPT 23615 | $38,011.04 | $63,351.73 | $12,728.77 – $12,983.34 | 4 |
| Optx ulnar shft fx int fixj CPT 25545 | $21,369.17 | $35,615.28 | $7,194.09 – $7,337.97 | 3 |
| Oral aprepitant HCPCS J8501 | $489.12 | $815.20 | not published | 0 |
| Oral everolimus HCPCS J7527 | $131.58 | $219.30 | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $144.00 | $240.00 | not published | 0 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $5,014.74 | $8,357.90 | not published | 0 |
| Ortho dvc repair per 15 min HCPCS L4205 | $590.45 | $984.08 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $621.81 | $1,036.35 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $1,466.94 | $2,444.90 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $2,761.15 | $4,601.92 | not published | 0 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $457.80 | $763.00 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $583.18 | $971.97 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $691.69 | $1,152.82 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $227.39 | $378.98 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $583.18 | $971.97 | not published | 0 |
| Orthopedic shoe add rub insl HCPCS L3510 | $69.17 | $115.29 | not published | 0 |
| Ortho shoe add leather insol HCPCS L3500 | $69.17 | $115.29 | not published | 0 |
| Ortho shoe add march bar HCPCS L3595 | $99.25 | $165.41 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $1,306.86 | $2,178.10 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $767.06 | $1,278.43 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $2,135.43 | $3,559.05 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $426.00 | $710.00 | not published | 0 |
| O shoe add horseshoe toe tap HCPCS L3560 | $54.11 | $90.19 | not published | 0 |
| O shoe add instep extension HCPCS L3570 | $201.67 | $336.12 | not published | 0 |
| O shoe add instep velcro clo HCPCS L3580 | $153.46 | $255.77 | not published | 0 |
| O shoe add standard toe tap HCPCS L3550 | $21.15 | $35.25 | not published | 0 |
| O shoe convert to sof counte HCPCS L3590 | $126.41 | $210.68 | not published | 0 |
| Osmolality blood CPT 83930 | $16.20 | $27.00 | 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.