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 |
|---|---|---|---|---|
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,481.52 – $1,540.78 | 3 |
| Frenotomy 40806 CPT 40806 | not published | not published | $514.97 – $535.57 | 3 |
| Frenulotomy of penis CPT 54164 | not published | not published | $1,995.99 – $2,075.83 | 3 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $142.35 | $219.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $162.68 – $169.18 | 3 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $35.66 – $37.09 | 3 |
| Frozen blood prep CPT 86930 | not published | not published | $162.68 – $169.18 | 3 |
| Frozen blood thaw CPT 86931 | not published | not published | $162.68 – $169.18 | 3 |
| Frozen cell preparation CPT 88241 | not published | not published | $12.09 – $12.57 | 3 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $5.53 – $58.20 | 4 |
| Fructosamine glycated protein CPT 82985 | $39.65 | $61.00 | $16.76 – $17.43 | 3 |
| Ft arch suprt premold longit HCPCS L3040 | $96.51 | $148.47 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $648.23 | $997.28 | not published | 0 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,487.37 – $1,546.86 | 3 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $69.52 – $72.30 | 3 |
| Ftl cgen abnor four anal CPT 81511 | $179.40 | $276.00 | $153.50 – $159.64 | 3 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $55.54 – $57.76 | 3 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $54.30 – $56.47 | 3 |
| Full field erg w/i&r CPT 92273 | not published | not published | $206.17 – $214.42 | 3 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $227.83 – $236.94 | 3 |
| Full sole/heel wedge btween HCPCS L3420 | $113.14 | $174.06 | not published | 0 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $127.04 – $132.12 | 3 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $22.20 | $34.15 | $0.04 – $0.04 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $14.15 | $21.77 | $2.54 – $2.54 | 1 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $12,258.92 – $12,749.28 | 3 |
| Fusion of big toe joint CPT 28750 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Fusion of big toe joint CPT 28755 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Fusion of finger joint CPT 26860 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Fusion of finger tendons CPT 26471 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,535.38 – $1,596.79 | 3 |
| Fusion of foot bones CPT 28730 | not published | not published | $12,258.92 – $12,749.28 | 3 |
| Fusion of foot bones CPT 28735 | not published | not published | $12,258.92 – $12,749.28 | 3 |
| Fusion of foot bones CPT 28740 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Fusion of hand joint CPT 26843 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Fusion of knee CPT 27580 | not published | not published | $12,258.92 – $12,749.28 | 3 |
| Fusion of knuckle CPT 26850 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,995.99 – $2,075.83 | 3 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Fusion of thumb CPT 26841 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $12,258.92 – $12,749.28 | 3 |
| Fusion of toes CPT 28280 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $285.82 | 3 |
| Fxn gene detc abnor alleles CPT 81284 | $1,557.40 | $2,396.00 | $137.00 – $142.48 | 3 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $285.82 | 3 |
| Fxn gene known famil variant CPT 81289 | $1,136.20 | $1,748.00 | $185.20 – $192.61 | 3 |
| G6pc gene CPT 81250 | $91.65 | $141.00 | $58.49 – $60.83 | 3 |
| G6pd full gene sequence CPT 81249 | $2,137.20 | $3,288.00 | $600.00 – $624.00 | 3 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $181.80 | 3 |
| G6pd known familial variant CPT 81248 | $4,973.80 | $7,652.00 | $375.25 – $390.26 | 3 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $16.58 | $25.50 | $0.07 – $0.07 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $49.63 – $361.14 | 4 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.45 – $1.82 | 2 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $2.51 – $9.62 | 2 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.32 | $0.49 | $0.20 – $0.78 | 2 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $25.00 – $95.55 | 2 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $21.07 – $21.91 | 3 |
| Galactokinase - sendout CPT 82759 | not published | not published | $21.48 – $22.34 | 3 |
| Galactose transferase test CPT 82776 | not published | not published | $11.74 – $12.21 | 3 |
| Galectin-3 CPT 82777 | $241.15 | $371.00 | $44.25 – $46.02 | 3 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.61 – $49.27 | 4 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $363.50 – $4,950.47 | 4 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $550.13 – $5,056.09 | 4 |
| Gallium illuccix 1 millicure HCPCS A9596 | $1,651.72 | $2,541.10 | $478.52 – $6,396.00 | 4 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $362.50 – $5,356.00 | 4 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $0.07 – $0.07 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $508.76 – $3,151.98 | 4 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $170.48 – $3,212.04 | 4 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $49.03 – $321.23 | 4 |
| Gammaglobulin iga CPT 82784 | $86.45 | $133.00 | $9.30 – $9.67 | 3 |
| Gammaglobulin ige CPT 82785 | $28.60 | $44.00 | $16.46 – $17.12 | 3 |
| Gamma glutamyltransferase CPT 82977 | $40.30 | $62.00 | $7.20 – $7.49 | 3 |
| Gammagraft HCPCS Q4111 | not published | not published | $12.10 – $123.58 | 3 |
| Gammaplex injection HCPCS J1557 | not published | not published | $63.68 – $369.01 | 4 |
| Gamunex-c/gammaked HCPCS J1561 | $7,372.04 | $11,341.60 | $48.96 – $318.57 | 4 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $129.80 | $199.70 | $67.35 – $186.81 | 2 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $0.07 – $0.07 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $35.09 – $36.49 | 3 |
| Gardner vag dna quant CPT 87512 | not published | not published | $41.76 – $43.43 | 3 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $6.71 – $6.98 | 3 |
| Gastric emptying imag study CPT 78265 | $2,233.40 | $3,436.00 | $381.72 – $396.99 | 3 |
| Gastric emptying imag study CPT 78266 | $2,404.35 | $3,699.00 | $518.45 – $539.19 | 3 |
| Gastric motility studies CPT 91020 | not published | not published | $356.31 – $370.56 | 3 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $381.72 – $396.99 | 3 |
| Gastrin test CPT 82938 | not published | not published | $17.69 – $18.40 | 3 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $381.72 – $396.99 | 3 |
| Gastroesophageal reflux test CPT 91034 | $2,804.75 | $4,315.00 | $356.31 – $370.56 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $866.03 – $900.67 | 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.