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 |
|---|---|---|---|---|
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $19,448.40 | $32,414.00 | not published | 0 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $4,766.40 | $7,944.00 | not published | 0 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $13,874.40 | $23,124.00 | not published | 0 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $8,968.80 | $14,948.00 | not published | 0 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $8,968.80 | $14,948.00 | not published | 0 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $13,874.40 | $23,124.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $35,888.58 | $59,814.30 | $6,583.32 – $6,714.99 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $56,099.46 | $93,499.10 | $6,583.32 – $6,583.32 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $18,504.72 | $30,841.20 | $2,045.62 – $2,045.62 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $22,266.58 | $37,110.97 | $3,881.91 – $3,881.91 | 1 |
| Troponin quantitative CPT 84484 | $91.20 | $152.00 | not published | 0 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $445.99 | $743.31 | not published | 0 |
| Tx closed distal humerus fx CPT 24999 | $361.80 | $603.00 | not published | 0 |
| Tx closed hip disl traumatic without anes CPT 27250 | $586.80 | $978.00 | not published | 0 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $6,061.80 | $10,103.00 | not published | 0 |
| Tx closed tib shaft fx without manip CPT 27750 | $520.80 | $868.00 | not published | 0 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $12,134.27 | $20,223.78 | $3,243.99 – $3,308.87 | 3 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $20,053.02 | $33,421.70 | $3,243.99 – $3,308.87 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $520.80 | $868.00 | not published | 0 |
| Ua w/micro/comp poc CPT 81000 | $8.40 | $14.00 | not published | 0 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $168.00 | $280.00 | not published | 0 |
| Ultrasound bone density measure CPT 76977 | $345.00 | $575.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $641.40 | $1,069.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $544.80 | $908.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $609.60 | $1,016.00 | not published | 0 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $507.60 | $846.00 | not published | 0 |
| Ultrasound dx ophth b-scan CPT 76512 | $203.40 | $339.00 | not published | 0 |
| Ultrasound encephalogram CPT 76506 | $669.60 | $1,116.00 | not published | 0 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,030.20 | $1,717.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $790.20 | $1,317.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $241.80 | $403.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,441.80 | $2,403.00 | not published | 0 |
| Ultrasound guide intraoperative CPT 76998 | $836.40 | $1,394.00 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | $678.00 | $1,130.00 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $658.80 | $1,098.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $655.20 | $1,092.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $730.80 | $1,218.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $730.80 | $1,218.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $892.80 | $1,488.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $559.80 | $933.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $735.60 | $1,226.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $730.80 | $1,218.00 | not published | 0 |
| Ultrasound prostate/transrectal CPT 76872 | $533.40 | $889.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $745.20 | $1,242.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $702.00 | $1,170.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $880.20 | $1,467.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $804.60 | $1,341.00 | not published | 0 |
| Umbilical artery cath newborn 36660 CPT 36660 | $141.00 | $235.00 | not published | 0 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $27,099.91 | $45,166.52 | $5,993.77 – $6,113.65 | 4 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $23,746.96 | $39,578.27 | $5,993.77 – $6,113.65 | 4 |
| Unlisted procedure liver CPT 47399 | $5,652.60 | $9,421.00 | not published | 0 |
| Unlisted procedure microbiology CPT 87999 | $2,994.00 | $4,990.00 | not published | 0 |
| Unlisted px arthroscopy CPT 29999 | $99,974.30 | $166,623.83 | $7,194.09 – $7,337.97 | 4 |
| Unlisted px foot/toes CPT 28899 | $46,462.85 | $77,438.08 | $244.56 – $249.45 | 4 |
| Unlisted px hands/fingers CPT 26989 | $378.00 | $630.00 | not published | 0 |
| Unlisted px pelvis/hip joint CPT 27299 | $27,909.23 | $46,515.38 | $7,194.09 – $7,337.97 | 3 |
| Unlisted px small intestine CPT 44799 | $1,559.40 | $2,599.00 | not published | 0 |
| Unlisted transfusion med px CPT 86999 | $193.20 | $322.00 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | $299.40 | $499.00 | not published | 0 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $8,594.46 | $14,324.10 | $899.22 – $917.20 | 4 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $11,375.00 | $18,958.33 | $899.22 – $917.20 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | $12,874.07 | $21,456.78 | $899.22 – $917.20 | 4 |
| Urea nitrogen CPT 84520 | $87.60 | $146.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $28.80 | $48.00 | not published | 0 |
| Urea nitrogen clearance CPT 84545 | $16.20 | $27.00 | not published | 0 |
| Ureteral embolization/occl CPT 50705 | $1,375.20 | $2,292.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $612.60 | $1,021.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $746.40 | $1,244.00 | not published | 0 |
| Uric acid urine CPT 84560 | $10.80 | $18.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $27.00 | $45.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $31.80 | $53.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $89.40 | $149.00 | not published | 0 |
| Urography, antegrade CPT 74425 | $793.80 | $1,323.00 | not published | 0 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $62,967.18 | $104,945.30 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $62.88 | $104.80 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $28.50 | $47.50 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $281.34 | $468.90 | not published | 0 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $0.06 | $0.10 | not published | 0 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $124.14 | $206.90 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $354.18 | $590.30 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $208.14 | $346.90 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $89.76 | $149.60 | not published | 0 |
| Vaccine varicella live subcutaneous CPT 90716 | $408.06 | $680.10 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $16,007.74 | $26,679.57 | not published | 0 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $9.30 | $15.50 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $32.40 | $54.00 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $358.74 | $597.90 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $193.14 | $321.90 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $32.40 | $54.00 | not published | 0 |
| Varus/valgus strap padded/li HCPCS L2270 | $113.86 | $189.77 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $22.56 | $37.60 | not published | 0 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $40,434.84 | $67,391.40 | not published | 0 |
| Vein x-ray adrenal gland CPT 75840 | $3,663.60 | $6,106.00 | not published | 0 |
| Vein x-ray kidney CPT 75831 | $3,663.60 | $6,106.00 | not published | 0 |
| Vein x-ray liver CPT 75891 | $3,312.00 | $5,520.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75885 | $4,332.60 | $7,221.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75889 | $7,232.40 | $12,054.00 | not published | 0 |
| Vein x-ray liver without hemodyn CPT 75887 | $3,363.60 | $5,606.00 | not published | 0 |
| Vein x-ray skull CPT 75870 | $3,663.60 | $6,106.00 | not published | 0 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $1,063.80 | $1,773.00 | 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.