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 |
|---|---|---|---|---|
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $780.39 – $780.39 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $198.77 – $198.77 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $60.90 | $93.70 | $78.33 – $78.33 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $237.58 | $365.50 | $123.56 – $465.47 | 2 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $820.30 – $820.30 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $247.07 – $247.07 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $127.75 – $488.48 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $119.64 – $457.47 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $301.84 – $1,093.95 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $109.69 | $168.75 | $53.84 – $200.01 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $1,999.47 – $1,999.47 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $0.07 – $0.07 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $303.88 | $467.50 | $141.94 – $542.69 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $141.93 – $542.69 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $37.16 – $142.09 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $89.80 | $138.15 | $38.00 – $145.28 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $119.86 – $119.86 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $441.87 – $441.87 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $124.22 – $124.22 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $80.48 | $123.81 | $128.25 – $128.25 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $59.93 – $59.93 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $159.25 – $159.25 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $419.32 – $419.32 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $62.64 – $239.53 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $18.58 – $71.05 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $705.76 | $1,085.79 | $1,454.38 – $1,454.38 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $1,236.69 – $1,236.69 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $411.60 | $633.23 | $1,117.81 – $1,117.81 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $1,022.78 – $1,022.78 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $300.64 | $462.53 | $601.19 – $601.19 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $1,808.04 – $1,808.04 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $390.74 | $601.14 | $226.90 – $867.56 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $438.58 – $1,676.94 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $443.95 – $1,648.14 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $816.15 | $1,255.61 | $531.93 – $1,937.26 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $290.75 – $290.75 | 1 |
| Vaccine rabies im CPT 90675 | $958.06 | $1,473.94 | $313.68 – $2,130.57 | 4 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $1,917.50 – $1,917.50 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,496.56 | $2,302.40 | $3,378.38 – $3,378.38 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $3,378.38 – $3,378.38 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $1,911.00 – $1,911.00 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $901.81 – $901.81 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $642.33 – $642.33 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $148.02 | $227.72 | $67.51 – $251.10 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $144.53 | $222.35 | $61.82 – $217.62 | 2 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $952.71 – $952.71 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | $563.48 | $866.90 | $1,189.50 – $1,189.50 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $1,455.81 – $1,455.81 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.07 | 4 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,131.41 | $1,740.63 | not published | 0 |
| Vad cable power module dc input HCPCS Q0478 | $581.01 | $893.86 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $14,814.14 | $22,790.99 | not published | 0 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,776.55 – $4,967.62 | 3 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,776.55 – $4,967.62 | 3 |
| Vag hyst including t/o CPT 58262 | not published | not published | $4,776.55 – $4,967.62 | 3 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,080.58 – $7,363.80 | 3 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,776.55 – $4,967.62 | 3 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,776.55 – $4,967.62 | 3 |
| Vaginal bx CPT 58999 | $613.60 | $944.00 | $193.04 – $200.76 | 3 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $4,776.55 – $4,967.62 | 3 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,090.95 – $3,214.58 | 3 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,680.58 – $1,747.80 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $73.45 | $113.00 | $13.54 – $14.08 | 3 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,323.34 – $9,051.38 | 4 |
| Valvuloplasty aortic CPT 92986 | $17,613.05 | $27,097.00 | $5,434.55 – $5,651.93 | 3 |
| Valvuloplasty mitral CPT 92987 | $11,278.80 | $17,352.00 | $11,022.89 – $11,463.80 | 3 |
| Valvuloplasty pulmonary CPT 92990 | $11,278.80 | $17,352.00 | $11,022.89 – $11,463.80 | 3 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $103.02 | $158.50 | $0.05 – $0.05 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $80.18 | $123.35 | $0.21 – $0.21 | 1 |
| Vancomycin hcl injection HCPCS J3370 | $18.90 | $29.07 | $12.09 – $12.09 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $57.85 | $89.00 | $13.54 – $14.08 | 3 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $36.49 | 3 |
| Vantas implant HCPCS J9225 | not published | not published | $0.07 – $0.07 | 1 |
| Varicella zoster antibody igg CPT 86787 | $194.35 | $299.00 | $12.88 – $13.40 | 3 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,361.82 – $14,186.71 | 4 |
| Varus/valgus strap padded/li HCPCS L2270 | $127.78 | $196.59 | not published | 0 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $17,503.83 – $18,203.99 | 3 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Vasectomy CPT 55250 | not published | not published | $1,995.99 – $2,075.83 | 3 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $111.83 | $172.05 | $2.13 – $10.60 | 2 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $30,377.88 | $46,735.20 | $21.31 – $140.86 | 4 |
| Veeg cont 2-12 hrs CPT 95713 | $3,019.90 | $4,646.00 | $356.31 – $370.56 | 3 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $5,276.70 | $8,118.00 | $819.96 – $852.76 | 3 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $3,019.90 | $4,646.00 | $356.31 – $370.56 | 3 |
| Veeg unmon 12-26 hrs CPT 95714 | $5,276.70 | $8,118.00 | $356.31 – $370.56 | 3 |
| Veeg unmon 2-12 hrs CPT 95711 | $3,019.90 | $4,646.00 | $206.17 – $214.42 | 3 |
| Vein x-ray adrenal gland CPT 75840 | $2,304.90 | $3,546.00 | $3,014.90 – $3,135.49 | 3 |
| Vein x-ray adrenal glands CPT 75842 | $3,976.70 | $6,118.00 | not published | 0 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $598.98 – $622.93 | 3 |
| Vein x-ray kidney CPT 75831 | $3,474.90 | $5,346.00 | $3,014.90 – $3,135.49 | 3 |
| Vein x-ray liver CPT 75891 | $2,893.80 | $4,452.00 | $3,014.90 – $3,135.49 | 3 |
| Vein x-ray liver w/hemodynam CPT 75885 | $6,407.70 | $9,858.00 | $3,014.90 – $3,135.49 | 3 |
| Vein x-ray liver w/hemodynam CPT 75889 | $4,051.45 | $6,233.00 | $3,014.90 – $3,135.49 | 3 |
| Vein x-ray liver without hemodyn CPT 75887 | $4,375.80 | $6,732.00 | $3,014.90 – $3,135.49 | 3 |
| Vein x-ray skull CPT 75870 | $3,256.50 | $5,010.00 | $3,014.90 – $3,135.49 | 3 |
| Vein x-ray skull epidural CPT 75872 | $1,855.10 | $2,854.00 | $598.98 – $622.93 | 3 |
| Vein x-ray spleen/liver CPT 75810 | $4,219.80 | $6,492.00 | $3,014.90 – $3,135.49 | 3 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $381.36 – $2,431.13 | 4 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $122.86 – $127.78 | 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.