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 |
|---|---|---|---|---|
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $32,205.67 | $53,676.12 | $820.85 – $820.85 | 1 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $51,890.84 | $86,484.73 | $6,214.02 – $6,338.30 | 4 |
| Rsv assay w/optic CPT 87807 | $113.40 | $189.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $293.40 | $489.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $229.80 | $383.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $122.40 | $204.00 | not published | 0 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $10,105.32 | $16,842.20 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $49.20 | $82.00 | not published | 0 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $55.80 | $93.00 | not published | 0 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,572.20 | $4,287.00 | not published | 0 |
| Scope plantar fasciotomy CPT 29893 | $7,512.28 | $12,520.47 | $3,140.69 – $3,140.69 | 2 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $15,351.69 | $25,586.15 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $83.40 | $139.00 | not published | 0 |
| Screen cerv/vag thin layer HCPCS G0123 | $83.40 | $139.00 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $5,083.80 | $8,473.00 | $892.64 – $910.49 | 4 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $4,686.66 | $7,811.10 | $892.64 – $910.49 | 4 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $47.40 | $79.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $256.80 | $428.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $178.80 | $298.00 | not published | 0 |
| Screen pap by tech w md supv HCPCS P3000 | $103.20 | $172.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $283,203.20 | $472,005.33 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $4,540.80 | $7,568.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $28.20 | $47.00 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $174.60 | $291.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $115.80 | $193.00 | not published | 0 |
| Set radiation therapy field CPT 77280 | $1,792.20 | $2,987.00 | not published | 0 |
| Set radiation therapy field CPT 77285 | $1,327.80 | $2,213.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $1,863.60 | $3,106.00 | not published | 0 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $1.50 | $2.50 | not published | 0 |
| Sewho cap design without jnts cf HCPCS L3961 | $3,617.93 | $6,029.89 | not published | 0 |
| Sheath below knee HCPCS L8400 | $38.15 | $63.59 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $8,725.53 | $14,542.55 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $13,107.98 | $21,846.63 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $38,401.82 | $64,003.03 | $6,965.02 – $6,965.02 | 2 |
| Sho arthrs srg capsulorraphy CPT 29806 | $31,276.24 | $52,127.07 | $6,965.02 – $6,965.02 | 2 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $37,872.91 | $63,121.52 | $6,965.02 – $6,965.02 | 2 |
| Sho arthrs srg rpr slap les CPT 29807 | $31,276.24 | $52,127.07 | $6,965.02 – $6,965.02 | 2 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $32,649.79 | $54,416.32 | $6,965.02 – $6,965.02 | 3 |
| Shoe clubfoot wedge HCPCS L3380 | $117.35 | $195.59 | not published | 0 |
| Shoe dennis browne splint bo HCPCS L3640 | $102.37 | $170.62 | not published | 0 |
| Shoe heel new leather standa HCPCS L3455 | $96.31 | $160.51 | not published | 0 |
| Shoe heel new rubber standar HCPCS L3460 | $81.30 | $135.50 | not published | 0 |
| Shoe heel pad & depress for HCPCS L3480 | $147.43 | $245.71 | not published | 0 |
| Shoe heel sach cushion type HCPCS L3450 | $249.70 | $416.16 | not published | 0 |
| Shoe heel thomas extend to b HCPCS L3470 | $147.43 | $245.71 | not published | 0 |
| Shoe heel thomas with wedge HCPCS L3465 | $138.50 | $230.84 | not published | 0 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $175.19 | $291.99 | not published | 0 |
| Shoe metatarsal bar between HCPCS L3410 | $219.65 | $366.08 | not published | 0 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $96.31 | $160.51 | not published | 0 |
| Shoe outflare wedge HCPCS L3390 | $117.35 | $195.59 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $288.67 | $481.11 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | $117.35 | $195.59 | not published | 0 |
| Shoe sole wedge outside sole HCPCS L3360 | $84.24 | $140.40 | not published | 0 |
| Shoe wedge sach HCPCS L3340 | $201.67 | $336.12 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $379.18 | $631.96 | not published | 0 |
| Sho insert w arch toe filler HCPCS L5000 | $1,224.38 | $2,040.64 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $123.39 | $205.65 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $37,872.91 | $63,121.52 | $6,965.02 – $6,965.02 | 3 |
| Shoulder X-ray CPT 73030 | $466.20 | $777.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $199.81 | $333.01 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $140.56 | $234.26 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $7,610.24 | $12,683.73 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $1,857.60 | $3,096.00 | not published | 0 |
| Sialography s&i CPT 70390 | $1,428.00 | $2,380.00 | not published | 0 |
| Sickling rbc CPT 85660 | $54.00 | $90.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $4,685.34 | $7,808.90 | $892.64 – $910.49 | 4 |
| Sigmoidoscopy for bleeding CPT 45334 | $5,648.24 | $9,413.73 | $1,148.62 – $1,171.59 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $618.42 | $1,030.70 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,585.80 | $2,643.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $1,463.40 | $2,439.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,300.20 | $2,167.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $2,747.40 | $4,579.00 | not published | 0 |
| Sio flex pelvisacral custom HCPCS L0622 | $632.41 | $1,054.02 | not published | 0 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $418.75 | $697.91 | not published | 0 |
| Sirolimus, oral HCPCS J7520 | $16.20 | $27.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $500.40 | $834.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $459.47 | $765.79 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $204.01 | $340.01 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $17,842.81 | $29,738.01 | not published | 0 |
| Small bowel endoscopy CPT 44360 | $4,473.18 | $7,455.30 | $1,841.90 – $1,878.74 | 4 |
| Small bowel endoscopy/biopsy CPT 44361 | $7,292.82 | $12,154.70 | $1,841.90 – $1,878.74 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $73.20 | $122.00 | not published | 0 |
| Smear gram stain CPT 87205 | $84.60 | $141.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $54.60 | $91.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $39.60 | $66.00 | not published | 0 |
| Smear wet mount CPT 87210 | $55.20 | $92.00 | not published | 0 |
| Smpd1 gene common variants CPT 81330 | $330.60 | $551.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $252.60 | $421.00 | not published | 0 |
| So airplane w/wo joint cf HCPCS L3674 | $2,545.34 | $4,242.23 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $1,940.30 | $3,233.83 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $1,286.05 | $2,143.42 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $71.96 | $119.93 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $57.60 | $96.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $34.68 | $57.80 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $46.20 | $77.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $72.60 | $121.00 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $36.30 | $60.50 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $150.78 | $251.30 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $40.80 | $68.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $8.82 | $14.70 | 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.