Gynecology
Hysteroscopy with sampling of the uterine lining
CPT 58558
$3,704 - $27,116
from 4 insurers · median $24,262
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Mansfield, OH
29
In-network payers
147
Disclosed rate categories
26
Beds
4
Care quality
Avita Health System - Ontario Hospital is a 26-bed voluntary non-profit - private hospital in Mansfield, OH. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 147 disclosed rate categories.
CCN (Medicare provider number)
360365
NPI
1790131050
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
26
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Avita Health System - Ontario Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Gynecology
CPT 58558
$3,704 - $27,116
from 4 insurers · median $24,262
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$2,980 - $3,980
from 4 insurers · median $3,719
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$23,160 - $72,815
from 4 insurers · median $65,150
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$9,599 - $33,706
from 4 insurers · median $30,158
19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$13,989 - $43,496
from 4 insurers · median $38,917
19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$867 - $1,681
from 4 insurers · median $1,400
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$1,373 - $2,700
from 4 insurers · median $2,202
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$13,739 - $37,379
from 4 insurers · median $33,444
19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 29881
$7,948 - $34,898
from 4 insurers · median $31,225
17 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 71275
$2,146 - $2,865
from 4 insurers · median $2,662
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$5,648 - $42,086
from 4 insurers · median $37,656
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,216 - $4,410
from 4 insurers · median $4,173
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,229 - $1,678
from 4 insurers · median $1,587
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,564 - $3,516
from 4 insurers · median $3,369
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$2,930 - $4,017
from 4 insurers · median $3,754
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$3,529 - $4,938
from 4 insurers · median $4,673
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 27446
$62,776 - $93,725
from 4 insurers · median $70,364
219 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 29888
$13,323 - $59,225
from 4 insurers · median $52,991
Typical for a hospital with this service line
Ear, nose and throat
CPT 30520
$30,871 - $45,974
from 4 insurers · median $34,515
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,922 - $4,006
from 4 insurers · median $3,342
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$42,907 - $63,897
from 4 insurers · median $47,971
Typical for a hospital with this service line
MRI imaging
CPT 73721
$2,657 - $3,643
from 4 insurers · median $3,426
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$5,912 - $8,805
from 4 insurers · median $6,610
Typical for a hospital with this service line
MRI imaging
CPT 74183
$5,297 - $6,875
from 3 insurers · median $5,472
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 752% | 0 | 0 |
| Insurer B* | 23 | 653% | 22 | 0 |
| Insurer C* | 24 | 648% | 22 | 1 |
| Insurer D* | 24 | 376% | 17 | 4 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Avita Health System - Ontario Hospital.
715 Richland Mall, Mansfield, OH 44906
(567) 307-7666
About Avita Health System - Ontario Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Avita Health System - Ontario Hospital range from $2,930 to $4,017 across 4 insurers. Cigna's rate is $3,682. The median at nearby comparable hospitals is $375. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Avita Health System - Ontario Hospital range from $2,980 to $3,980 across 4 insurers. Aetna's rate is $3,790. The median at nearby comparable hospitals is $506. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Avita Health System - Ontario Hospital range from $3,216 to $4,410 across 4 insurers. Blue Cross Blue Shield's rate is $3,216. The median at nearby comparable hospitals is $2,671. What a patient pays depends on their plan's deductible, coinsurance and network status.
Avita Health System - Ontario Hospital has 26 beds. Facility type: Short Term Acute Care Hospital.
Avita Health System - Ontario Hospital is located at 715 Richland Mall, Mansfield, OH 44906. Its main phone number is (567) 307-7666.
Avita Health System - Ontario Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 360365.
The National Provider Identifier (NPI) on file for Avita Health System - Ontario Hospital is 1790131050.
Avita Health System - Ontario Hospital lists 29 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
147 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers