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 |
|---|---|---|---|---|
| Skin Biopsy CPT 11102 | $188.50 | $290.00 | $388.16 – $403.68 | 3 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,383.70 – $3,519.05 | 3 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $27.62 – $28.72 | 3 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $6,573.97 – $6,573.97 | 1 |
| Slco1b1 gene com variants CPT 81328 | $1,065.35 | $1,639.00 | $174.81 – $181.80 | 3 |
| Sleep study attended CPT 95807 | not published | not published | $356.31 – $370.56 | 3 |
| Sleep Study (Polysomnography) CPT 95810 | $3,593.20 | $5,528.00 | $819.96 – $852.76 | 3 |
| Sleep study unattended CPT 95806 | $1,414.40 | $2,176.00 | $206.17 – $214.42 | 3 |
| Sleeve fing rolyan med HCPCS L3933 | $401.32 | $617.41 | not published | 0 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $18.64 | $28.67 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $86.52 | $133.11 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $4,499.24 | $6,921.90 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Slitting of prepuce CPT 54001 | not published | not published | $1,995.99 – $2,075.83 | 3 |
| Slp pure tone screening CPT 92551 | $67.60 | $104.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $56.33 – $58.58 | 3 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $105,838.72 | 4 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $17.51 | 3 |
| Small bowel endoscopy CPT 44360 | $2,466.10 | $3,794.00 | $1,832.26 – $1,905.55 | 3 |
| Small bowel endoscopy CPT 44364 | $2,554.50 | $3,930.00 | $1,832.26 – $1,905.55 | 3 |
| Small bowel endoscopy CPT 44366 | $2,951.65 | $4,541.00 | $1,832.26 – $1,905.55 | 3 |
| Small bowel endoscopy CPT 44369 | $2,518.10 | $3,874.00 | $1,832.26 – $1,905.55 | 3 |
| Small bowel endoscopy CPT 44376 | $2,961.40 | $4,556.00 | $1,832.26 – $1,905.55 | 3 |
| Small bowel endoscopy CPT 44378 | $3,265.60 | $5,024.00 | $1,832.26 – $1,905.55 | 3 |
| Small bowel endoscopy CPT 44382 | $2,815.15 | $4,331.00 | $866.03 – $900.67 | 3 |
| Small bowel endoscopy CPT 44384 | $2,956.20 | $4,548.00 | $1,832.26 – $1,905.55 | 3 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $2,984.80 | $4,592.00 | $1,832.26 – $1,905.55 | 3 |
| Small bowel endoscopy 44365 CPT 44365 | $2,481.70 | $3,818.00 | $1,832.26 – $1,905.55 | 3 |
| Small bowel endoscopy/biopsy CPT 44361 | $2,490.15 | $3,831.00 | $1,832.26 – $1,905.55 | 3 |
| Small bowel endoscopy/biopsy CPT 44377 | $3,109.60 | $4,784.00 | $1,832.26 – $1,905.55 | 3 |
| Small bowel endoscopy br/wa CPT 44380 | $2,681.25 | $4,125.00 | $866.03 – $900.67 | 3 |
| Small bowel endoscopy br/wa CPT 44381 | $2,956.20 | $4,548.00 | $1,832.26 – $1,905.55 | 3 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $4,980.30 | $7,662.00 | not published | 0 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $1,755.00 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $108.55 | $167.00 | $5.39 – $5.61 | 3 |
| Smear gram stain CPT 87205 | $81.90 | $126.00 | $4.27 – $4.44 | 3 |
| Smear nasal eosinophil CPT 89190 | $155.35 | $239.00 | $5.79 – $6.02 | 3 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $417.95 | $643.00 | $5.99 – $6.23 | 3 |
| Smear wet mount CPT 87210 | $192.40 | $296.00 | $5.82 – $6.05 | 3 |
| Smn1 gene full gene sequence CPT 81336 | $1,309.10 | $2,014.00 | $301.35 – $313.40 | 3 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $924.30 | $1,422.00 | $185.20 – $192.61 | 3 |
| Smpd1 gene common variants CPT 81330 | $770.25 | $1,185.00 | $47.00 – $48.88 | 3 |
| Snrpn/ube3a gene CPT 81331 | $678.60 | $1,044.00 | $51.07 – $53.11 | 3 |
