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 |
|---|---|---|---|---|
| Brace m arm board HCPCS L3809 | $9,494.43 | $15,824.05 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $567.56 | $945.94 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $3,206.80 | $5,344.66 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $734.78 | $1,224.64 | not published | 0 |
| Brace tlso flex cust HCPCS L0450 | $4,177.76 | $6,962.93 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $248.40 | $414.00 | not published | 0 |
| Brach/thor cath 1st CPT 36215 | $2,676.00 | $4,460.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $2,286.00 | $3,810.00 | not published | 0 |
| Brach/thor cath 3rd CPT 36217 | $1,237.80 | $2,063.00 | not published | 0 |
| Brach/thor cath addl CPT 36218 | $197.40 | $329.00 | not published | 0 |
| Brachy source i-125 injection HCPCS C2638 | $196.82 | $328.03 | not published | 0 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $70.85 | $118.09 | not published | 0 |
| Brachy source palladium HCPCS C2640 | $301.79 | $502.98 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $110.22 | $183.70 | not published | 0 |
| Brachy source yttrium-90 HCPCS C2616 | $53,350.39 | $88,917.32 | not published | 0 |
| Brachy src nonstrand c-131 HCPCS C2643 | $367.39 | $612.32 | not published | 0 |
| Brachy src stranded c-131 HCPCS C2642 | $20,119.03 | $33,531.71 | not published | 0 |
| Braf gene CPT 81210 | $368.40 | $614.00 | not published | 0 |
| Brain flow imaging only CPT 78610 | $859.20 | $1,432.00 | not published | 0 |
| Brain image 4+ views CPT 78605 | $847.80 | $1,413.00 | not published | 0 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $111.01 | $185.01 | not published | 0 |
| Brca1&2 gene full seq alys CPT 81163 | $2,076.00 | $3,460.00 | not published | 0 |
| Brcassure comprehensive panel-sendout CPT 81162 | $4,728.60 | $7,881.00 | not published | 0 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $9,824.88 | $16,374.80 | $1,637.46 – $1,670.21 | 4 |
| Breast punct aspir cyst, bil CPT 19000 | $1,616.40 | $2,694.00 | not published | 0 |
| Breast reconstruction 19357 CPT 19357 | $120,471.71 | $200,786.18 | $13,662.97 – $13,662.97 | 1 |
| Breast reduction CPT 19318 | $28,305.30 | $47,175.50 | $6,583.32 – $6,714.99 | 2 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $29,357.44 | $48,929.07 | $6,997.04 – $7,136.98 | 4 |
| Bronch ebus samplng 1/2 node CPT 31652 | $45,603.34 | $76,005.57 | $3,696.43 – $3,770.36 | 4 |
| Bronch ebus samplng 3/> node CPT 31653 | $16,228.00 | $27,046.67 | $3,696.43 – $3,770.36 | 4 |
| Bronchoscopy clear airways 31645 CPT 31645 | $16,203.35 | $27,005.58 | $3,696.43 – $3,696.43 | 3 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $45,603.34 | $76,005.57 | $3,696.43 – $3,770.36 | 3 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $24,562.73 | $40,937.88 | $3,696.43 – $3,770.36 | 4 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $36,792.17 | $61,320.28 | $6,997.04 – $7,136.98 | 4 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $23,578.07 | $39,296.78 | $3,696.43 – $3,770.36 | 4 |
| Br punct aspir ea add, l CPT 19001 | $171.00 | $285.00 | not published | 0 |
| Budesonide non-comp unit HCPCS J7626 | $26.64 | $44.40 | not published | 0 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $6.84 | $11.40 | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | $70.20 | $117.00 | not published | 0 |
| Bundled special stain group 2 CPT 88313 | $151.20 | $252.00 | not published | 0 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $98.04 | $163.40 | not published | 0 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $15.06 | $25.10 | not published | 0 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $8.46 | $14.10 | not published | 0 |
| Buprenorphine oral 1mg HCPCS J0571 | $804.48 | $1,340.80 | not published | 0 |
| Bur rotalink 2.15mm HCPCS C1724 | $16,926.22 | $28,210.37 | not published | 0 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $169.20 | $282.00 | not published | 0 |
| Bx bone trocar/ndl deep CPT 20225 | $1,827.60 | $3,046.00 | not published | 0 |
| Bx breast 1st lesion mr imag CPT 19085 | $5,504.40 | $9,174.00 | not published | 0 |
| Bx breast 1st lesion strtctc CPT 19081 | $17,767.25 | $29,612.08 | $1,637.46 – $1,670.21 | 4 |
