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 |
|---|---|---|---|---|
| Pretreat rbc w enzyme reference CPT 86971 | $222.95 | $343.00 | $162.68 – $169.18 | 3 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $385.45 | $593.00 | not published | 0 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $91.65 | $141.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $109.85 | $169.00 | not published | 0 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $128.05 | $197.00 | not published | 0 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $153.40 | $236.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $127.12 – $132.21 | 3 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $1,577.02 – $1,640.10 | 3 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,687.75 | $4,135.00 | $1,577.02 – $1,640.10 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $333.45 | $513.00 | $388.16 – $403.68 | 3 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $3,681.37 – $3,828.63 | 3 |
| Prgrmg dev eval impltbl sys CPT 93260 | $173.55 | $267.00 | not published | 0 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $141.70 | $218.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $99.45 | $153.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $151.45 | $233.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $196.30 | $302.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $217.10 | $334.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $6,099.60 | $9,384.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $23,488.40 | $36,136.00 | $17,503.83 – $18,203.99 | 3 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $6,721.00 | $10,340.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $599.30 | $922.00 | $388.16 – $403.68 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $271.70 | $418.00 | $191.57 – $199.24 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $544.05 | $837.00 | $290.97 – $302.61 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $410.15 | $631.00 | $388.16 – $403.68 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $127.12 – $132.21 | 3 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $127.12 – $132.21 | 3 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $350.35 | $539.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,864.55 – $1,939.13 | 3 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,641.47 | $7,140.73 | not published | 0 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,270.12 – $2,360.93 | 3 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $2,270.12 – $2,360.93 | 3 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,270.12 – $2,360.93 | 3 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $184.37 | $283.64 | $294.69 – $1,189.70 | 4 |
| Procalcitonin CPT 84145 | $302.25 | $465.00 | $27.22 – $28.31 | 3 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $840.26 – $840.26 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $28.93 | $44.51 | $4.29 – $19.18 | 2 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $2.28 – $2.28 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,650.32 – $2,756.33 | 3 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,142.60 – $1,188.31 | 3 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,142.60 – $1,188.31 | 3 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $603.20 | $928.00 | $887.96 – $923.48 | 3 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,650.32 – $2,756.33 | 3 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,142.60 – $1,188.31 | 3 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,142.60 – $1,188.31 | 3 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,650.32 – $2,756.33 | 3 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $2,071.55 | $3,187.00 | $1,142.60 – $1,188.31 | 3 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $2,650.32 – $2,756.33 | 3 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $118.83 – $123.58 | 3 |
| Progesterone CPT 84144 | $39.00 | $60.00 | $20.86 – $21.69 | 3 |
| Prolactin CPT 84146 | $118.95 | $183.00 | $19.38 – $20.16 | 3 |
| Prolonged IV inf, req pump HCPCS C8957 | $522.60 | $804.00 | $203.10 – $211.22 | 3 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.52 – $0.52 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $4.87 – $23.21 | 2 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $12,258.92 – $12,749.28 | 3 |
| Prophylactic tx radius CPT 25490 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $12,258.92 – $12,749.28 | 3 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $63.54 | $97.75 | $0.15 – $0.52 | 2 |
| _propoxygc/msur CPT 80367 | $135.85 | $209.00 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $35.88 | $55.20 | $63.31 – $63.31 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $342.26 – $355.95 | 3 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $5,119.67 – $5,324.46 | 3 |
| Prostate laser enucleation CPT 52649 | not published | not published | $5,119.67 – $5,324.46 | 3 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $823.26 | $1,266.56 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $25.35 | $39.00 | $2.78 – $7.41 | 2 |
| Protect body sock ea pre ots HCPCS L0984 | $106.48 | $163.82 | not published | 0 |
| Protein c activity CPT 85303 | $520.65 | $801.00 | $13.84 – $14.39 | 3 |
| Protein c concentrate HCPCS J2724 | not published | not published | $2.56 – $97.70 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $118.30 | $182.00 | $10.74 – $11.17 | 3 |
| Protein s total CPT 85305 | $117.00 | $180.00 | $11.61 – $12.07 | 3 |
| Protein total 24 hour urine CPT 84156 | $40.30 | $62.00 | $3.67 – $3.82 | 3 |
| Protein total body fluid CPT 84157 | $44.20 | $68.00 | $4.00 – $4.16 | 3 |
| Protein total serum plasma whole blood CPT 84155 | $9.75 | $15.00 | $3.67 – $3.82 | 3 |
| Prothrombin complex kcentra HCPCS J7168 | $2,412.60 | $3,711.70 | $2.14 – $19.37 | 4 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $707.20 | $1,088.00 | $3.94 – $4.10 | 3 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $527.59 – $548.69 | 3 |
| Protoporphyrin rbc screen CPT 84203 | $352.30 | $542.00 | $9.74 – $10.13 | 3 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $127.12 – $132.21 | 3 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,418.72 – $3,555.47 | 3 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $17,503.83 – $18,203.99 | 3 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $17,503.83 – $18,203.99 | 3 |
| Prq card angio/athrect addl CPT 92925 | $8,739.90 | $13,446.00 | not published | 0 |
| Prq cardiac angio addl art CPT 92921 | $3,992.30 | $6,142.00 | not published | 0 |
| Prq card revasc chronic addl CPT 92944 | $7,820.15 | $12,031.00 | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | $13,897.00 | $21,380.00 | not published | 0 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $14,911.00 | $22,940.00 | not published | 0 |
| Prq card stent/ath/angio CPT 92934 | $7,820.15 | $12,031.00 | not published | 0 |
| Prq card stent w/angio addl CPT 92929 | $7,965.10 | $12,254.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $11,602.50 | $17,850.00 | $11,022.89 – $11,463.80 | 3 |
| Prq revasc byp graft addl CPT 92938 | $7,965.10 | $12,254.00 | not published | 0 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,535.38 – $1,596.79 | 3 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $11,700.65 | $18,001.00 | $11,022.89 – $11,463.80 | 3 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | not published | not published | $17,503.83 – $18,203.99 | 3 |
| Prq trlml c athrc st angiop1 CPT 92933 | $12,779.00 | $19,660.00 | $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.