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 |
|---|---|---|---|---|
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $807.30 | $1,242.00 | not published | 0 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $807.30 | $1,242.00 | not published | 0 |
| Covid-19 lab test non-cdc HCPCS U0002 | $201.50 | $310.00 | $51.31 – $53.36 | 3 |
| #covid19rsv-rsv CPT 87634 | $145.60 | $224.00 | $70.20 – $73.01 | 3 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $222.95 | $343.00 | $13.03 – $13.55 | 3 |
| C-peptide CPT 84681 | $38.35 | $59.00 | $20.81 – $21.64 | 3 |
| Cptrized corneal topography CPT 92025 | not published | not published | $56.33 – $58.58 | 3 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $56.33 – $58.58 | 3 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $206.17 – $214.42 | 3 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $0.07 – $1,994.68 | 4 |
| Crbrospnl fld flw imag cistern CPT 78630 | $794.30 | $1,222.00 | $518.45 – $539.19 | 3 |
| C-reactive protein CPT 86140 | $42.25 | $65.00 | $5.18 – $5.39 | 3 |
| C-reactive protein high sensitivity CPT 86141 | $33.80 | $52.00 | $12.95 – $13.47 | 3 |
| C-reactive protein, quantitative CPT 86406 | $184.60 | $284.00 | $10.64 – $11.07 | 3 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $5,313.21 – $5,525.74 | 3 |
| Create eardrum opening CPT 69436 | not published | not published | $1,481.52 – $1,540.78 | 3 |
| Create passage to kidney CPT 52334 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Creatine isoforms CPT 82554 | not published | not published | $11.87 – $12.34 | 3 |
| Creatine kinase CPT 82550 | $50.05 | $77.00 | $6.51 – $6.77 | 3 |
| Creatine kinase isoenzymes CPT 82552 | $49.40 | $76.00 | $13.39 – $13.93 | 3 |
| Creatine kinase mb CPT 82553 | $53.30 | $82.00 | $11.55 – $12.01 | 3 |
| Creatine - sendout CPT 82540 | $42.25 | $65.00 | $4.64 – $4.83 | 3 |
| Creatinine CPT 82565 | $9.10 | $14.00 | $5.12 – $5.32 | 3 |
| Creatinine 24 hour urine CPT 82570 | $40.30 | $62.00 | $5.18 – $5.39 | 3 |
| Creatinine clearance urine CPT 82575 | $35.10 | $54.00 | $9.46 – $9.84 | 3 |
| #creutz-prot.,western blot CPT 84182 | $287.30 | $442.00 | $29.21 – $30.38 | 3 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Cricotracheal resection CPT 31592 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Critical care 30-74 minutes CPT 99291 | $2,180.75 | $3,355.00 | $788.73 – $820.28 | 3 |
| Critical care each additional 30 minutes CPT 99292 | $412.10 | $634.00 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $129.48 – $836.42 | 4 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.48 – $1.37 | 2 |
| Cross-over vein graft CPT 34520 | not published | not published | $5,313.21 – $5,525.74 | 3 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $1,828.72 – $11,567.66 | 4 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $4,342.00 | $6,680.00 | not published | 0 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | $72.70 | $111.84 | not published | 0 |
| Cryoablate prostate CPT 55873 | not published | not published | $9,038.98 – $9,400.54 | 3 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $290.97 – $302.61 | 3 |
| Cryo fib comp path redu each HCPCS P9026 | $63.70 | $98.00 | not published | 0 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $76.70 | $118.00 | $14.14 – $14.71 | 3 |
| Cryoprecipitate each unit HCPCS P9012 | $236.60 | $364.00 | not published | 0 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $162.68 – $169.18 | 3 |
| Cryopreservation sperm CPT 89259 | not published | not published | $162.68 – $169.18 | 3 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $421.25 – $438.10 | 3 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $49.76 – $51.75 | 3 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $3,738.62 – $3,888.17 | 3 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $191.57 – $199.24 | 3 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $56.33 – $58.58 | 3 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $14.41 – $14.99 | 3 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $11.98 – $12.46 | 3 |
| Crystal identification light microscopy CPT 89060 | $219.05 | $337.00 | $7.33 – $7.62 | 3 |
| Csf leakage imaging CPT 78650 | $1,760.85 | $2,709.00 | $1,236.19 – $1,285.63 | 3 |
