Supplies, drugs & other prices at Mercy Health - Fairfield Hospital

Fairfield, OH · every code in this section with a posted price and a Medicare benchmark.

33 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Alveolus clsd reduc stblz te (D7771) $5,073 $8,455 1.5×
Antibody treponema pallidum total & rpr ia qual (0064U) $207 $345 6.6×
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines
$4,586.16–$5,927.76 $7,643.60–$9,879.60 varies
Catheterize for urine spec (P9612) $19.20 $32 2.1×
Colon ca scrn not hi rsk ind (G0121)
range across 3 matching MRF lines
$3,068.40–$5,570.22 $5,114–$9,283.70 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$5,216.88–$6,109.44 $8,694.80–$10,182.40 varies
Covid-19 lab test non-cdc (U0002)
range across 2 matching MRF lines
$118.20–$130.20 $197–$217 varies
Cysto impl 4 or more (C9740) $23,981.29 $39,968.82 2.6×
Cysto, litho, vacuum kidney (C9761)
range across 2 matching MRF lines
$29,054.77–$30,506.86 $48,424.62–$50,844.77 varies
Drug test def 1-7 classes (G0480)
range across 23 matching MRF lines
$33.60–$223.80 $56–$373 varies
Eia hiv-1/hiv-2 screen (G0432) $15.60 $26 0.8×
Elec stim other than wound (G0283) $117 $195 9.2×
Facility svs dental rehab (G0330) $40,074.25 $66,790.42 12.2×
Hbot, full body chamber, 30m (G0277) $659.40 $1,099 4.8×
Hepb screen high risk indiv (G0499) $47.40 $79 1.7×
Inj for sacroiliac jt anesth (G0260)
range across 4 matching MRF lines
$2,158.38–$2,468.28 $3,597.30–$4,113.80 varies
Neuro csf prion prtn qual (0035U) $479.40 $799 0.9×
Njx platelet plasma (0232T) $25,164.56 $41,940.93 56.8×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $645 $1,075 2.6×
Oth resp proc, group (G0239) $274.80 $458 7.4×
Oth resp proc, indiv (G0238) $109.20 $182 3.8×
Pathogen test for platelets (P9100) $75 $125 1.3×
Perq Sacral Augmt Bilat Inj (0201T) $10,741.80 $17,903 1.5×
Perq Sacral Augmt Unilat Inj (0200T) $7,985.40 $13,309 1.1×
Screen pap by tech w md supv (P3000) $29.40 $49 1.6×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $70.20 $117 3.9×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $30,702.60 $51,171 1.6×
Therapeutic procd strg endur (G0237) $260.40 $434 9.1×
Tomosynthesis, mammo (G0279) $43.20 $72 3.4×
Tooth reimplantation (D7270) $1,387.20 $2,312 2.2×
Trluml perip athrc abd aorta (0236T) $23,330.40 $38,884 2.0×
Trluml Perip Athrc Brchiocph (0237T) $26,260.80 $43,768 2.3×
Trluml Perip Athrc Iliac Art (0238T) $23,330.40 $38,884 1.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.