Hospital price profile
FAIRFIELD MEDICAL CENTER
401 NORTH EWING STREET, Lancaster, OH 43130 · (740) 687-8000 · Map and directions
CMS quality snapshot
Overall hospital rating2 of 5 stars
Safety measures vs. national result0 better · 6 same · 1 worse
PSI-90 patient safetyWorse Than the National Value
The hospital star rating is overall, not procedure-specific. PSI-90 reflects qualifying Medicare inpatient stays, not every outpatient encounter. View CMS source.
| Procedure | Context | Published cash | Comparison | Source |
|---|---|---|---|---|
| Blood drawCPT 36415 · Venous Draw | INPATIENT / FACILITY2 observed cash value(s) | $10.35MRF range $6.30–$10.35 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| Blood drawCPT 36415 · Venous Draw | OUTPATIENT / FACILITY2 observed cash value(s) | $10.35MRF range $6.30–$10.35 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| CT headCPT 70450 · CT Brain/Head w/o Contrast | INPATIENT / FACILITY1 observed cash value(s) | $738.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT headCPT 70450 · CT Brain/Head w/o Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $738.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT head with contrastCPT 70460 · CT Brain/Head w/ Contrast | INPATIENT / FACILITY1 observed cash value(s) | $738.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT head with contrastCPT 70460 · CT Brain/Head w/ Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $738.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT head with/without contrastCPT 70470 · CT Brain/Head w/ + w/o Contrast | INPATIENT / FACILITY1 observed cash value(s) | $1,102.05 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT head with/without contrastCPT 70470 · CT Brain/Head w/ + w/o Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $1,102.05 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI brain without contrastCPT 70551 · MRI Brain w/o Contrast | INPATIENT / FACILITY1 observed cash value(s) | $958.95 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI brain without contrastCPT 70551 · MRI Brain w/o Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $958.95 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI brain with contrastCPT 70552 · MRI Brain w/ Contrast | INPATIENT / FACILITY2 observed cash value(s) | $1,066.27MRF range $918.45–$1,214.09 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| MRI brain with contrastCPT 70552 · MRI Brain w/ Contrast | OUTPATIENT / FACILITY2 observed cash value(s) | $1,066.27MRF range $918.45–$1,214.09 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| MRI brainCPT 70553 · MRI Brain w/ + w/o Contrast | INPATIENT / FACILITY1 observed cash value(s) | $1,469.25 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI brainCPT 70553 · MRI Brain w/ + w/o Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $1,469.25 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Chest X-rayCPT 71046 · XR Chest 2 Views | INPATIENT / FACILITY1 observed cash value(s) | $244.35 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Chest X-rayCPT 71046 · XR Chest 2 Views | OUTPATIENT / FACILITY1 observed cash value(s) | $244.35 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT chest without contrastCPT 71250 · CT Thorax w/o Contrast | INPATIENT / FACILITY1 observed cash value(s) | $738.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT chest without contrastCPT 71250 · CT Thorax w/o Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $738.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT chestCPT 71260 · CT Thorax w/ Contrast | INPATIENT / FACILITY1 observed cash value(s) | $738.00 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT chestCPT 71260 · CT Thorax w/ Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $738.00 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT angiography chestCPT 71275 · CT Angio Chest | INPATIENT / FACILITY1 observed cash value(s) | $797.85 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT angiography chestCPT 71275 · CT Angio Chest | OUTPATIENT / FACILITY1 observed cash value(s) | $797.85 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI cervical spineCPT 72141 · MRI Spine Cervical w/o Contrast | INPATIENT / FACILITY1 observed cash value(s) | $958.95 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI cervical spineCPT 72141 · MRI Spine Cervical