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 |
|---|---|---|---|---|
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $153.60 | $256.00 | not published | 0 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $10,683.36 | $17,805.60 | not published | 0 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $21,300.12 | $35,500.20 | not published | 0 |
| Levalbuterol non-comp con HCPCS J7612 | $21.72 | $36.20 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $50.40 | $84.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $28.02 | $46.70 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $81,180.25 | $135,300.41 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $35.10 | $58.50 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $28.44 | $47.40 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $118.20 | $197.00 | not published | 0 |
| Lift heel adj small gl60404sm HCPCS L3332 | $174.51 | $290.85 | not published | 0 |
| Lift heel adjustable med HCPCS L3334 | $90.22 | $150.37 | not published | 0 |
| Lifts elevation metal extens HCPCS L3330 | $1,339.06 | $2,231.77 | not published | 0 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $6,560.70 | $10,934.50 | $1,585.32 – $1,617.02 | 4 |
| Limited ankle motion ea jnt HCPCS L2200 | $351.65 | $586.08 | not published | 0 |
| Limited motion knee joint HCPCS L2184 | $274.07 | $456.79 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $118.08 | $196.80 | not published | 0 |
| Lipase CPT 83690 | $96.00 | $160.00 | not published | 0 |
| Lipoprotein blood high res frac & quant CPT 83701 | $111.00 | $185.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $111.00 | $185.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $102.60 | $171.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $42.60 | $71.00 | not published | 0 |
| Listeria monocytogenes CPT 86723 | $133.20 | $222.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $66.00 | $110.00 | not published | 0 |
| Liver elastography 91200 CPT 91200 | $520.20 | $867.00 | not published | 0 |
| Liver Function Test CPT 80076 | $96.60 | $161.00 | not published | 0 |
| Liver imaging CPT 78201 | $801.60 | $1,336.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $1,156.80 | $1,928.00 | not published | 0 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $703.20 | $1,172.00 | not published | 0 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $146.64 | $244.40 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $7.50 | $12.50 | not published | 0 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | $408.17 | $680.29 | not published | 0 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $167.74 | $279.57 | not published | 0 |
| Low back disk surgery CPT 63030 | $26,569.81 | $44,283.02 | $6,965.02 – $7,104.32 | 4 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,926.60 | $3,211.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,777.80 | $2,963.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,579.80 | $2,633.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $526.20 | $877.00 | not published | 0 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $66,691.70 | $111,152.83 | $10,203.25 – $10,407.32 | 4 |
| Lso corset front HCPCS L0972 | $249.04 | $415.06 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $269.09 | $448.48 | not published | 0 |
| Lso full corset HCPCS L0976 | $353.77 | $589.62 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $401.51 | $669.18 | not published | 0 |
| Lso sag-coronal panel custom HCPCS L0638 | $3,970.45 | $6,617.41 | not published | 0 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | $3,065.30 | $5,108.83 | not published | 0 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | $383.24 | $638.74 | not published | 0 |
| Lso sagit rigid panel prefab HCPCS L0635 | $2,364.26 | $3,940.44 | not published | 0 |
| Lso sagittal rigid panel cus HCPCS L0636 | $3,207.92 | $5,346.54 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $617.19 | $1,028.65 | not published | 0 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | $678.49 | $1,130.82 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $2,252.16 | $3,753.60 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $153.00 | $255.00 | not published | 0 |
| Lumbar bolster pad HCPCS L1030 | $185.27 | $308.78 | not published | 0 |
| Lumbar derotation pad HCPCS L1240 | $215.18 | $358.64 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $2,595.00 | $4,325.00 | not published | 0 |
| Lumbar or lumbar rib pad HCPCS L1040 | $209.78 | $349.63 | not published | 0 |
| Lumbar sling HCPCS L1090 | $238.10 | $396.83 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $1,149.00 | $1,915.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $32,521.50 | $54,202.50 | not published | 0 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $48,641.82 | $81,069.70 | not published | 0 |
| Lvad shower bag heartmate HCPCS Q0501 | $787.27 | $1,312.11 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $1,308.00 | $2,180.00 | not published | 0 |
| Lymphocyte culture mixed CPT 86821 | $60.00 | $100.00 | not published | 0 |
| Lymphocyte transformation mitogen CPT 86353 | $228.00 | $380.00 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $58.20 | $97.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $43.20 | $72.00 | not published | 0 |
| Magnesium CPT 83735 | $77.40 | $129.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $43.14 | $71.90 | not published | 0 |
| Malaria antibody CPT 86750 | $94.80 | $158.00 | not published | 0 |
| Mammosite ced HCPCS C1728 | $7,938.26 | $13,230.44 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $449.40 | $749.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $489.00 | $815.00 | not published | 0 |
| Man's shoe oxford brace HCPCS L3225 | $174.64 | $291.07 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | $57,841.62 | $96,402.70 | $3,758.31 – $3,833.47 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $14,826.85 | $24,711.41 | not published | 0 |
| Mastectomy partial CPT 19301 | $23,036.98 | $38,394.97 | $3,758.31 – $3,758.31 | 3 |
| Mastoids complete CPT 70130 | $250.20 | $417.00 | not published | 0 |
| Mastopexy CPT 19316 | $20,950.86 | $34,918.10 | $6,373.69 – $6,373.69 | 2 |
| Mast simple complete CPT 19303 | $56,791.92 | $94,653.20 | $6,373.69 – $6,501.17 | 4 |
| Matrion 1 sq cm HCPCS Q4201 | $20,298.34 | $33,830.57 | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $85,260.91 | $142,101.51 | not published | 0 |
| M.avium-intra dna amp prob CPT 87561 | $103.80 | $173.00 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $40.80 | $68.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $162.60 | $271.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $109.80 | $183.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $121.80 | $203.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $93.00 | $155.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $78.00 | $130.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $376.20 | $627.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $306.00 | $510.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $226.20 | $377.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,223.20 | $5,372.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $286.20 | $477.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $158.40 | $264.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $109.20 | $182.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $149.40 | $249.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $47.40 | $79.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $74.40 | $124.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $393.00 | $655.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $310.20 | $517.00 | 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.