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 |
|---|---|---|---|---|
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $129.60 | $216.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $586.20 | $977.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $220.80 | $368.00 | not published | 0 |
| Cytopath smear other source CPT 88162 | $442.20 | $737.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $289.20 | $482.00 | not published | 0 |
| Cytopath tbs c/v manual CPT 88164 | $107.40 | $179.00 | not published | 0 |
| Cytotoxic antibody screening CPT 86807 | $223.20 | $372.00 | not published | 0 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $75.00 | $125.00 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $6,831.90 | $11,386.50 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $115.20 | $192.00 | not published | 0 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $41,674.32 | $69,457.20 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $14,860.80 | $24,768.00 | not published | 0 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $104.46 | $174.10 | not published | 0 |
| D&c after delivery 59160 CPT 59160 | $23,889.74 | $39,816.23 | $3,107.22 – $3,107.22 | 3 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $17,312.24 | $28,853.73 | $5,802.92 – $5,802.92 | 3 |
| Dch validity tests CPT 81002 | $39.60 | $66.00 | not published | 0 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $5,911.80 | $9,853.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $19.80 | $33.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $897.60 | $1,496.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $9,652.80 | $16,088.00 | $1,585.32 – $1,617.02 | 4 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $1,678.20 | $2,797.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $4,342.20 | $7,237.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $2,978.40 | $4,964.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $500.40 | $834.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $500.40 | $834.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $3,907.80 | $6,513.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $9,131.48 | $15,219.13 | $709.41 – $723.60 | 4 |
| Decalcification CPT 88311 | $174.60 | $291.00 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $182.82 | $304.70 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $820.80 | $1,368.00 | not published | 0 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $193.02 | $321.70 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $509.40 | $849.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $13,247.04 | $22,078.40 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $5,235.32 | $8,725.53 | not published | 0 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $35,085.60 | $58,476.00 | not published | 0 |
| Design mlc device for imrt CPT 77338 | $1,043.40 | $1,739.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $45.06 | $75.10 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $302.40 | $504.00 | not published | 0 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $29,315.40 | $48,859.00 | not published | 0 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $5,980.20 | $9,967.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $3,443.40 | $5,739.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,443.40 | $5,739.00 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | $181.80 | $303.00 | not published | 0 |
| Detect agnt mult dna direc CPT 87800 | $153.60 | $256.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $12,727.47 | $21,212.45 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $6,560.55 | $10,934.25 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $3,002.11 | $5,003.51 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $2,430.68 | $4,051.14 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $106.20 | $177.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $96.60 | $161.00 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $17.82 | $29.70 | not published | 0 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $884.34 | $1,473.90 | not published | 0 |
| Dextran 40 infusion HCPCS J7100 | $315.24 | $525.40 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $26.40 | $44.00 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $19.80 | $33.00 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $37.98 | $63.30 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $39.60 | $66.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $156.00 | $260.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $113.40 | $189.00 | not published | 0 |
| Diag laparo separate proc 49320 CPT 49320 | $15,266.24 | $25,443.73 | $5,802.92 – $5,918.98 | 4 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $309.00 | $515.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $240.60 | $401.00 | not published | 0 |
| Diagnostic radio unlisted proc CPT 76499 | $515.40 | $859.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $15,199.80 | $25,333.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $74.52 | $124.20 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $274.32 | $457.20 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $92.46 | $154.10 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $7.50 | $12.50 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $19,100.16 | $31,833.60 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $102.00 | $170.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $248.88 | $414.80 | not published | 0 |
| Dilate biliary duct/ampulla CPT 47542 | $2,863.20 | $4,772.00 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $5,289.96 | $8,816.60 | $870.59 – $888.00 | 4 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $486.60 | $811.00 | not published | 0 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $166.80 | $278.00 | not published | 0 |
| Dilate ic vasospasm init CPT 61640 | $466.20 | $777.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $832.93 | $1,388.21 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $2,544.00 | $4,240.00 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $2,544.00 | $4,240.00 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $7.50 | $12.50 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $7.50 | $12.50 | not published | 0 |
| Disaccharidases CPT 82657 | $374.40 | $624.00 | not published | 0 |
| Discography cerv/thor spine CPT 72285 | $2,595.00 | $4,325.00 | not published | 0 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $5,167.20 | $8,612.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | $496.20 | $827.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $283.80 | $473.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $63.00 | $105.00 | not published | 0 |
| Dna probe chlamydia CPT 87490 | $260.40 | $434.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $60.00 | $100.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $184.86 | $308.10 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $430.50 | $717.50 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $67.56 | $112.60 | not published | 0 |
| Dornase alfa non-comp unit HCPCS J7639 | $634.14 | $1,056.90 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $67,573.67 | $112,622.78 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,036.92 | $1,728.20 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,937.10 | $3,228.50 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $124.86 | $208.10 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $423.60 | $706.00 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $1,843.20 | $3,072.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $127.80 | $213.00 | 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.