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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $2,172.60 | $3,621.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $319.80 | $533.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $197.40 | $329.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $355.80 | $593.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $183.60 | $306.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $122.40 | $204.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $171.00 | $285.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $23.40 | $39.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $47.40 | $79.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,386.60 | $2,311.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $362.40 | $604.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $639.60 | $1,066.00 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $298.20 | $497.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $216.00 | $360.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $589.20 | $982.00 | not published | 0 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $558.00 | $930.00 | not published | 0 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $221.40 | $369.00 | not published | 0 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $4,484.46 | $7,474.10 | not published | 0 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $3,633.72 | $6,056.20 | not published | 0 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $960.00 | $1,600.00 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $432.00 | $720.00 | not published | 0 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $0.06 | $0.10 | not published | 0 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $0.06 | $0.10 | not published | 0 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $14,592.00 | $24,320.00 | not published | 0 |
| Inj, bupivacaine liposome HCPCS J0666 | $472.44 | $787.40 | not published | 0 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $41.64 | $69.40 | not published | 0 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $7.62 | $12.70 | not published | 0 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $1,103.70 | $1,839.50 | not published | 0 |
| Inj ceftolozane tazobactam HCPCS J0695 | $826.50 | $1,377.50 | not published | 0 |
| Inj, clindamycin (baxter) HCPCS J0737 | $61.86 | $103.10 | not published | 0 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $418.80 | $698.00 | not published | 0 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | $1,850.70 | $3,084.50 | not published | 0 |
| Inj disk cerv-thor ea lev CPT 62291 | $1,386.60 | $2,311.00 | not published | 0 |
| Inj dx for sinogram CPT 20501 | $593.40 | $989.00 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $418.80 | $698.00 | not published | 0 |
| Injection, cangrelor HCPCS C9460 | $4,745.70 | $7,909.50 | not published | 0 |
| Injection, daratumumab 10 mg HCPCS J9145 | $12,229.98 | $20,383.30 | not published | 0 |
| Injection, doxercalciferol HCPCS J1270 | $7.50 | $12.50 | not published | 0 |
| Injection epidural blood patch or clot CPT 62273 | $2,527.20 | $4,212.00 | not published | 0 |
| Injection for arthrography wrist (both sides) CPT 25246 | $445.80 | $743.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $593.40 | $989.00 | not published | 0 |
| Injection for hip x-ray CPT 27095 | $583.80 | $973.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $445.80 | $743.00 | not published | 0 |
| Injection for ureter x-ray CPT 50684 | $317.40 | $529.00 | not published | 0 |
| Injection for ureter x-ray CPT 50690 | $351.00 | $585.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $3,821.88 | $6,369.80 | not published | 0 |
| Injection glatiramer acetate HCPCS J1595 | $910.62 | $1,517.70 | not published | 0 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $13,776.90 | $22,961.50 | not published | 0 |
| Injection into brain canal CPT 61055 | $789.60 | $1,316.00 | not published | 0 |
| Injection jugular CPT 36299 | $327.00 | $545.00 | not published | 0 |
| Injection of sinus tract CPT 20500 | $1,705.80 | $2,843.00 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $2,499.84 | $4,166.40 | not published | 0 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $765.00 | $1,275.00 | not published | 0 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $6,975.12 | $11,625.20 | $677.55 – $691.10 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,319.00 | $3,865.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,656.00 | $2,760.00 | not published | 0 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $7,437.30 | $12,395.50 | $848.98 – $865.96 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $2,221.80 | $3,703.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,172.00 | $3,620.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $4,411.50 | $7,352.50 | $848.98 – $865.96 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $4,411.50 | $7,352.50 | $848.98 – $865.96 | 4 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $3,779.28 | $6,298.80 | $677.55 – $691.10 | 4 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $4,987.20 | $8,312.00 | $677.55 – $691.10 | 4 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $530.40 | $884.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $530.40 | $884.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $317.40 | $529.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $256.80 | $428.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $317.40 | $529.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $277.20 | $462.00 | not published | 0 |
| Inject sacroiliac joint CPT 27096 | $2,499.00 | $4,165.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | $2,080.80 | $3,468.00 | not published | 0 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $318.00 | $530.00 | not published | 0 |
| Inj for ext venography CPT 36005 | $392.40 | $654.00 | not published | 0 |
| Inj for mammo ductogram CPT 19030 | $456.60 | $761.00 | not published | 0 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $104.10 | $173.50 | not published | 0 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $69,044.94 | $115,074.90 | not published | 0 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $4,024.32 | $6,707.20 | not published | 0 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $1,498.56 | $2,497.60 | not published | 0 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $2,448.00 | $4,080.00 | not published | 0 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $14.28 | $23.80 | not published | 0 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $184.32 | $307.20 | not published | 0 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $570.54 | $950.90 | not published | 0 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $111.06 | $185.10 | not published | 0 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $869.40 | $1,449.00 | not published | 0 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $7.50 | $12.50 | not published | 0 |
| Inj multihance HCPCS A9577 | $131.82 | $219.70 | not published | 0 |
| Inj. mycophenolate mofetil HCPCS J7519 | $511.86 | $853.10 | not published | 0 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,810.40 | $4,684.00 | not published | 0 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $1,564.20 | $2,607.00 | not published | 0 |
| Inj ogivri 10 mg HCPCS Q5114 | $10,347.96 | $17,246.60 | not published | 0 |
| Inj, pedmark, 100 mg HCPCS J0208 | $8.82 | $14.70 | not published | 0 |
| Inj peritoneal venous shunt CPT 49427 | $843.00 | $1,405.00 | not published | 0 |
| Inj proc ankle arthr CPT 27648 | $418.80 | $698.00 | not published | 0 |
| Inj proc elbow arthro CPT 24220 | $324.60 | $541.00 | not published | 0 |
| Inj proc for lymphang CPT 38790 | $777.60 | $1,296.00 | not published | 0 |
| Inj proc lumbr disk ea lvl CPT 62290 | $1,386.60 | $2,311.00 | not published | 0 |
| Inj proc myelogram lumbar CPT 62284 | $1,403.40 | $2,339.00 | not published | 0 |
| Inj proc sialogram CPT 42550 | $556.80 | $928.00 | not published | 0 |
| Inj progesterone per 50 mg HCPCS J2675 | $7.50 | $12.50 | not published | 0 |
| Inj recombin esperoct per iu HCPCS J7204 | $30,758.40 | $51,264.00 | 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.