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 |
|---|---|---|---|---|
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $100.10 | $154.00 | $45.64 – $47.47 | 3 |
| Ghs sphenopalatine ganglion block CPT 64505 | $492.70 | $758.00 | $293.09 – $304.81 | 3 |
| Ghs spont nystagmus CPT 92541 | $197.60 | $304.00 | $127.04 – $132.12 | 3 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $254.15 | $391.00 | $98.01 – $101.93 | 3 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $35.66 – $37.09 | 3 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $127.04 – $132.12 | 3 |
| Ghs st - re-eval for alt comm CPT 92597 | $193.70 | $298.00 | $68.59 – $71.33 | 3 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $44.71 – $46.50 | 3 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $221.00 | $340.00 | $203.10 – $211.22 | 3 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $443.30 | $682.00 | $705.70 – $733.93 | 3 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $388.16 – $403.68 | 3 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,324.70 | $2,038.00 | $1,481.52 – $1,540.78 | 3 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.30 – $7.59 | 3 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $235.53 – $244.95 | 3 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $235.53 – $244.95 | 3 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $25.27 | 3 |
| Ghs urine, porphyrins quant CPT 84120 | $261.30 | $402.00 | $14.71 – $15.30 | 3 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $5,276.70 | $8,118.00 | $356.31 – $370.56 | 3 |
| Ghs windowing of cast CPT 29730 | not published | not published | $155.16 – $161.37 | 3 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $14.15 | 3 |
| Giardia lamblia antibody CPT 86674 | $148.85 | $229.00 | $14.72 – $15.31 | 3 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $227.83 – $236.94 | 3 |
| Gi inhouse confirmation CPT 87045 | $87.75 | $135.00 | $9.44 – $9.82 | 3 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,165.74 – $3,292.37 | 3 |
| Gi protein loss CPT 78282 | not published | not published | $381.72 – $396.99 | 3 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,471.30 | $3,802.00 | $866.03 – $900.67 | 3 |
| Gi trc img intral colon i&r CPT 91113 | $2,284.10 | $3,514.00 | $887.96 – $923.48 | 3 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $866.03 – $900.67 | 3 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $866.03 – $900.67 | 3 |
| Gjb2 gene full sequence CPT 81252 | $837.20 | $1,288.00 | $101.12 – $105.16 | 3 |
| Gjb2 gene known fam variants CPT 81253 | $633.10 | $974.00 | $61.52 – $63.98 | 3 |
| Gjb6 gene com variants CPT 81254 | $669.50 | $1,030.00 | $35.00 – $36.40 | 3 |
| Glassia injection HCPCS J0257 | not published | not published | $5.64 – $35.82 | 4 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $27.62 – $28.72 | 3 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $35.66 – $37.09 | 3 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $182.45 – $1,197.17 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $393.28 | $605.05 | $148.99 – $727.42 | 4 |
| Glucagon plasma - sendout CPT 82943 | $81.90 | $126.00 | $14.29 – $14.86 | 3 |
| Glucagon tolerance panel CPT 80422 | $190.45 | $293.00 | $46.07 – $47.91 | 3 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $52.52 | 3 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $18.48 | 3 |
| Glucose 1 hr post dose CPT 82950 | $16.25 | $25.00 | $4.75 – $4.94 | 3 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $6.29 | 3 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.28 – $3.41 | 3 |
| Glucose blood quantitative CPT 82947 | $9.75 | $15.00 | $3.93 – $4.09 | 3 |
| Glucose body fluid CPT 82945 | $47.45 | $73.00 | $3.93 – $4.09 | 3 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $56.33 – $58.58 | 3 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $35.10 | $54.00 | $12.87 – $13.38 | 3 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $35.10 | $54.00 | $3.92 – $4.08 | 3 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $27.92 | $42.95 | $0.74 – $3.77 | 2 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $0.07 – $0.07 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $6,354.72 | $9,776.50 | $11.04 – $68.51 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $39.00 | $60.00 | $18.58 – $19.32 | 3 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $154.35 | 3 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $195.00 | $300.00 | $18.52 – $19.26 | 3 |
| Gonioscopy CPT 92020 | not published | not published | $127.04 – $132.12 | 3 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $10,151.76 | $15,618.10 | $733.66 – $4,569.89 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $60.56 | $93.17 | $51.52 – $123.58 | 3 |
| Graft axiofill 1000mg HCPCS J3590 | $7,317.21 | $11,257.25 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $118.83 – $123.58 | 3 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $514.46 | $791.47 | $112.74 – $123.58 | 3 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $86.87 | $133.65 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $1,811.36 | $2,786.70 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $1,494.91 | $2,299.86 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $111.19 – $123.58 | 3 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $579.01 | $890.79 | $118.83 – $123.58 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $636.25 | $978.85 | $118.83 – $123.58 | 3 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $349.41 | $537.55 | $83.05 – $123.58 | 3 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $69.26 | $106.56 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $636.25 | $978.85 | $118.83 – $123.58 | 3 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $1,532.68 | $2,357.97 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,255.17 | $3,469.49 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $19.50 – $19.50 | 1 |
| Granisetron hcl injection HCPCS J1626 | $28.50 | $43.85 | $0.38 – $1.50 | 2 |
| Granulocyte pheresis ea unit HCPCS P9050 | $6,425.25 | $9,885.00 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $235.53 – $244.95 | 3 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,383.70 – $3,519.05 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,383.70 – $3,519.05 | 3 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.04 – $12.52 | 3 |
| Group train without patient HCPCS G0543 | not published | not published | $27.62 – $28.72 | 3 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $16.37 | 3 |
| Growth hormone panel CPT 80428 | $834.60 | $1,284.00 | $66.70 – $69.37 | 3 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $134.50 | 3 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $78.62 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,832.26 – $1,905.55 | 3 |
| G-tube reposition CPT 43761 | $910.00 | $1,400.00 | $238.57 – $248.11 | 3 |
| Gu dilat ureter/urethra s&i CPT 74485 | $4,607.20 | $7,088.00 | $1,995.99 – $2,075.83 | 3 |
| Guided cath fluid drainage 10030 CPT 10030 | $495.30 | $762.00 | $676.16 – $703.20 | 3 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $161.61 | $248.63 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $86.77 | $133.49 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $1,296.75 | $1,995.00 | not published | 0 |
| Gum graft CPT 41870 | not published | not published | $1,481.52 – $1,540.78 | 3 |
| Gw stiffened micro access kit HCPCS C1894 | $1,176.67 | $1,810.26 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,738.62 – $3,888.17 | 3 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $705.70 – $733.93 | 3 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $388.16 – $403.68 | 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.