| Csf shunt reprogram 62252 CPT 62252 | $286.65 | $441.00 | not published | 0 |
| Csf ventriculography CPT 78635 | not published | not published | $518.45 – $539.19 | 3 |
| CT 3d report other modality w/workstation CPT 76377 | $597.35 | $919.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,497.95 | $3,843.00 | $167.48 – $174.18 | 3 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,468.70 | $3,798.00 | $167.48 – $174.18 | 3 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,273.40 | $5,036.00 | $167.48 – $174.18 | 3 |
| Cta neck without &/or w/contrast CPT 70498 | $2,300.35 | $3,539.00 | $167.48 – $174.18 | 3 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,411.85 | $5,249.00 | $333.12 – $346.44 | 3 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,165.80 | $3,332.00 | $167.48 – $174.18 | 3 |
| CT Angiogram of the Head CPT 70496 | $2,300.35 | $3,539.00 | $167.48 – $174.18 | 3 |
| CT angio hrt w/3d image CPT 75574 | $2,372.50 | $3,650.00 | $333.12 – $346.44 | 3 |
| CT angio pelvis CPT 72191 | $2,298.40 | $3,536.00 | $167.48 – $174.18 | 3 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,691.30 | $2,602.00 | $167.48 – $174.18 | 3 |
| CT bone density axial CPT 77078 | not published | not published | $83.10 – $86.42 | 3 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $167.48 – $174.18 | 3 |
| CT colonography dx CPT 74261 | $1,197.30 | $1,842.00 | $99.82 – $103.82 | 3 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $167.48 – $174.18 | 3 |
| CT colonography screening CPT 74263 | $1,197.30 | $1,842.00 | $227.83 – $236.94 | 3 |
| CT guidance for needle placement CPT 77012 | $3,129.10 | $4,814.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $2,380.95 | $3,663.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $235.53 – $244.95 | 3 |
| CT guid parench tis ablat CPT 77013 | $3,586.70 | $5,518.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $380.25 | $585.00 | $83.10 – $86.42 | 3 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,371.50 | $2,110.00 | $333.12 – $346.44 | 3 |
| CT hrt w/3d image CPT 75572 | $1,371.50 | $2,110.00 | $333.12 – $346.44 | 3 |
| CT limited or localized follow-up study CPT 76380 | $1,375.40 | $2,116.00 | $83.10 – $86.42 | 3 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,606.50 | $4,010.00 | $167.48 – $174.18 | 3 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,369.90 | $3,646.00 | $99.82 – $103.82 | 3 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,867.80 | $4,412.00 | $167.48 – $174.18 | 3 |
| CT neck soft tissue w/contrast CPT 70491 | $2,215.85 | $3,409.00 | $167.48 – $174.18 | 3 |
| CT neck soft tissue without contrast CPT 70490 | $2,013.70 | $3,098.00 | $99.82 – $103.82 | 3 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,437.50 | $3,750.00 | $167.48 – $174.18 | 3 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,923.35 | $2,959.00 | $167.48 – $174.18 | 3 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,749.15 | $2,691.00 | $167.48 – $174.18 | 3 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,589.25 | $2,445.00 | $99.82 – $103.82 | 3 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $628.55 | $967.00 | $226.15 – $235.20 | 3 |
| CT scan for therapy guide CPT 77014 | $2,804.10 | $4,314.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,249.35 | $4,999.00 | $333.12 – $346.44 | 3 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,825.55 | $4,347.00 | $333.12 – $346.44 | 3 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,559.70 | $3,938.00 | $227.83 – $236.94 | 3 |
| CT thoracic spine w/contrast CPT 72129 | $2,328.30 | $3,582.00 | $167.48 – $174.18 | 3 |
| CT thoracic spine without contrast CPT 72128 | $2,116.40 | $3,256.00 | $99.82 – $103.82 | 3 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $640.90 | $986.00 | $99.82 – $103.82 | 3 |
| CT t-spine w /wo contrast CPT 72130 | $2,561.00 | $3,940.00 | $167.48 – $174.18 | 3 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,869.10 | $4,414.00 | $333.12 – $346.44 | 3 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,607.80 | $4,012.00 | $99.82 – $103.82 | 3 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,155.10 | $4,854.00 | $167.48 – $174.18 | 3 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $162.68 – $169.18 | 3 |
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.