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 |
|---|---|---|---|---|
| Warde pancreatic elastase fecal quantitative CPT 82653 | $187.20 | $288.00 | $22.97 – $23.89 | 3 |
| Warde protein c antigen CPT 85302 | $120.90 | $186.00 | $12.01 – $12.49 | 3 |
| Warde sex hormone binding globulin CPT 84270 | $76.70 | $118.00 | $21.73 – $22.60 | 3 |
| Warde somatomedin CPT 84305 | $158.60 | $244.00 | $21.26 – $22.11 | 3 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $69.55 | $107.00 | $5.50 – $5.72 | 3 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $51.35 | $79.00 | $15.76 – $16.39 | 3 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $102.05 | $157.00 | $50.86 – $52.89 | 3 |
| Warde topiramate therapeutic drug level CPT 80201 | $65.65 | $101.00 | $11.92 – $12.40 | 3 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $37.05 | $57.00 | $26.07 – $27.11 | 3 |
| Warde viscosity CPT 85810 | $48.75 | $75.00 | $11.67 – $12.14 | 3 |
| Warde vitamin a CPT 84590 | $29.90 | $46.00 | $11.61 – $12.07 | 3 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $61.75 | $95.00 | $21.23 – $22.08 | 3 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $53.95 | $83.00 | $28.10 – $29.22 | 3 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $70.20 | $108.00 | $9.89 – $10.29 | 3 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $70.85 | $109.00 | $38.50 – $40.04 | 3 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $29.90 | $46.00 | $14.18 – $14.75 | 3 |
| Warde zinc CPT 84630 | $19.50 | $30.00 | $11.39 – $11.85 | 3 |
| Wash harvest stem cells CPT 38209 | not published | not published | $421.25 – $438.10 | 3 |
| Wbc automated CPT 85048 | $25.35 | $39.00 | $2.54 – $2.64 | 3 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $7,080.58 – $7,363.80 | 3 |
| Wedging of cast CPT 29740 | not published | not published | $267.06 – $277.74 | 3 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $267.06 – $277.74 | 3 |
| Western blot test CPT 84181 | $250.90 | $386.00 | $17.03 – $17.71 | 3 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $18.54 – $19.28 | 3 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $859.87 | $1,322.88 | not published | 0 |
| Whole blood for transfusion HCPCS P9010 | $1,626.95 | $2,503.00 | not published | 0 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $1,762.15 | $2,711.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | $4,260.75 | $6,555.00 | $1,287.00 – $1,338.48 | 3 |
| Whole mitochondrial genome CPT 81465 | $1,673.10 | $2,574.00 | $936.00 – $973.44 | 3 |
| Who nontorsion jnts pre cst HCPCS L3915 | $706.80 | $1,087.38 | not published | 0 |
| Wilate injection HCPCS J7183 | not published | not published | $1.29 – $8.32 | 4 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $118.83 – $123.58 | 3 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $538.85 | $829.00 | $388.16 – $403.68 | 3 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $815.10 | $1,254.00 | $388.16 – $403.68 | 3 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $1,223.95 | $1,883.00 | $191.57 – $199.24 | 3 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $2,454.40 | $3,776.00 | $388.16 – $403.68 | 3 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,124.25 – $3,249.22 | 3 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $6,928.54 – $7,205.69 | 3 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,535.38 – $1,596.79 | 3 |
| Wrist X-ray CPT 73110 | $689.00 | $1,060.00 | $83.10 – $86.42 | 3 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $1,658.15 – $1,658.15 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,970.11 – $2,048.91 | 3 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $950.56 | 3 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $950.56 | 3 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $27.62 – $28.72 | 3 |
| X-ray abdomen 1 view CPT 74018 | $268.45 | $413.00 | $83.10 – $86.42 | 3 |
| X-ray abdomen 2 views CPT 74019 | $325.65 | $501.00 | $99.82 – $103.82 | 3 |
