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 |
|---|---|---|---|---|
| Car seat/bed test additional 30 minutes CPT 94781 | $31.80 | $53.00 | not published | 0 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $5,927.76 | $9,879.60 | $922.00 – $940.44 | 4 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $3,936.33 | $6,560.55 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $10,365.67 | $17,276.12 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $7,736.20 | $12,893.67 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $9,222.82 | $15,371.37 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $36,725.96 | $61,209.93 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $78,726.60 | $131,211.00 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $8,966.96 | $14,944.93 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $65,605.50 | $109,342.50 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $17,057.43 | $28,429.05 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $22,174.66 | $36,957.77 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $8,743.90 | $14,573.17 | not published | 0 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $10,700.10 | $17,833.50 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $5,760.16 | $9,600.27 | not published | 0 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $2,361.80 | $3,936.33 | not published | 0 |
| Catheter declot mechanical CPT 36596 | $1,780.20 | $2,967.00 | not published | 0 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $19.20 | $32.00 | not published | 0 |
| Catheter stripping venous CPT 36595 | $2,904.60 | $4,841.00 | not published | 0 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $9,895.01 | $16,491.69 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $8,515.60 | $14,192.66 | not published | 0 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $2,230.59 | $3,717.65 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $9,171.65 | $15,286.08 | not published | 0 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $214.06 | $356.76 | not published | 0 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $141.00 | $235.00 | not published | 0 |
| Cath lt/rt pulm art CPT 36014 | $633.60 | $1,056.00 | not published | 0 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $18,228.25 | $30,380.42 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $31,490.64 | $52,484.40 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | $646.80 | $1,078.00 | not published | 0 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $14,826.85 | $24,711.41 | not published | 0 |
| Cath right hrt mnpul art CPT 36013 | $605.40 | $1,009.00 | not published | 0 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $286.80 | $478.00 | not published | 0 |
| Cath segmntl pulm art CPT 36015 | $741.00 | $1,235.00 | not published | 0 |
| Cath steerable flex adv 12f HCPCS C1766 | $4,500.54 | $7,500.90 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $568.80 | $948.00 | not published | 0 |
| Cath symplicity spyral HCPCS C1735 | $41,987.52 | $69,979.20 | not published | 0 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $17,647.88 | $29,413.13 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $918.48 | $1,530.80 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $633.00 | $1,055.00 | not published | 0 |
| #cbg+cort-cbg CPT 84449 | $120.00 | $200.00 | not published | 0 |
| Cebpa gene full sequence CPT 81218 | $482.40 | $804.00 | not published | 0 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $59.58 | $99.30 | not published | 0 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $90.06 | $150.10 | not published | 0 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,053.66 | $1,756.10 | not published | 0 |
| Ceftazidime and avibactam HCPCS J0714 | $1,874.16 | $3,123.60 | not published | 0 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $151.02 | $251.70 | not published | 0 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $13.20 | $22.00 | not published | 0 |
| #celiac hla-dq8 CPT 81383 | $249.60 | $416.00 | not published | 0 |
| Cell count body fluid CPT 89050 | $55.20 | $92.00 | not published | 0 |
| Cell count w differential body fluid CPT 89051 | $66.00 | $110.00 | not published | 0 |
| Cell enumeration & id CPT 86152 | $637.20 | $1,062.00 | not published | 0 |
| Cellesta or duo per sq cm HCPCS Q4184 | $17,634.76 | $29,391.26 | not published | 0 |
| Cell function assay w/stim CPT 86352 | $210.00 | $350.00 | not published | 0 |
| Cerebrospinal fld flw imag CPT 78645 | $891.00 | $1,485.00 | not published | 0 |
| Cer post col occ/man sup adj HCPCS L0180 | $785.43 | $1,309.05 | not published | 0 |
| Cerv collar supp adj cerv ba HCPCS L0190 | $1,989.16 | $3,315.26 | not published | 0 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $8,532.30 | $14,220.50 | not published | 0 |
| #cf-97variants CPT 81220 | $570.00 | $950.00 | not published | 0 |
| Cftr gene dup/delet variants CPT 81222 | $1,096.20 | $1,827.00 | not published | 0 |
| Change cystostomy tube simple CPT 51705 | $316.80 | $528.00 | not published | 0 |
| Change g-tube to g-j perc CPT 49446 | $3,327.00 | $5,545.00 | not published | 0 |
| Change nephroureteral cath CPT 50387 | $3,515.40 | $5,859.00 | not published | 0 |
| Change of ureter tube/stent CPT 50688 | $3,115.20 | $5,192.00 | not published | 0 |
| Change of windpipe airway 31502 CPT 31502 | $1,220.40 | $2,034.00 | not published | 0 |
| Change ureter stent percut CPT 50382 | $4,622.40 | $7,704.00 | not published | 0 |
| Chemo adm cns w/lmbr punct CPT 96450 | $316.80 | $528.00 | not published | 0 |
| Chemo intralesional over 7 CPT 96406 | $923.40 | $1,539.00 | not published | 0 |
| Chemo intralesional up to 7 96405 CPT 96405 | $615.60 | $1,026.00 | not published | 0 |
| Chemotherapy injection 96542 CPT 96542 | $343.20 | $572.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $427.80 | $713.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,740.00 | $2,900.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $1,107.00 | $1,845.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $813.00 | $1,355.00 | not published | 0 |
| Chest X-ray CPT 71046 | $299.40 | $499.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $272.40 | $454.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $276.00 | $460.00 | not published | 0 |
| Chimerism anal no cell selec CPT 81267 | $537.60 | $896.00 | not published | 0 |
| Chlamydia culture CPT 87110 | $38.40 | $64.00 | not published | 0 |
| Chlamydia type CPT 87140 | $41.40 | $69.00 | not published | 0 |
| Chlnggrphy intraop addl s&i CPT 74301 | $329.40 | $549.00 | not published | 0 |
| Chloride CPT 82435 | $70.20 | $117.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $12.00 | $20.00 | not published | 0 |
| Chloroprocaine hcl injection HCPCS J2401 | $164.52 | $274.20 | not published | 0 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $154.56 | $257.60 | not published | 0 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $52.14 | $86.90 | not published | 0 |
| Cholangiogram percutaneous compl CPT 47532 | $4,772.40 | $7,954.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $1,615.80 | $2,693.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $2,992.80 | $4,988.00 | not published | 0 |
| Cholesterol CPT 82465 | $85.20 | $142.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $71.40 | $119.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $115.80 | $193.00 | not published | 0 |
| Cholinesterase CPT 82480 | $59.40 | $99.00 | not published | 0 |
| Chrom analysis CPT 88273 | $109.80 | $183.00 | not published | 0 |
| Chromatography CPT 83021 | $44.40 | $74.00 | not published | 0 |
| Chromogenic substrate assay CPT 85130 | $25.80 | $43.00 | not published | 0 |
| Chromosome analys amniotic CPT 88269 | $322.80 | $538.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $298.20 | $497.00 | not published | 0 |
| Chromosome analysis 5 CPT 88261 | $369.00 | $615.00 | not published | 0 |
| Chromosome count additional CPT 88285 | $178.20 | $297.00 | not published | 0 |
| Chromosome karyotype study CPT 88280 | $61.80 | $103.00 | 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.