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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Avita Health System - Ontario Hospital

Mansfield, OH

715 Richland Mall, Mansfield, OH 44906(567) 307-7666

29

In-network payers

147

Disclosed rate categories

26

Beds

4

Care quality

About this hospital

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 Accepted

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.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthEMI HealthHarvard Pilgrim Health Care (Point32Health)

Prices for common services

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

Hysteroscopy with sampling of the uterine lining

CPT 58558

$3,704 - $27,116

from 4 insurers · median $24,262

UnitedHealthcare$25,149
Insurer A*$3,704
Insurer B*$23,374
Insurer C*$27,116
Medicare $3,025Nearby hospitals $6,268287% above nearby hospitals

12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$2,980 - $3,980

from 4 insurers · median $3,719

Aetna$3,790
Insurer A*$2,980
Insurer B*$3,647
Insurer C*$3,980
Medicare $326Nearby hospitals $506634% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$23,160 - $72,815

from 4 insurers · median $65,150

UnitedHealthcare$67,534
Insurer A*$23,160
Insurer B*$62,767
Insurer C*$72,815
Medicare $9,934Nearby hospitals $12,901405% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$9,599 - $33,706

from 4 insurers · median $30,158

Aetna$9,599
Insurer A*$29,055
Insurer B*$31,261
Insurer C*$33,706
Medicare $5,650Nearby hospitals $9,193228% above nearby hospitals

19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$13,989 - $43,496

from 4 insurers · median $38,917

Blue Cross$37,493
Insurer A*$13,989
Insurer B*$40,341
Insurer C*$43,496
Medicare $5,650Nearby hospitals $11,626235% above nearby hospitals

19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

CT imaging

CT head or brain without contrast

CPT 70450

$867 - $1,681

from 4 insurers · median $1,400

Aetna$867
Insurer A*$1,259
Insurer B*$1,541
Insurer C*$1,681
Medicare $98Nearby hospitals $161772% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$1,373 - $2,700

from 4 insurers · median $2,202

Aetna$1,373
Insurer A*$1,929
Insurer B*$2,474
Insurer C*$2,700
Medicare $223Nearby hospitals $496344% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Laparoscopic gallbladder removal with bile-duct imaging

CPT 47563

$13,739 - $37,379

from 4 insurers · median $33,444

Blue Cross$32,221
Insurer A*$13,739
Insurer B*$34,668
Insurer C*$37,379
Medicare $5,650Nearby hospitals $11,626188% above nearby hospitals

19 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Medicine & Surgery

Arthroscopic knee meniscectomy

CPT 29881

$7,948 - $34,898

from 4 insurers · median $31,225

Aetna$7,948
Insurer A*$30,082
Insurer B*$32,367
Insurer C*$34,898
Medicare $3,058Nearby hospitals $4,572583% above nearby hospitals

17 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)

CT imaging

CT angiography of chest blood vessels

CPT 71275

$2,146 - $2,865

from 4 insurers · median $2,662

Aetna$2,698
Insurer A*$2,146
Insurer B*$2,626
Insurer C*$2,865
Medicare $164Nearby hospitals $451490% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$5,648 - $42,086

from 4 insurers · median $37,656

UnitedHealthcare$39,033
Insurer A*$5,648
Insurer B*$36,278
Insurer C*$42,086
Medicare $5,650Nearby hospitals $7,399409% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$3,216 - $4,410

from 4 insurers · median $4,173

Blue Cross$3,216
Insurer A*$4,041
Insurer B*$4,305
Insurer C*$4,410
Medicare $1,118Nearby hospitals $2,67156% above nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$1,229 - $1,678

from 4 insurers · median $1,587

Cigna$1,538
Insurer A*$1,229
Insurer B*$1,636
Insurer C*$1,678
Medicare $511Nearby hospitals $84488% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$2,564 - $3,516

from 4 insurers · median $3,369

Blue Cross$2,564
Insurer A*$3,222
Insurer B*$3,516
Insurer C*$3,516
Medicare $848Nearby hospitals $1,74293% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI brain before and after contrast

CPT 70553

$2,930 - $4,017

from 4 insurers · median $3,754

Cigna$3,682
Insurer A*$2,930
Insurer B*$3,826
Insurer C*$4,017
Medicare $326Nearby hospitals $375901% above nearby hospitals