| Bx breast add lesion mr imag CPT 19086 | $5,504.40 | $9,174.00 | not published | 0 |
| Bx breast add lesion strtctc CPT 19082 | $8,807.40 | $14,679.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $3,276.60 | $5,461.00 | not published | 0 |
| Bx breast perq without image 19100 CPT 19100 | $1,264.80 | $2,108.00 | not published | 0 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $28,860.40 | $48,100.67 | $3,881.91 – $3,959.55 | 4 |
| Bx liver with other CPT 47001 | $514.20 | $857.00 | not published | 0 |
| Bx pancreas pq ndl CPT 48102 | $1,060.20 | $1,767.00 | not published | 0 |
| Bx pleura pq ndl CPT 32400 | $2,494.20 | $4,157.00 | not published | 0 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $325.80 | $543.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $325.80 | $543.00 | not published | 0 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $325.80 | $543.00 | not published | 0 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $863.40 | $1,439.00 | not published | 0 |
| Bypass temp external fem-fem CPT 37799 | $7,250.40 | $12,084.00 | not published | 0 |
| C1 esterase inhibitor func - sendout CPT 86161 | $33.60 | $56.00 | not published | 0 |
| Cable cath 22-pin diag HCPCS C1730 | $36,054.16 | $60,090.26 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $921.10 | $1,535.17 | not published | 0 |
| Cadd pump refill CPT 96521 | $683.40 | $1,139.00 | not published | 0 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,080.00 | $1,800.00 | not published | 0 |
| Calcium 24 hour urine CPT 82340 | $13.80 | $23.00 | not published | 0 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $3.00 | $5.00 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $22.62 | $37.70 | not published | 0 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $178.26 | $297.10 | not published | 0 |
| Calcium ionized CPT 82330 | $101.40 | $169.00 | not published | 0 |
| Calprotectin fecal CPT 83993 | $149.40 | $249.00 | not published | 0 |
| Candida dna CPT 87480 | $33.60 | $56.00 | not published | 0 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $131,211.00 | $218,685.00 | not published | 0 |
| Cap nerve 2x15mm HCPCS C1763 | $121,160.24 | $201,933.73 | not published | 0 |
| Capsulectomy/capsulotomy hip CPT 27036 | $47,104.05 | $78,506.75 | $7,194.09 – $7,337.97 | 4 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $3,131.40 | $5,219.00 | not published | 0 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $39,751.02 | $66,251.70 | $3,243.99 – $7,337.97 | 4 |
| Cap trach decann 15mm HCPCS C1750 | $7,872.66 | $13,121.10 | not published | 0 |
| Carbamazepine free CPT 80157 | $25.80 | $43.00 | not published | 0 |
| Carbamazepine free -sendout CPT 80161 | $60.00 | $100.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $26.40 | $44.00 | not published | 0 |
| Carbohydrate deficient transf - sendout CPT 82373 | $116.40 | $194.00 | not published | 0 |
| Carbohydrate urine - sendout CPT 84377 | $20.40 | $34.00 | not published | 0 |
| Carbon dioxide CPT 82374 | $35.40 | $59.00 | not published | 0 |
| Carbon graphite lamination HCPCS L2755 | $281.18 | $468.64 | not published | 0 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $331.44 | $552.40 | not published | 0 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $631.68 | $1,052.80 | not published | 0 |
| Carcinoembryonic ag (cea) CPT 82378 | $44.40 | $74.00 | not published | 0 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,606.60 | $6,011.00 | not published | 0 |
| Cardiolipin antibody iga CPT 86147 | $133.20 | $222.00 | not published | 0 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $4,926.00 | $8,210.00 | $655.29 – $668.39 | 4 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $78.60 | $131.00 | not published | 0 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $36.60 | $61.00 | not published | 0 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $18,039.72 | $30,066.20 | not published | 0 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $1,860.60 | $3,101.00 | not published | 0 |
| Car ion chnnlpath inc 2 gns CPT 81414 | $1,860.60 | $3,101.00 | not published | 0 |
| Carotene CPT 82380 | $38.40 | $64.00 | not published | 0 |
| Carpal Tunnel Release Surgery CPT 64721 | $8,904.84 | $14,841.40 | $1,936.01 – $1,974.73 | 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.