Mansfield Hospital
335 Glessner Avenue, Mansfield, OH · OhioHealth · · NPI 1790837235
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $81.90 | $126.00 | $29.28 – $30.45 | 3 |
| 17-hydroxypregnenolone CPT 84143 | $154.70 | $238.00 | $22.81 – $23.72 | 3 |
| 17-ketosteroids CPT 83586 | $206.70 | $318.00 | $12.80 – $13.31 | 3 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $127.12 – $132.21 | 3 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $37.36 | 3 |
| 24 hr ambulatory b/p monitor CPT 93786 | $321.10 | $494.00 | $127.04 – $132.12 | 3 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,790.75 | $2,755.00 | $748.52 – $778.46 | 3 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,515.80 | $2,332.00 | $748.52 – $778.46 | 3 |
| 2nd order venous cath CPT 36012 | $2,232.10 | $3,434.00 | not published | 0 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $122.86 – $127.78 | 3 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $122.86 – $127.78 | 3 |
| 3d ech img cgen car anomal CPT 93319 | $290.55 | $447.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $7,637.50 | $11,750.00 | $1,321.63 – $1,374.49 | 3 |
| 3d recon without postprocess indpndt CPT 76376 | $377.65 | $581.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $3,002.35 | $4,619.00 | $11.15 – $11.60 | 3 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $178.10 | $274.00 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $88.40 | $136.00 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $88.40 | $136.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $4,934.18 | $7,591.05 | $44.11 – $284.70 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $221.65 | $341.00 | $12.01 – $12.49 | 3 |
| Abciximab injection HCPCS J0130 | not published | not published | $0.07 – $0.07 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | $5,562.05 | $8,557.00 | $3,014.90 – $3,135.49 | 3 |
| Abd/low ext cath 1st CPT 36245 | $2,271.10 | $3,494.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $2,286.70 | $3,518.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $2,286.70 | $3,518.00 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $1,092.65 | $1,681.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,343.25 | $3,605.00 | $167.48 – $174.18 | 3 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,037.10 | $3,134.00 | $167.48 – $174.18 | 3 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,771.25 | $2,725.00 | $99.82 – $103.82 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,274.70 | $5,038.00 | $333.12 – $346.44 | 3 |
| Abdominal MRI (with contrast) CPT 74182 | $2,976.35 | $4,579.00 | $333.12 – $346.44 | 3 |
| Abdominal MRI (without contrast) CPT 74181 | $2,705.95 | $4,163.00 | $227.83 – $236.94 | 3 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,584.05 | $2,437.00 | $866.03 – $900.67 | 3 |
| Abdominal Ultrasound (complete) CPT 76700 | $820.30 | $1,262.00 | $99.82 – $103.82 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | $545.35 | $839.00 | $99.82 – $103.82 | 3 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $6,340.32 – $6,593.93 | 3 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,684.15 | $2,591.00 | $866.03 – $900.67 | 3 |
| Abl1 gene CPT 81170 | $682.50 | $1,050.00 | $300.00 – $312.00 | 3 |
| Ablate arrhythmia add on CPT 93655 | $4,657.25 | $7,165.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $18,739.50 | $28,830.00 | $6,928.54 – $7,205.69 | 3 |
| Ablate bone tumor(s) perq CPT 20982 | $18,465.20 | $28,408.00 | $16,742.04 – $17,411.72 | 3 |
| Ablate heart dysrhythm focus CPT 93650 | $18,951.40 | $29,156.00 | $7,447.45 – $7,745.35 | 3 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,481.52 – $1,540.78 | 3 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,481.52 – $1,540.78 | 3 |
| Ablate pulm tumor perq crybl CPT 32994 | $16,465.80 | $25,332.00 | $10,149.82 – $10,555.81 | 3 |
| Ablate pulm tumor perq rf CPT 32998 | $24,698.70 | $37,998.00 | $5,772.53 – $6,003.43 | 3 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $3,549.65 | $5,461.00 | $122.86 – $127.78 | 3 |
| Ablation cryo abd perit om CPT 49999 | $2,604.55 | $4,007.00 | $866.03 – $900.67 | 3 |
