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 |
|---|---|---|---|---|
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $68.25 | $105.00 | $15.48 – $16.10 | 3 |
| Fibrinolytic antiplasmin CPT 85410 | $97.50 | $150.00 | $7.71 – $8.02 | 3 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $8.02 | 3 |
| Fibrinolytic plasminogen CPT 85415 | $280.15 | $431.00 | $17.19 – $17.88 | 3 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $10.59 | 3 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $430.30 | $662.00 | $6.53 – $6.79 | 3 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $297.18 | $457.20 | $0.30 – $1.89 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.00 – $6.37 | 4 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $891.02 | $1,370.80 | $0.46 – $2.34 | 4 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Filtered speech hearing test CPT 92571 | not published | not published | $35.66 – $37.09 | 3 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $5,559.68 | $8,553.36 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $1,773.35 | $2,728.23 | not published | 0 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.98 – $0.98 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,396.20 | $2,148.00 | $676.16 – $703.20 | 3 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $488.80 | $752.00 | not published | 0 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $138.45 | $213.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $488.80 | $752.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $407.55 | $627.00 | $388.16 – $403.68 | 3 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $56.33 – $58.58 | 3 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $56.33 – $58.58 | 3 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $35.66 – $37.09 | 3 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $35.66 – $37.09 | 3 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $193.04 – $200.76 | 3 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,535.38 – $1,596.79 | 3 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Fix g/colon tube w/device CPT 49460 | $4,574.70 | $7,038.00 | $866.03 – $900.67 | 3 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Flebogamma injection HCPCS J1572 | not published | not published | $344.11 – $344.11 | 1 |
| Flecainide (tambocor)-sendout CPT 80181 | $71.50 | $110.00 | $18.64 – $19.39 | 3 |
| Fl exam g/colon tube w contrast CPT 49465 | $2,063.10 | $3,174.00 | $227.83 – $236.94 | 3 |
| Flexible Sigmoidoscopy CPT 45330 | $2,563.60 | $3,944.00 | $887.96 – $923.48 | 3 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,577.02 – $1,640.10 | 3 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,584.67 – $22,100.00 | 4 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $2,275.00 – $3,858.40 | 4 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $671.22 – $4,116.00 | 4 |
| Flow cytometry marker each additional CPT 88185 | $1,365.00 | $2,100.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $222.95 | $343.00 | $342.26 – $355.95 | 3 |
| Floweramniopatch, per sq cm HCPCS Q4178 | $1,284.48 | $1,976.13 | $118.83 – $123.58 | 3 |
| Floxuridine injection HCPCS J9200 | not published | not published | $4,128.02 – $25,932.66 | 4 |
| Flt3 gene CPT 81245 | $977.60 | $1,504.00 | $165.51 – $172.13 | 3 |
| Flt3 gene analysis CPT 81246 | $494.00 | $760.00 | $83.00 – $86.32 | 3 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $49.11 | $75.55 | $3.84 – $15.54 | 2 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $121.80 – $1,093.95 | 2 |
| Fluidotherapy charges pt CPT 97022 | $71.50 | $110.00 | $14.86 – $15.45 | 3 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $676.16 – $703.20 | 3 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $0.07 – $0.07 | 1 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $498.14 – $3,208.92 | 4 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $340.31 – $2,166.00 | 4 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $356.31 – $370.56 | 3 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $206.17 – $214.42 | 3 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $206.17 – $214.42 | 3 |
| Fluorescent antibody titer dna CPT 86256 | $223.60 | $344.00 | $12.05 – $12.53 | 3 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $855.55 – $3,242.66 | 4 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $460.42 – $4,999.61 | 4 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $646.75 | $995.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $546.00 | $840.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $18.91 – $19.67 | 3 |
| Fluoroscopy up to 1 hour CPT 76000 | $608.40 | $936.00 | $227.83 – $236.94 | 3 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $202.31 | $311.25 | $2.92 – $14.50 | 2 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $39.78 | $61.20 | $12.80 – $61.17 | 2 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,944.01 – $20,800.00 | 4 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $0.07 – $0.07 | 1 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $0.07 – $0.07 | 1 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $227.83 – $236.94 | 3 |
| Fmri brain by tech CPT 70554 | $4,865.90 | $7,486.00 | $227.83 – $236.94 | 3 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,396.20 | $2,148.00 | $676.16 – $703.20 | 3 |
| Fna bx w/ct gdn ea addl CPT 10010 | $488.80 | $752.00 | not published | 0 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $676.16 – $703.20 | 3 |
| Foam stability fetal lung CPT 83662 | not published | not published | $18.91 – $19.67 | 3 |
| Folic acid CPT 82746 | $46.80 | $72.00 | $14.70 – $15.29 | 3 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $22.78 | $35.05 | $0.10 – $0.10 | 1 |
| Follow-up angiography CPT 75898 | $5,427.50 | $8,350.00 | $3,014.90 – $3,135.49 | 3 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $127.12 – $132.21 | 3 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,270.12 – $2,360.93 | 3 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,575.73 | $2,424.20 | $6.28 – $80.80 | 4 |
| Fondaparinux sodium HCPCS J1652 | $54.02 | $83.10 | $1.22 – $4.36 | 2 |
| Fo nontorsion joint cf HCPCS L3935 | $415.29 | $638.91 | not published | 0 |
| Foot arch support remov prem HCPCS L3030 | $158.40 | $243.69 | not published | 0 |
| Foot longitud/metatarsal sup HCPCS L3020 | $409.30 | $629.70 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $5.99 | $9.22 | not published | 0 |
| Foot plate molded stirrup at HCPCS L2250 | $689.49 | $1,060.76 | not published | 0 |
| Foot X-ray CPT 73630 | $659.10 | $1,014.00 | $83.10 – $86.42 | 3 |
| Forearm/arm cuffs free motio HCPCS L3720 | $682.84 | $1,050.52 | not published | 0 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $3,383.70 – $3,519.05 | 3 |
| Forensic cytopathology CPT 88125 | not published | not published | $49.76 – $51.75 | 3 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $238.57 – $248.11 | 3 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $3.34 – $12.29 | 2 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $157.04 | $241.60 | $0.19 – $0.78 | 2 |
| Foscarnet sodium injection HCPCS J1455 | $548.83 | $844.35 | $26.49 – $248.82 | 2 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $61.13 | $94.05 | $1.47 – $23.27 | 4 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $28.50 – $29.64 | 3 |
| Fracture assessment via dxa CPT 77086 | $978.90 | $1,506.00 | $83.10 – $86.42 | 3 |
| _fragile x methylation-sendout CPT 81244 | $562.25 | $865.00 | $44.89 – $46.69 | 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.