| Sock fracture or equal each HCPCS L3995 | $77.87 | $119.80 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $74.10 | $114.00 | $5.06 – $5.26 | 3 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $51.80 | $79.70 | $3.87 – $16.25 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $46.38 | $71.35 | $2.34 – $8.13 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $46.12 | $70.95 | $1.21 – $4.10 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $45.01 | $69.25 | $0.98 – $0.98 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $47.58 | $73.20 | $3.70 – $12.94 | 2 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $124.76 – $474.70 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $9.75 | $15.00 | $4.81 – $5.00 | 3 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $345.74 | $531.90 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $169.05 | $260.07 | not published | 0 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $83.10 – $86.42 | 3 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | $7,020.00 | $10,800.00 | $1,345.31 – $1,399.12 | 3 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $1,243.66 | 3 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $3,420.05 | 3 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,088.20 | 3 |
| Somatosensory testing CPT 95927 | not published | not published | $206.17 – $214.42 | 3 |
| Somatropin injection HCPCS J2941 | not published | not published | $986.77 – $986.77 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | $9,360.00 | $14,400.00 | $2,989.55 – $3,109.13 | 3 |
| So neo gsap dna mcrstl ins CPT 81457 | $7,410.00 | $11,400.00 | $896.87 – $932.74 | 3 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $25.05 – $142.81 | 4 |
| Special physics consult CPT 77370 | $3,096.60 | $4,764.00 | $128.34 – $133.47 | 3 |
| Special radiation dosimetry CPT 77331 | $1,058.20 | $1,628.00 | $128.34 – $133.47 | 3 |
| Special radiation treatment CPT 77470 | $4,132.70 | $6,358.00 | $527.59 – $548.69 | 3 |
| Special teletx port plan CPT 77321 | $7,567.30 | $11,642.00 | $357.52 – $371.82 | 3 |
| Specific gravity body fluid CPT 84315 | not published | not published | $3.28 – $3.41 | 3 |
| Specimen fat stain CPT 89125 | $35.10 | $54.00 | $5.88 – $6.12 | 3 |
| Speech audiometry complete CPT 92556 | not published | not published | $56.33 – $58.58 | 3 |
| Speech evaluation complex CPT 70371 | not published | not published | $227.83 – $236.94 | 3 |
| Speech recep thresh CPT 92555 | not published | not published | $56.33 – $58.58 | 3 |
| Sperm antibody test CPT 89325 | $279.50 | $430.00 | $10.67 – $11.10 | 3 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $20.37 | 3 |
| Sperm identification CPT 89257 | not published | not published | $49.76 – $51.75 | 3 |
| Sperm isolation complex CPT 89261 | not published | not published | $49.76 – $51.75 | 3 |
| Sperm isolation simple CPT 89260 | not published | not published | $49.76 – $51.75 | 3 |
| Sperm washing 58323 CPT 58323 | not published | not published | $193.04 – $200.76 | 3 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,650.32 – $2,756.33 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,674.40 | $2,576.00 | $674.01 – $700.97 | 3 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $12,258.92 – $12,749.28 | 3 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $206.17 – $214.42 | 3 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $632.45 | $973.00 | $356.31 – $370.56 | 3 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $122.86 – $127.78 | 3 |
| Spleen imaging CPT 78185 | not published | not published | $381.72 – $396.99 | 3 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $952.38 | $1,465.20 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $28.62 | $44.03 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $30.62 | $47.10 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $12.64 | $19.45 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $181.02 | $278.50 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,383.70 – $3,519.05 | 3 |
| Split blood or products CPT 86985 | $225.55 | $347.00 | $162.68 – $169.18 | 3 |
| Spontaneous nystagmus study CPT 92531 | $189.15 | $291.00 | not published | 0 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $315.39 – $328.01 | 3 |
| Sputum specimen collection CPT 89220 | not published | not published | $162.68 – $169.18 | 3 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,146.34 – $24,375.00 | 4 |
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.