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 |
|---|---|---|---|---|
| Phenytoin total therapeutic drug level CPT 80185 | $66.00 | $110.00 | not published | 0 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $42,088.82 | $70,148.03 | $3,130.45 – $3,193.06 | 4 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $32,012.93 | $53,354.88 | $5,516.85 – $5,627.18 | 4 |
| Phosphorus 24 hour urine CPT 84105 | $12.00 | $20.00 | not published | 0 |
| Phys blood bank serv reactj CPT 86078 | $136.20 | $227.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $55.80 | $93.00 | not published | 0 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $1,717.48 | $2,862.46 | not published | 0 |
| Pin caspar distraction 12mm HCPCS C1821 | $24,142.82 | $40,238.04 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,116.00 | $1,860.00 | not published | 0 |
| Pinworm exam CPT 87172 | $38.40 | $64.00 | not published | 0 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $114.66 | $191.10 | not published | 0 |
| Place cath intracranial art CPT 36228 | $5,756.40 | $9,594.00 | not published | 0 |
| Place cath xtrnl carotid CPT 36227 | $4,771.80 | $7,953.00 | not published | 0 |
| Place duod/jej tube perc CPT 49441 | $3,428.40 | $5,714.00 | not published | 0 |
| Place gastrostomy tube perc CPT 49440 | $1,816.20 | $3,027.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,966.80 | $3,278.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,245.00 | $2,075.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,550.40 | $2,584.00 | not published | 0 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $1,886.40 | $3,144.00 | not published | 0 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $1,289.40 | $2,149.00 | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $24,115.80 | $40,193.00 | not published | 0 |
| Place non-slctv cath thoracic arta CPT 36221 | $4,744.20 | $7,907.00 | not published | 0 |
| Place right device/marker pros CPT 55876 | $3,418.80 | $5,698.00 | not published | 0 |
| Place slctv cath carotd art uni CPT 36224 | $9,666.00 | $16,110.00 | not published | 0 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $7,747.80 | $12,913.00 | not published | 0 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $11,017.80 | $18,363.00 | not published | 0 |
| Place slctv cath subclavian art CPT 36225 | $5,836.20 | $9,727.00 | not published | 0 |
| Place slctv cath vertebral art uni CPT 36226 | $6,378.60 | $10,631.00 | not published | 0 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $117.60 | $196.00 | not published | 0 |
| Plas shoe insert w ank joint HCPCS L2180 | $247.36 | $412.26 | not published | 0 |
| Plastic mod low ext pad/line HCPCS L2275 | $351.65 | $586.08 | not published | 0 |
| Plastic mold recipro hip & c HCPCS L2627 | $5,056.93 | $8,428.21 | not published | 0 |
| Platelet pheresis each unit HCPCS P9034 | $1,275.00 | $2,125.00 | not published | 0 |
| Platelet pheresis irr ea HCPCS P9036 | $1,182.00 | $1,970.00 | not published | 0 |
| Platelets each unit HCPCS P9019 | $265.80 | $443.00 | not published | 0 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,842.00 | $3,070.00 | not published | 0 |
| Platelets irradiated ea unit HCPCS P9032 | $225.60 | $376.00 | not published | 0 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $232.20 | $387.00 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $232.20 | $387.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,069.80 | $1,783.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,069.80 | $1,783.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,347.00 | $2,245.00 | not published | 0 |
| Plating chrome/nickel pr bar HCPCS L2750 | $184.93 | $308.21 | not published | 0 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $5,062.80 | $8,438.00 | not published | 0 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $19,448.40 | $32,414.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $7,060.20 | $11,767.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $7,060.20 | $11,767.00 | not published | 0 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $2,730.60 | $4,551.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $3,929.40 | $6,549.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,550.40 | $2,584.00 | not published | 0 |
| Plmt biliary drainage cath CPT 47534 | $5,807.40 | $9,679.00 | not published | 0 |
| Plmt nephroureteral catheter CPT 50433 | $3,702.00 | $6,170.00 | not published | 0 |
| Plmt ureteral stent prq CPT 50694 | $7,060.20 | $11,767.00 | not published | 0 |
| Pms2 gene dup/delet variants CPT 81319 | $541.80 | $903.00 | not published | 0 |
| Pneum full leg splnt pre ots HCPCS L4370 | $309.50 | $515.83 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $138.60 | $231.00 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5450 | $598.11 | $996.85 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5460 | $1,389.71 | $2,316.18 | not published | 0 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | $3,339.01 | $5,565.01 | not published | 0 |
| Post-operative body jacket HCPCS L1310 | $4,247.46 | $7,079.10 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $10.20 | $17.00 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $22.86 | $38.10 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $34.80 | $58.00 | not published | 0 |
| Pq biliary strict dil s&i CPT 74363 | $2,656.20 | $4,427.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,824.60 | $3,041.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $25,109.89 | $41,849.82 | $7,194.09 – $7,194.09 | 3 |
| Pq thr inj ext pse CPT 36002 | $417.00 | $695.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $9,685.20 | $16,142.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $9,685.20 | $16,142.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $9,685.20 | $16,142.00 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $6,061.80 | $10,103.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $363.00 | $605.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $490.20 | $817.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $606.60 | $1,011.00 | not published | 0 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $84,574.46 | $140,957.43 | $12,728.77 – $12,983.34 | 4 |
| Pr correction hammertoe CPT 28285 | $84,360.17 | $140,600.28 | $3,243.99 – $3,308.87 | 4 |
| Prcrd drg 6+yr without anomly CPT 33017 | $3,162.00 | $5,270.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $30,943.76 | $51,572.93 | $3,494.80 – $3,564.70 | 4 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $349.80 | $583.00 | not published | 0 |
| Prealbumin CPT 84134 | $34.20 | $57.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $3.00 | $5.00 | not published | 0 |
| Prednisone 1 mg tablet HCPCS J7512 | $3.00 | $5.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $7,378.92 | $12,298.20 | $1,902.48 – $1,940.53 | 4 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $918.00 | $1,530.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $730.80 | $1,218.00 | not published | 0 |
| Prep bk ptb open end socket HCPCS L5535 | $4,585.93 | $7,643.22 | not published | 0 |
| Prep bk ptb thermopls molded HCPCS L5530 | $3,998.60 | $6,664.34 | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $15,601.64 | $26,002.73 | $403.03 – $403.03 | 3 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $18,378.55 | $30,630.92 | $732.74 – $747.40 | 4 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $3,015.60 | $5,026.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $101.40 | $169.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $251.40 | $419.00 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $174.00 | $290.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $336.60 | $561.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $54.60 | $91.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $3,985.20 | $6,642.00 | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $13,711.92 | $22,853.20 | $1,637.46 – $1,670.21 | 2 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $9,999.72 | $16,666.20 | $403.03 – $411.10 | 3 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $15,008.40 | $25,014.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $2,415.60 | $4,026.00 | 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.