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 |
|---|---|---|---|---|
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $10,174.10 | $16,956.83 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $46,185.43 | $76,975.72 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $31,006.47 | $51,677.45 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $26,239.58 | $43,732.63 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $24,775.26 | $41,292.10 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $8,121.96 | $13,536.60 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $9,276.62 | $15,461.03 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $2,304.00 | $3,840.00 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $175.20 | $292.00 | not published | 0 |
| Alpha-fetoprotein amniotic CPT 82106 | $45.00 | $75.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $121.80 | $203.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $802.74 | $1,337.90 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $41,713.74 | $69,522.90 | not published | 0 |
| Alt/sgpt CPT 84460 | $52.20 | $87.00 | not published | 0 |
| Altuviiio per factor viii iu HCPCS J7214 | $65,640.00 | $109,400.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $87.60 | $146.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $55.26 | $92.10 | not published | 0 |
| Amino acid screen, urine CPT 82128 | $159.00 | $265.00 | not published | 0 |
| Amino acids quant 2-5 CPT 82136 | $21.60 | $36.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $34.56 | $57.60 | not published | 0 |
| Aminolevulinic acid delta CPT 82135 | $150.00 | $250.00 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $18.96 | $31.60 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $20.88 | $34.80 | not published | 0 |
| Ammonia CPT 82140 | $148.80 | $248.00 | not published | 0 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $753.60 | $1,256.00 | not published | 0 |
| Amniotic fluid scan CPT 82143 | $115.80 | $193.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $227.52 | $379.20 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $773.64 | $1,289.40 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $35.58 | $59.30 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $345.12 | $575.20 | not published | 0 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $10,344.78 | $17,241.30 | $3,140.69 – $3,203.51 | 3 |
| Amputation toe interphalangeal joint CPT 28825 | $11,556.60 | $19,261.00 | $3,140.69 – $3,203.51 | 4 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $10,915.26 | $18,192.10 | $3,140.69 – $3,140.69 | 1 |
| Amylase CPT 82150 | $101.40 | $169.00 | not published | 0 |
| Ana ds-dna CPT 86226 | $225.60 | $376.00 | not published | 0 |
| Analgesics non-opioid 3-5 CPT 80330 | $45.00 | $75.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $951.60 | $1,586.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $370.80 | $618.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $243.60 | $406.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $6,150.60 | $10,251.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $428.40 | $714.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $11,725.80 | $19,543.00 | not published | 0 |
| Angiotensin ii CPT 82163 | $133.80 | $223.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $1,442.46 | $2,404.10 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $11,920.20 | $19,867.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $11,920.20 | $19,867.00 | not published | 0 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $11,725.80 | $19,543.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $11,725.80 | $19,543.00 | not published | 0 |
| Ankle X-ray CPT 73610 | $401.40 | $669.00 | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | $86.40 | $144.00 | not published | 0 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $15,902.46 | $26,504.10 | $4,801.70 – $4,897.73 | 4 |
| Anterior asis pad HCPCS L1250 | $187.13 | $311.89 | not published | 0 |
| Anterior swing band HCPCS L2335 | $665.14 | $1,108.56 | not published | 0 |
| Anterior thoracic derotation HCPCS L1260 | $223.16 | $371.94 | not published | 0 |
| Anterior thoracic extension HCPCS L1220 | $515.37 | $858.95 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $117.00 | $195.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $349.20 | $582.00 | not published | 0 |
| Antibody htlv/hiv confirm test CPT 86689 | $133.80 | $223.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $172.20 | $287.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $435.60 | $726.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $539.40 | $899.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $146.40 | $244.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $121.80 | $203.00 | not published | 0 |
| Antibody tetanus CPT 86774 | $115.20 | $192.00 | not published | 0 |
| Anti-inhibitor HCPCS J7198 | $25,920.00 | $43,200.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $20.40 | $34.00 | not published | 0 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $61,092.74 | $101,821.23 | $12,323.46 – $12,323.46 | 1 |
| Antinuclear antibodies CPT 86038 | $310.20 | $517.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $195.60 | $326.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $168.60 | $281.00 | not published | 0 |
| Antistreptolysin o screen CPT 86063 | $254.40 | $424.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $242.40 | $404.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $127.80 | $213.00 | not published | 0 |
| Antithrombin iii injection HCPCS J7197 | $8,563.20 | $14,272.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81410 | $992.40 | $1,654.00 | not published | 0 |
| Aortic dysfunction/dilation CPT 81411 | $2,646.00 | $4,410.00 | not published | 0 |
| Apc gene dup/delet variants CPT 81203 | $347.40 | $579.00 | not published | 0 |
| Apc gene full sequence CPT 81201 | $1,354.80 | $2,258.00 | not published | 0 |
| Apc gene known fam variants CPT 81202 | $319.20 | $532.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $377.40 | $629.00 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $32,084.96 | $53,474.93 | $5,802.92 – $5,802.92 | 3 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,279.40 | $3,799.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $2,279.40 | $3,799.00 | not published | 0 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $1,059.60 | $1,766.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $2,279.40 | $3,799.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $2,279.40 | $3,799.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $1,059.60 | $1,766.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $693.00 | $1,155.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $633.60 | $1,056.00 | not published | 0 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,513.80 | $2,523.00 | not published | 0 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $3,027.60 | $5,046.00 | not published | 0 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $6,547.43 | $10,912.38 | not published | 0 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $162.60 | $271.00 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $153.60 | $256.00 | not published | 0 |
| Appl modality 1+lllt po pain CPT 97037 | $60.60 | $101.00 | not published | 0 |
| Apply halo w/removal cranial CPT 20661 | $1,120.80 | $1,868.00 | not published | 0 |
| Apply interstit radiat compl CPT 77778 | $3,403.20 | $5,672.00 | not published | 0 |
| Apply intrcav radiat interm CPT 77762 | $2,433.00 | $4,055.00 | not published | 0 |
| Apply intrcav radiat simple CPT 77761 | $2,353.80 | $3,923.00 | not published | 0 |
| Apply rigid leg cast 29445 CPT 29445 | $1,446.60 | $2,411.00 | 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.