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 |
|---|---|---|---|---|
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,656.85 | $2,549.00 | $1,503.07 – $1,563.19 | 3 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $2,131.35 | $3,279.00 | $381.72 – $396.99 | 3 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,590.25 | $3,985.00 | $1,236.19 – $1,285.63 | 3 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,856.10 | $4,394.00 | $1,365.38 – $1,419.99 | 3 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,495.00 | $2,300.00 | $1,503.07 – $1,563.19 | 3 |
| Rpl tun-cvad w subq port CPT 36582 | $5,001.10 | $7,694.00 | $3,014.90 – $3,135.49 | 3 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $5,313.21 – $5,525.74 | 3 |
| Rpl tun cvc wo subq port CPT 36581 | $4,616.30 | $7,102.00 | $3,014.90 – $3,135.49 | 3 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $6,181.48 – $6,428.74 | 3 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $6,181.48 – $6,428.74 | 3 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,418.72 – $3,555.47 | 3 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $6,181.48 – $6,428.74 | 3 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,418.72 – $3,555.47 | 3 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $5,313.21 – $5,525.74 | 3 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $5,313.21 – $5,525.74 | 3 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,418.72 – $3,555.47 | 3 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $5,119.67 – $5,324.46 | 3 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,418.72 – $3,555.47 | 3 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,418.72 – $3,555.47 | 3 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,418.72 – $3,555.47 | 3 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $6,181.48 – $6,428.74 | 3 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,418.72 – $3,555.47 | 3 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,650.32 – $2,756.33 | 3 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $56.33 – $58.58 | 3 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,418.72 – $3,555.47 | 3 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $222.80 – $231.71 | 3 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $9,038.98 – $9,400.54 | 3 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Rsv assay w/optic CPT 87807 | $266.50 | $410.00 | $13.10 – $13.62 | 3 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $1,885.00 – $1,885.00 | 1 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $127.12 – $132.21 | 3 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $25.38 – $26.40 | 3 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $25.04 – $26.04 | 3 |
| Rubella antibody igg CPT 86762 | $46.80 | $72.00 | $14.39 – $14.97 | 3 |
| Rubeola ag if CPT 87283 | not published | not published | $60.80 – $63.23 | 3 |
| Rubeola antibody igg CPT 86765 | $195.65 | $301.00 | $12.88 – $13.40 | 3 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $342.69 | 3 |
| Russell viper venom diluted CPT 85613 | $468.00 | $720.00 | $9.58 – $9.96 | 3 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $3,530.80 | $5,432.00 | $917.08 – $953.76 | 3 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $6,965.24 | $10,715.75 | $36.28 – $230.36 | 4 |
| Safety plan interven HCPCS G0560 | not published | not published | $39.18 – $40.75 | 3 |
| Salivary gland function exam CPT 78232 | not published | not published | $381.72 – $396.99 | 3 |
| Salivary gland imaging CPT 78230 | $1,796.60 | $2,764.00 | $381.72 – $396.99 | 3 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $381.72 – $396.99 | 3 |
| Salmonella antibody CPT 86768 | $65.65 | $101.00 | $13.19 – $13.72 | 3 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $127.12 – $132.21 | 3 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $0.07 – $0.07 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $50.36 – $390.13 | 4 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $51.43 – $53.49 | 3 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $274.61 – $1,050.01 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $35.33 – $36.74 | 3 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $70.29 – $73.10 | 3 |
| S bowel endoscope w/stent CPT 44379 | $3,428.75 | $5,275.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $881.40 | $1,356.00 | $227.83 – $236.94 | 3 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $538.85 | $829.00 | $99.82 – $103.82 | 3 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $761.15 | $1,171.00 | $227.83 – $236.94 | 3 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $517.40 | $796.00 | $99.82 – $103.82 | 3 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $554.45 | $853.00 | $99.82 – $103.82 | 3 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $683.15 | $1,051.00 | $99.82 – $103.82 | 3 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $861.25 | $1,325.00 | $227.83 – $236.94 | 3 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $689.00 | $1,060.00 | $99.82 – $103.82 | 3 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $642.20 | $988.00 | $99.82 – $103.82 | 3 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $3,307.85 | $5,089.00 | $1,577.02 – $1,640.10 | 3 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $3,115.85 | $4,793.62 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $19.28 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.94 – $33.22 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.97 – $45.73 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $78.00 | $120.00 | $26.49 – $27.55 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $28.13 | 3 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $21.07 | 3 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $2,442.70 | $3,758.00 | $887.96 – $923.48 | 3 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $2,442.70 | $3,758.00 | $887.96 – $923.48 | 3 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $141.05 | $217.00 | $18.05 – $18.77 | 3 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $28.27 – $29.40 | 3 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $46.35 – $48.20 | 3 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $25.04 | 3 |
| Screening Mammogram CPT 77067 | $171.60 | $264.00 | $83.28 – $86.61 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | $53.95 | $83.00 | $19.31 – $20.08 | 3 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $18.54 – $19.28 | 3 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $11,541.37 | $17,755.96 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $68.75 – $71.50 | 3 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $7,474.35 | $11,499.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $38.35 | $59.00 | $2.70 – $2.81 | 3 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $15,733.51 – $15,733.51 | 1 |
| Select picture audiometry CPT 92583 | not published | not published | $56.33 – $58.58 | 3 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $27.62 – $28.72 | 3 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $6.76 | 3 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $12.05 – $12.53 | 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.