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 |
|---|---|---|---|---|
| Partial removal of tongue CPT 41120 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Partial thyroid excision CPT 60210 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $4.34 – $4.34 | 1 |
| Part removal hip bone deep CPT 27071 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Part removal of metatarsal CPT 28113 | $2,410.20 | $3,708.00 | $3,124.25 – $3,249.22 | 3 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Passy muir valve metal trach HCPCS L8501 | $143.75 | $221.16 | not published | 0 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $162.68 – $169.18 | 3 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $162.68 – $169.18 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $49.76 – $51.75 | 3 |
| Patient recorded spirometry CPT 94015 | not published | not published | $206.17 – $214.42 | 3 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $265.25 | 3 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $557.42 – $2,131.29 | 2 |
| Pdgfra gene CPT 81314 | $1,377.35 | $2,119.00 | $329.51 – $342.69 | 3 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $12.64 | $19.45 | not published | 0 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $191.57 – $199.24 | 3 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $122.86 – $127.78 | 3 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $122.86 – $127.78 | 3 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $0.07 – $0.07 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $0.07 – $0.07 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $28,424.06 – $175,958.45 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $10,005.45 | $15,393.00 | $89.34 – $129.87 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $5,495.20 | $8,454.15 | $131.16 – $760.57 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $10,794.65 | $16,607.15 | $106.33 – $881.08 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $184.91 – $1,939.02 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,458.74 | $6,859.60 | $99.13 – $814.45 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $4,614.84 | $7,099.75 | $137.96 – $1,192.88 | 4 |
| Peginesatide injection HCPCS J0890 | not published | not published | $0.07 – $0.07 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $7,237.23 – $7,237.23 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $99,728.33 | $153,428.20 | $3,660.83 – $23,075.33 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $228.16 – $1,474.14 | 4 |
| Pelvic control hip heavy dut HCPCS L2620 | $516.46 | $794.55 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,206.10 | $3,394.00 | $167.48 – $174.18 | 3 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,005.25 | $3,085.00 | $167.48 – $174.18 | 3 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,823.25 | $2,805.00 | $99.82 – $103.82 | 3 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,976.35 | $4,579.00 | $333.12 – $346.44 | 3 |
| Pelvic MRI (with contrast) CPT 72196 | $2,705.95 | $4,163.00 | $333.12 – $346.44 | 3 |
| Pelvic MRI (without contrast) CPT 72195 | $2,460.25 | $3,785.00 | $227.83 – $236.94 | 3 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Pelvic Ultrasound (complete) CPT 76856 | $543.40 | $836.00 | $99.82 – $103.82 | 3 |
| Pelvic Ultrasound (limited) CPT 76857 | $442.65 | $681.00 | $99.82 – $103.82 | 3 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $16,273.24 | $25,035.75 | $60.29 – $374.40 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $2,184.03 | $3,360.05 | $4.36 – $34.26 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $19.52 – $112.91 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,300.74 | $3,539.60 | $30.01 – $174.33 | 4 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $47.06 | $72.40 | $1.49 – $4.88 | 2 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $298.68 – $298.68 | 1 |
| Penile injection CPT 54235 | $464.10 | $714.00 | $238.57 – $248.11 | 3 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $21,740.37 | $33,446.72 | not published | 0 |
| Penile vascular study CPT 93980 | $764.40 | $1,176.00 | $99.82 – $103.82 | 3 |
| Penile vascular study CPT 93981 | $446.55 | $687.00 | $99.82 – $103.82 | 3 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Penis study CPT 54240 | not published | not published | $206.17 – $214.42 | 3 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $140.03 – $516.04 | 2 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $0.07 – $0.07 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $0.07 – $0.07 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $332.31 | $511.25 | $27.99 – $343.40 | 4 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,608.16 – $17,761.45 | 4 |
| Perc cryo ablate renal tum CPT 50593 | $14,157.00 | $21,780.00 | $10,149.82 – $10,555.81 | 3 |
| Perc d-e cor revasc chro add HCPCS C9608 | $6,927.70 | $10,658.00 | not published | 0 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $19,083.35 | $29,359.00 | $17,503.83 – $18,203.99 | 3 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $5,226.65 | $8,041.00 | not published | 0 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $12,396.80 | $19,072.00 | $11,022.89 – $11,463.80 | 3 |
| Perc d-e cor stent ather br HCPCS C9603 | $8,739.90 | $13,446.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $18,700.50 | $28,770.00 | $17,503.83 – $18,203.99 | 3 |
| Perc drug-el cor stent bran HCPCS C9601 | $5,208.45 | $8,013.00 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $18,700.50 | $28,770.00 | $11,022.89 – $11,463.80 | 3 |
| Perc rf ablate renal tumor CPT 50592 | $8,039.20 | $12,368.00 | $5,772.53 – $6,003.43 | 3 |
| Percut ablate liver rf CPT 47382 | $5,413.85 | $8,329.00 | $5,772.53 – $6,003.43 | 3 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $489.38 | $752.90 | $70.04 – $270.47 | 2 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $13,259.35 | $20,399.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $6,956.30 | $10,702.00 | $1,503.07 – $1,563.19 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,738.62 – $3,888.17 | 3 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Peripheral vascular rehab CPT 93668 | $98.80 | $152.00 | $56.33 – $58.58 | 3 |
| Peri-proc device eval icd CPT 93287 | $168.35 | $259.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $127.40 | $196.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | $4,213.95 | $6,483.00 | $5,313.21 – $5,525.74 | 3 |
| Peritoneogram rs&i CPT 74190 | $1,751.75 | $2,695.00 | $521.74 – $542.61 | 3 |
| Perit-vens shunt pat tst CPT 78291 | $861.25 | $1,325.00 | $381.72 – $396.99 | 3 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $3.06 – $3.06 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $24,430.90 | $37,586.00 | not published | 0 |
| Perq clsr tcat l atr apndge CPT 33340 | $30,338.10 | $46,674.00 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $676.16 – $703.20 | 3 |
| Perq dev breast 1st strtctc CPT 19283 | $1,129.70 | $1,738.00 | $676.16 – $703.20 | 3 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $9,038.98 – $9,400.54 | 3 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $12,779.00 | $19,660.00 | $9,038.98 – $9,400.54 | 3 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $11,022.89 – $11,463.80 | 3 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $17,503.83 – $18,203.99 | 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.