OhioHealth Mansfield Hospital

Provider Information

Services

• Breast MRI

  SSP RA011

  up to

  $2,901

• Breast Ultrasound

  SSP RA012

  up to

  $300

• Bronchoscopy

  SSP PU000

  up to

  $3,770

• Colonoscopy

  SSP GA002

  up to

  $3,439

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,303

• CT

  SSP RA001

  up to

  $2,300

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $3,249

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $2,974

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $1,396

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $2,739

• Mammogram

  SSP RA010

  up to

  $522

• MRI with Contrast

  SSP RA007

  up to

  $3,851

• MRI without Contrast

  SSP RA005

  up to

  $2,976

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,139

• Ultrasound

  SSP RA008

  up to

  $820

• X-Ray

  SSP RA000

  up to

  $672