| X-ray abdomen >=3 views CPT 74021 | $367.90 | $566.00 | $99.82 – $103.82 | 3 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $404.30 | $622.00 | $99.82 – $103.82 | 3 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $447.85 | $689.00 | $83.10 – $86.42 | 3 |
| X-ray ankle 2 views (both sides) CPT 73600 | $412.10 | $634.00 | $83.10 – $86.42 | 3 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $2,445.30 | $3,762.00 | $333.12 – $346.44 | 3 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.52 – $13.02 | 3 |
| X-ray bone age studies CPT 77072 | $284.05 | $437.00 | $99.82 – $103.82 | 3 |
| X-ray bone length studies CPT 77073 | $236.60 | $364.00 | $99.82 – $103.82 | 3 |
| X-ray bone survey complete CPT 77075 | $574.60 | $884.00 | $99.82 – $103.82 | 3 |
| X-ray bone survey infant CPT 77076 | $449.15 | $691.00 | $99.82 – $103.82 | 3 |
| X-ray cervical spine 2-3 views CPT 72040 | $376.35 | $579.00 | $83.10 – $86.42 | 3 |
| X-ray cervical spine 4-5 views CPT 72050 | $449.15 | $691.00 | $99.82 – $103.82 | 3 |
| X-ray cervical spine >= 6 views CPT 72052 | $516.10 | $794.00 | $99.82 – $103.82 | 3 |
| X-ray clavicle complete (both sides) CPT 73000 | $637.00 | $980.00 | $83.10 – $86.42 | 3 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $566.80 | $872.00 | $167.48 – $174.18 | 3 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $715.00 | $1,100.00 | $167.48 – $174.18 | 3 |
| X-ray elbow 2 views (both sides) CPT 73070 | $468.00 | $720.00 | $83.10 – $86.42 | 3 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $626.60 | $964.00 | $83.10 – $86.42 | 3 |
| Xray endovasc thor ao repr CPT 75956 | $7,500.35 | $11,539.00 | not published | 0 |
| Xray endovasc thor ao repr CPT 75957 | $8,251.10 | $12,694.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $464.75 | $715.00 | $167.48 – $174.18 | 3 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $640.90 | $986.00 | $99.82 – $103.82 | 3 |
| X-ray exam entire spi 6/> vw CPT 72084 | $672.10 | $1,034.00 | $99.82 – $103.82 | 3 |
| X-ray exam of arm infant CPT 73092 | $419.90 | $646.00 | $99.82 – $103.82 | 3 |
| X-ray exam of eye sockets CPT 70200 | $377.00 | $580.00 | $99.82 – $103.82 | 3 |
| X-ray exam of femur 1 CPT 73551 | $432.90 | $666.00 | $83.10 – $86.42 | 3 |
| X-ray exam of jaw joint CPT 70328 | $297.05 | $457.00 | $83.10 – $86.42 | 3 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $227.83 – $236.94 | 3 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $99.82 – $103.82 | 3 |
| X-ray exam of middle ear CPT 70134 | $326.95 | $503.00 | $521.74 – $542.61 | 3 |
| X-ray exam of penis CPT 74445 | $971.75 | $1,495.00 | $99.82 – $103.82 | 3 |
| X-ray exam of perineum CPT 74775 | $1,391.65 | $2,141.00 | $227.83 – $236.94 | 3 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $83.10 – $86.42 | 3 |
| X-ray exam of sinuses CPT 70210 | $193.70 | $298.00 | $83.10 – $86.42 | 3 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $227.83 – $236.94 | 3 |
| X-ray exam of teeth CPT 70300 | not published | not published | $83.10 – $86.42 | 3 |
| X-ray exam of teeth CPT 70310 | not published | not published | $227.83 – $236.94 | 3 |
| X-ray exam si joints CPT 72200 | $287.30 | $442.00 | $99.82 – $103.82 | 3 |
| X-ray exam thorac spine4/>vw CPT 72074 | $387.40 | $596.00 | $99.82 – $103.82 | 3 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $687.70 | $1,058.00 | $83.10 – $86.42 | 3 |
| X-ray facial bones complete > 3 views CPT 70150 | $449.15 | $691.00 | $99.82 – $103.82 | 3 |
| X-ray fallopian tube CPT 74742 | $3,923.40 | $6,036.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $542.10 | $834.00 | $83.10 – $86.42 | 3 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $387.40 | $596.00 | $83.10 – $86.42 | 3 |
| X-ray foot 2 views (both sides) CPT 73620 | $447.20 | $688.00 | $83.10 – $86.42 | 3 |
| X-ray forearm 2 views (both sides) CPT 73090 | $419.90 | $646.00 | $83.10 – $86.42 | 3 |
| X-ray hand 2 views (both sides) CPT 73120 | $403.00 | $620.00 | $99.82 – $103.82 | 3 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $83.10 – $86.42 | 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.