| Ablation cryo adrenal tumor CPT 60699 | $3,891.55 | $5,987.00 | $5,772.53 – $6,003.43 | 3 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $235.53 – $244.95 | 3 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $7,148.70 | $10,998.00 | $10,149.82 – $10,555.81 | 3 |
| Ablation cryo retro lymph node CPT 38999 | $304.20 | $468.00 | $421.25 – $438.10 | 3 |
| Ablation cryo thigh/knee CPT 27599 | $3,408.60 | $5,244.00 | $235.53 – $244.95 | 3 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $10,149.82 – $10,555.81 | 3 |
| Ablation of upper extremity nerves rf CPT 64999 | $2,037.10 | $3,134.00 | $293.09 – $304.81 | 3 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,577.02 – $1,640.10 | 3 |
| Abltj mal prst8 tiss hifu CPT 55880 | $18,712.85 | $28,789.00 | $9,038.98 – $9,400.54 | 3 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $12,597.68 – $13,101.59 | 3 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.75 – $55.45 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $290.97 – $302.61 | 3 |
| Abrasion lesion single CPT 15786 | not published | not published | $191.57 – $199.24 | 3 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,438.20 | $6,828.00 | $1,577.02 – $1,640.10 | 3 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $9,830.60 | $15,124.00 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.46 | $0.70 | $0.09 – $0.33 | 2 |
| Acetaminophen level CPT 80143 | $144.95 | $223.00 | $18.64 – $19.39 | 3 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $109.59 | $168.60 | $29.28 – $140.53 | 2 |
| Acetone qualitative CPT 82009 | not published | not published | $4.52 – $4.70 | 3 |
| Acetylcholine receptor modulating antibody CPT 86043 | $175.50 | $270.00 | $12.05 – $12.53 | 3 |
| Acetylcholinesterase assay CPT 82013 | $296.40 | $456.00 | $12.29 – $12.78 | 3 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $54.54 | $83.90 | $0.63 – $3.58 | 2 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $15.12 – $52.98 | 2 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $356.31 – $370.56 | 3 |
| Acne surgery 10040 CPT 10040 | not published | not published | $191.57 – $199.24 | 3 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $167.28 – $173.97 | 3 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $131.63 – $136.90 | 3 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $127.12 – $132.21 | 3 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $30.55 | $47.00 | $12.04 – $12.52 | 3 |
| Acoustic immitance testing CPT 92570 | not published | not published | $122.86 – $127.78 | 3 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $35.66 – $37.09 | 3 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Actigraphy testing CPT 95803 | not published | not published | $56.33 – $58.58 | 3 |
| Actinotherapy uv light CPT 96900 | not published | not published | $35.66 – $37.09 | 3 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $27.62 – $28.72 | 3 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $27.62 – $28.72 | 3 |
| Acute hepatitis panel CPT 80074 | $272.35 | $419.00 | $47.63 – $49.54 | 3 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,236.19 – $1,285.63 | 3 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $27.66 | $42.55 | $0.05 – $0.33 | 2 |
| #acylcarnitineprfl CPT 82017 | $144.30 | $222.00 | $16.87 – $17.54 | 3 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.49 – $17.15 | 3 |
| Adapter b 8 channel 10cm HCPCS C1883 | $750.39 | $1,154.45 | not published | 0 |
| Adding walker to prev cast CPT 29440 | not published | not published | $155.16 – $161.37 | 3 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $78.16 | $120.25 | $0.78 – $2.08 | 2 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.98 – $12.46 | 3 |
| Adenovirus antibody,serum - quest CPT 86603 | $194.35 | $299.00 | $12.87 – $13.38 | 3 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $21.76 – $22.63 | 3 |
| Adh-sendout CPT 84588 | $234.00 | $360.00 | $33.94 – $35.30 | 3 |
| Adj gastric band via subq port CPT 43999 | $2,771.60 | $4,264.00 | $866.03 – $900.67 | 3 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $4,458.80 | $6,859.70 | $1.43 – $1.43 | 1 |
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.