Common here, based on CMS Medicare volume

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$3,529 - $4,938

from 4 insurers · median $4,673

UnitedHealthcare$4,938
Insurer A*$3,529
Insurer B*$4,525
Insurer C*$4,820
Medicare $1,210Nearby hospitals $1,178297% above nearby hospitals

Common here, based on CMS Medicare volume

Orthopedics and pain

Partial knee replacement

CPT 27446

$62,776 - $93,725

from 4 insurers · median $70,364

Blue Cross$62,776
Insurer A*$67,716
Insurer B*$73,011
Insurer C*$93,725
Medicare $11,998Nearby hospitals $14,714378% above nearby hospitals

219 Medicare claims in Level 5 Musculoskeletal Procedures (CMS 2024)

Orthopedics and pain

Arthroscopic ACL reconstruction

CPT 29888

$13,323 - $59,225

from 4 insurers · median $52,991

Blue Cross$51,052
Insurer A*$13,323
Insurer B*$54,930
Insurer C*$59,225
Medicare $6,781Nearby hospitals $10,875387% above nearby hospitals

Typical for a hospital with this service line

Ear, nose and throat

Correction of the nasal septum

CPT 30520

$30,871 - $45,974

from 4 insurers · median $34,515

Aetna$45,974
Insurer A*$30,871
Insurer B*$33,216
Insurer C*$35,813
Medicare $3,387Nearby hospitals $4,197722% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$2,922 - $4,006

from 4 insurers · median $3,342

Cigna$3,671
Insurer A*$2,922
Insurer B*$3,012
Insurer C*$4,006
Medicare $223Nearby hospitals $409716% above nearby hospitals

Common here, based on CMS Medicare volume

Orthopedics and pain

Lower-back disc decompression, one interspace

CPT 63030

$42,907 - $63,897

from 4 insurers · median $47,971

Blue Cross$42,907
Insurer A*$46,166
Insurer B*$49,776
Insurer C*$63,897
Medicare $6,781Nearby hospitals $10,875341% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lower-extremity joint without contrast

CPT 73721

$2,657 - $3,643

from 4 insurers · median $3,426

Cigna$3,339
Insurer A*$2,657
Insurer B*$3,513
Insurer C*$3,643
Medicare $223Nearby hospitals $372820% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$5,912 - $8,805

from 4 insurers · median $6,610

Aetna$8,805
Insurer A*$5,912
Insurer B*$6,361
Insurer C*$6,859
Medicare $2,358Nearby hospitals $3,55286% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the abdomen, before and after contrast

CPT 74183

$5,297 - $6,875

from 3 insurers · median $5,472

Cigna$6,875
Insurer A*$5,297
Insurer B*$5,472
Medicare $326Nearby hospitals $597816% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Avita Health System - Ontario Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
752%
00
Insurer B*23
653%
220
Insurer C*24
648%
221
Insurer D*24
376%
174

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.

Location

715 Richland Mall, Mansfield, OH 44906

(567) 307-7666

Get directions

Frequently asked questions

About Avita Health System - Ontario Hospital's rates and hospital price transparency.

How much does an MRI cost at Avita Health System - Ontario Hospital?

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.

How much does a CT scan cost at Avita Health System - Ontario Hospital?

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.

How much does a colonoscopy cost at Avita Health System - Ontario Hospital?

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.

How many beds does Avita Health System - Ontario Hospital have?

Avita Health System - Ontario Hospital has 26 beds. Facility type: Short Term Acute Care Hospital.

Where is Avita Health System - Ontario Hospital and what is its phone number?

Avita Health System - Ontario Hospital is located at 715 Richland Mall, Mansfield, OH 44906. Its main phone number is (567) 307-7666.

What is Avita Health System - Ontario Hospital's CCN (Medicare provider number)?

Avita Health System - Ontario Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 360365.

What is Avita Health System - Ontario Hospital's NPI number?

The National Provider Identifier (NPI) on file for Avita Health System - Ontario Hospital is 1790131050.

Which insurance plans are in network at Avita Health System - Ontario Hospital?

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.

What price transparency data is available for Avita Health System - Ontario Hospital?

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.

What is a hospital price transparency MRF?

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.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster