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, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.78 – $61.95 | 4 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $33.88 – $229.13 | 4 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $0.07 – $0.07 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $22.02 – $135.01 | 4 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $140.99 – $887.12 | 4 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.20 – $0.20 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.23 – $7.22 | 4 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $37.93 | $58.35 | $12.63 – $49.99 | 2 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.84 – $19.83 | 4 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $1,569.82 – $1,569.82 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $1,413.75 – $1,413.75 | 1 |
| Inj for ext venography CPT 36005 | $4,214.60 | $6,484.00 | not published | 0 |
| Inj for mammo ductogram CPT 19030 | $1,774.50 | $2,730.00 | not published | 0 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.03 – $2.86 | 4 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $575.50 – $4,277.65 | 4 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $21.19 – $21.19 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $5.65 – $79.69 | 4 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $41.67 – $130.00 | 4 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $5.79 – $23.27 | 2 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $325.00 – $325.00 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $1,196.00 – $1,196.00 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $8.99 – $60.71 | 2 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $117.36 – $750.56 | 4 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $29,284.42 | $45,052.95 | $2,767.88 – $18,010.92 | 4 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $3.15 – $13.13 | 2 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $10.40 – $10.40 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $1,040.00 – $1,040.00 | 1 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $4.29 – $35.82 | 4 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $75.97 – $477.88 | 4 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $75.66 – $75.66 | 1 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.07 – $3,832,677.33 | 4 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $5.11 – $22.88 | 2 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $61.44 – $409.89 | 4 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $40.02 – $573.30 | 4 |
| Inj herzuma 10 mg HCPCS Q5113 | $0.42 | $0.65 | $69.37 – $467.87 | 4 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,521.35 | $3,879.00 | not published | 0 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $671.45 | $1,033.00 | not published | 0 |
| Inj human fibrinogen con nos HCPCS J7178 | $3,288.87 | $5,059.80 | $1.52 – $9.62 | 4 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $2,930.52 | $4,508.50 | $5.18 – $32.44 | 4 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $88.66 – $88.66 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $79.26 – $501.35 | 4 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $146.12 – $146.12 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $4.44 – $16.25 | 2 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $77.39 – $498.10 | 4 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.22 – $0.91 | 2 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $378,200.52 | $581,846.95 | $495.54 – $3,148.60 | 4 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $844.53 – $878.31 | 3 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $247.00 – $247.00 | 1 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $9.43 – $9.43 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $251.55 | $387.00 | $191.57 – $199.24 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $191.57 – $199.24 | 3 |
| Inj, invega hafyera/trinza HCPCS J2427 | $33,280.23 | $51,200.35 | $13.00 – $82.03 | 4 |
| Inj ivig privigen 500 mg HCPCS J1459 | $1,979.51 | $3,045.40 | $50.74 – $320.32 | 4 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.91 – $14.30 | 4 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.65 – $15.93 | 4 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.57 – $9.62 | 4 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $2.35 – $8.97 | 2 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $87.28 – $554.32 | 4 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $4,264.42 | $6,560.65 | $29.84 – $199.42 | 4 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.32 – $8.65 | 4 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $4.42 – $4.42 | 1 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.15 – $142.87 | 4 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $41.30 – $166.14 | 2 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.06 – $0.26 | 2 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $236.50 | $363.85 | $6.83 – $24.83 | 4 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $8.73 – $33.41 | 2 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $24.34 | $37.45 | $0.07 – $0.07 | 1 |
| Inj, linezolid (hospira) HCPCS J2021 | $168.12 | $258.65 | $10.77 – $53.76 | 2 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $0.07 – $3,378,383.54 | 4 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $329.05 – $2,067.07 | 4 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $23.39 – $143.46 | 4 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $0.07 – $3,122.69 | 4 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $51.10 – $53.14 | 3 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $20.35 – $20.35 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $95.90 – $868.99 | 4 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $0.07 – $0.07 | 1 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $795.00 – $5,029.70 | 4 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $1,577.88 – $1,577.88 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $22.52 | $34.65 | $6.50 – $23.08 | 2 |
| Inj, meropenem (b. braun) HCPCS J2184 | $77.28 | $118.90 | $3.53 – $13.46 | 2 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.18 – $14.04 | 4 |
| Inj meropenem (wg crit care) HCPCS J2183 | $104.29 | $160.45 | $2.76 – $10.73 | 2 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.61 – $2.02 | 2 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $43.05 – $295.04 | 4 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $248.50 – $1,581.58 | 4 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $25.22 – $163.93 | 4 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $14.81 – $56.23 | 2 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $13.19 – $40.11 | 2 |
| Inj multihance HCPCS A9577 | not published | not published | $2.96 – $11.83 | 2 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $2.91 – $11.64 | 2 |
| Inj. mycophenolate mofetil HCPCS J7519 | $76.02 | $116.95 | $0.70 – $2.67 | 2 |
| Inj naloxone hydrochloride HCPCS J2310 | $38.75 | $59.62 | $56.55 – $56.55 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $686.00 – $4,174.89 | 4 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $7,979.40 | $12,276.00 | $665.81 – $692.44 | 3 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $21,469.99 | $33,030.75 | not published | 0 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $94.66 – $616.66 | 4 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $1,316.25 | $2,025.00 | $1,970.11 – $2,048.91 | 3 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $1,316.25 | $2,025.00 | $1,970.11 – $2,048.91 | 3 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | not published | not published | $47.23 – $49.12 | 3 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $0.07 – $0.07 | 1 |
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.