Mercy Family Medicine - Mansfield prices. From its own published file.

Mercy Family Medicine - Mansfield publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

4,160prices published

Jun 2026file last updated

$149cash price for ct abdomen and pelvis with contrast (list $572)

Common services

Service	Cash price	List price	Insurers pay
Comprehensive metabolic panel `80053`	$57.75	$77.00	$4.44–$42.35
Basic metabolic panel `80048`	$25.50	$34.00	$3.55–$18.70
Complete blood count (CBC) `85025`	$23.25	$31.00	$3.26–$17.05
Blood draw (venipuncture) `36415`	$12.00	$16.00	$3.00–$8.80
Urinalysis `81001`	$9.75	$13.00	$1.90–$7.15
Troponin (heart test) `84484`	$21.75	$29.00	$5.24–$18.50
EKG tracing `93005`	$14.25	$19.00	$10.45–$12.61
Chest X-ray, 2 views `71046`	$18.00	$49.00	$12.51–$40.15
CT head without contrast `70450`	$68.25	$227	$48.84–$175
CT abdomen and pelvis with contrast `74177`	$149	$572	$105–$424
MRI lower back without contrast `72148`	$118	$364	$85.16–$301
Ultrasound, abdomen `76700`	$63.75	$193	$46.75–$166
IV push, single drug `96374`	$81.75	$109	$58.60–$76.77
IV fluids, first hour `96360`	$80.25	$107	$50.71–$77.17
Ketorolac injection, 15 mg `J1885`	$9.00	$12.00	$0.47–$10.37
Ondansetron injection `J2405`	$0.75	$1.00	$0.09–$0.55
Colonoscopy, diagnostic `45378`	$650	$866	$432–$621
Upper GI endoscopy with biopsy `43239`	$590	$787	$433–$698

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Mercy Family Medicine - Mansfield price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.