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 |
|---|---|---|---|---|
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $62.30 | $95.85 | $1.37 – $5.14 | 2 |
| Cytogenetics 25-99 CPT 88274 | $70.20 | $108.00 | $42.38 – $44.08 | 3 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $40.70 – $42.33 | 3 |
| Cytogenomic neo microra alys CPT 81277 | $4,689.75 | $7,215.00 | $1,160.00 – $1,206.40 | 3 |
| Cytogenom microarray copy nmbr var CPT 81228 | $3,790.80 | $5,832.00 | $900.00 – $936.00 | 3 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $325.65 | $501.00 | $14.39 – $14.97 | 3 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $190.45 | $293.00 | $16.85 – $17.52 | 3 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $13.96 | 3 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,808.64 – $11,791.72 | 4 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $25.37 – $26.38 | 3 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $14.65 – $15.24 | 3 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $27.62 – $28.72 | 3 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $251.55 | $387.00 | $49.76 – $51.75 | 3 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $41.60 | $64.00 | $26.61 – $27.67 | 3 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $37.70 | $58.00 | $20.26 – $21.07 | 3 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $283.40 | $436.00 | $35.66 – $37.09 | 3 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $163.15 | $251.00 | $35.66 – $37.09 | 3 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $200.85 | $309.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $239.20 | $368.00 | $162.68 – $169.18 | 3 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $7,800.00 | $12,000.00 | $49.76 – $51.75 | 3 |
| Cytopath smear other source CPT 88160 | not published | not published | $27.62 – $28.72 | 3 |
| Cytopath smear other source CPT 88162 | not published | not published | $49.76 – $51.75 | 3 |
| Cytopath smear oth prep screen & interp CPT 88161 | $1,145.95 | $1,763.00 | $27.62 – $28.72 | 3 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $18.54 – $19.28 | 3 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $78.65 – $81.80 | 3 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $30.87 | 3 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $162.68 – $169.18 | 3 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $22.78 | $35.04 | $6.49 – $27.11 | 2 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,030.64 | $1,585.60 | $328.34 – $2,111.20 | 4 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $5,116.02 | $7,870.80 | $15.61 – $101.40 | 4 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $30.67 – $90.09 | 2 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $69.65 | $107.15 | $0.05 – $0.26 | 2 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.09 – $0.26 | 2 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $28,415.40 | $43,716.00 | $55.57 – $334.04 | 4 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $7,371.55 | $11,340.85 | $2.93 – $19.31 | 4 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.93 – $19.31 | 4 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $256.09 – $1,614.67 | 4 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $33.60 – $152.88 | 2 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $191.57 – $199.24 | 3 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Dch glucoscan CPT 82948 | not published | not published | $5.04 – $5.24 | 3 |
| Dch pulmonary stress test CPT 94621 | $1,924.00 | $2,960.00 | $356.31 – $370.56 | 3 |
| Dch validity tests CPT 81002 | $57.20 | $88.00 | $3.48 – $3.62 | 3 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $1,969.50 | $3,030.00 | $1,864.55 – $1,939.13 | 3 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,165.74 – $3,292.37 | 3 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,864.55 – $1,939.13 | 3 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Deamidated gliadin antibody iga CPT 86258 | $46.80 | $72.00 | $12.05 – $12.53 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $401.05 | $617.00 | $388.16 – $403.68 | 3 |
| Debridement (>20 cm) charge pt CPT 97598 | $120.25 | $185.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,165.15 | $3,331.00 | $1,577.02 – $1,640.10 | 3 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $165.10 | $254.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $187.20 | $288.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $503.75 | $775.00 | $388.16 – $403.68 | 3 |
| Debride nail1-5 11720 CPT 11720 | $267.80 | $412.00 | $56.33 – $58.58 | 3 |
| Debride nail6 or more 11721 CPT 11721 | $412.75 | $635.00 | $56.33 – $58.58 | 3 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $676.16 – $703.20 | 3 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $2,773.55 – $2,884.49 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $164.45 | $253.00 | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $191.57 – $199.24 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $606.45 | $933.00 | $676.16 – $703.20 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $806.65 | $1,241.00 | $705.70 – $733.93 | 3 |
| Decalcification CPT 88311 | $130.65 | $201.00 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $241.31 | $371.25 | $2.71 – $15.15 | 2 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $865.15 | $1,331.00 | $315.39 – $328.01 | 3 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,535.38 – $1,596.79 | 3 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,535.38 – $1,596.79 | 3 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Decompression fasct forearm CPT 24495 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Decompression of leg CPT 27892 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Decompression of leg CPT 27893 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Decompression of leg CPT 27894 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,535.38 – $1,596.79 | 3 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,864.55 – $1,939.13 | 3 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,864.55 – $1,939.13 | 3 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $2,773.55 – $2,884.49 | 3 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $440.05 | $677.00 | $15.33 – $58.11 | 2 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.45 – $27.82 | 4 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $7,804.30 – $8,116.47 | 3 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $3,383.70 – $3,519.05 | 3 |
| Delivery of placenta 59414 CPT 59414 | $1,823.25 | $2,805.00 | $3,090.95 – $3,214.58 | 3 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $11,307.40 | $17,396.00 | 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.