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 |
|---|---|---|---|---|
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $9.10 – $56.88 | 4 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $2.03 | $3.12 | $0.63 – $4.55 | 4 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $3.33 | $5.12 | $0.78 – $14.24 | 4 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.94 – $28.28 | 4 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.11 – $0.46 | 2 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.10 – $0.26 | 2 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.07 – $0.26 | 2 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.15 – $27.30 | 4 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $1.32 – $13.00 | 2 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.07 – $3,449,121.09 | 4 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.07 – $0.07 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | $2,780.70 | $4,278.00 | not published | 0 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.13 – $26.59 | 4 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $293.09 – $304.81 | 3 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.77 – $43.55 | 4 |
| Inj dx for sinogram CPT 20501 | $1,687.40 | $2,596.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $3,023.80 | $4,652.00 | $674.01 – $700.97 | 3 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $2,106.00 | $3,240.00 | not published | 0 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $52.47 – $326.82 | 4 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $484.14 – $3,053.25 | 4 |
| Injection, cangrelor HCPCS C9460 | $3,033.22 | $4,666.50 | $19.98 – $124.09 | 4 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $802.49 – $4,870.26 | 4 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $661.70 | $1,018.00 | $293.09 – $304.81 | 3 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $166.06 – $1,040.00 | 4 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $0.07 – $0.07 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $71.37 – $424.58 | 4 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $3.06 – $3.06 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.64 – $2.47 | 2 |
| Injection during cath supravalvular aortography CPT 93567 | $2,346.50 | $3,610.00 | not published | 0 |
| Injection, edaravone, 1 mg HCPCS J1301 | $2,084.94 | $3,207.60 | $20.99 – $140.92 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $1,720.55 | $2,647.00 | $674.01 – $700.97 | 3 |
| Injection eye drug CPT 67028 | not published | not published | $315.39 – $328.01 | 3 |
| Injection, famotidine, 20 mg HCPCS S0028 | $24.04 | $36.98 | $3.77 – $3.77 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $1,318.20 | $2,028.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $1,734.85 | $2,669.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,241.50 | $1,910.00 | not published | 0 |
| Injection for spleen x-ray CPT 38200 | $183.95 | $283.00 | not published | 0 |
| Injection for ureter x-ray CPT 50684 | $2,237.30 | $3,442.00 | not published | 0 |
| Injection for ureter x-ray CPT 50690 | $2,067.00 | $3,180.00 | not published | 0 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $239.92 – $239.92 | 1 |
| Injection, fulvestrant HCPCS J9395 | $285.16 | $438.70 | $11.86 – $43.29 | 2 |
| Injection glatiramer acetate HCPCS J1595 | $119.18 | $183.35 | $373.75 – $373.75 | 1 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $427.72 – $2,776.09 | 4 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $11,657.30 | $17,934.30 | $12.32 – $79.82 | 4 |
| Injection into brain canal CPT 61026 | not published | not published | $674.01 – $700.97 | 3 |
| Injection into brain canal CPT 61055 | $208.00 | $320.00 | $293.09 – $304.81 | 3 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $887.96 – $923.48 | 3 |
| Injection into spinal artery CPT 62294 | not published | not published | $844.53 – $878.31 | 3 |
| Injection into vocal cord CPT 31513 | not published | not published | $373.46 – $388.40 | 3 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.00 – $6.70 | 4 |
| Injection jugular CPT 36299 | $333.45 | $513.00 | not published | 0 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.91 – $8.78 | 2 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.73 – $37.25 | 4 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $68.75 – $71.50 | 3 |
| Injection of sinus tract CPT 20500 | $1,059.50 | $1,630.00 | $1,481.52 – $1,540.78 | 3 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,154.07 | $3,313.95 | $6.50 – $42.06 | 4 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $635.05 – $635.05 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.68 – $10.27 | 4 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $0.07 – $0.07 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $238.57 – $248.11 | 3 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $2,223.00 | $3,420.00 | $381.72 – $396.99 | 3 |
| Injection, renflexis HCPCS Q5104 | $105.60 | $162.46 | $27.00 – $170.69 | 4 |
| Injection, ruconest HCPCS J0596 | not published | not published | $36.77 – $225.36 | 4 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $3,190.20 | $4,908.00 | $674.01 – $700.97 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,208.70 | $3,398.00 | $674.01 – $700.97 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $982.80 | $1,512.00 | $674.01 – $700.97 | 3 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,862.90 | $2,866.00 | $844.53 – $878.31 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,859.00 | $2,860.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $3,777.80 | $5,812.00 | $844.53 – $878.31 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $845.00 | $1,300.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,620.50 | $5,570.00 | $844.53 – $878.31 | 3 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $3,307.20 | $5,088.00 | $674.01 – $700.97 | 3 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,973.75 | $4,575.00 | $674.01 – $700.97 | 3 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $165.83 – $1,013.81 | 4 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $2,163.20 | $3,328.00 | $293.09 – $304.81 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $923.65 | $1,421.00 | $293.09 – $304.81 | 3 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $923.65 | $1,421.00 | $293.09 – $304.81 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $147.55 | $227.00 | $44.71 – $46.50 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $110.50 | $170.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $160.55 | $247.00 | $203.10 – $211.22 | 3 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $131.30 | $202.00 | $68.75 – $71.50 | 3 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $0.07 – $0.07 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $0.07 – $0.07 | 1 |
| Injection treatment of nerve CPT 64605 | $3,507.40 | $5,396.00 | $1,864.55 – $1,939.13 | 3 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,864.55 – $1,939.13 | 3 |
| Injection treatment of nerve CPT 64681 | $2,253.55 | $3,467.00 | $844.53 – $878.31 | 3 |
| Injection treatment of nose CPT 30200 | not published | not published | $514.97 – $535.57 | 3 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $53,243.74 | $81,913.45 | $33.89 – $215.15 | 4 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $20.87 – $143.91 | 4 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $384.85 – $2,447.71 | 4 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $56.10 – $338.13 | 4 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $2,174.25 | $3,345.00 | $674.01 – $700.97 | 3 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,854.45 | $2,853.00 | $844.53 – $878.31 | 3 |
| Inj, epinephrine (belcher) HCPCS J0173 | $3.22 | $4.95 | $15.47 – $15.47 | 1 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.30 – $7.87 | 4 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.29 – $25.55 | 4 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $167.35 – $1,040.00 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $193.76 – $1,211.02 | 4 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.50 – $117.00 | 4 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $0.07 – $2,425,280.00 | 4 |
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.