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 |
|---|---|---|---|---|
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $4.62 | $7.11 | $1.31 – $4.23 | 2 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,212.84 | $1,865.90 | $7.85 – $48.56 | 4 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,851.04 | $2,847.75 | $8.54 – $41.99 | 4 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $2.40 – $7.87 | 2 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $126.72 | $194.95 | $27.54 – $106.86 | 2 |
| Epstein barr early antigen antibody CPT 86663 | $84.50 | $130.00 | $13.12 – $13.64 | 3 |
| Epstein barr nuclear antigen antibody CPT 86664 | $137.80 | $212.00 | $15.29 – $15.90 | 3 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $101.40 | $156.00 | $18.14 – $18.87 | 3 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $2.99 – $69.10 | 4 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $6,313.52 | $9,713.10 | $19.97 – $125.58 | 4 |
| Ercp biliary & pancreas CPT 74330 | $1,222.00 | $1,880.00 | not published | 0 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $7,593.95 | $11,683.00 | not published | 0 |
| Ercp ea duct/ampulla dilate CPT 43277 | $7,160.40 | $11,016.00 | $3,681.37 – $3,828.63 | 3 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $7,479.55 | $11,507.00 | $3,681.37 – $3,828.63 | 3 |
| Ercp lithotripsy calculi CPT 43265 | $7,593.95 | $11,683.00 | not published | 0 |
| Ercp remove duct calculi 43264 CPT 43264 | $7,160.40 | $11,016.00 | $3,681.37 – $3,828.63 | 3 |
| Ercp remove forgn body duct 43275 CPT 43275 | $7,267.00 | $11,180.00 | $1,832.26 – $1,905.55 | 3 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| Ercp stent exchange w/dilate CPT 43276 | $7,593.95 | $11,683.00 | not published | 0 |
| Ercp w/specimen collection CPT 43260 | $6,096.35 | $9,379.00 | $3,681.37 – $3,828.63 | 3 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $0.07 – $0.07 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $3,855.08 | $5,930.90 | $89.34 – $866.58 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $99.78 | $153.50 | $15.34 – $71.57 | 2 |
| ER Visit (level 1, minor) CPT 99281 | $219.05 | $337.00 | $80.52 – $83.74 | 3 |
| ER Visit (level 2) CPT 99282 | $313.95 | $483.00 | $146.61 – $152.48 | 3 |
| ER Visit (level 3) CPT 99283 | $494.00 | $760.00 | $260.65 – $271.08 | 3 |
| ER Visit (level 4) CPT 99284 | $781.30 | $1,202.00 | $398.42 – $414.36 | 3 |
| ER Visit (level 5, high severity) CPT 99285 | $1,210.95 | $1,863.00 | $568.64 – $591.38 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $205.82 | $316.65 | $127.59 – $403.91 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | $2,691.00 | $4,140.00 | $3,681.37 – $3,828.63 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.71 – $2.34 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $260.16 | $400.25 | $0.48 – $1.37 | 2 |
| Esophageal dilat s&i CPT 74360 | $975.00 | $1,500.00 | not published | 0 |
| Esophageal motility CPT 78258 | not published | not published | $381.72 – $396.99 | 3 |
| Esophageal recording CPT 93615 | $3,390.40 | $5,216.00 | $1,162.56 – $1,209.06 | 3 |
| Esophageal recording CPT 93616 | $4,707.95 | $7,243.00 | $1,162.56 – $1,209.06 | 3 |
| Esophag muc integ w/eso egd HCPCS C9777 | $5,769.40 | $8,876.00 | $3,681.37 – $3,828.63 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | $2,882.10 | $4,434.00 | $1,832.26 – $1,905.55 | 3 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $866.03 – $900.67 | 3 |
| Esophagoscop mucosal resect CPT 43211 | $3,274.70 | $5,038.00 | $1,832.26 – $1,905.55 | 3 |
| Esophagoscop stent placement CPT 43212 | $5,699.85 | $8,769.00 | not published | 0 |
| Esophagoscop ultrasound exam CPT 43231 | $2,676.70 | $4,118.00 | $1,832.26 – $1,905.55 | 3 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,587.65 | $3,981.00 | $1,832.26 – $1,905.55 | 3 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| Esophagoscopy flex biopsy CPT 43202 | $3,458.65 | $5,321.00 | $1,832.26 – $1,905.55 | 3 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $2,317.25 | $3,565.00 | $866.03 – $900.67 | 3 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $866.03 – $900.67 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | $2,525.90 | $3,886.00 | $1,832.26 – $1,905.55 | 3 |
