Mansfield Hospital — price list
← Hospital overviewVerified from Mansfield Hospital’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
7 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Hc Mirragen 1.5 X 1.5Cm Wound Per Sq Cm Inpatient & outpatient | A2002 HCPCS | $1,114 | $724 | — | — | |
| Hc Mirragen 10 X 10Cm Wound Per Sq Cm Inpatient & outpatient | A2002 HCPCS | $141 | $91.84 | — | — | |
| Hc Mirragen 2.5 X 15Cm Wound Per Sq Cm Inpatient & outpatient | A2002 HCPCS | $185 | $120 | — | — | |
| Hc Mirragen 2.5 X 2.5Cm Wound Per Sq Cm Inpatient & outpatient | A2002 HCPCS | $474 | $308 | — | — | |
| Hc Mirragen 3.5 X 3.5Cm Wound Per Sq Cm Inpatient & outpatient | A2002 HCPCS | $357 | $232 | — | — | |
| Hc Mirragen 4.5 X 4.5Cm Wound Per Sq Cm Inpatient & outpatient | A2002 HCPCS | $269 | $175 | — | — | |
| Hc Mirragen 5 X 5Cm Wound Per Sq Cm Inpatient & outpatient | A2002 HCPCS | $227 | $148 | — | — |