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 |
|---|---|---|---|---|
| Dialysis one evaluation CPT 90945 | $573.30 | $882.00 | $398.42 – $414.36 | 3 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.91 – $7.19 | 3 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.13 – $0.46 | 2 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $203.12 | $312.50 | $10.49 – $55.58 | 2 |
| Dicyclomine injection HCPCS J0500 | $75.32 | $115.87 | $19.85 – $96.85 | 2 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $1.50 – $1.50 | 1 |
| Diffusing capacity CPT 94729 | $182.00 | $280.00 | not published | 0 |
| Digital analysis of eeg CPT 95957 | $187.20 | $288.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $383.82 | $590.50 | $6.80 – $57.33 | 2 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $15,014.28 | $23,098.90 | $5,168.23 – $32,954.87 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $57.85 | $89.00 | $13.28 – $13.81 | 3 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $139.96 | $215.33 | $165.02 – $266.76 | 2 |
| Dilate biliary duct/ampulla CPT 47542 | $7,367.75 | $11,335.00 | not published | 0 |
| Dilate esophagus CPT 43453 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| Dilate esophagus 1/mult pass CPT 43450 | $1,797.90 | $2,766.00 | $866.03 – $900.67 | 3 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $5,957.90 | $9,166.00 | not published | 0 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $5,914.35 | $9,099.00 | not published | 0 |
| Dilate ic vasospasm init CPT 61640 | $9,159.80 | $14,092.00 | not published | 0 |
| Dilate urethra stricture CPT 53600 | not published | not published | $238.57 – $248.11 | 3 |
| Dilate urethra stricture CPT 53601 | not published | not published | $127.04 – $132.12 | 3 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Dilate urethra stricture CPT 53621 | not published | not published | $238.57 – $248.11 | 3 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $122.86 – $127.78 | 3 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,142.60 – $1,188.31 | 3 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,142.60 – $1,188.31 | 3 |
| Dilation of salivary duct CPT 42660 | $349.05 | $537.00 | $514.97 – $535.57 | 3 |
| Dilation of urethra CPT 53661 | not published | not published | $127.04 – $132.12 | 3 |
| Dilation of urethra CPT 53665 | not published | not published | $1,995.99 – $2,075.83 | 3 |
| Dilation of vagina CPT 57400 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,481.52 – $1,540.78 | 3 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $665.81 – $692.44 | 3 |
| Dilator fascial 10fx20cm HCPCS C2627 | $134.88 | $207.51 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $8,364.85 | $12,869.00 | $3,365.80 – $3,500.44 | 3 |
| Dilat xst trc new access rcs CPT 50437 | $8,364.85 | $12,869.00 | $3,365.80 – $3,500.44 | 3 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $22.59 | $34.75 | $0.06 – $0.06 | 1 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $366.73 – $366.73 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $13.16 – $56.36 | 2 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $748.84 – $4,650.04 | 4 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.13 – $0.13 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $25.12 | $38.65 | $1.54 – $4.75 | 2 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $429.59 – $429.59 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $35.66 – $37.09 | 3 |
| Disability dlco CPT 94727 | $302.90 | $466.00 | $206.17 – $214.42 | 3 |
| Disaccharidases CPT 82657 | $779.35 | $1,199.00 | $22.17 – $23.06 | 3 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Discography cerv/thor spine CPT 72285 | $2,252.90 | $3,466.00 | $1,864.55 – $1,939.13 | 3 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,699.52 – $1,767.50 | 3 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,313.21 – $5,525.74 | 3 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $11,437.40 | $17,596.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | $2,007.85 | $3,089.00 | $279.00 – $290.16 | 3 |
| Dmpk gene detc abnor allele CPT 81234 | $1,690.65 | $2,601.00 | $137.00 – $142.48 | 3 |
| Dna antibody native/double stranded CPT 86225 | $237.90 | $366.00 | $13.74 – $14.29 | 3 |
| Dna gardnerella CPT 87510 | $82.55 | $127.00 | $20.05 – $20.85 | 3 |
| Dna probe chlamydia CPT 87490 | $29.25 | $45.00 | $22.75 – $23.66 | 3 |
| Dna probe gc CPT 87590 | $144.30 | $222.00 | $26.88 – $27.96 | 3 |
| Dna trichomonas CPT 87660 | $82.55 | $127.00 | $20.05 – $20.85 | 3 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $68.15 | $104.85 | $13.56 – $48.04 | 2 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $351.06 | $540.10 | $0.64 – $4.75 | 2 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.78 – $339.37 | 4 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $0.07 – $0.07 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $392.08 – $392.08 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $64.77 | $99.65 | $1.12 – $5.01 | 2 |
| Doppler echo complete CPT 93320 | $209.95 | $323.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,626.65 | $4,041.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $605.15 | $931.00 | $206.17 – $214.42 | 3 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $481.65 | $741.00 | $127.04 – $132.12 | 3 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.07 – $0.07 | 1 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $93.77 – $348.34 | 2 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $32,490.15 | $49,984.85 | $243.71 – $1,560.39 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $79.30 | $122.00 | $4.63 – $21.58 | 2 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $3,185.72 | $4,901.10 | $108.47 – $884.33 | 4 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $71.66 | $110.25 | $0.20 – $0.20 | 1 |
| Dpyd gene common variants CPT 81232 | $1,218.75 | $1,875.00 | $174.81 – $181.80 | 3 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $495.30 | $762.00 | $676.16 – $703.20 | 3 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $676.16 – $703.20 | 3 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,577.02 – $1,640.10 | 3 |
| Drainage external ear simple 69000 CPT 69000 | $991.90 | $1,526.00 | $676.16 – $703.20 | 3 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $2,773.55 – $2,884.49 | 3 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,773.55 – $2,884.49 | 3 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $226.15 – $235.20 | 3 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,577.02 – $1,640.10 | 3 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,773.55 – $2,884.49 | 3 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,535.38 – $1,596.79 | 3 |
| Drainage of kidney lesion CPT 50390 | $3,422.90 | $5,266.00 | $676.16 – $703.20 | 3 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $226.15 – $235.20 | 3 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,481.52 – $1,540.78 | 3 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,481.52 – $1,540.78 | 3 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $3,165.74 – $3,292.37 | 3 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $514.97 – $535.57 | 3 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $514.97 – $535.57 | 3 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $3,165.74 – $3,292.37 | 3 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,481.52 – $1,540.78 | 3 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $226.15 – $235.20 | 3 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $514.97 – $535.57 | 3 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,535.38 – $1,596.79 | 3 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,365.80 – $3,500.44 | 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.