| Esophagoscopy lesion ablate CPT 43229 | $3,386.50 | $5,210.00 | $3,681.37 – $3,828.63 | 3 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,681.37 – $3,828.63 | 3 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Esophagoscopy snare les remv CPT 43217 | $2,982.20 | $4,588.00 | $1,832.26 – $1,905.55 | 3 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| Esophagus endoscopy/ligation CPT 43205 | $2,676.70 | $4,118.00 | $1,832.26 – $1,905.55 | 3 |
| Esophagus motility study CPT 91010 | $2,806.05 | $4,317.00 | $356.31 – $370.56 | 3 |
| Esoph balloon distension tst CPT 91040 | $3,237.65 | $4,981.00 | $356.31 – $370.56 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | $3,502.85 | $5,389.00 | $1,832.26 – $1,905.55 | 3 |
| Esoph endoscopy dilation CPT 43226 | $2,882.10 | $4,434.00 | $1,832.26 – $1,905.55 | 3 |
| Esoph imped function test CPT 91037 | $1,558.70 | $2,398.00 | $206.17 – $214.42 | 3 |
| Esoph imped funct test > 1hr CPT 91038 | $2,541.50 | $3,910.00 | $356.31 – $370.56 | 3 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| Esoph scope w/sclerosis inj CPT 43204 | $2,676.70 | $4,118.00 | $1,832.26 – $1,905.55 | 3 |
| Esoph scope w/submucous inj CPT 43201 | $2,676.70 | $4,118.00 | $1,832.26 – $1,905.55 | 3 |
| Essure 58565 CPT 58565 | not published | not published | $4,776.55 – $4,967.62 | 3 |
| Establish access to aorta CPT 36160 | $1,347.45 | $2,073.00 | not published | 0 |
| Estradiol total CPT 82670 | $46.80 | $72.00 | $27.94 – $29.06 | 3 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $77.80 | $119.70 | $13.11 – $51.61 | 2 |
| Estrogens total-sendout CPT 82672 | not published | not published | $21.70 – $22.57 | 3 |
| Etanercept injection HCPCS J1438 | not published | not published | $6,194.44 – $6,194.44 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $508.96 – $3,195.73 | 4 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,165.74 – $3,292.37 | 3 |
| Ethylene glycol -sendout CPT 82693 | $204.10 | $314.00 | $14.90 – $15.50 | 3 |
| Etonogestrel implant system HCPCS J7307 | $2,126.31 | $3,271.25 | $7,895.10 – $7,895.10 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $480.22 | $738.80 | $2.22 – $6.37 | 2 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $77.46 – $497.38 | 4 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $112.45 – $784.42 | 4 |
| Euglobulin lysis CPT 85360 | $35.75 | $55.00 | $8.41 – $8.75 | 3 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $122.86 – $127.78 | 3 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $295.10 | $454.00 | $117.02 – $121.70 | 3 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $373.10 | $574.00 | $98.11 – $102.03 | 3 |
| Evaluation heart device CPT 93640 | $3,134.30 | $4,822.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $149.50 | $230.00 | $128.22 – $133.35 | 3 |
| Evaluation psychiatric diagnostic CPT 90791 | $247.65 | $381.00 | not published | 0 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $10,296.65 | $15,841.00 | not published | 0 |
| Evasc prlng admn rx agnt add CPT 61651 | $2,980.90 | $4,586.00 | not published | 0 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $69,494.10 | $106,914.00 | not published | 0 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $30,644.25 | $47,145.00 | not published | 0 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $30,644.25 | $47,145.00 | not published | 0 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $31,473.65 | $48,421.00 | not published | 0 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $34,747.05 | $53,457.00 | not published | 0 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $31,307.90 | $48,166.00 | not published | 0 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $31,307.90 | $48,166.00 | 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.