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 |
|---|---|---|---|---|
| Ext antenna phren nerve stim HCPCS L8696 | not published | not published | $266.86 – $277.53 | 3 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $354.25 | $545.00 | $127.04 – $132.12 | 3 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $354.25 | $545.00 | $127.04 – $132.12 | 3 |
| Extended steel shank HCPCS L2360 | $79.87 | $122.87 | not published | 0 |
| Extended visual field xm CPT 92083 | not published | not published | $127.04 – $132.12 | 3 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Extensive jaw surgery CPT 21045 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Extensive surgery of throat CPT 42842 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Extensive surgery of throat CPT 42844 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| External cannula declotting CPT 36860 | not published | not published | $1,503.07 – $1,563.19 | 3 |
| External chromosome analysis 20-25 cells CPT 88264 | $409.50 | $630.00 | $144.61 – $150.39 | 3 |
| External ocular photography CPT 92285 | not published | not published | $35.66 – $37.09 | 3 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $308.75 | $475.00 | $27.62 – $28.72 | 3 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,873.00 – $4,027.92 | 3 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $477.75 | $735.00 | $143.75 – $149.50 | 3 |
| Extnd color vision xm CPT 92283 | not published | not published | $56.33 – $58.58 | 3 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $772.20 | $1,188.00 | $17.93 – $18.65 | 3 |
| Extrnl counterpulse, per tx HCPCS G0166 | $1,966.90 | $3,026.00 | $127.04 – $132.12 | 3 |
| Eye allergy tests CPT 95060 | not published | not published | $127.04 – $132.12 | 3 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $182.42 | 3 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $294.20 | 3 |
| F-18 fdg pet diag HCPCS A9552 | $243.75 | $375.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1,825.64 – $18,573.10 | 4 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $322.27 – $3,358.23 | 4 |
| F9 full gene sequence CPT 81238 | $3,903.90 | $6,006.00 | $600.00 – $624.00 | 3 |
| Face bone graft CPT 21210 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Facial bones <3 CPT 70140 | $291.20 | $448.00 | $83.10 – $86.42 | 3 |
| Facial nerve function test CPT 92516 | not published | not published | $206.17 – $214.42 | 3 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,165.74 – $3,292.37 | 3 |
| Factor ix CPT 85250 | $769.60 | $1,184.00 | $19.04 – $19.80 | 3 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.59 – $23.27 | 4 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.70 – $10.79 | 4 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.32 – $33.87 | 4 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.40 – $8.71 | 4 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.46 – $28.54 | 4 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.69 – $10.73 | 4 |
| Factor ix recombinant nos HCPCS J7195 | $11,297.72 | $17,381.10 | $1.85 – $11.96 | 4 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.37 – $15.28 | 4 |
| Factor viii CPT 85240 | $625.95 | $963.00 | $17.90 – $18.62 | 3 |
| Factor viii HCPCS J7190 | not published | not published | $1.08 – $7.28 | 4 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.43 – $15.21 | 4 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.12 – $8.06 | 4 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.10 – $13.65 | 4 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.61 – $10.01 | 4 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.54 – $9.30 | 4 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.23 – $21.00 | 4 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.76 – $68.06 | 4 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.16 – $111.61 | 4 |
| Fallopian tube recnl CPT 58345 | $7,056.40 | $10,856.00 | $3,090.95 – $3,214.58 | 3 |
| Family therapy without pt 50min 90846 CPT 90846 | $313.95 | $483.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $313.95 | $483.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $22.46 | $34.55 | $0.02 – $0.02 | 1 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $8,375.32 | $12,885.10 | $29.98 – $187.27 | 4 |
| Fancc gene CPT 81242 | $770.25 | $1,185.00 | $36.62 – $38.08 | 3 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $5.10 – $5.30 | 3 |
| Fatty acids nonesterified CPT 82725 | $213.20 | $328.00 | $18.77 – $19.52 | 3 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $815.28 | $1,254.28 | not published | 0 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $4.74 | 3 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $63.84 – $413.40 | 4 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $887.96 – $923.48 | 3 |
| #fecal-sodium CPT 84302 | $185.25 | $285.00 | $4.86 – $5.05 | 3 |
| Feeding tube reposition CPT 74355 | $3,729.70 | $5,738.00 | not published | 0 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $78.42 – $81.56 | 3 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $68.25 | $105.00 | $18.64 – $19.39 | 3 |
| Femoral endovas graft add-on 34813 CPT 34813 | $3,466.45 | $5,333.00 | not published | 0 |
| Fem/popl revasc w/stent CPT 37226 | $32,207.50 | $49,550.00 | not published | 0 |
| Feno poc CPT 95012 | $66.95 | $103.00 | $35.66 – $37.09 | 3 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $157.95 | $243.00 | $1.64 – $5.53 | 2 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $10.13 | 3 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3,375.84 | $5,193.60 | $1.11 – $7.22 | 4 |
| Ferritin CPT 82728 | $158.60 | $244.00 | $13.63 – $14.18 | 3 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $624.26 | $960.40 | $0.32 – $2.47 | 4 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.32 – $2.47 | 4 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $826.80 | 3 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $537.55 | $827.00 | $99.82 – $103.82 | 3 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $789.41 | 3 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $3,887.00 | $5,980.00 | $759.05 – $789.41 | 3 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $293.15 | $451.00 | $193.04 – $200.76 | 3 |
| Fetal cord puncture prenatal CPT 59012 | $1,160.90 | $1,786.00 | $290.97 – $302.61 | 3 |
| Fetal fibronectin CPT 82731 | $219.70 | $338.00 | $64.41 – $66.99 | 3 |
| Fetal fluid drainage w/us CPT 59074 | $1,972.10 | $3,034.00 | $290.97 – $302.61 | 3 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $1,075.10 | $1,654.00 | $7.73 – $8.04 | 3 |
| Fetal hemoglobin rosette CPT 85461 | $354.25 | $545.00 | $9.36 – $9.73 | 3 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $78.00 | $120.00 | $19.32 – $20.09 | 3 |
| Fetal non stress test CPT 59025 | $297.70 | $458.00 | $193.04 – $200.76 | 3 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $290.97 – $302.61 | 3 |
| Fetal shunt placement w/us CPT 59076 | $3,473.60 | $5,344.00 | $290.97 – $302.61 | 3 |
| #_fet/norfentcnfrmur CPT 80354 | $49.40 | $76.00 | not published | 0 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $13.20 – $51.35 | 2 |
| Fibrin degradation d dimer quantitative CPT 85379 | $347.10 | $534.00 | $10.18 – $10.59 | 3 |
| Fibrin degradation products CPT 85362 | $5.20 | $8.00 | $6.89 – $7.17 | 3 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.72 – $10.11 | 3 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.18 – $10.59 | 3 |
| Fibrinogen activity CPT 85384 | $58.50 | $90.00 | $9.72 – $10.11 | 3 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $12.93 | 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.