w/o Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $958.95 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI thoracic spineCPT 72146 · MRI Spine Thoracic w/o Contrast | INPATIENT / FACILITY1 observed cash value(s) | $958.95 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI thoracic spineCPT 72146 · MRI Spine Thoracic w/o Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $958.95 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI lumbar spineCPT 72148 · MRI Spine Lumbar w/o Contrast | INPATIENT / FACILITY1 observed cash value(s) | $958.95 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI lumbar spineCPT 72148 · MRI Spine Lumbar w/o Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $958.95 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Shoulder X-rayCPT 73030 · XR Shoulder Complete 2+ Views Left | INPATIENT / FACILITY2 observed cash value(s) | $184.05MRF range $184.05–$361.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| Shoulder X-rayCPT 73030 · XR Shoulder Complete 2+ Views Left | OUTPATIENT / FACILITY2 observed cash value(s) | $184.05MRF range $184.05–$361.80 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| MRI shoulder / upper jointCPT 73221 · MRI Elbow w/o Contrast Left | INPATIENT / FACILITY1 observed cash value(s) | $958.95 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI shoulder / upper jointCPT 73221 · MRI Elbow w/o Contrast Left | OUTPATIENT / FACILITY1 observed cash value(s) | $958.95 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Knee X-rayCPT 73562 · XR KNEE COMPLETE W/PATELLA VIEWS | INPATIENT / FACILITY1 observed cash value(s) | $184.05 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Knee X-rayCPT 73562 · XR KNEE COMPLETE W/PATELLA VIEWS | OUTPATIENT / FACILITY1 observed cash value(s) | $184.05 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Ankle X-rayCPT 73610 · XR Ankle Complete 3+ Views Left | INPATIENT / FACILITY1 observed cash value(s) | $184.05 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Ankle X-rayCPT 73610 · XR Ankle Complete 3+ Views Left | OUTPATIENT / FACILITY1 observed cash value(s) | $184.05 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI knee / lower jointCPT 73721 · MRI Ankle w/o Contrast Left | INPATIENT / FACILITY1 observed cash value(s) | $958.95 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| MRI knee / lower jointCPT 73721 · MRI Ankle w/o Contrast Left | OUTPATIENT / FACILITY1 observed cash value(s) | $958.95 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT abdomen & pelvis without contrastCPT 74176 · CT Abdomen and Pelvis w/o Contrast | INPATIENT / FACILITY1 observed cash value(s) | $918.45 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT abdomen & pelvis without contrastCPT 74176 · CT Abdomen and Pelvis w/o Contrast | OUTPATIENT / FACILITY1 observed cash value(s) | $918.45 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CT abdomen & pelvisCPT 74177 · CT Abdomen and Pelvis w/ Contrast | INPATIENT / FACILITY2 observed cash value(s) | $947.25MRF range $947.25–$3,058.65 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| CT abdomen & pelvisCPT 74177 · CT Abdomen and Pelvis w/ Contrast | OUTPATIENT / FACILITY2 observed cash value(s) | $947.25MRF range $947.25–$3,058.65 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| CT abdomen & pelvis with/without contrastCPT 74178 · CT Abdomen and Pelvis w/ + w/o Contrast | INPATIENT / FACILITY2 observed cash value(s) | $1,377.45MRF range $1,377.45–$3,058.65 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| CT abdomen & pelvis with/without contrastCPT 74178 · CT Abdomen and Pelvis w/ + w/o Contrast | OUTPATIENT / FACILITY2 observed cash value(s) | $1,377.45MRF range $1,377.45–$3,058.65 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| Breast ultrasoundCPT 76641 · ULTRASOUND BREAST COMPLETE | INPATIENT / FACILITY1 observed cash value(s) | $118.35 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Breast ultrasoundCPT 76641 · ULTRASOUND BREAST COMPLETE | OUTPATIENT / FACILITY1 observed cash value(s) | $118.35 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Transvaginal ultrasoundCPT 76830 · US Transvaginal Non-OB | INPATIENT / FACILITY1 observed cash value(s) | $427.95 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Transvaginal ultrasoundCPT 76830 · US Transvaginal Non-OB | OUTPATIENT / FACILITY1 observed cash value(s) | $427.95 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Pelvic ultrasoundCPT 76856 · US PELVIS W/O TRN VG W/DOPPLER | OUTPATIENT / FACILITY1 observed cash value(s) | $424.80 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Pelvic ultrasoundCPT 76856 · US PELVIS W/O TRN VG W/DOPPLER | INPATIENT / FACILITY1 observed cash value(s) | $424.