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 |
|---|---|---|---|---|
| Cmv pcr-sendout CPT 87496 | $522.00 | $870.00 | not published | 0 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $60,696.00 | $101,160.00 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $58.20 | $97.00 | not published | 0 |
| Cocaine 4 % nasal solution HCPCS C9046 | $99.24 | $165.40 | not published | 0 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $31,351.55 | $52,252.59 | not published | 0 |
| Coch implant microphone repl HCPCS L8616 | $774.14 | $1,290.24 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $58.20 | $97.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $223.06 | $371.76 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $149.58 | $249.30 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $360.73 | $601.21 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $247.23 | $412.05 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $145.80 | $243.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $145.80 | $243.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $18.00 | $30.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $5,863.02 | $9,771.70 | $922.00 – $940.44 | 4 |
| Colonoscopy w/control bleed CPT 45382 | $9,683.71 | $16,139.52 | $1,186.40 – $1,210.12 | 4 |
| Colonoscopy (with biopsy) CPT 45380 | $9,497.94 | $15,829.90 | $1,186.40 – $1,210.12 | 4 |
| Colonoscopy (with polyp removal) CPT 45385 | $9,037.66 | $15,062.77 | $1,186.40 – $1,210.12 | 4 |
| Colonoscopy w/resection CPT 45390 | $8,156.48 | $13,594.13 | $2,751.90 – $2,751.90 | 3 |
| Combination bilateral ho HCPCS L1690 | $4,575.46 | $7,625.76 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $104.40 | $174.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $234.00 | $390.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $93.60 | $156.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $110.40 | $184.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $11,824.80 | $19,708.00 | $1,637.46 – $1,670.21 | 4 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $9,099.42 | $15,165.70 | $1,637.46 – $1,637.46 | 1 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,305.00 | $2,175.00 | not published | 0 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,302.00 | $2,170.00 | not published | 0 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $1,110.60 | $1,851.00 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $837.00 | $1,395.00 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $14,995.68 | $24,992.80 | $2,879.85 – $2,879.85 | 2 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $1,110.60 | $1,851.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $552.60 | $921.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,116.00 | $1,860.00 | not published | 0 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $1,110.60 | $1,851.00 | not published | 0 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $2,183.35 | $3,638.92 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $34.20 | $57.00 | not published | 0 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $18,356.42 | $30,594.03 | not published | 0 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $15,868.98 | $26,448.30 | $3,209.41 – $3,273.60 | 4 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,700.52 | $2,834.20 | not published | 0 |
| Connect omega .5mm HCPCS L8613 | $7,673.66 | $12,789.44 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $8,114.09 | $13,523.48 | not published | 0 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $1,356.60 | $2,261.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $100.20 | $167.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $274.80 | $458.00 | not published | 0 |
| Contrast baths charges CPT 97034 | $64.20 | $107.00 | not published | 0 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,746.40 | $6,244.00 | not published | 0 |
| Contrast exam thoracic aorta CPT 75600 | $3,412.80 | $5,688.00 | not published | 0 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,663.60 | $6,106.00 | not published | 0 |
| Contrast x-ray of ankle CPT 73615 | $718.20 | $1,197.00 | not published | 0 |
| Contrast x-ray of brain CPT 70015 | $1,261.20 | $2,102.00 | not published | 0 |
| Contrast x-ray of elbow CPT 73085 | $743.40 | $1,239.00 | not published | 0 |
| Contrast x-ray of hip CPT 73525 | $750.00 | $1,250.00 | not published | 0 |
| Contrast x-ray of knee joint CPT 73580 | $840.00 | $1,400.00 | not published | 0 |
| Contrast x-ray of wrist CPT 73115 | $592.20 | $987.00 | not published | 0 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $18,763.18 | $31,271.96 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $6,494.95 | $10,824.91 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $282.60 | $471.00 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $285.00 | $475.00 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $283.80 | $473.00 | not published | 0 |
| Conversion ext bil drg cath CPT 47535 | $4,454.40 | $7,424.00 | not published | 0 |
| Convert nephrostomy catheter CPT 50434 | $1,375.20 | $2,292.00 | not published | 0 |
| Coombs direct CPT 86880 | $60.60 | $101.00 | not published | 0 |
| Coombs indirect titer reference CPT 86886 | $159.60 | $266.00 | not published | 0 |
| Copper cu 64 dotatate diag HCPCS A9592 | $6,750.00 | $11,250.00 | not published | 0 |
| Core ndl bx lng/med perq CPT 32408 | $10,189.56 | $16,982.60 | $1,637.46 – $1,670.21 | 4 |
| Cor hlx vlgs double osteot CPT 28299 | $53,102.65 | $88,504.42 | $7,194.09 – $7,337.97 | 4 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $51,134.95 | $85,224.92 | $3,243.99 – $3,308.87 | 4 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $13,121.10 | $21,868.50 | not published | 0 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $74,461.64 | $124,102.73 | $12,728.77 – $12,983.34 | 4 |
| Cortisol total am CPT 82533 | $109.80 | $183.00 | not published | 0 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $361.92 | $603.20 | not published | 0 |
| Co-treatment - group 15 mins, st CPT 92508 | $193.80 | $323.00 | not published | 0 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $8,358.14 | $13,930.23 | not published | 0 |
| Covers for upright each HCPCS L1120 | $89.98 | $149.97 | not published | 0 |
| Cover wrist HCPCS L3984 | $88.18 | $146.96 | not published | 0 |
| Covid-19 lab test non-cdc HCPCS U0002 | $130.20 | $217.00 | not published | 0 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $31.80 | $53.00 | not published | 0 |
| C-peptide CPT 84681 | $33.60 | $56.00 | not published | 0 |
| Cptr-asst dir ms px CPT 20985 | $46,508.40 | $77,514.00 | $12,728.77 – $12,728.77 | 3 |
| Cranial cervical orthosis HCPCS L0112 | $16,401.38 | $27,335.63 | not published | 0 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,164.60 | $1,941.00 | not published | 0 |
| C-reactive protein CPT 86140 | $61.20 | $102.00 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $28.80 | $48.00 | not published | 0 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | $13,658.38 | $22,763.97 | $5,516.85 – $5,516.85 | 3 |
| Create eardrum opening CPT 69436 | $8,370.00 | $13,950.00 | $1,538.30 – $1,569.07 | 4 |
| Creatine kinase CPT 82550 | $51.60 | $86.00 | not published | 0 |
| Creatine kinase isoenzymes CPT 82552 | $24.60 | $41.00 | not published | 0 |
| Creatine kinase mb CPT 82553 | $133.80 | $223.00 | not published | 0 |
| Creatinine CPT 82565 | $40.20 | $67.00 | not published | 0 |
| Creatinine 24 hour urine CPT 82570 | $9.00 | $15.00 | not published | 0 |
| Creatinine clearance urine CPT 82575 | $118.20 | $197.00 | not published | 0 |
| #creutz-prot.,western blot CPT 84182 | $51.00 | $85.00 | not published | 0 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $36.00 | $60.00 | not published | 0 |
| Cryoprecipitate each unit HCPCS P9012 | $133.80 | $223.00 | not published | 0 |
| Cryopreservation sperm CPT 89259 | $274.80 | $458.00 | not published | 0 |
| Cryptococcus abs qn - sendout CPT 86641 | $72.00 | $120.00 | not published | 0 |
| CT 3d report other modality w/workstation CPT 76377 | $964.80 | $1,608.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,527.60 | $2,546.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,527.60 | $2,546.00 | 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.