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 |
|---|---|---|---|---|
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,142.60 – $1,188.31 | 3 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,650.32 – $2,756.33 | 3 |
| Drainage of salivary gland CPT 42305 | not published | not published | $3,165.74 – $3,292.37 | 3 |
| Drainage of salivary gland CPT 42320 | not published | not published | $514.97 – $535.57 | 3 |
| Drainage of throat abscess CPT 42725 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $1,995.99 – $2,075.83 | 3 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $665.81 – $692.44 | 3 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,995.99 – $2,075.83 | 3 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $819.96 – $852.76 | 3 |
| Drain blood from under nail 11740 CPT 11740 | $261.30 | $402.00 | $127.04 – $132.12 | 3 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $4,511.65 | $6,941.00 | $1,577.02 – $1,640.10 | 3 |
| Drain cath image guided visceral pq CPT 49405 | $5,045.30 | $7,762.00 | $1,577.02 – $1,640.10 | 3 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,354.60 | $2,084.00 | $674.01 – $700.97 | 3 |
| Drain chest lesion CPT 21502 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Drain finger abscess;simple 26010 CPT 26010 | $611.00 | $940.00 | $191.57 – $199.24 | 3 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Drain lower leg lesion 27603 CPT 27603 | $2,982.20 | $4,588.00 | $2,773.55 – $2,884.49 | 3 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $2,773.55 – $2,884.49 | 3 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Drain penis lesion CPT 54015 | not published | not published | $1,577.02 – $1,640.10 | 3 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,535.38 – $1,596.79 | 3 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,773.55 – $2,884.49 | 3 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,773.55 – $2,884.49 | 3 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,773.55 – $2,884.49 | 3 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,481.52 – $1,540.78 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $397.15 | $611.00 | $191.57 – $199.24 | 3 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $163.15 | $251.00 | $191.57 – $199.24 | 3 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $428.35 | $659.00 | $388.16 – $403.68 | 3 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $705.70 – $733.93 | 3 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $83.50 – $123.58 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Drng of eyelid abscess 67700 CPT 67700 | $551.85 | $849.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,125.15 | $1,731.00 | $1,577.02 – $1,640.10 | 3 |
| Drng of hydrocele 55000 CPT 55000 | $969.80 | $1,492.00 | $676.16 – $703.20 | 3 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $514.97 – $535.57 | 3 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,142.60 – $1,188.31 | 3 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,165.74 – $3,292.37 | 3 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,307.80 | $2,012.00 | $1,577.02 – $1,640.10 | 3 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,481.52 – $1,540.78 | 3 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $514.97 – $535.57 | 3 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $2.85 – $12.03 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $31.92 | $49.10 | $9.11 – $62.92 | 2 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $731.31 | $1,125.09 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $21.05 – $123.58 | 3 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $19.90 – $123.58 | 3 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $4.22 – $123.58 | 3 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $91.39 – $123.58 | 3 |
| Drug admin & hemodynmic meas CPT 93463 | $671.45 | $1,033.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $110.50 | $170.00 | $38.57 – $40.11 | 3 |
| Drug assay posaconazole CPT 80187 | $139.10 | $214.00 | $27.11 – $28.19 | 3 |
| Drug assay rufinamide CPT 80210 | $93.60 | $144.00 | $27.11 – $28.19 | 3 |
| Drug assay vedolizumab CPT 80280 | $733.20 | $1,128.00 | $38.57 – $40.11 | 3 |
| Drug assay voriconazole CPT 80285 | $195.65 | $301.00 | $27.11 – $28.19 | 3 |
| Drug asy hydroxychloroquine CPT 80220 | $576.55 | $887.00 | $18.64 – $19.39 | 3 |
| Drug of abuse screen urine CPT 80305 | $76.70 | $118.00 | $12.60 – $13.10 | 3 |
| Drug screen quant tiagabine CPT 80199 | $96.20 | $148.00 | $27.11 – $28.19 | 3 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $198.74 – $206.69 | 3 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $114.43 – $119.01 | 3 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $246.92 – $256.80 | 3 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $156.59 – $162.85 | 3 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $17.83 | 3 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $288.60 | $444.00 | $62.14 – $64.63 | 3 |
| Drvvt confirm - quest CPT 85597 | $276.25 | $425.00 | $17.98 – $18.70 | 3 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $3,507.40 | $5,396.00 | $1,864.55 – $1,939.13 | 3 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $388.16 – $403.68 | 3 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $388.16 – $403.68 | 3 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $705.70 – $733.93 | 3 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $705.70 – $733.93 | 3 |
| Ductogram sgl duct CPT 77053 | $567.45 | $873.00 | $227.83 – $236.94 | 3 |
| Duodenal motility study CPT 91022 | not published | not published | $356.31 – $370.56 | 3 |
| Duplex scan bilateral study 93985 CPT 93985 | $568.10 | $874.00 | $227.83 – $236.94 | 3 |
| Duplex scan unilateral study 93986 CPT 93986 | $458.25 | $705.00 | $99.82 – $103.82 | 3 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $720.85 | $1,109.00 | $99.82 – $103.82 | 3 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $759.85 | $1,169.00 | $206.17 – $214.42 | 3 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $801.45 | $1,233.00 | $227.83 – $236.94 | 3 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $2,832.47 | $4,357.65 | $85.12 – $545.22 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | $1,684.15 | $2,591.00 | $99.82 – $103.82 | 3 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $122.86 – $127.78 | 3 |
| Dx bronchoscope/brush 31623 CPT 31623 | $3,405.35 | $5,239.00 | $1,699.52 – $1,767.50 | 3 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,923.70 | $4,498.00 | $1,699.52 – $1,767.50 | 3 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,644.85 | $4,069.00 | $1,699.52 – $1,767.50 | 3 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $866.03 – $900.67 | 3 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $866.03 – $900.67 | 3 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $206.17 – $214.42 | 3 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $122.86 – $127.78 | 3 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $373.46 – $388.40 | 3 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,699.52 – $1,767.50 | 3 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $238.57 – $248.11 | 3 |
| Dynamic surface emg CPT 96002 | not published | not published | $206.17 – $214.42 | 3 |
| Ear and throat examination CPT 92502 | not published | not published | $514.97 – $535.57 | 3 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,481.52 – $1,540.78 | 3 |
| Ear cartilage graft CPT 21235 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Ear irrigation 69209 CPT 69209 | $639.60 | $984.00 | $56.33 – $58.58 | 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.