Mercy Health Fairfield Hospital LLC
Mercy Health Fairfield Hospital LLC in Fairfield, OH publishes cash prices for 32 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
3000 Mack Rd.,Fairfield,OH 45014 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd/Pel W Cont | $1,674.60 | $2,791.00 | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd/Pel W Cont | $2,350.20 | $3,917.00 | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Brain W/O Contrast | $665.40 | $1,109.00 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Brain W/O Contrast | $801.00 | $1,335.00 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/ Contrast | $900.00 | $1,500.00 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/ Contrast | $1,265.40 | $2,109.00 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Dgx Bilateral Incl Cad if Perf | $212.40 | $354.00 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammo Dgx Bilateral Incl Cad if Perf | $369.00 | $615.00 | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dgx Unilateral Incl Cad if Perf | $174.60 | $291.00 | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dgx Unilateral Incl Cad if Perf | $335.40 | $559.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest | $874.20 | $1,457.00 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest | $918.00 | $1,530.00 | 40% |
| Screening mammogram, both breasts CPT 77067 HC Mobile Screening Mammo | $192.00 | $320.00 | 40% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Screening Incl Cad if Perf | $211.20 | $352.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 HC Mammo Screening Incl Cad if Perf | $263.40 | $439.00 | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 HC Mobile Screening Mammo | $263.40 | $439.00 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal, Non OB | $766.20 | $1,277.00 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal, Non OB | $804.60 | $1,341.00 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $295.20 | $492.00 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete | $914.40 | $1,524.00 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC L-Spine Min 4 Views | $347.40 | $579.00 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC L-Spine Min 4 Views | $519.00 | $865.00 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC So Lipid Panel | $35.40 | $59.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $54.00 | $90.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC So Lipid Panel | $35.40 | $59.00 | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $115.80 | $193.00 | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc | $22.80 | $38.00 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc | $54.00 | $90.00 | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $30.00 | $50.00 | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel | $75.60 | $126.00 | 40% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $73.80 | $123.00 | 40% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $73.80 | $123.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC So Assay of Psa Total | $43.20 | $72.00 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Prostate Specific Antigen Total | $160.80 | $268.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC So Assay of Psa Total | $43.20 | $72.00 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Assay of Prostate Specific Antigen Total | $160.80 | $268.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC So Ptt | $20.40 | $34.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC So1 Ptt | $28.80 | $48.00 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt | $62.40 | $104.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC So Ptt | $20.40 | $34.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC So1 Ptt | $28.80 | $48.00 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt | $62.40 | $104.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC So Prothrombin Time | $12.00 | $20.00 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $35.40 | $59.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC So Prothrombin Time | $12.00 | $20.00 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $35.40 | $59.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC So Tsh 3rd Generation | $37.20 | $62.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $57.00 | $95.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC So Tsh 3rd Generation | $37.20 | $62.00 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $120.60 | $201.00 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis W/ Microscopy | $27.00 | $45.00 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis W/ Microscopy | $27.00 | $45.00 | 40% |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $8.40 | $14.00 | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy | $8.40 | $14.00 | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope | $31.80 | $53.00 | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis, Auto, W/O Scope | $31.80 | $53.00 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $7,632.30 | $12,720.50 | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $5,954.22 | $9,923.70 | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $5,863.02 | $9,771.70 | 40% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $27,798.91 | $46,331.52 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,250.00 | $3,750.00 | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,362.80 | $3,938.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,250.00 | $3,750.00 | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,362.80 | $3,938.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj a/S Transforam Lumbar | $2,137.20 | $3,562.00 | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inj a/S Transforam Lumbar | $2,137.20 | $3,562.00 | 40% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot | $56,126.95 | $93,544.92 | 40% |
| Removal of a breast lump, open surgery CPT 19120 HC Excise Breast Cyst | $4,451.40 | $7,419.00 | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC Excise Breast Cyst | $4,451.40 | $7,419.00 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $5,179.08 | $8,631.80 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diagnostic Brush Wash | $6,991.60 | $11,652.67 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Ther Ex per 15 Min | $60.00 | $100.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min | $60.60 | $101.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Ther Ex per 15 Min | $63.00 | $105.00 | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min | $63.60 | $106.00 | 40% |