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 |
|---|---|---|---|---|
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $12,096.00 | $20,160.00 | not published | 0 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $44.82 | $74.70 | not published | 0 |
| Hydration IV infusion each additional hour CPT 96361 | $258.60 | $431.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $438.00 | $730.00 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $114.12 | $190.20 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $56.88 | $94.80 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $163.56 | $272.60 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $79.92 | $133.20 | not published | 0 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $110.40 | $184.00 | not published | 0 |
| Hyoscyamine sulfate inj HCPCS J1980 | $255.96 | $426.60 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $1,255.20 | $2,092.00 | not published | 0 |
| Hysteroscopy ablation CPT 58563 | $18,288.45 | $30,480.75 | $5,802.92 – $5,802.92 | 3 |
| Hysteroscopy biopsy CPT 58558 | $9,081.96 | $15,136.60 | $3,107.22 – $3,169.36 | 4 |
| Hysteroscopy dx sep proc CPT 58555 | $11,776.62 | $19,627.70 | $3,107.22 – $3,107.22 | 3 |
| Hysteroscopy remove fb CPT 58562 | $8,468.22 | $14,113.70 | $3,107.22 – $3,169.36 | 4 |
| Hysteroscopy remove myoma CPT 58561 | $28,385.30 | $47,308.83 | $4,801.70 – $4,801.70 | 2 |
| I-123 iobenguane diag HCPCS A9582 | $8,810.40 | $14,684.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $102.60 | $171.00 | not published | 0 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $105.60 | $176.00 | not published | 0 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $204.00 | $340.00 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $77,073.34 | $128,455.57 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $74,790.27 | $124,650.45 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $60,357.06 | $100,595.10 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $71,315.80 | $118,859.67 | not published | 0 |
| Idh1 common variants CPT 81120 | $323.40 | $539.00 | not published | 0 |
| Idh2 common variants CPT 81121 | $486.00 | $810.00 | not published | 0 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $4,537.80 | $7,563.00 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $144.84 | $241.40 | not published | 0 |
| Igh gene rearrange amp meth CPT 81261 | $404.40 | $674.00 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $642.00 | $1,070.00 | not published | 0 |
| Igk rearrangeabn clonal pop CPT 81264 | $304.80 | $508.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $118.80 | $198.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $682.20 | $1,137.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $291.00 | $485.00 | not published | 0 |
| Ikbkap gene CPT 81260 | $228.00 | $380.00 | not published | 0 |
| Immob elbow child sm HCPCS L3762 | $1,611.46 | $2,685.76 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $656.06 | $1,093.43 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $758.08 | $1,263.47 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $778.32 | $1,297.20 | not published | 0 |
| Immune complex assay CPT 86332 | $261.00 | $435.00 | not published | 0 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $22,377.60 | $37,296.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $379.20 | $632.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $401.40 | $669.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $113.40 | $189.00 | not published | 0 |
| Immunodiffusion nes CPT 86329 | $169.20 | $282.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $42.60 | $71.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $67.80 | $113.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $514.80 | $858.00 | not published | 0 |
| Immunoglobulin assay CPT 86023 | $306.00 | $510.00 | not published | 0 |
| Immunology procedure CPT 86849 | $168.00 | $280.00 | not published | 0 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $6,697.01 | $11,161.68 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,873.81 | $8,123.01 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $32,802.75 | $54,671.25 | not published | 0 |
| Implant neuroelectrodes CPT 63655 | $135,678.33 | $226,130.55 | $29,619.36 – $30,211.75 | 4 |
| Implant ureth bulk agent HCPCS L8606 | $5,379.65 | $8,966.09 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $9,718.46 | $16,197.43 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $31,611.32 | $52,685.53 | $6,117.24 – $6,239.59 | 4 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $59,437.54 | $99,062.57 | not published | 0 |
| In-111 pentetreotide HCPCS A9572 | $2,430.60 | $4,051.00 | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $10,697.40 | $17,829.00 | $1,585.32 – $1,617.02 | 3 |
| Incision of breast lesion CPT 19020 | $1,600.80 | $2,668.00 | not published | 0 |
| Incision of burn scab initi CPT 16035 | $629.40 | $1,049.00 | not published | 0 |
| Incision of foot tendon 28234 CPT 28234 | $2,724.00 | $4,540.00 | not published | 0 |
| Incision of tendon sheath CPT 25000 | $9,936.54 | $16,560.90 | $1,543.46 – $1,574.33 | 4 |
| Incision of toe tendons 28011 CPT 28011 | $2,799.60 | $4,666.00 | not published | 0 |
| Incision of tongue fold CPT 41010 | $2,579.40 | $4,299.00 | not published | 0 |
| Incision tendon sheath CPT 26055 | $17,879.84 | $29,799.73 | $1,543.46 – $1,574.33 | 4 |
| Incisn of toe tndn CPT 28010 | $2,667.00 | $4,445.00 | not published | 0 |
| Incisn windpipe CPT 31600 | $2,175.00 | $3,625.00 | not published | 0 |
| Infect ag drug suscept pheno predict CPT 87900 | $340.20 | $567.00 | not published | 0 |
| Infect ag eia chlamydia trachomatis CPT 87320 | $100.80 | $168.00 | not published | 0 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $241.80 | $403.00 | not published | 0 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $609.00 | $1,015.00 | not published | 0 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $703.80 | $1,173.00 | not published | 0 |
| Infect ag ia optc obs influenza CPT 87804 | $81.00 | $135.00 | not published | 0 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $80.40 | $134.00 | not published | 0 |
| Infect ag if hep delta agent CPT 87380 | $158.40 | $264.00 | not published | 0 |
| Infect ag if legionella pneumophila CPT 87278 | $75.00 | $125.00 | not published | 0 |
| Infect ag if nos ea CPT 87299 | $28.80 | $48.00 | not published | 0 |
| Infect ag if varicella zoster CPT 87290 | $135.00 | $225.00 | not published | 0 |
| Infect ag na hpv high-risk types CPT 87624 | $76.80 | $128.00 | not published | 0 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $192.00 | $320.00 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $96.00 | $160.00 | not published | 0 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $979.80 | $1,633.00 | not published | 0 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $832.20 | $1,387.00 | not published | 0 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $135.60 | $226.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $214.20 | $357.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $239.40 | $399.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $124.20 | $207.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $64.20 | $107.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $90.60 | $151.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $174.00 | $290.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $25.80 | $43.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $63.00 | $105.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $127.80 | $213.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $97.80 | $163.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $24.00 | $40.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $357.60 | $596.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $235.80 | $393.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $159.00 | $265.00 | 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.