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 |
|---|---|---|---|---|
| Assay of estrogen CPT 84233 | not published | not published | $87.88 – $91.40 | 3 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $26.24 – $27.29 | 3 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $9.93 – $10.33 | 3 |
| Assay of feces porphyrins CPT 84126 | $288.60 | $444.00 | $39.11 – $40.67 | 3 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $16.80 – $17.47 | 3 |
| Assay of fluoride CPT 82735 | $157.30 | $242.00 | $18.54 – $19.28 | 3 |
| Assay of galactose CPT 82760 | $846.30 | $1,302.00 | $11.20 – $11.65 | 3 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $13.15 – $13.68 | 3 |
| Assay of glucosidase CPT 82963 | $1,069.25 | $1,645.00 | $21.48 – $22.34 | 3 |
| Assay of glutathione CPT 82978 | $617.50 | $950.00 | $15.45 – $16.07 | 3 |
| Assay of haptoglobins CPT 83012 | not published | not published | $26.89 – $27.97 | 3 |
| Assay of idh enzyme CPT 83570 | not published | not published | $8.85 – $9.20 | 3 |
| Assay of interleukin-6 (il-6) CPT 83529 | $162.50 | $250.00 | $17.27 – $17.96 | 3 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $19.82 – $20.61 | 3 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.81 – $10.20 | 3 |
| Assay of leflunomide CPT 80193 | $73.45 | $113.00 | $38.57 – $40.11 | 3 |
| Assay of lrh hormone CPT 83727 | $561.60 | $864.00 | $17.19 – $17.88 | 3 |
| Assay of methemalbumin CPT 83857 | not published | not published | $10.74 – $11.17 | 3 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $6.47 – $6.73 | 3 |
| Assay of osteocalcin CPT 83937 | $79.30 | $122.00 | $29.85 – $31.04 | 3 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.98 – $4.14 | 3 |
| Assay of pregnanediol CPT 84135 | not published | not published | $21.27 – $22.12 | 3 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $21.05 – $21.89 | 3 |
| Assay of procainamide w/metab CPT 80192 | $78.00 | $120.00 | $16.75 – $17.42 | 3 |
| Assay of progesterone CPT 84234 | not published | not published | $64.88 – $67.48 | 3 |
| Assay of prostaglandin CPT 84150 | $1,015.30 | $1,562.00 | $41.77 – $43.44 | 3 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.39 – $19.13 | 3 |
| Assay of quinine CPT 84228 | not published | not published | $11.63 – $12.10 | 3 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $9.44 – $9.82 | 3 |
| Assay of salicylate CPT 80179 | $149.50 | $230.00 | $18.64 – $19.39 | 3 |
| Assay of semen fructose CPT 82757 | $252.85 | $389.00 | $17.34 – $18.03 | 3 |
| Assay of sialic acid CPT 84275 | not published | not published | $13.44 – $13.98 | 3 |
| Assay of silica CPT 84285 | $425.10 | $654.00 | $25.21 – $26.22 | 3 |
| Assay of somatostatin CPT 84307 | $356.20 | $548.00 | $18.28 – $19.01 | 3 |
| Assay of thiocyanate CPT 84430 | $117.00 | $180.00 | $11.63 – $12.10 | 3 |
| Assay of troponin qual CPT 84512 | not published | not published | $10.09 – $10.49 | 3 |
| Assay of tyrosine CPT 84510 | $188.50 | $290.00 | $10.63 – $11.06 | 3 |
| Assay of urine sulfate CPT 84392 | $92.95 | $143.00 | $5.49 – $5.71 | 3 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.55 – $9.93 | 3 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $6.05 – $6.29 | 3 |
| Assay phosphatidylglycerol CPT 84081 | $206.70 | $318.00 | $16.52 – $17.18 | 3 |
| Assay phosphohexose enzymes CPT 84087 | $229.45 | $353.00 | $10.73 – $11.16 | 3 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.44 – $9.82 | 3 |
| Assay toxin or antitoxin CPT 87230 | $64.35 | $99.00 | $19.74 – $20.53 | 3 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $261.95 | $403.00 | $93.98 – $97.74 | 3 |
| Assess cyst contrast inject CPT 49424 | $1,219.40 | $1,876.00 | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $4.27 – $4.44 | 3 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $122.86 – $127.78 | 3 |
