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 |
|---|---|---|---|---|
| Chromosome study additional CPT 88289 | $71.40 | $119.00 | not published | 0 |
| Chylomicron screen, bf - sendout CPT 82664 | $108.00 | $180.00 | not published | 0 |
| Cilastatin sodium injection HCPCS J0743 | $147.36 | $245.60 | not published | 0 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $15.84 | $26.40 | not published | 0 |
| Circum 28 days or older CPT 54161 | $20,493.05 | $34,155.08 | $3,494.80 – $3,564.70 | 4 |
| Circumcision (newborn) CPT 54150 | $3,271.20 | $5,452.00 | not published | 0 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $205.56 | $342.60 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $958.20 | $1,597.00 | not published | 0 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $709.38 | $1,182.30 | not published | 0 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $28,866.42 | $48,110.70 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $5,064.74 | $8,441.24 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $898.12 | $1,496.86 | not published | 0 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $16.92 | $28.20 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $520.80 | $868.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $3,034.80 | $5,058.00 | not published | 0 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $433.80 | $723.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $3,034.80 | $5,058.00 | not published | 0 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $520.80 | $868.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $3,599.40 | $5,999.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $589.80 | $983.00 | not published | 0 |
| Closed tx orbit without manipulj CPT 21400 | $1,125.60 | $1,876.00 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,520.60 | $4,201.00 | not published | 0 |
| Closed tx septal&nose fx CPT 21337 | $5,155.80 | $8,593.00 | not published | 0 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $856.80 | $1,428.00 | not published | 0 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,956.20 | $4,927.00 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $4,606.80 | $7,678.00 | not published | 0 |
| Clot factor fletcher fact CPT 85292 | $121.20 | $202.00 | not published | 0 |
| Clot factor wght kininogen CPT 85293 | $128.40 | $214.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $62.40 | $104.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $33.60 | $56.00 | not published | 0 |
| Clot factor xiii fibrin stab CPT 85290 | $216.60 | $361.00 | not published | 0 |
| Clotting assay whole blood CPT 85396 | $28.80 | $48.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $588.00 | $980.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $520.80 | $868.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $589.80 | $983.00 | not published | 0 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $3,034.80 | $5,058.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $520.80 | $868.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $3,034.80 | $5,058.00 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $520.80 | $868.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $520.80 | $868.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $520.80 | $868.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $583.80 | $973.00 | not published | 0 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $520.80 | $868.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $591.00 | $985.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,528.40 | $4,214.00 | not published | 0 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $3,034.80 | $5,058.00 | not published | 0 |
| Clsd tx fracture of radius 25500 CPT 25500 | $520.80 | $868.00 | not published | 0 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $760.80 | $1,268.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $760.80 | $1,268.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $520.80 | $868.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $3,566.40 | $5,944.00 | not published | 0 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $520.80 | $868.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $3,619.80 | $6,033.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $520.80 | $868.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $591.00 | $985.00 | not published | 0 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $520.80 | $868.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $520.80 | $868.00 | not published | 0 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,125.60 | $1,876.00 | not published | 0 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $520.80 | $868.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $520.80 | $868.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $585.00 | $975.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $520.80 | $868.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $520.80 | $868.00 | not published | 0 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $5,155.80 | $8,593.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $3,520.20 | $5,867.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $578.40 | $964.00 | not published | 0 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $520.80 | $868.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $3,520.20 | $5,867.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $520.80 | $868.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $520.80 | $868.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $3,034.80 | $5,058.00 | not published | 0 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $520.80 | $868.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $3,560.40 | $5,934.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $3,520.20 | $5,867.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,619.80 | $6,033.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $594.60 | $991.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $594.60 | $991.00 | not published | 0 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $520.80 | $868.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $3,566.40 | $5,944.00 | not published | 0 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $520.80 | $868.00 | not published | 0 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $520.80 | $868.00 | not published | 0 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $520.80 | $868.00 | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $520.80 | $868.00 | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $520.80 | $868.00 | not published | 0 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $520.80 | $868.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $520.80 | $868.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $3,569.40 | $5,949.00 | not published | 0 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $3,034.80 | $5,058.00 | not published | 0 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $520.80 | $868.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $3,034.80 | $5,058.00 | not published | 0 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $520.80 | $868.00 | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $3,034.80 | $5,058.00 | not published | 0 |
| Cltx mndblr fx w/mnpj CPT 21451 | $2,956.20 | $4,927.00 | not published | 0 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $4,296.60 | $7,161.00 | not published | 0 |
| Cltx post ankle fx CPT 27767 | $520.80 | $868.00 | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | $3,034.80 | $5,058.00 | not published | 0 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $3,619.80 | $6,033.00 | not published | 0 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $520.80 | $868.00 | not published | 0 |
| Cltx thigh fx w/mnpj CPT 27268 | $2,599.80 | $4,333.00 | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $67.80 | $113.00 | 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.