Mercy Health (Ohio) · Fairfield, OH
37
In-network payers
364
Disclosed rate categories
265
Beds
3
Care quality
Mercy Health - Fairfield Hospital is a 265-bed voluntary non-profit - private hospital in Fairfield, OH, affiliated with Mercy Health (Ohio). Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 364 disclosed rate categories.
CCN (Medicare provider number)
360056
NPI
1467552471
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
265
Care Quality
3
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 Mercy Health - Fairfield 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.
Childbirth · Inpatient
MS-DRG 807
$8,878 - $11,194
from 4 insurers · median $10,572
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$13,781 - $15,267
from 4 insurers · median $15,000
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$9,127 - $25,615
from 4 insurers · median $15,305
69 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$154,079 - $184,685
from 4 insurers · median $166,582
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58571
$10,160 - $45,835
from 4 insurers · median $20,822
28 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$8,704 - $25,615
from 4 insurers · median $14,282
69 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$2,857 - $6,671
from 4 insurers · median $5,491
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,878 - $11,194
from 4 insurers · median $10,572
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 43239
$2,857 - $7,251
from 4 insurers · median $4,815
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,683 - $2,267
from 2 insurers · median $1,975
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,857 - $6,400
from 4 insurers · median $5,761
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$620 - $1,231
from 4 insurers · median $814
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$4,537 - $9,698
from 3 insurers · median $8,236
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$9,698 - $45,835
from 4 insurers · median $27,855
28 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$54,604 - $62,877
from 3 insurers · median $58,841
Hospital reports neurosurgical services to CMS
Nuclear imaging
CPT 78452
$1,255 - $4,499
from 4 insurers · median $2,672
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$131 - $211
from 4 insurers · median $162
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$4,537 - $13,155
from 4 insurers · median $9,738
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$2,318 - $5,649
from 4 insurers · median $3,673
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$192 - $725
from 4 insurers · median $301
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$323 - $1,048
from 4 insurers · median $625
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$3,815 - $4,633
from 2 insurers · median $4,224
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$9,698 - $25,615
from 4 insurers · median $14,932
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$2,857 - $8,557
from 4 insurers · median $6,163
Typical for a hospital with this service line
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 | 406% | 17 | 1 |
| Insurer B* | 20 | 309% | 5 | 10 |
| Insurer C* | 24 | 273% | 16 | 3 |
| Insurer D* | 22 | 216% | 2 | 15 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 9 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 Mercy Health - Fairfield Hospital.
3000 Mack Road, Fairfield, OH 45014
(513) 870-7197
The nearest hospitals of similar type and size. Their rates are compared with Mercy Health - Fairfield Hospital for the same insurers and services above.
Fort Hamilton Hospital
▲ Rates typically 20% higher than Mercy Health - Fairfield Hospital (21 services)
West Chester Hospital
▼ Rates typically 28% lower than Mercy Health - Fairfield Hospital (21 services)
Bethesda Hospital
▼ Rates typically 30% lower than Mercy Health - Fairfield Hospital (21 services)
St. Elizabeth Ft. Thomas Hospital
Rates about the same as Mercy Health - Fairfield Hospital (21 services)
St. Elizabeth Edgewood Hospital
Rates about the same as Mercy Health - Fairfield Hospital (21 services)
St. Elizabeth Florence Hospital
Rates about the same as Mercy Health - Fairfield Hospital (21 services)
Mercy Health - St Charles Hospital
Institute For Orthopaedic Surgery
Mercy Health - Defiance Hospital
The Jewish Hospital - Mercy Health
About Mercy Health - Fairfield Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Health - Fairfield Hospital range from $620 to $1,231 across 4 insurers. Aetna's rate is $799. The median at nearby comparable hospitals is $685. 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 Mercy Health - Fairfield Hospital range from $2,857 to $6,671 across 4 insurers. Blue Cross Blue Shield's rate is $5,177. The median at nearby comparable hospitals is $4,618. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy Health - Fairfield Hospital range from $8,878 to $11,194 across 4 insurers. Cigna's rate is $10,619. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Health - Fairfield Hospital range from $131 to $211 across 4 insurers. Cigna's rate is $175. The median at nearby comparable hospitals is $197. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy Health - Fairfield Hospital has 265 beds. Facility type: Short Term Acute Care Hospital.
Mercy Health - Fairfield Hospital is located at 3000 Mack Road, Fairfield, OH 45014. Its main phone number is (513) 870-7197.
Mercy Health - Fairfield Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 360056.
The National Provider Identifier (NPI) on file for Mercy Health - Fairfield Hospital is 1467552471.
Mercy Health - Fairfield Hospital is affiliated with Mercy Health (Ohio).
Mercy Health - Fairfield Hospital lists 37 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
364 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.
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{
"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