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 |
|---|---|---|---|---|
| Cta neck without &/or w/contrast CPT 70498 | $1,426.80 | $2,378.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,637.40 | $2,729.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,296.00 | $2,160.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $1,562.40 | $2,604.00 | not published | 0 |
| CT angio hrt w/3d image CPT 75574 | $518.40 | $864.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $1,926.60 | $3,211.00 | not published | 0 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,926.60 | $3,211.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $1,769.40 | $2,949.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $835.80 | $1,393.00 | not published | 0 |
| CT guid parench tis ablat CPT 77013 | $1,202.40 | $2,004.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $458.00 | $458.00 | not published | 0 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $453.60 | $756.00 | not published | 0 |
| CT hrt w/3d image CPT 75572 | $450.60 | $751.00 | not published | 0 |
| CT limited or localized follow-up study CPT 76380 | $642.00 | $1,070.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,817.40 | $3,029.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,579.80 | $2,633.00 | not published | 0 |
| Ctlso a-p-l control molded HCPCS L0700 | $4,710.32 | $7,850.53 | not published | 0 |
| Ctlso a-p-l control with inter HCPCS L0710 | $5,177.93 | $8,629.88 | not published | 0 |
| Ctlso axilla sling HCPCS L1010 | $197.97 | $329.95 | not published | 0 |
| Ctlso milwauke initial model HCPCS L1000 | $4,797.91 | $7,996.52 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,714.80 | $2,858.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $1,463.40 | $2,439.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $1,300.20 | $2,167.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,585.80 | $2,643.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,585.80 | $2,643.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,463.40 | $2,439.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,300.20 | $2,167.00 | not published | 0 |
| CT scan for localization CPT 77011 | $592.20 | $987.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,703.80 | $6,173.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,201.00 | $5,335.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,845.20 | $4,742.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $1,777.80 | $2,963.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $1,579.80 | $2,633.00 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $229.20 | $382.00 | not published | 0 |
| CT t-spine w /wo contrast CPT 72130 | $1,926.60 | $3,211.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,817.40 | $3,029.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,579.80 | $2,633.00 | not published | 0 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,089.80 | $3,483.00 | not published | 0 |
| Cuffs adj lock with active con HCPCS L3740 | $2,313.75 | $3,856.25 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $124.20 | $207.00 | not published | 0 |
| Culture afb any source CPT 87116 | $193.20 | $322.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $190.20 | $317.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $126.00 | $210.00 | not published | 0 |
| Culture bacteria anaerobic CPT 87073 | $181.20 | $302.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $165.60 | $276.00 | not published | 0 |
| Culture body fluid CPT 87070 | $135.00 | $225.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $186.00 | $310.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $29.40 | $49.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $139.20 | $232.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $129.60 | $216.00 | not published | 0 |
| Culture mycoplasma any source CPT 87109 | $180.00 | $300.00 | not published | 0 |
| Culture quantitative aerobic other source CPT 87071 | $157.80 | $263.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $74.40 | $124.00 | not published | 0 |
| Culture typing added method CPT 87158 | $97.20 | $162.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $28.20 | $47.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $397.80 | $663.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $82.80 | $138.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $83.40 | $139.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $9,368.47 | $15,614.11 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,942.20 | $3,237.00 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $159.00 | $265.00 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $7.50 | $12.50 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $570.60 | $951.00 | not published | 0 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,015.50 | $1,692.50 | not published | 0 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $30.36 | $50.60 | not published | 0 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $337.38 | $562.30 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $139.20 | $232.00 | not published | 0 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $14.34 | $23.90 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $73.98 | $123.30 | not published | 0 |
| Cygnus, per sq cm HCPCS Q4170 | $11,808.99 | $19,681.65 | not published | 0 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $38,237.64 | $63,729.40 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $481.20 | $802.00 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $289.80 | $483.00 | not published | 0 |
| Cyp2d6 gene com variants CPT 81226 | $505.80 | $843.00 | not published | 0 |
| Cyp3a4 gene common variants CPT 81230 | $289.80 | $483.00 | not published | 0 |
| Cyp3a5 gene common variants CPT 81231 | $289.80 | $483.00 | not published | 0 |
| Cystatin c CPT 82610 | $36.00 | $60.00 | not published | 0 |
| Cystic fibrosis cftr CPT 81223 | $1,141.20 | $1,902.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $205.80 | $343.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $1,002.60 | $1,671.00 | not published | 0 |
| Cysto rx balo cath urtl strx CPT 52284 | $14,671.40 | $24,452.33 | $5,146.62 – $5,146.62 | 3 |
| Cystoscopy and treatment CPT 52234 | $12,492.47 | $20,820.78 | $3,383.52 – $3,383.52 | 3 |
| Cystoscopy and treatment CPT 52235 | $10,260.84 | $17,101.40 | $3,383.52 – $3,451.19 | 4 |
| Cystoscopy (Bladder Scope) CPT 52000 | $11,124.84 | $18,541.40 | $669.31 – $682.70 | 4 |
| Cystouretero & or pyeloscope CPT 52351 | $34,152.61 | $56,921.02 | $3,383.52 – $3,451.19 | 4 |
| Cysto/uretero w/lithotripsy CPT 52356 | $19,605.82 | $32,676.37 | $5,146.62 – $5,249.56 | 4 |
| Cystouretero w/lithotripsy CPT 52353 | $15,756.94 | $26,261.57 | $5,146.62 – $5,249.56 | 4 |
| Cystouretero w/stone remove CPT 52352 | $17,143.34 | $28,572.23 | $3,383.52 – $3,451.19 | 4 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $11,949.32 | $19,915.53 | $2,006.50 – $2,006.50 | 3 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $111.78 | $186.30 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $196.20 | $327.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $241.20 | $402.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $223.80 | $373.00 | not published | 0 |
| Cytopath c/v thin layer redo CPT 88143 | $67.80 | $113.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $338.40 | $564.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $97.20 | $162.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $258.60 | $431.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $449.40 | $749.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $352.20 | $587.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $71.40 | $119.00 | 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.