OHIOHEALTH MANSFIELD HOSPITAL
Hospital
Procedure Prices at OHIOHEALTH MANSFIELD HOSPITAL
COLLECTION VENOUS BLOOD,VENIPUNCTURE
CPT 36415
$5.85
EKG Interpretation
CPT 93010
$11.7
EKG Tracing
CPT 93005
$13.65
Hc Fsed Cbc With Diff
CPT 85025
$18.2
Chest X-Ray (1 view)
CPT 71045
$24.7
EKG
CPT 93000
$27.3
Hc Comprehensive Metabolic Panel
CPT 80053
$35.1
Mechanical Traction
CPT 97012
$38.25
Knee Replacement
CPT 27447
$58.5
OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN
CPT 99213
$81.9
Therapeutic Exercises
CPT 97110
$83.2
Therapeutic Activities
CPT 97530
$93.6
Screening Mammogram (bilateral)
CPT 77067
$106.6
ER Visit — Low-Moderate Complexity
CPT 99283
$117
Abdominal Ultrasound — Limited
CPT 76705
$135.85
OB Ultrasound
CPT 76805
$183.3
Chest X-Ray (2 views)
CPT 71046
$230.1
Hc Psychotherapy W Pt 60 Min
CPT 90837
$253.5
Thoracic Spine X-Ray
CPT 72072
$323.05
ER Visit — High Complexity
CPT 99285
$327.6
ER Visit — Moderate Complexity
CPT 99284
$446.55
Retroperitoneal Ultrasound
CPT 76770
$468
Abdominal Ultrasound
CPT 76700
$501.8
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$574.6
Hc Injection Anes Trnsfrmnl Epi Lumb Or Sacr W Img Sgl
CPT 64483
$727.35
Diagnostic Mammogram (unilateral)
CPT 77065
$748.8
Diagnostic Mammogram (bilateral)
CPT 77066
$748.8
CT Chest
CPT 71250
$757.9
MRI Joint of Lower Extremity
CPT 73721
$970.45
Echocardiogram w/ Doppler
CPT 93306
$1,079
CT Abdomen & Pelvis
CPT 74177
$1,083.55
MRI Brain w/o Contrast
CPT 70551
$1,266.85
MRI Brain w/ Contrast
CPT 70553
$1,266.85
Recurrent Inguinal Hernia Repair
CPT 49520
$1,899.3
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,922.05
Colonoscopy
CPT 45378
$2,182.7
Colonoscopy w/ Biopsy
CPT 45380
$2,427.75
Vaginal Delivery
CPT 59400
$3,782.35
Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.