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 |
|---|---|---|---|---|
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $565.80 | $943.00 | not published | 0 |
| Aquaporin-4 antibody cba each CPT 86052 | $184.80 | $308.00 | not published | 0 |
| Aquaporin-4 antibody elisa CPT 86051 | $150.00 | $250.00 | not published | 0 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $80.40 | $134.00 | not published | 0 |
| Aquatic exercise - group charge CPT 97150 | $69.60 | $116.00 | not published | 0 |
| Arch supp att to shoe long/m HCPCS L3090 | $96.31 | $160.51 | not published | 0 |
| Arch supp att to shoe metata HCPCS L3080 | $75.23 | $125.39 | not published | 0 |
| Arch suprt att to sho longit HCPCS L3070 | $75.23 | $125.39 | not published | 0 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | $893.40 | $1,489.00 | not published | 0 |
| Argatroban nonesrd (accord) HCPCS J0891 | $893.40 | $1,489.00 | not published | 0 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,157.40 | $1,929.00 | not published | 0 |
| Artery-vein nonautograft CPT 36830 | $27,565.34 | $45,942.23 | $5,516.85 – $5,627.18 | 3 |
| Artery xray each vessel 7577426 CPT 75774 | $2,857.80 | $4,763.00 | not published | 0 |
| Artery xray of abdomen 75726-26 CPT 75726 | $3,663.60 | $6,106.00 | not published | 0 |
| Artery x-rays adrenal gland CPT 75731 | $3,663.60 | $6,106.00 | not published | 0 |
| Artery x-rays adrenals CPT 75733 | $3,729.00 | $6,215.00 | not published | 0 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,663.60 | $6,106.00 | not published | 0 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,729.00 | $6,215.00 | not published | 0 |
| Artery x-rays chest CPT 75756 | $3,663.60 | $6,106.00 | not published | 0 |
| Artery x-rays lung CPT 75741 | $3,450.60 | $5,751.00 | not published | 0 |
| Artery x-rays lung CPT 75746 | $3,663.60 | $6,106.00 | not published | 0 |
| Artery x-rays lungs CPT 75743 | $3,576.60 | $5,961.00 | not published | 0 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $3,663.60 | $6,106.00 | not published | 0 |
| Artery x-rays spine CPT 75705 | $4,062.60 | $6,771.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $948.60 | $1,581.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $2,325.60 | $3,876.00 | not published | 0 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $2,322.00 | $3,870.00 | not published | 0 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $948.60 | $1,581.00 | not published | 0 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $3,007.86 | $5,013.10 | $304.32 – $310.41 | 4 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $903.60 | $1,506.00 | not published | 0 |
| Arthrodesis subtalar CPT 28725 | $123,348.25 | $205,580.42 | $12,728.77 – $12,983.34 | 4 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $30,040.69 | $50,067.82 | $7,194.09 – $7,337.97 | 4 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $16,405.47 | $27,342.45 | $3,243.99 – $3,243.99 | 2 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $35,900.75 | $59,834.58 | $7,194.09 – $7,337.97 | 4 |
| Artiss fibrin sealant HCPCS C9250 | $2,143.33 | $3,572.22 | not published | 0 |
| Ascenda two piece catheter HCPCS C1772 | $29,391.26 | $48,985.44 | not published | 0 |
| Aspa gene CPT 81200 | $316.20 | $527.00 | not published | 0 |
| Asp core fat pad CPT 17999 | $466.20 | $777.00 | not published | 0 |
| Asp & inj bone cyst CPT 20615 | $1,337.40 | $2,229.00 | not published | 0 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $1,137.00 | $1,895.00 | not published | 0 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $14,563.74 | $24,272.90 | $2,072.49 – $2,072.49 | 3 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $865.80 | $1,443.00 | not published | 0 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,354.80 | $2,258.00 | not published | 0 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,615.20 | $2,692.00 | not published | 0 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $643.80 | $1,073.00 | not published | 0 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | $1,436.40 | $2,394.00 | not published | 0 |
| Assay dir meas fr estradiol CPT 82681 | $90.00 | $150.00 | not published | 0 |
| Assay of corticosterone CPT 82528 | $48.60 | $81.00 | not published | 0 |
