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 |
|---|---|---|---|---|
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,480.00 | $5,800.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $1,276.20 | $2,127.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,479.00 | $2,465.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,298.40 | $2,164.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $1,298.40 | $2,164.00 | not published | 0 |
| CT angio hrt w/3d image CPT 75574 | $499.20 | $832.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $1,740.00 | $2,900.00 | not published | 0 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,740.00 | $2,900.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $12,864.78 | $21,441.30 | $1,637.46 – $1,670.21 | 4 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $3,620.40 | $6,034.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | $45,779.38 | $76,298.97 | $3,243.99 – $3,243.99 | 3 |
| CT guid parench tis ablat CPT 77013 | $1,148.40 | $1,914.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $213.00 | $213.00 | not published | 0 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,527.60 | $2,546.00 | not published | 0 |
| CT hrt w/3d image CPT 75572 | $450.60 | $751.00 | not published | 0 |
| CT limited or localized follow-up study CPT 76380 | $633.60 | $1,056.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,527.60 | $2,546.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,074.60 | $1,791.00 | not published | 0 |
| Ctlso a-p-l control molded HCPCS L0700 | $4,710.32 | $7,850.53 | not published | 0 |
| Ctlso a-p-l control with inter HCPCS L0710 | $5,177.93 | $8,629.88 | not published | 0 |
| Ctlso axilla sling HCPCS L1010 | $197.97 | $329.95 | not published | 0 |
| Ctlso milwauke initial model HCPCS L1000 | $4,797.91 | $7,996.52 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,740.00 | $2,900.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $1,230.60 | $2,051.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $1,318.20 | $2,197.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,740.00 | $2,900.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,740.00 | $2,900.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,527.60 | $2,546.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,318.20 | $2,197.00 | not published | 0 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $528.00 | $880.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,713.80 | $4,523.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,350.20 | $3,917.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,951.20 | $3,252.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $1,527.60 | $2,546.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $1,099.80 | $1,833.00 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $230.40 | $384.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,527.60 | $2,546.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,042.20 | $1,737.00 | not published | 0 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,097.20 | $5,162.00 | not published | 0 |
| Cuffs adj lock with active con HCPCS L3740 | $2,313.75 | $3,856.25 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $57.60 | $96.00 | not published | 0 |
| Culture afb any source CPT 87116 | $111.60 | $186.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $39.00 | $65.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $102.60 | $171.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $54.00 | $90.00 | not published | 0 |
| Culture body fluid CPT 87070 | $91.20 | $152.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $202.20 | $337.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $55.20 | $92.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $91.80 | $153.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $142.20 | $237.00 | not published | 0 |
| Culture mycoplasma any source CPT 87109 | $42.00 | $70.00 | not published | 0 |
| Culture quantitative aerobic other source CPT 87071 | $96.60 | $161.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $95.40 | $159.00 | not published | 0 |
| Culture typing added method CPT 87158 | $73.20 | $122.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $27.60 | $46.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $360.60 | $601.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $94.80 | $158.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $86.40 | $144.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $9,368.47 | $15,614.11 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,482.60 | $2,471.00 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $33.60 | $56.00 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $6.00 | $10.00 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $35.40 | $59.00 | not published | 0 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $41.28 | $68.80 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $93.60 | $156.00 | not published | 0 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $10.62 | $17.70 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,922.88 | $3,204.80 | not published | 0 |
| Cygnus, per sq cm HCPCS Q4170 | $11,808.99 | $19,681.65 | not published | 0 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $38,237.64 | $63,729.40 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $239.40 | $399.00 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $291.60 | $486.00 | not published | 0 |
| Cyp2d6 gene com variants CPT 81226 | $508.80 | $848.00 | not published | 0 |
| Cystatin c CPT 82610 | $72.00 | $120.00 | not published | 0 |
| Cystic fibrosis cftr CPT 81223 | $1,597.20 | $2,662.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $121.20 | $202.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $645.60 | $1,076.00 | not published | 0 |
| Cysto impl 4 or more HCPCS C9740 | $23,981.29 | $39,968.82 | $9,385.42 – $9,573.13 | 4 |
| Cysto, litho, vacuum kidney HCPCS C9761 | $30,506.86 | $50,844.77 | $9,385.42 – $9,573.13 | 4 |
| Cystoscopy and treatment CPT 52214 | $17,710.16 | $29,516.93 | $3,494.80 – $3,564.70 | 4 |
| Cystoscopy and treatment CPT 52224 | $11,924.52 | $19,874.20 | $3,494.80 – $3,494.80 | 3 |
| Cystoscopy and treatment CPT 52235 | $19,072.94 | $31,788.23 | $3,494.80 – $3,564.70 | 4 |
| Cystoscopy and treatment CPT 52240 | $20,205.02 | $33,675.03 | $5,315.89 – $5,422.21 | 4 |
| Cystoscopy and treatment CPT 52310 | $24,918.55 | $41,530.92 | $2,072.49 – $5,422.21 | 4 |
| Cystoscopy (Bladder Scope) CPT 52000 | $9,920.22 | $16,533.70 | $691.33 – $705.15 | 3 |
| Cystoscopy chemodenervation CPT 52287 | $15,743.70 | $26,239.50 | $2,072.49 – $2,072.49 | 3 |
| Cystoscopy & ureter catheter CPT 52005 | $14,236.69 | $23,727.82 | $2,072.49 – $2,113.94 | 4 |
| Cystouretero & or pyeloscope CPT 52351 | $17,163.31 | $28,605.52 | $3,494.80 – $3,564.70 | 4 |
| Cysto/uretero stricture tx CPT 52344 | $15,657.23 | $26,095.38 | $3,494.80 – $3,564.70 | 4 |
| Cystouretero w/biopsy CPT 52354 | $19,759.54 | $32,932.57 | $5,315.89 – $5,422.21 | 4 |
| Cysto/uretero w/lithotripsy CPT 52356 | $31,520.29 | $52,533.82 | $5,315.89 – $5,422.21 | 4 |
| Cystouretero w/stone remove CPT 52352 | $12,146.25 | $20,243.75 | $3,494.80 – $3,564.70 | 4 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $11,543.14 | $19,238.57 | $2,072.49 – $2,072.49 | 3 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $22,502.72 | $37,504.53 | $2,072.49 – $2,113.94 | 4 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $90.00 | $150.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $73.80 | $123.00 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $4,171.20 | $6,952.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $60.00 | $100.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $62.40 | $104.00 | not published | 0 |
| Cytopath c/v index add-on CPT 88155 | $37.80 | $63.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $87.60 | $146.00 | 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.