Springfield Medical Center
100 Medical Center Dr., Springfield, OH · Mercy · · NPI 1144286402
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $66.00 | $110.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $87.00 | $145.00 | not published | 0 |
| 17-ketosteroids CPT 83586 | $57.00 | $95.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $658.20 | $1,097.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $10,456.20 | $17,427.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $91.80 | $153.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $57.00 | $95.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $189.00 | $315.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $5,952.00 | $9,920.00 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $90.60 | $151.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $6,624.00 | $11,040.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $1,533.60 | $2,556.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $944.40 | $1,574.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $928.80 | $1,548.00 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $760.80 | $1,268.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,926.60 | $3,211.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,777.80 | $2,963.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,579.80 | $2,633.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $196.11 | $326.85 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,404.80 | $4,008.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $2,145.00 | $3,575.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,020.00 | $1,700.00 | not published | 0 |
| Abdominoplasty 15830 CPT 15830 | $29,735.39 | $49,558.98 | $6,373.69 – $6,373.69 | 2 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,675.20 | $2,792.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $499.86 | $833.10 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $595.67 | $992.79 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $210.65 | $351.08 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $192.62 | $321.03 | not published | 0 |
| Abl1 gene CPT 81170 | $746.40 | $1,244.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $13,920.60 | $23,201.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $12,352.20 | $20,587.00 | not published | 0 |
| Ablate pulm tumor perq crybl CPT 32994 | $8,606.40 | $14,344.00 | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $5,092.20 | $8,487.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $1,738.20 | $2,897.00 | not published | 0 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $5,887.80 | $9,813.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,422.60 | $2,371.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,926.00 | $3,210.00 | not published | 0 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $985.80 | $1,643.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $137.40 | $229.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $149.34 | $248.90 | not published | 0 |
| Acetone qualitative CPT 82009 | $36.60 | $61.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $61.80 | $103.00 | not published | 0 |
| Acetylcholinesterase assay CPT 82013 | $91.80 | $153.00 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $64.74 | $107.90 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $396.00 | $660.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $483.60 | $806.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $53.34 | $88.90 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $43.20 | $72.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $10,034.36 | $16,723.94 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $451.68 | $752.80 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $14.22 | $23.70 | not published | 0 |
| Adenovirus antibody,serum - quest CPT 86603 | $124.80 | $208.00 | not published | 0 |
| Adh-sendout CPT 84588 | $264.60 | $441.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $637.38 | $1,062.30 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $403.80 | $673.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $334.20 | $557.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $486.00 | $810.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $571.20 | $952.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $233.40 | $389.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $243.60 | $406.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $25,163.40 | $41,939.00 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $69.60 | $116.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $86.40 | $144.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $156.00 | $260.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $1,067.98 | $1,779.96 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $2,437.93 | $4,063.21 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $1,019.72 | $1,699.53 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $2,111.34 | $3,518.90 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $663.56 | $1,105.93 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $955.35 | $1,592.25 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $972.01 | $1,620.02 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $1,819.66 | $3,032.77 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $675.05 | $1,125.09 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $1,331.42 | $2,219.04 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $1,864.98 | $3,108.30 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $1,823.68 | $3,039.46 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $1,193.71 | $1,989.51 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $3,754.63 | $6,257.72 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $1,511.55 | $2,519.25 | not published | 0 |
| Air injection into abdomen 49400 CPT 49400 | $2,848.20 | $4,747.00 | not published | 0 |
| Ak/knee disartic pelvic band HCPCS L5697 | $185.56 | $309.26 | not published | 0 |
| Ak/knee disartic silesian ba HCPCS L5698 | $230.77 | $384.62 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $418.06 | $696.77 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $100.80 | $168.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $220.68 | $367.80 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $348.42 | $580.70 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $111.60 | $186.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $49.80 | $83.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $1.50 | $2.50 | not published | 0 |
| Albuterol non-comp con HCPCS J7611 | $16.92 | $28.20 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $5.40 | $9.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $146.40 | $244.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $40.80 | $68.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $35.40 | $59.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $38.40 | $64.00 | not published | 0 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $24.60 | $41.00 | not published | 0 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $6,611.20 | $11,018.66 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $13,037.12 | $21,728.54 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $16,359.20 | $27,265.34 | not published | 0 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $12,541.67 | $20,902.79 | not published | 0 |
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.