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 |
|---|---|---|---|---|
| Soft interface below knee se HCPCS L2820 | $179.08 | $298.46 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | $377.96 | $629.94 | not published | 0 |
| Sp bone algrft morsel add-on CPT 20930 | $55,216.13 | $92,026.88 | $12,323.46 – $12,569.93 | 3 |
| Special physics consult CPT 77370 | $1,201.80 | $2,003.00 | not published | 0 |
| Special radiation dosimetry CPT 77331 | $382.80 | $638.00 | not published | 0 |
| Special radiation treatment CPT 77470 | $3,643.20 | $6,072.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $2,883.60 | $4,806.00 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $14.40 | $24.00 | not published | 0 |
| Specimen fat stain CPT 89125 | $39.60 | $66.00 | not published | 0 |
| Sperm antibody test CPT 89325 | $108.60 | $181.00 | not published | 0 |
| Spinal bone allograftstructural 20931 CPT 20931 | $34,495.10 | $57,491.83 | $12,323.46 – $12,323.46 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | $53,148.38 | $88,580.63 | $12,323.46 – $12,323.46 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,822.20 | $3,037.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $1,091.26 | $1,818.76 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $141.44 | $235.74 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $208.00 | $346.66 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $211.67 | $352.78 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $208.00 | $346.66 | not published | 0 |
| Sputum specimen collection CPT 89220 | $657.60 | $1,096.00 | not published | 0 |
| Srs linear based CPT 77372 | $15,964.80 | $26,608.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $447.60 | $746.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $174.00 | $290.00 | not published | 0 |
| Static or dynami afo pre ots HCPCS L4397 | $656.06 | $1,093.43 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $65.40 | $109.00 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $47,337.52 | $78,895.86 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $38,051.19 | $63,418.65 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $41,331.47 | $68,885.78 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $918.48 | $1,530.80 | not published | 0 |
| Sterile water/saline, 10 ml HCPCS A4216 | $18.00 | $30.00 | not published | 0 |
| Sternal pad HCPCS L1050 | $237.41 | $395.69 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $447.60 | $746.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $441.00 | $735.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $496.20 | $827.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $547.20 | $912.00 | not published | 0 |
| Stimulants synthetic CPT 80371 | $168.60 | $281.00 | not published | 0 |
| Stocking sup grips 4 pre ots HCPCS L0982 | $37.00 | $61.67 | not published | 0 |
| Straight knee joint heavy du HCPCS L2385 | $347.68 | $579.47 | not published | 0 |
| Strep a ag ia CPT 87430 | $70.80 | $118.00 | not published | 0 |
| Strep a dna dir probe CPT 87650 | $70.20 | $117.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $99.60 | $166.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $383.40 | $639.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $279.60 | $466.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $401.40 | $669.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $7.50 | $12.50 | not published | 0 |
| Sugars single quant CPT 84378 | $90.00 | $150.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $6,481.92 | $10,803.20 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $59.46 | $99.10 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $599.08 | $998.47 | not published | 0 |
| Surg dx exam anorectal CPT 45990 | $8,794.14 | $14,656.90 | $2,664.27 – $2,717.56 | 4 |
| Surgical pathology level 1 gross examination only CPT 88300 | $269.40 | $449.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $293.40 | $489.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $293.40 | $489.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $298.80 | $498.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $263.40 | $439.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,206.00 | $2,010.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $64.20 | $107.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $16.80 | $28.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $166.20 | $277.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $36.00 | $60.00 | not published | 0 |
| Suspension sleeve lower ext HCPCS L2397 | $251.38 | $418.96 | not published | 0 |
| Svc venogram s&i CPT 75827 | $2,514.60 | $4,191.00 | not published | 0 |
| Sweat collection by iontophoresis CPT 89230 | $163.80 | $273.00 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $115.20 | $192.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $49,860.18 | $83,100.30 | not published | 0 |
| System pacing micra av HCPCS C1786 | $43,824.47 | $73,040.79 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $21,174.83 | $35,291.39 | not published | 0 |
| System recell skin grafting/harvesting HCPCS C1832 | $18,041.51 | $30,069.19 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $171.60 | $286.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $186.00 | $310.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $121.20 | $202.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $68.40 | $114.00 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $15.00 | $25.00 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $152.40 | $254.00 | not published | 0 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $5,502.54 | $9,170.90 | not published | 0 |
| Talymed HCPCS Q4127 | $3,411.49 | $5,685.81 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $869.40 | $1,449.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $869.40 | $1,449.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,662.20 | $4,437.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,862.80 | $6,438.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $992.40 | $1,654.00 | not published | 0 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $59,130.00 | $98,550.00 | not published | 0 |
| Tavr perq femoral CPT 33361 | $15,186.60 | $25,311.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,535.58 | $2,559.30 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $279.00 | $465.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $171.00 | $285.00 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $45.60 | $76.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $100.20 | $167.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $21.00 | $35.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $142.20 | $237.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $100.80 | $168.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $129.00 | $215.00 | not published | 0 |
| T cells total count CPT 86359 | $80.40 | $134.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $3,700.20 | $6,167.00 | not published | 0 |
| Telethx isodose plan simple CPT 77306 | $680.40 | $1,134.00 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $31,861.50 | $53,102.50 | not published | 0 |
| Tension based scoliosis orth HCPCS L1005 | $7,573.03 | $12,621.71 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $23.40 | $39.00 | not published | 0 |
| Test for chlorohydrocarbons CPT 82441 | $138.00 | $230.00 | not published | 0 |
| Testicular imaging w/vasc flow CPT 78761 | $703.20 | $1,172.00 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $66.00 | $110.00 | 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.