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 |
|---|---|---|---|---|
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $555.10 | $854.00 | $83.10 – $86.42 | 3 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $455.65 | $701.00 | $99.82 – $103.82 | 3 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $423.15 | $651.00 | $99.82 – $103.82 | 3 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $466.05 | $717.00 | $99.82 – $103.82 | 3 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $528.45 | $813.00 | $99.82 – $103.82 | 3 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $338.65 | $521.00 | $83.10 – $86.42 | 3 |
| X-ray humerus >= 2 views left CPT 73060 | $455.00 | $700.00 | $83.10 – $86.42 | 3 |
| X-ray joint survey 1 view CPT 77077 | $222.95 | $343.00 | $99.82 – $103.82 | 3 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $468.00 | $720.00 | $83.10 – $86.42 | 3 |
| X-ray knee 3 views (both sides) CPT 73562 | $644.80 | $992.00 | $83.10 – $86.42 | 3 |
| X-ray knee ap standing bilateral CPT 73565 | $278.85 | $429.00 | $83.10 – $86.42 | 3 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $457.60 | $704.00 | $83.10 – $86.42 | 3 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $357.50 | $550.00 | $99.82 – $103.82 | 3 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $471.25 | $725.00 | $99.82 – $103.82 | 3 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $568.10 | $874.00 | $99.82 – $103.82 | 3 |
| X-ray male genital tract CPT 74440 | not published | not published | $227.83 – $236.94 | 3 |
| X-ray mandible complete > 4 views CPT 70110 | $416.00 | $640.00 | $99.82 – $103.82 | 3 |
| X-ray mandible ltd <4 views CPT 70100 | $258.05 | $397.00 | $83.10 – $86.42 | 3 |
| X-ray nasal bones complete > 3 views CPT 70160 | $323.05 | $497.00 | $83.10 – $86.42 | 3 |
| X-ray neck soft tissue CPT 70360 | $280.15 | $431.00 | $83.10 – $86.42 | 3 |
| X-ray nose to rectum for foreign body child CPT 76010 | $456.30 | $702.00 | $83.10 – $86.42 | 3 |
| X-ray of mammary ducts CPT 77054 | $1,133.60 | $1,744.00 | $227.83 – $236.94 | 3 |
| X-ray optic foramina CPT 70190 | $280.80 | $432.00 | $83.10 – $86.42 | 3 |
| X-ray pelvis 1-2 views CPT 72170 | $174.20 | $268.00 | $99.82 – $103.82 | 3 |
| X-ray pelvis complete > 3 views CPT 72190 | $269.10 | $414.00 | $99.82 – $103.82 | 3 |
| Xray place dist ext thor ao CPT 75959 | $6,818.50 | $10,490.00 | not published | 0 |
| Xray place prox ext thor ao CPT 75958 | $6,199.70 | $9,538.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $975.00 | $1,500.00 | $333.12 – $346.44 | 3 |
| X-ray ribs 2 views left CPT 71100 | $301.60 | $464.00 | $83.10 – $86.42 | 3 |
| X-ray ribs 3 views bilateral CPT 71110 | $382.85 | $589.00 | $99.82 – $103.82 | 3 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $357.50 | $550.00 | $99.82 – $103.82 | 3 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $440.05 | $677.00 | $99.82 – $103.82 | 3 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $380.90 | $586.00 | $99.82 – $103.82 | 3 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $322.40 | $496.00 | $83.10 – $86.42 | 3 |
| X-ray scapula complete (both sides) CPT 73010 | $655.20 | $1,008.00 | $99.82 – $103.82 | 3 |
| X-ray sella turcica CPT 70240 | $200.20 | $308.00 | $83.10 – $86.42 | 3 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $361.40 | $556.00 | $83.10 – $86.42 | 3 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $346.45 | $533.00 | $83.10 – $86.42 | 3 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,390.35 | $2,139.00 | $521.74 – $542.61 | 3 |
| X-ray skull < 4 views CPT 70250 | $206.70 | $318.00 | $99.82 – $103.82 | 3 |
| X-ray skull > 4 views complete CPT 70260 | $372.45 | $573.00 | $99.82 – $103.82 | 3 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $358.15 | $551.00 | $99.82 – $103.82 | 3 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $504.40 | $776.00 | $167.48 – $174.18 | 3 |
| X-ray small intestine follow-through study CPT 74248 | $412.10 | $634.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $200.85 | $309.00 | $83.10 – $86.42 | 3 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $360.10 | $554.00 | $83.10 – $86.42 | 3 |
| X-ray sternum > 2 views CPT 71120 | $302.90 | $466.00 | $83.10 – $86.42 | 3 |
| X-ray surgical specimen CPT 76098 | $426.40 | $656.00 | $521.74 – $542.61 | 3 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $356.85 | $549.00 | $167.48 – $174.18 | 3 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $395.20 | $608.00 | $83.10 – $86.42 | 3 |
| X-ray thoracic spine 2 views CPT 72070 | $318.50 | $490.00 | $99.82 – $103.82 | 3 |
| X-ray thoracic spine 3 views CPT 72072 | $352.95 | $543.00 | $99.82 – $103.82 | 3 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $338.00 | $520.00 | $83.10 – $86.42 | 3 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $523.25 | $805.00 | $83.10 – $86.42 | 3 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $575.90 | $886.00 | $99.82 – $103.82 | 3 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $457.60 | $704.00 | $83.10 – $86.42 | 3 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $505.70 | $778.00 | $83.10 – $86.42 | 3 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $707.85 | $1,089.00 | $167.48 – $174.18 | 3 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $592.80 | $912.00 | $167.48 – $174.18 | 3 |
| X-ray wrist 2 views (both sides) CPT 73100 | $434.20 | $668.00 | $83.10 – $86.42 | 3 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $167.48 – $174.18 | 3 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $118.83 – $123.58 | 3 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $13.43 | 3 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.67 – $9.75 | 4 |
| Yersinia antibody CPT 86793 | $319.80 | $492.00 | $13.19 – $13.72 | 3 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $421,582.72 | 4 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $118.83 – $123.58 | 3 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.14 – $63.57 | 4 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $109.40 | $168.30 | $1.51 – $9.82 | 4 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $9.82 – $9.82 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $397.15 | $611.00 | $51.31 – $53.36 | 3 |
| Zika virus igm antibody CPT 86794 | $262.60 | $404.00 | $16.85 – $17.52 | 3 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $63.60 | $97.85 | $5.33 – $46.74 | 2 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $8,681.40 | $13,356.00 | $7.88 – $51.87 | 4 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $12,995.42 | $19,992.95 | $33.71 – $35.06 | 3 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $169.75 | $261.15 | $8.85 – $36.40 | 2 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $0.07 – $0.07 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $200.98 | 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.