| Assay of fluoride CPT 82735 | $39.60 | $66.00 | not published | 0 |
| Assay of glutathione CPT 82978 | $75.00 | $125.00 | not published | 0 |
| Assay of interleukin-6 (il-6) CPT 83529 | $84.00 | $140.00 | not published | 0 |
| Assay of osteocalcin CPT 83937 | $43.20 | $72.00 | not published | 0 |
| Assay of procainamide w/metab CPT 80192 | $57.00 | $95.00 | not published | 0 |
| Assay of prostaglandin CPT 84150 | $349.20 | $582.00 | not published | 0 |
| Assay of salicylate CPT 80179 | $123.00 | $205.00 | not published | 0 |
| Assay of somatostatin CPT 84307 | $502.20 | $837.00 | not published | 0 |
| Assay of tyrosine CPT 84510 | $52.80 | $88.00 | not published | 0 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $303.00 | $505.00 | not published | 0 |
| Assess cyst contrast inject CPT 49424 | $392.40 | $654.00 | not published | 0 |
| Ast/sgot CPT 84450 | $35.40 | $59.00 | not published | 0 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $59,105.76 | $98,509.60 | not published | 0 |
| Augment injectable kit 3.0cc HCPCS C1734 | $8,712.41 | $14,520.68 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $14,446.20 | $24,077.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $14,446.20 | $24,077.00 | not published | 0 |
| Autochondrocyte implant knee CPT 27412 | $73,440.89 | $122,401.48 | $7,194.09 – $7,194.09 | 1 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $1,398.60 | $2,331.00 | not published | 0 |
| Autolog prp diab wound ulcer HCPCS G0465 | $2,881.20 | $4,802.00 | not published | 0 |
| Av fuse uppr arm basilic CPT 36819 | $27,454.30 | $45,757.17 | $5,516.85 – $5,627.18 | 4 |
| Av fusion direct any site CPT 36821 | $22,569.27 | $37,615.45 | $3,130.45 – $3,193.06 | 4 |
| Avul nail plate addl CPT 11732 | $537.00 | $895.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $537.00 | $895.00 | not published | 0 |
| Azacitidine injection HCPCS J9025 | $2,984.76 | $4,974.60 | not published | 0 |
| Azathioprine 50 mg tablet HCPCS J7500 | $3.00 | $5.00 | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $33.54 | $55.90 | not published | 0 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $232.20 | $387.00 | not published | 0 |
| Baclofen eval charges CPT 97750 | $65.40 | $109.00 | not published | 0 |
| Bacterial meningitis antigen CPT 86403 | $181.80 | $303.00 | not published | 0 |
| Bacterial vaginosis pcr CPT 87801 | $319.20 | $532.00 | not published | 0 |
| #bac vag cand-c. albicans naa CPT 87481 | $67.20 | $112.00 | not published | 0 |
| Balloon dilate urtrl strix CPT 50706 | $1,375.20 | $2,292.00 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $139.80 | $233.00 | not published | 0 |
| Bausch health Ultrasound surg HCPCS V2788 | $672.75 | $1,121.25 | not published | 0 |
| B cells total count CPT 86355 | $85.20 | $142.00 | not published | 0 |
| Bckdhb gene CPT 81205 | $316.20 | $527.00 | not published | 0 |
| Below knee total contact HCPCS L5637 | $747.64 | $1,246.07 | not published | 0 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $8,160.00 | $13,600.00 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $11,934.00 | $19,890.00 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $12,616.38 | $21,027.30 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $16,696.08 | $27,826.80 | not published | 0 |
| Benign lesion paring 2-4 CPT 11056 | $352.20 | $587.00 | not published | 0 |
| Benign lesion paring 4+ CPT 11057 | $430.20 | $717.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $53.04 | $88.40 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $101.40 | $169.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $85.20 | $142.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $339.00 | $565.00 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $49.68 | $82.80 | not published | 0 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $4,064.40 | $6,774.00 | not published | 0 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $14,233.62 | $23,722.70 | not published | 0 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $12,513.36 | $20,855.60 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $2,423.76 | $4,039.60 | $304.32 – $310.41 | 4 |
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.