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 |
|---|---|---|---|---|
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $87,481.60 | $145,802.67 | $7,194.09 – $12,728.77 | 4 |
| Ot evaluation high complexity patient/family CPT 97167 | $213.00 | $355.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $191.40 | $319.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $180.60 | $301.00 | not published | 0 |
| Other immunoelectrophoresis CPT 86325 | $42.60 | $71.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $274.80 | $458.00 | not published | 0 |
| Oth resp proc, indiv HCPCS G0238 | $109.20 | $182.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $85.20 | $142.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $71.40 | $119.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $66.60 | $111.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $88.80 | $148.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $55.80 | $93.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $113.40 | $189.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $113.40 | $189.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $63.60 | $106.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $66.00 | $110.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $84.60 | $141.00 | not published | 0 |
| Outrigger HCPCS L1080 | $123.81 | $206.35 | not published | 0 |
| Outrigger bil with vert extens HCPCS L1085 | $414.44 | $690.74 | not published | 0 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $51.90 | $86.50 | not published | 0 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $65,474.29 | $109,123.82 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $510.00 | $850.00 | not published | 0 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $8,058.36 | $13,430.60 | not published | 0 |
| Palb2 gene full gene seq CPT 81307 | $1,065.60 | $1,776.00 | not published | 0 |
| Palingen or palingen xplus HCPCS Q4173 | $15,246.72 | $25,411.20 | not published | 0 |
| Palonosetron hcl HCPCS J2469 | $90.00 | $150.00 | not published | 0 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $169.14 | $281.90 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $36,957.66 | $61,596.10 | not published | 0 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $27.12 | $45.20 | not published | 0 |
| Papaverin hcl injection HCPCS J2440 | $93.48 | $155.80 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $130.80 | $218.00 | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | $962.40 | $1,604.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $496.20 | $827.00 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $962.40 | $1,604.00 | not published | 0 |
| Paricalcitol HCPCS J2501 | $27.36 | $45.60 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $285.60 | $476.00 | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $87,481.60 | $145,802.67 | $3,243.99 – $3,308.87 | 4 |
| Partial removal finger bone CPT 26236 | $3,034.80 | $5,058.00 | not published | 0 |
| Partial removal of hand bone CPT 26230 | $12,548.46 | $20,914.10 | $3,243.99 – $3,243.99 | 2 |
| Partial removal of thyroid CPT 60220 | $44,182.31 | $73,637.18 | $5,993.77 – $6,113.65 | 4 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $11,494.09 | $19,156.81 | not published | 0 |
| Part removal of metatarsal CPT 28113 | $16,336.24 | $27,227.07 | $3,243.99 – $3,308.87 | 4 |
| Passy muir valve metal trach HCPCS L8501 | $1,053.60 | $1,756.00 | not published | 0 |
| Path clin consltj sf 5-20 CPT 80503 | $133.80 | $223.00 | not published | 0 |
| Patten bottom HCPCS L2370 | $757.24 | $1,262.07 | not published | 0 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $54.11 | $90.19 | not published | 0 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $27,725.76 | $46,209.60 | not published | 0 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $9,018.06 | $15,030.10 | not published | 0 |
| Pelv band/spread bar thigh c HCPCS L1640 | $1,120.07 | $1,866.78 | not published | 0 |
| Pelvic control band & belt b HCPCS L2640 | $743.50 | $1,239.16 | not published | 0 |
| Pelvic control band & belt u HCPCS L2630 | $547.83 | $913.05 | not published | 0 |
| Pelvic control hip heavy dut HCPCS L2620 | $591.53 | $985.88 | not published | 0 |
| Pelvic control pelvic sling HCPCS L2580 | $1,026.80 | $1,711.34 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,740.00 | $2,900.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,265.40 | $2,109.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,068.00 | $1,780.00 | not published | 0 |
| Pelvic & hip control thigh c HCPCS L1680 | $2,512.27 | $4,187.12 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $732.60 | $1,221.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $256.80 | $428.00 | not published | 0 |
| Pelv & thor control gluteal HCPCS L2650 | $327.43 | $545.71 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $30,679.98 | $51,133.30 | not published | 0 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $20,619.30 | $34,365.50 | not published | 0 |
| Peng benzathine/procaine inj HCPCS J0558 | $1,050.30 | $1,750.50 | not published | 0 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,594.26 | $2,657.10 | not published | 0 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $135.36 | $225.60 | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $31,123.99 | $51,873.31 | not published | 0 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $753.06 | $1,255.10 | not published | 0 |
| Perc cryo ablate renal tum CPT 50593 | $8,894.40 | $14,824.00 | not published | 0 |
| Perc rf ablate renal tumor CPT 50592 | $15,211.80 | $25,353.00 | not published | 0 |
| Percut ablate liver rf CPT 47382 | $5,652.60 | $9,421.00 | not published | 0 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $284.40 | $474.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,213.80 | $2,023.00 | not published | 0 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $2,065.80 | $3,443.00 | not published | 0 |
| Peritoneogram rs&i CPT 74190 | $995.40 | $1,659.00 | not published | 0 |
| Perit-vens shunt pat tst CPT 78291 | $618.60 | $1,031.00 | not published | 0 |
| Permanent tear duct plug HCPCS A4263 | $301.79 | $502.98 | not published | 0 |
| Peroneal straps pair pre ots HCPCS L0980 | $40.44 | $67.40 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | $2,730.60 | $4,551.00 | not published | 0 |
| Perq dev breast 1st strtctc CPT 19283 | $3,929.40 | $6,549.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47538 | $12,962.40 | $21,604.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47539 | $10,801.20 | $18,002.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47540 | $10,801.20 | $18,002.00 | not published | 0 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $34,784.52 | $57,974.20 | not published | 0 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $389.93 | $649.89 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,060.20 | $6,767.00 | not published | 0 |
| Pet CT whole body initial CPT 78816 | $4,060.20 | $6,767.00 | not published | 0 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,832.80 | $6,388.00 | not published | 0 |
| Pet image w/ct lmtd CPT 78814 | $3,867.00 | $6,445.00 | not published | 0 |
| Pet scan brain perf study CPT 78609 | $3,832.80 | $6,388.00 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $112,395.34 | $187,325.57 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $36.00 | $60.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $52.20 | $87.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $18.00 | $30.00 | not published | 0 |
| Ph body fluid CPT 83986 | $30.00 | $50.00 | not published | 0 |
| Phencyclidine (pcp) CPT 83992 | $49.20 | $82.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $154.32 | $257.20 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $55.80 | $93.00 | not published | 0 |
| Phentolaine mesylate inj HCPCS J2760 | $2,210.76 | $3,684.60 | not published | 0 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $6.00 | $10.00 | not published | 0 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $6.30 | $10.50 | 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.