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 |
|---|---|---|---|---|
| Synthetic sentence id test CPT 92576 | not published | not published | $35.66 – $37.09 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | $1,415.99 | $2,178.45 | $7.95 – $59.54 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $102.05 | $157.00 | $4.40 – $4.58 | 3 |
| System pacing micra av HCPCS C1786 | $23,128.97 | $35,583.03 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $5,736.95 | $8,826.07 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $698.82 | $1,075.10 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $46.80 | $72.00 | $16.94 – $17.62 | 3 |
| T3 (triiodothyronine) total CPT 84480 | $42.90 | $66.00 | $14.18 – $14.75 | 3 |
| T4 (thyroxine) free CPT 84439 | $61.10 | $94.00 | $9.02 – $9.38 | 3 |
| T4 (thyroxine) total CPT 84436 | $70.20 | $108.00 | $6.87 – $7.14 | 3 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $1.00 – $3.71 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $3.12 – $11.70 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $10.30 | $15.85 | $0.26 – $1.17 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $829.72 | $1,276.50 | $263.15 – $1,655.36 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $55.90 | $86.00 | $13.73 – $14.28 | 3 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $3,817.00 | $5,872.30 | $14.31 – $90.81 | 4 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $73.94 – $457.41 | 4 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $72.62 – $454.81 | 4 |
| Talymed HCPCS Q4127 | not published | not published | $116.43 – $123.58 | 3 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $1.24 – $1.24 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,665.05 | $7,177.00 | $759.53 – $789.91 | 3 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $7,605.00 | $11,700.00 | $2,919.60 – $3,036.38 | 3 |
| Target gsa panel organ neop CPT 81445 | $4,393.35 | $6,759.00 | $597.91 – $621.83 | 3 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,564.64 – $9,750.00 | 4 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $705.70 – $733.93 | 3 |
| Tavr perq femoral CPT 33361 | $30,338.10 | $46,674.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $937.50 | $1,442.30 | $0.28 – $2.60 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $142.48 | 3 |
| Tbs techl calculation only CPT 77091 | not published | not published | $83.10 – $86.42 | 3 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $83.10 – $86.42 | 3 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $194.35 | $299.00 | $100.00 – $104.00 | 3 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $165.10 | $254.00 | $61.98 – $64.46 | 3 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $0.07 – $0.07 | 1 |
| Tc-99m bicisate HCPCS A9557 | $1,684.04 | $2,590.83 | $775.52 – $23,831.15 | 4 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $0.07 – $0.07 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $934.13 – $11,140.81 | 4 |
| Tc-99m exametazime diag HCPCS A9521 | $3,058.54 | $4,705.45 | $927.71 – $11,140.81 | 4 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $328.60 – $2,015.00 | 4 |
| Tc-99m labeled rbc HCPCS A9560 | $247.06 | $380.10 | $650.00 – $650.00 | 1 |
| Tc-99m maa HCPCS A9540 | $348.18 | $535.66 | $195.00 – $195.00 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $59.48 | $91.50 | $367.25 – $367.25 | 1 |
| Tc-99m medronate HCPCS A9503 | $70.14 | $107.90 | $84.50 – $84.50 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $523.61 | $805.55 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $0.68 | $1.04 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $85.38 | $131.35 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $0.07 – $0.07 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $320.22 | $492.65 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $10.99 – $10.99 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $75.92 | $116.80 | $416.33 – $416.33 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $64.35 | $99.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $191.87 | $295.19 | $1,737.91 – $1,737.91 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $68.25 | $105.00 | $554.26 – $554.26 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $51.80 | $79.69 | $4,300.21 – $4,300.21 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $705.70 – $733.93 | 3 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $99.82 – $103.82 | 3 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $99.82 – $103.82 | 3 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $421.25 – $438.10 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $391.30 | $602.00 | $46.98 – $48.86 | 3 |
| T cells absolute cd 4 count CPT 86361 | $442.00 | $680.00 | $26.78 – $27.85 | 3 |
| T cells total count CPT 86359 | $582.40 | $896.00 | $37.73 – $39.24 | 3 |
| Tcranial magn stim tx deli CPT 90868 | $315.25 | $485.00 | $206.17 – $214.42 | 3 |
| Tcranial magn stim tx plan CPT 90867 | $444.60 | $684.00 | $206.17 – $214.42 | 3 |
| Tcran magn stim redetemine CPT 90869 | $444.60 | $684.00 | $206.17 – $214.42 | 3 |
| Team conf w/pat by hc prof CPT 99366 | $102.70 | $158.00 | not published | 0 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $217.09 – $1,395.94 | 4 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $748.52 – $778.46 | 3 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $748.52 – $778.46 | 3 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.11 – $48.10 | 4 |
| Telehealth original site facility fee HCPCS Q3014 | $44.85 | $69.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $9,276.15 | $14,271.00 | $357.52 – $371.82 | 3 |
| Telethx isodose plan simple CPT 77306 | $7,538.70 | $11,598.00 | $357.52 – $371.82 | 3 |
| Temozolomide HCPCS J8700 | not published | not published | $0.61 – $1.76 | 2 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.39 – $67.67 | 4 |
| Temperature gradient studies CPT 93740 | not published | not published | $122.86 – $127.78 | 3 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $26.71 – $191.88 | 4 |
| Tendon lengthening CPT 26476 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Tendon shortening CPT 26477 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $20,874.78 | $32,115.05 | $172.22 – $1,055.80 | 4 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $16,223.68 – $16,223.68 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,535.38 – $1,596.79 | 3 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $2,189.20 | $3,368.00 | $1,535.38 – $1,596.79 | 3 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $23.50 | $36.16 | $4.66 – $13.91 | 2 |
| Teriparatide injection HCPCS J3110 | not published | not published | $327.15 – $327.15 | 1 |
| Tert gene targeted seq alys CPT 81345 | $1,622.40 | $2,496.00 | $185.20 – $192.61 | 3 |
| Test for chlorohydrocarbons CPT 82441 | $318.50 | $490.00 | $6.01 – $6.25 | 3 |
| Test for porphobilinogen CPT 84106 | $97.50 | $150.00 | $5.82 – $6.05 | 3 |
| Test for urine cystines CPT 82615 | not published | not published | $9.55 – $9.93 | 3 |
| Testicular imaging w/vasc flow CPT 78761 | $1,136.85 | $1,749.00 | $381.72 – $396.99 | 3 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $683.35 – $683.35 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $53.71 | 3 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.07 – $12.48 | 4 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $125.45 | $193.00 | $56.33 – $58.58 | 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.