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 |
|---|---|---|---|---|
| Test stress cardiovascular tracing only CPT 93017 | $781.30 | $1,202.00 | $206.17 – $214.42 | 3 |
| Test urine for lactose CPT 83633 | not published | not published | $11.25 – $11.70 | 3 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $13.89 | 3 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $4.65 | 3 |
| Tetanus ig im CPT 90389 | not published | not published | $4,219.61 – $4,219.61 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | $1,765.86 | $2,716.70 | $593.00 – $3,718.46 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $18.01 – $118.04 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $142.48 | 3 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $789.91 | 3 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $6,119.75 | $9,415.00 | $2,919.60 – $3,036.38 | 3 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $621.83 | 3 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $162.68 – $169.18 | 3 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $162.68 – $169.18 | 3 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $162.68 – $169.18 | 3 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $49.76 – $51.75 | 3 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $421.25 – $438.10 | 3 |
| Theophylline therapeutic drug level CPT 80198 | $57.85 | $89.00 | $14.14 – $14.71 | 3 |
| Therapeutic procd strg endur HCPCS G0237 | $87.10 | $134.00 | $27.62 – $28.72 | 3 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $364.00 | $560.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $33.80 | $52.00 | $25.66 – $26.69 | 3 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $36.40 | $56.00 | $21.47 – $22.33 | 3 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $191.57 – $199.24 | 3 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $3,165.74 – $3,292.37 | 3 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $167.48 – $174.18 | 3 |
| Ther/proph/diag inj ia CPT 96373 | $157.30 | $242.00 | $203.10 – $211.22 | 3 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $23.98 | $36.90 | $3.04 – $11.44 | 2 |
| Thiotepa injection HCPCS J9340 | not published | not published | $1,441.38 – $1,441.38 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $4,063.80 | $6,252.00 | $598.98 – $622.93 | 3 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $10,149.82 – $10,555.81 | 3 |
| Thorax spine fusion CPT 22610 | not published | not published | $16,742.04 – $17,411.72 | 3 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $10,149.82 – $10,555.81 | 3 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $10,149.82 – $10,555.81 | 3 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $83.10 – $86.42 | 3 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,899.65 | $4,461.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $9,079.85 | $13,969.00 | $5,434.55 – $5,651.93 | 3 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $17,391.40 | $26,756.00 | $11,022.89 – $11,463.80 | 3 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $30,914.65 | $47,561.00 | $17,503.83 – $18,203.99 | 3 |
| Thrombin time CPT 85670 | $74.75 | $115.00 | $5.77 – $6.00 | 3 |
| Thrombin time titer CPT 85675 | not published | not published | $6.85 – $7.12 | 3 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $5,313.21 – $5,525.74 | 3 |
| Thrombomodulin CPT 85337 | not published | not published | $17.27 – $17.96 | 3 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $9.63 – $10.02 | 3 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $603.85 | $929.00 | $6.47 – $6.73 | 3 |
| Thromboxane urine CPT 84431 | not published | not published | $35.11 – $36.51 | 3 |
| Thumb fusion with graft CPT 26820 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Thumb fusion with graft CPT 26842 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Thumb tendon transfer CPT 26510 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $5,652.51 – $5,878.61 | 3 |
| Thyroglobulin antibody CPT 86800 | $124.80 | $192.00 | $15.91 – $16.55 | 3 |
| Thyroid imaging CPT 78013 | $769.60 | $1,184.00 | $381.72 – $396.99 | 3 |
| Thyroid met imaging CPT 78015 | not published | not published | $381.72 – $396.99 | 3 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $381.72 – $396.99 | 3 |
| Thyroid mets imag whole body CPT 78018 | $1,944.80 | $2,992.00 | $518.45 – $539.19 | 3 |
| Thyroid met uptake CPT 78020 | $438.75 | $675.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $68.90 | $106.00 | $16.80 – $17.47 | 3 |
| Thyroid Ultrasound CPT 76536 | $551.20 | $848.00 | $99.82 – $103.82 | 3 |
| Thyroid uptake measurement CPT 78012 | $1,161.55 | $1,787.00 | $381.72 – $396.99 | 3 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $7,095.60 | $10,916.31 | $2,116.32 – $13,441.42 | 4 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $50.41 – $52.43 | 3 |
| Thyroxine binding globulin (tbg) CPT 84442 | $68.90 | $106.00 | $14.78 – $15.37 | 3 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $12,258.92 – $12,749.28 | 3 |
| Tibial length sock fx or equ HCPCS L2840 | $66.55 | $102.39 | not published | 0 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $44,526.30 | $68,502.00 | not published | 0 |
| Tib/per revasc stnt & ather CPT 37235 | $22,475.70 | $34,578.00 | not published | 0 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $11,237.85 | $17,289.00 | not published | 0 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $1,881.30 – $1,881.30 | 1 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $1,881.30 – $1,881.30 | 1 |
| Tigecycline injection HCPCS J3243 | $54.60 | $84.00 | $0.86 – $4.10 | 2 |
| Tilt table study CPT 93660 | $1,728.35 | $2,659.00 | $356.31 – $370.56 | 3 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $0.07 – $0.07 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $216.22 | $332.65 | $5.83 – $23.53 | 2 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $0.07 – $615,395.25 | 4 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $20,007.88 | $30,781.35 | $188.76 – $1,182.16 | 4 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $33.11 – $33.11 | 1 |
| Tissue culture placenta CPT 88235 | $2,120.95 | $3,263.00 | $150.30 – $156.31 | 3 |
| Tissue culture skin/biopsy CPT 88233 | $2,109.90 | $3,246.00 | $140.73 – $146.36 | 3 |
| Tissue culture tumor CPT 88239 | $1,909.70 | $2,938.00 | $147.52 – $153.42 | 3 |
| Tissue exam koh skin/hair/nails CPT 87220 | not published | not published | $4.27 – $4.44 | 3 |
| Tissue transglutaminase iga CPT 86364 | $196.30 | $302.00 | $11.53 – $11.99 | 3 |
| Tixagev and cilgav inj HCPCS M0220 | $269.10 | $414.00 | not published | 0 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $212.29 – $212.29 | 1 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $10,149.82 – $10,555.81 | 3 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $10,149.82 – $10,555.81 | 3 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $10,149.82 – $10,555.81 | 3 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $10,149.82 – $10,555.81 | 3 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $2,073.81 | $3,190.47 | not published | 0 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $23.92 | $36.80 | $4.18 – $12.81 | 2 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $24.58 – $104.00 | 2 |
| Tobramycin peak therapeutic drug level CPT 80200 | $64.35 | $99.00 | $16.13 – $16.78 | 3 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $7,051.43 | $10,848.35 | $5.71 – $38.81 | 4 |
| Tocilizumab for covid-19 HCPCS Q0249 | $18.28 | $28.12 | $12.87 – $49.21 | 2 |
| Toe joint transfer CPT 26556 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $11.59 – $12.05 | 3 |
| Tomosynthesis breast screen bilateral CPT 77063 | $52.00 | $80.00 | $21.35 – $22.20 | 3 |
| Tone decay hearing test CPT 92563 | not published | not published | $35.66 – $37.09 | 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.