| Assistive tech assessment, ot CPT 97755 | $49.40 | $76.00 | $36.29 – $37.74 | 3 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $162.68 – $169.18 | 3 |
| Ast/sgot CPT 84450 | $9.75 | $15.00 | $5.18 – $5.39 | 3 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $31,301.37 | $48,155.95 | $91.34 – $573.43 | 4 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $36,442.90 | $56,066.00 | not published | 0 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $32,047.60 | $49,304.00 | not published | 0 |
| Atomic absorption CPT 82190 | not published | not published | $15.90 – $16.54 | 3 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $24.57 | $37.80 | $0.11 – $0.72 | 2 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $4,776.55 – $4,967.62 | 3 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $122.86 – $127.78 | 3 |
| Audiometry air + bone CPT 92553 | $106.60 | $164.00 | $122.86 – $127.78 | 3 |
| Auditory function 60 min CPT 92620 | not published | not published | $122.86 – $127.78 | 3 |
| Augmentation cheek bone CPT 21270 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Augmentation of facial bones CPT 21208 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $7,419.75 | $11,415.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $11,640.20 | $17,908.00 | $6,928.54 – $7,205.69 | 3 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $2,769.00 | $4,260.00 | $840.65 – $874.28 | 3 |
| Autologous blood op salvage CPT 86891 | $4,899.05 | $7,537.00 | not published | 0 |
| Autologous blood process CPT 86890 | $104.65 | $161.00 | $162.68 – $169.18 | 3 |
| Autolog prp diab wound ulcer HCPCS G0465 | $1,316.25 | $2,025.00 | not published | 0 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.47 – $6.73 | 3 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $127.04 – $132.12 | 3 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $122.86 – $127.78 | 3 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $127.04 – $132.12 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $5,699.40 | $8,768.30 | $100.09 – $630.18 | 4 |
| Av fistula revision CPT 36833 | not published | not published | $5,313.21 – $5,525.74 | 3 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $5,313.21 – $5,525.74 | 3 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $5,313.21 – $5,525.74 | 3 |
| Av fusion direct any site CPT 36821 | not published | not published | $3,014.90 – $3,135.49 | 3 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $5,313.21 – $5,525.74 | 3 |
| Avul nail plate addl CPT 11732 | $156.00 | $240.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $261.30 | $402.00 | $191.57 – $199.24 | 3 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $0.07 – $554,559.38 | 4 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Azacitidine injection HCPCS J9025 | $108.48 | $166.90 | $0.36 – $1.89 | 2 |
| Azathioprine 50 mg tablet HCPCS J7500 | $4.00 | $6.15 | $3.64 – $7.74 | 2 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $254.07 – $1,625.00 | 4 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $30.71 | $47.24 | $4.44 – $13.85 | 2 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $157.30 | $242.00 | $4.53 – $13.46 | 2 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $181.22 – $1,129.96 | 4 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $114.25 – $264.75 | 2 |
| Baclofen eval charges CPT 97750 | $83.85 | $129.00 | $32.14 – $33.43 | 3 |
| Bacterial meningitis antigen CPT 86403 | $108.55 | $167.00 | $11.54 – $12.00 | 3 |
| Bacterial vaginosis pcr CPT 87801 | $218.40 | $336.00 | $70.20 – $73.01 | 3 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.02 – $15.62 | 3 |
| #bac vag cand-c. albicans naa CPT 87481 | $82.55 | $127.00 | $35.09 – $36.49 | 3 |
| Balloon dilate urtrl strix CPT 50706 | $1,132.95 | $1,743.00 | not published | 0 |
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.