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 |
|---|---|---|---|---|
| X-ray lumbosacral spine >= 4 views CPT 72110 | $611.40 | $1,019.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $702.60 | $1,171.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $654.00 | $1,090.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $654.00 | $1,090.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $57.00 | $95.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $476.40 | $794.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $382.20 | $637.00 | not published | 0 |
| X-ray of mammary ducts CPT 77054 | $718.20 | $1,197.00 | not published | 0 |
| X-ray optic foramina CPT 70190 | $348.00 | $580.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $406.80 | $678.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $487.20 | $812.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $241.80 | $403.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $500.40 | $834.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $552.00 | $920.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $543.00 | $905.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $513.60 | $856.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $445.80 | $743.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $445.80 | $743.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $499.80 | $833.00 | not published | 0 |
| X-ray sella turcica CPT 70240 | $289.20 | $482.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $325.80 | $543.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $639.60 | $1,066.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $832.20 | $1,387.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $323.40 | $539.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $669.00 | $1,115.00 | not published | 0 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $1,191.60 | $1,986.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $832.20 | $1,387.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $139.80 | $233.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $415.80 | $693.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $601.20 | $1,002.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $461.40 | $769.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $408.60 | $681.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $862.20 | $1,437.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $818.40 | $1,364.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $445.80 | $743.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $526.20 | $877.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $526.20 | $877.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $406.80 | $678.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $69.00 | $115.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $401.40 | $669.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $292.20 | $487.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,238.40 | $2,064.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,238.40 | $2,064.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $445.80 | $743.00 | not published | 0 |
| Xylose absorption test blood &/or urine CPT 84620 | $109.20 | $182.00 | not published | 0 |
| Xyntha inj HCPCS J7185 | $14,668.80 | $24,448.00 | not published | 0 |
| Yersinia antibody CPT 86793 | $58.80 | $98.00 | not published | 0 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $138.42 | $230.70 | not published | 0 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $155.04 | $258.40 | not published | 0 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $12,614.40 | $21,024.00 | 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.