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 |
|---|---|---|---|---|
| Revision open av fistula without thromb CPT 36832 | $20,904.12 | $34,840.20 | $5,516.85 – $5,627.18 | 4 |
| Revision tips CPT 37183 | $19,139.40 | $31,899.00 | not published | 0 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $13,380.94 | $22,301.57 | $3,466.18 – $3,535.50 | 4 |
| Rheumatoid factor quantitative CPT 86431 | $12.00 | $20.00 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $590.40 | $984.00 | not published | 0 |
| Rib gusset (elastic) each HCPCS L1280 | $206.74 | $344.56 | not published | 0 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $805.68 | $1,342.80 | not published | 0 |
| Ring flange plas/leather mol HCPCS L1110 | $753.39 | $1,255.65 | not published | 0 |
| Ring flange plastic/leather HCPCS L1100 | $449.35 | $748.91 | not published | 0 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $2,311.94 | $3,853.23 | not published | 0 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $5,575.74 | $9,292.90 | not published | 0 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $23,957.76 | $39,929.60 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $18,278.40 | $30,464.00 | not published | 0 |
| Rmvl ext fixj sys under anes CPT 20694 | $10,141.92 | $16,903.20 | $1,594.23 – $1,626.11 | 4 |
| Rmvl hpglsl nstim ary pg CPT 64584 | $38,788.44 | $64,647.40 | $3,386.90 – $3,386.90 | 3 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $28,788.00 | $47,980.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $28,788.00 | $47,980.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,969.20 | $3,282.00 | not published | 0 |
| Rmvl perq right heart vad CPT 33997 | $3,298.80 | $5,498.00 | not published | 0 |
| Rmvl pq iabp CPT 33968 | $3,784.80 | $6,308.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $3,298.80 | $5,498.00 | not published | 0 |
| Rmvl sq defib electrode CPT 33272 | $2,649.00 | $4,415.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,180.80 | $1,968.00 | not published | 0 |
| Rocker bottom, contact afo HCPCS L2232 | $229.85 | $383.09 | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $11,893.08 | $19,821.80 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $59.16 | $98.60 | not published | 0 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,221.00 | $2,035.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,036.20 | $1,727.00 | not published | 0 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,332.80 | $3,888.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,646.00 | $4,410.00 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $3,375.00 | $5,625.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $2,904.60 | $4,841.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $2,904.60 | $4,841.00 | not published | 0 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $31,047.86 | $51,746.43 | not published | 0 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $30,065.26 | $50,108.77 | $6,418.40 – $6,418.40 | 3 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $24,532.36 | $40,887.27 | $5,993.77 – $6,113.65 | 4 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $25,841.85 | $43,069.75 | $6,418.40 – $6,546.76 | 4 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $26,169.49 | $43,615.82 | $3,549.75 – $6,113.65 | 4 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $19,983.35 | $33,305.58 | $5,993.77 – $5,993.77 | 3 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $19,175.12 | $31,958.53 | $5,993.77 – $5,993.77 | 3 |
| Rpr fem hernia init blocked CPT 49553 | $19,958.37 | $33,263.95 | $3,881.91 – $3,959.55 | 4 |
| Rpr rem hernia init reduce CPT 49550 | $26,529.62 | $44,216.03 | $5,993.77 – $6,113.65 | 4 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $26,289.97 | $43,816.62 | $7,194.09 – $7,194.09 | 2 |
| Rsv assay w/optic CPT 87807 | $120.00 | $200.00 | not published | 0 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $141.60 | $236.00 | not published | 0 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $58.80 | $98.00 | not published | 0 |
| Rtm tx mgmt 1st 20 min CPT 98980 | $75.00 | $125.00 | not published | 0 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | $59.40 | $99.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $36.00 | $60.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $73.20 | $122.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $104.40 | $174.00 | not published | 0 |
| Salmonella antibody CPT 86768 | $33.60 | $56.00 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $46.80 | $78.00 | not published | 0 |
| Scan proc cranial extra CPT 61782 | $35,671.51 | $59,452.52 | $6,997.04 – $7,136.98 | 4 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $3,034.20 | $5,057.00 | not published | 0 |
| Scope plantar fasciotomy CPT 29893 | $14,020.69 | $23,367.82 | $3,243.99 – $3,308.87 | 4 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $15,351.69 | $25,586.15 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $5,570.22 | $9,283.70 | $922.00 – $940.44 | 4 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $6,109.44 | $10,182.40 | $922.00 – $940.44 | 4 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $47.40 | $79.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $263.40 | $439.00 | not published | 0 |
| Screen pap by tech w md supv HCPCS P3000 | $29.40 | $49.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $283,203.20 | $472,005.33 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $2,415.60 | $4,026.00 | not published | 0 |
| Sept9 promoter methylation analysis CPT 81327 | $439.20 | $732.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $116.40 | $194.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $1,042.80 | $1,738.00 | not published | 0 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $53.58 | $89.30 | not published | 0 |
| Sewho cap design without jnts cf HCPCS L3961 | $3,617.93 | $6,029.89 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $439.80 | $733.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $408.00 | $680.00 | not published | 0 |
| Sheath below knee HCPCS L8400 | $38.15 | $63.59 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $8,725.53 | $14,542.55 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $13,107.98 | $21,846.63 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $36,332.75 | $60,554.58 | $7,194.09 – $7,337.97 | 4 |
| Sho arthrs srg capsulorraphy CPT 29806 | $42,832.57 | $71,387.62 | $7,194.09 – $7,337.97 | 4 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $30,040.69 | $50,067.82 | $3,243.99 – $3,308.87 | 4 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $50,219.10 | $83,698.50 | $3,243.99 – $3,243.99 | 3 |
| Sho arthrs srg prtl synvct CPT 29820 | $51,307.18 | $85,511.97 | $7,194.09 – $7,337.97 | 3 |
| Sho arthrs srg rpr slap les CPT 29807 | $35,186.37 | $58,643.95 | $7,194.09 – $7,337.97 | 4 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $51,307.18 | $85,511.97 | $7,194.09 – $7,337.97 | 4 |
| Shoe clubfoot wedge HCPCS L3380 | $117.35 | $195.59 | not published | 0 |
| Shoe dennis browne splint bo HCPCS L3640 | $102.37 | $170.62 | not published | 0 |
| Shoe heel new leather standa HCPCS L3455 | $96.31 | $160.51 | not published | 0 |
| Shoe heel new rubber standar HCPCS L3460 | $81.30 | $135.50 | not published | 0 |
| Shoe heel pad & depress for HCPCS L3480 | $147.43 | $245.71 | not published | 0 |
| Shoe heel sach cushion type HCPCS L3450 | $249.70 | $416.16 | not published | 0 |
| Shoe heel thomas extend to b HCPCS L3470 | $147.43 | $245.71 | not published | 0 |
| Shoe heel thomas with wedge HCPCS L3465 | $138.50 | $230.84 | not published | 0 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $175.19 | $291.99 | not published | 0 |
| Shoe metatarsal bar between HCPCS L3410 | $219.65 | $366.08 | not published | 0 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $96.31 | $160.51 | not published | 0 |
| Shoe outflare wedge HCPCS L3390 | $117.35 | $195.59 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $288.67 | $481.11 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | $117.35 | $195.59 | not published | 0 |
| Shoe sole wedge outside sole HCPCS L3360 | $84.24 | $140.40 | not published | 0 |
| Shoe wedge sach HCPCS L3340 | $201.67 | $336.12 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $379.18 | $631.96 | not published | 0 |
| Sho insert w arch toe filler HCPCS L5000 | $1,224.38 | $2,040.64 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $123.39 | $205.65 | 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.