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 |
|---|---|---|---|---|
| Test socket below knee HCPCS L5620 | $610.71 | $1,017.85 | not published | 0 |
| Test urine for porphyrins CPT 84119 | $158.40 | $264.00 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $2,492.82 | $4,154.70 | not published | 0 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $16,776.84 | $27,961.40 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $126.00 | $210.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $454.80 | $758.00 | not published | 0 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $513.60 | $856.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $11.82 | $19.70 | not published | 0 |
| Thigh/wght bear high roll cu HCPCS L2550 | $805.06 | $1,341.76 | not published | 0 |
| Thigh/wght bear lacer molded HCPCS L2540 | $1,073.75 | $1,789.59 | not published | 0 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $567.44 | $945.73 | not published | 0 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $740.42 | $1,234.04 | not published | 0 |
| Thorac cont lat support upri HCPCS L2680 | $346.21 | $577.02 | not published | 0 |
| Thorac cont paraspinal uprig HCPCS L2670 | $377.39 | $628.98 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $3,378.00 | $5,630.00 | not published | 0 |
| Thoracic control thoracic ba HCPCS L2660 | $423.94 | $706.57 | not published | 0 |
| Thoracic pad HCPCS L1060 | $256.25 | $427.09 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $2,720.16 | $4,533.60 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $8,839.20 | $14,732.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $20,564.40 | $34,274.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $35,629.80 | $59,383.00 | not published | 0 |
| Thrombin time CPT 85670 | $85.20 | $142.00 | not published | 0 |
| Thromboendarterectomy common femoral CPT 35371 | $12,808.20 | $21,347.00 | not published | 0 |
| Thromboendarterectomy sfa CPT 35302 | $13,308.00 | $22,180.00 | not published | 0 |
| Thromboplastin inhibition CPT 85705 | $146.40 | $244.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $87.60 | $146.00 | not published | 0 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | $1,515.38 | $2,525.64 | not published | 0 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | $2,696.86 | $4,494.76 | not published | 0 |
| Th/wght bear quad-lat brim c HCPCS L2520 | $1,271.78 | $2,119.63 | not published | 0 |
| Th/wght bear quad-lat brim m HCPCS L2510 | $1,908.28 | $3,180.47 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $241.80 | $403.00 | not published | 0 |
| Thyroid imaging CPT 78013 | $570.00 | $950.00 | not published | 0 |
| Thyroid met imaging CPT 78015 | $1,040.40 | $1,734.00 | not published | 0 |
| Thyroid mets imag whole body CPT 78018 | $1,264.80 | $2,108.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $147.00 | $245.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $1,073.40 | $1,789.00 | not published | 0 |
| Thyroid uptake measurement CPT 78012 | $428.40 | $714.00 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $93.60 | $156.00 | not published | 0 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $1,132.86 | $1,888.10 | not published | 0 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $7,611.55 | $12,685.92 | not published | 0 |
| Tissue culture placenta CPT 88235 | $573.60 | $956.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $1,904.40 | $3,174.00 | not published | 0 |
| Tissue culture tumor CPT 88239 | $413.40 | $689.00 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $100.80 | $168.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $33,376.04 | $55,626.73 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $29.40 | $49.00 | not published | 0 |
| Tlh uterus 250 g or less CPT 58570 | $39,237.94 | $65,396.57 | $10,203.25 – $10,203.25 | 3 |
| Tlh w/t/o 250 g or less CPT 58571 | $35,231.16 | $58,718.60 | $10,203.25 – $10,407.32 | 4 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $30,147.18 | $50,245.30 | $10,203.25 – $10,407.32 | 4 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $2,110.21 | $3,517.02 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $1,817.14 | $3,028.57 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $2,160.47 | $3,600.78 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $2,687.36 | $4,478.93 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $1,183.29 | $1,972.15 | not published | 0 |
| Tlso corset front HCPCS L0970 | $252.85 | $421.41 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $820.60 | $1,367.66 | not published | 0 |
| Tlso full corset HCPCS L0974 | $413.47 | $689.12 | not published | 0 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $897.72 | $1,496.20 | not published | 0 |
| Tlso r fram soft pre ots HCPCS L0467 | $897.72 | $1,496.20 | not published | 0 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $1,125.03 | $1,875.05 | not published | 0 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | $1,125.03 | $1,875.05 | not published | 0 |
| Tlso rigid frame pre subclav HCPCS L0470 | $1,556.79 | $2,594.65 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $3,410.30 | $5,683.84 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $2,375.18 | $3,958.64 | not published | 0 |
| Tlso rigid plastic custom fa HCPCS L0480 | $3,573.87 | $5,956.45 | not published | 0 |
| Tlso rigid plastic pre one HCPCS L0490 | $669.31 | $1,115.51 | not published | 0 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $1,117.92 | $1,863.20 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $355.50 | $592.50 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $126.00 | $210.00 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $10,198.38 | $16,997.30 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $26.40 | $44.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $25.20 | $42.00 | not published | 0 |
| Torsion ank & half solid sti HCPCS L2375 | $291.13 | $485.22 | not published | 0 |
| Torsion straight knee joint HCPCS L2380 | $253.84 | $423.07 | not published | 0 |
| Total Hip Replacement CPT 27130 | $52,235.59 | $87,059.32 | $12,323.46 – $12,569.93 | 3 |
| Total Knee Replacement CPT 27447 | $65,643.48 | $109,405.80 | $12,323.46 – $12,569.93 | 4 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $54,757.03 | $91,261.72 | $16,830.18 – $16,830.18 | 1 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | $84,678.69 | $141,131.15 | $16,830.18 – $16,830.18 | 1 |
| Toxoplasma antibody igg CPT 86777 | $142.80 | $238.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $223.20 | $372.00 | not published | 0 |
| Tpmt gene com vrnts CPT 81335 | $323.40 | $539.00 | not published | 0 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $8,505.60 | $14,176.00 | not published | 0 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $14,543.40 | $24,239.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $96.72 | $161.20 | not published | 0 |
| Transcath biopsy CPT 37200 | $4,093.80 | $6,823.00 | not published | 0 |
| Transcatheter bx s&i CPT 75970 | $3,713.40 | $6,189.00 | not published | 0 |
| Transcath mv repair addl prosthesis CPT 33419 | $5,318.40 | $8,864.00 | not published | 0 |
| Transcath mv repair init prosthesis CPT 33418 | $10,077.00 | $16,795.00 | not published | 0 |
| Transcath occlusion cns CPT 61624 | $10,167.60 | $16,946.00 | not published | 0 |
| Transcath occlusion non-cns CPT 61626 | $17,929.20 | $29,882.00 | not published | 0 |
| Transferrin CPT 84466 | $140.40 | $234.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $1,584.00 | $2,640.00 | not published | 0 |
| Trans shoe caliper plate new HCPCS L3610 | $237.73 | $396.21 | not published | 0 |
| Trans shoe calip plate exist HCPCS L3600 | $180.55 | $300.91 | not published | 0 |
| Trans shoe solid stirrup exi HCPCS L3620 | $180.55 | $300.91 | not published | 0 |
| Trans shoe solid stirrup new HCPCS L3630 | $237.73 | $396.21 | not published | 0 |
| Trapezius sling HCPCS L1070 | $265.44 | $442.40 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $6,186.30 | $10,310.50 | not published | 0 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $15,011.88 | $25,019.80 | not published | 0 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $13,367.64 | $22,279.40 | 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.