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 |
|---|---|---|---|---|
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $27.62 – $28.72 | 3 |
| Unlisted orl service/px CPT 92700 | not published | not published | $27.62 – $28.72 | 3 |
| Unlisted procedure colon CPT 45399 | $529.75 | $815.00 | $887.96 – $923.48 | 3 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $866.03 – $900.67 | 3 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $226.15 – $235.20 | 3 |
| Unlisted procedure liver CPT 47399 | not published | not published | $676.16 – $703.20 | 3 |
| Unlisted procedure microbiology CPT 87999 | $487.50 | $750.00 | not published | 0 |
| Unlisted procedure pancreas CPT 48999 | $1,836.90 | $2,826.00 | $676.16 – $703.20 | 3 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $887.96 – $923.48 | 3 |
| Unlisted procedure spine CPT 22899 | $4,745.00 | $7,300.00 | $235.53 – $244.95 | 3 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $235.53 – $244.95 | 3 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $226.15 – $235.20 | 3 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $235.53 – $244.95 | 3 |
| Unlisted px biliary tract CPT 47999 | $1,836.90 | $2,826.00 | $866.03 – $900.67 | 3 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $155.16 – $161.37 | 3 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $676.16 – $703.20 | 3 |
| Unlisted px external ear CPT 69399 | not published | not published | $226.15 – $235.20 | 3 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $235.53 – $244.95 | 3 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $235.53 – $244.95 | 3 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $235.53 – $244.95 | 3 |
| Unlisted px inner ear CPT 69949 | not published | not published | $226.15 – $235.20 | 3 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $235.53 – $244.95 | 3 |
| Unlisted px male genital sys CPT 55899 | $522.60 | $804.00 | $238.57 – $248.11 | 3 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $128.34 – $133.47 | 3 |
| Unlisted px middle ear CPT 69799 | not published | not published | $226.15 – $235.20 | 3 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $226.15 – $235.20 | 3 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $226.15 – $235.20 | 3 |
| Unlisted px pelvis/hip joint CPT 27299 | $1,693.90 | $2,606.00 | $235.53 – $244.95 | 3 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $226.15 – $235.20 | 3 |
| Unlisted px small intestine CPT 44799 | $613.60 | $944.00 | $866.03 – $900.67 | 3 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $226.15 – $235.20 | 3 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $128.34 – $133.47 | 3 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $226.15 – $235.20 | 3 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $226.15 – $235.20 | 3 |
| Unlisted reprod med lab proc CPT 89398 | $152.10 | $234.00 | $49.76 – $51.75 | 3 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $381.72 – $396.99 | 3 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $191.57 – $199.24 | 3 |
| Unlisted surgical path px CPT 88399 | not published | not published | $49.76 – $51.75 | 3 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $27.62 – $28.72 | 3 |
| Unlisted ultrasound procedure CPT 76999 | $689.00 | $1,060.00 | $83.10 – $86.42 | 3 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $598.98 – $622.93 | 3 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $381.72 – $396.99 | 3 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $3,498.95 | $5,383.00 | $655.32 – $681.54 | 3 |
| Upgrade pm system CPT 33214 | $22,350.25 | $34,385.00 | $9,980.01 – $10,379.21 | 3 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,600.35 | $5,539.00 | $333.12 – $346.44 | 3 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,272.75 | $5,035.00 | $333.12 – $346.44 | 3 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,975.70 | $4,578.00 | $227.83 – $236.94 | 3 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,745.60 | $4,224.00 | $866.03 – $900.67 | 3 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,974.40 | $4,576.00 | $866.03 – $900.67 | 3 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $775.35 | $1,192.84 | not published | 0 |
| Uppr gi scope w/submuc inj CPT 43236 | $2,974.40 | $4,576.00 | $866.03 – $900.67 | 3 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $5,772.53 – $6,003.43 | 3 |
| Urea nitrogen CPT 84520 | $11.70 | $18.00 | $3.95 – $4.11 | 3 |
| Urea nitrogen 24 hour urine CPT 84540 | $58.50 | $90.00 | $5.56 – $5.78 | 3 |
| Urea nitrogen clearance CPT 84545 | $38.35 | $59.00 | $7.20 – $7.49 | 3 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $5.34 | 3 |
| Ureteral reflux study CPT 78740 | $2,653.95 | $4,083.00 | $381.72 – $396.99 | 3 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,119.67 – $5,324.46 | 3 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,119.67 – $5,324.46 | 3 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,119.67 – $5,324.46 | 3 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,119.67 – $5,324.46 | 3 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,119.67 – $5,324.46 | 3 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,119.67 – $5,324.46 | 3 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $988.65 | $1,521.00 | $227.83 – $236.94 | 3 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,365.80 – $3,500.44 | 3 |
| Urethrocystography void s&i CPT 74455 | $994.50 | $1,530.00 | $227.83 – $236.94 | 3 |
| Uric acid blood CPT 84550 | $18.85 | $29.00 | $4.52 – $4.70 | 3 |
| Uric acid urine CPT 84560 | $110.50 | $170.00 | $5.08 – $5.28 | 3 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $4.89 | 3 |
| Urinalysis microscopic only CPT 81015 | $66.30 | $102.00 | $3.05 – $3.17 | 3 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $2.26 | 3 |
| Urinalysis (with microscopy) CPT 81001 | $9.75 | $15.00 | $3.17 – $3.30 | 3 |
| Urinalysis (without microscopy) CPT 81003 | $48.10 | $74.00 | $2.25 – $2.34 | 3 |
| Urinary reflex study CPT 51792 | not published | not published | $56.33 – $58.58 | 3 |
| Urine Culture Test CPT 87086 | $104.65 | $161.00 | $8.07 – $8.39 | 3 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $127.04 – $132.12 | 3 |
| Urine pregnancy test CPT 81025 | $98.15 | $151.00 | $8.61 – $8.95 | 3 |
| Urine screen for bacteria CPT 81007 | not published | not published | $29.98 – $31.18 | 3 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $0.07 – $0.07 | 1 |
| Urography, antegrade CPT 74425 | $1,228.50 | $1,890.00 | $333.12 – $346.44 | 3 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $167.48 – $174.18 | 3 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $0.07 – $0.07 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $0.07 – $0.07 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $99.82 – $103.82 | 3 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $6,892.54 | $10,603.90 | $12.99 – $82.94 | 4 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $1,013.22 – $1,013.22 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,258.92 – $12,749.28 | 3 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $274.81 – $1,050.73 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $250.00 – $955.89 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $265.02 – $1,013.35 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $149.23 – $570.57 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $111.44 – $426.08 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | $95.84 | $147.45 | $187.20 – $187.20 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $636.81 – $636.81 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $397.02 – $397.02 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $1,018.03 – $1,018.03 | 1 |
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.