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 |
|---|---|---|---|---|
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $831.00 | $1,385.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $14,575.80 | $24,293.00 | $198.92 – $202.90 | 4 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,397.40 | $2,329.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $22,510.40 | $37,517.33 | $1,637.46 – $1,670.21 | 4 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $11,467.62 | $19,112.70 | $1,936.01 – $1,974.73 | 4 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $15,627.23 | $26,045.38 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,707.20 | $4,512.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $12.66 | $21.10 | not published | 0 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $3.00 | $5.00 | not published | 0 |
| Prolactin CPT 84146 | $203.40 | $339.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | $3.00 | $5.00 | not published | 0 |
| Promethazine hcl injection HCPCS J2550 | $6.00 | $10.00 | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $131.76 | $219.60 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $36.12 | $60.20 | not published | 0 |
| Prostatectomy (turp) CPT 52601 | $18,954.62 | $31,591.03 | $5,315.89 – $5,422.21 | 3 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $6,822.97 | $11,371.62 | not published | 0 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $430.37 | $717.29 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $82.43 | $137.38 | not published | 0 |
| Prosthetic type socket molde HCPCS L2350 | $2,049.99 | $3,416.65 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $14.67 | $24.45 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $10.08 | $16.80 | not published | 0 |
| Protect body sock ea pre ots HCPCS L0984 | $139.40 | $232.33 | not published | 0 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $4,589.53 | $7,649.21 | not published | 0 |
| Protein c activity CPT 85303 | $155.40 | $259.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $31.80 | $53.00 | not published | 0 |
| Protein s total CPT 85305 | $150.60 | $251.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $10.20 | $17.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $24.00 | $40.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $10.80 | $18.00 | not published | 0 |
| Prothrombin complex kcentra HCPCS J7168 | $12,873.60 | $21,456.00 | not published | 0 |
| Prp i/hern init block >5 yr CPT 49507 | $31,645.89 | $52,743.15 | $3,549.75 – $3,620.74 | 4 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $30,001.20 | $50,002.00 | not published | 0 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $13,395.17 | $22,325.28 | $7,194.09 – $7,337.97 | 3 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $13,152.00 | $21,920.00 | $1,637.46 – $1,637.46 | 2 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $462.60 | $771.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $463.80 | $773.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $941.40 | $1,569.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $941.40 | $1,569.00 | not published | 0 |
| Pr robotic surgical system HCPCS S2900 | $0.01 | $0.01 | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,665.60 | $2,776.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $160.80 | $268.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $63.00 | $105.00 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $67.80 | $113.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $64.20 | $107.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $69.60 | $116.00 | not published | 0 |
| Pten gene dup/delet variant CPT 81323 | $798.00 | $1,330.00 | not published | 0 |
| Pten gene full sequence CPT 81321 | $1,597.20 | $2,662.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $205.80 | $343.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $141.60 | $236.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $166.20 | $277.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $116.40 | $194.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $126.60 | $211.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $123.00 | $205.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $59.40 | $99.00 | not published | 0 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $45.00 | $75.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $80.40 | $134.00 | not published | 0 |
| Pulmonary vent imaging CPT 78579 | $974.40 | $1,624.00 | not published | 0 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $1,128.41 | $1,880.69 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $161.40 | $269.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $883.80 | $1,473.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,038.60 | $1,731.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $13,462.25 | $22,437.08 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $4,461.17 | $7,435.29 | not published | 0 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,978.80 | $3,298.00 | not published | 0 |
| Pvb thoracic single inj site CPT 64461 | $1,978.80 | $3,298.00 | not published | 0 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $49.08 | $81.80 | not published | 0 |
| Pyruvate CPT 84210 | $24.60 | $41.00 | not published | 0 |
| Pyruvate kinase CPT 84220 | $39.60 | $66.00 | not published | 0 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,552.80 | $2,588.00 | not published | 0 |
| Quant diff pulm perf w/imaging CPT 78597 | $974.40 | $1,624.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $16.20 | $27.00 | not published | 0 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $14,698.68 | $24,497.80 | not published | 0 |
| Radiation handling CPT 77790 | $462.60 | $771.00 | not published | 0 |
| Radiation therapy dose plan CPT 77300 | $276.60 | $461.00 | not published | 0 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,402.20 | $2,337.00 | not published | 0 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,942.00 | $6,570.00 | not published | 0 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,339.20 | $2,232.00 | not published | 0 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,365.20 | $3,942.00 | not published | 0 |
| Radphm lcl tumor plr sgl day CPT 78800 | $841.20 | $1,402.00 | not published | 0 |
| Rapid Strep Test CPT 87880 | $73.20 | $122.00 | not published | 0 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $23,911.08 | $39,851.80 | not published | 0 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,030.20 | $1,717.00 | not published | 0 |
| Rbc irradiated each unit HCPCS P9038 | $760.80 | $1,268.00 | not published | 0 |
| Rbc serum pretx incubj drugs CPT 86975 | $225.00 | $375.00 | not published | 0 |
| Reconstruct ankle joint CPT 27702 | $79,877.56 | $133,129.27 | $26,901.72 – $27,439.76 | 4 |
| Reconstruction knee CPT 27427 | $96,868.76 | $161,447.93 | $7,194.09 – $7,337.97 | 4 |
| Reconstruction of nail bed CPT 11762 | $3,579.60 | $5,966.00 | not published | 0 |
| Reconstruct shoulder joint CPT 23472 | $57,285.16 | $95,475.27 | $17,383.71 – $17,383.71 | 3 |
| Red blood cells each unit HCPCS P9021 | $448.20 | $747.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $292.80 | $488.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $1,056.00 | $1,760.00 | not published | 0 |
| Red blood cells washed each unit HCPCS P9022 | $635.40 | $1,059.00 | not published | 0 |
| Redo endovas vena cava filtr CPT 37192 | $3,625.20 | $6,042.00 | not published | 0 |
| Refill/maint pump/resvr syst CPT 96522 | $195.60 | $326.00 | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $1,163.04 | $1,938.40 | not published | 0 |
| Reinforced solid stirrup HCPCS L2260 | $443.50 | $739.16 | not published | 0 |
| Relocation skin pocket pm CPT 33222 | $1,280.40 | $2,134.00 | not published | 0 |
| Rem/biv cast full arm/leg CPT 29705 | $246.60 | $411.00 | not published | 0 |
| Rem/biv cast shldr/hip spica CPT 29710 | $544.20 | $907.00 | not published | 0 |
| Rem endovas vena cava filter CPT 37193 | $7,698.00 | $12,830.00 | 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.