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Diagnostic mammogramCPT 77065 · MG Mammo Digital Diagnostic Left | INPATIENT / FACILITY1 observed cash value(s) | $155.69 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Diagnostic mammogramCPT 77065 · MG Mammo Digital Diagnostic Left | OUTPATIENT / FACILITY1 observed cash value(s) | $155.69 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Screening mammogramCPT 77067 · MG Mammo Digital Screening Bilateral | INPATIENT / FACILITY1 observed cash value(s) | $169.65 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Screening mammogramCPT 77067 · MG Mammo Digital Screening Bilateral | OUTPATIENT / FACILITY1 observed cash value(s) | $169.65 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Nuclear stress imagingCPT 78452 · HT MUSCLE IMAGE SPECT MULT | INPATIENT / FACILITY1 observed cash value(s) | $1,443.15 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Nuclear stress imagingCPT 78452 · HT MUSCLE IMAGE SPECT MULT | OUTPATIENT / FACILITY1 observed cash value(s) | $1,443.15 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Comprehensive metabolic panelCPT 80053 · Comprehensive Metabolic Panel | INPATIENT / FACILITY1 observed cash value(s) | $63.45 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Comprehensive metabolic panelCPT 80053 · Comprehensive Metabolic Panel | OUTPATIENT / FACILITY1 observed cash value(s) | $63.45 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Lipid panelCPT 80061 · Lipid Panel (Chol, Trig, HDL, LDL, VLDL) | INPATIENT / FACILITY1 observed cash value(s) | $25.65 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Lipid panelCPT 80061 · Lipid Panel (Chol, Trig, HDL, LDL, VLDL) | OUTPATIENT / FACILITY1 observed cash value(s) | $25.65 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Vitamin D testCPT 82306 · 25-Hydroxyvitamin D LCMS D2+D3 | INPATIENT / FACILITY1 observed cash value(s) | $59.40 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Vitamin D testCPT 82306 · 25-Hydroxyvitamin D LCMS D2+D3 | OUTPATIENT / FACILITY1 observed cash value(s) | $59.40 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Ferritin testCPT 82728 · Ferritin Level | INPATIENT / FACILITY2 observed cash value(s) | $48.15MRF range $27.90–$68.40 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| Ferritin testCPT 82728 · Ferritin Level | OUTPATIENT / FACILITY2 observed cash value(s) | $48.15MRF range $27.90–$68.40 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| Hemoglobin A1cCPT 83036 · Hemoglobin A1c | INPATIENT / FACILITY2 observed cash value(s) | $27.00MRF range $13.95–$40.04 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| Hemoglobin A1cCPT 83036 · Hemoglobin A1c | OUTPATIENT / FACILITY2 observed cash value(s) | $27.00MRF range $13.95–$40.04 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| Iron testCPT 83540 · Iron | INPATIENT / FACILITY1 observed cash value(s) | $13.05 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Iron testCPT 83540 · Iron | OUTPATIENT / FACILITY1 observed cash value(s) | $13.05 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| TIBC testCPT 83550 · IRON BINDING TEST | INPATIENT / FACILITY1 observed cash value(s) | $18.45 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| TIBC testCPT 83550 · IRON BINDING TEST | OUTPATIENT / FACILITY1 observed cash value(s) | $18.45 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| PSA testCPT 84153 · PSA Total | INPATIENT / FACILITY2 observed cash value(s) | $36.90MRF range $36.90–$62.55 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| PSA testCPT 84153 · PSA Total | OUTPATIENT / FACILITY2 observed cash value(s) | $36.90MRF range $36.90–$62.55 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| TSH testCPT 84443 · TSH | OUTPATIENT / FACILITY1 observed cash value(s) | $33.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| TSH testCPT 84443 · TSH | INPATIENT / FACILITY1 observed cash value(s) | $33.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Pregnancy blood testCPT 84702 · hCG,Beta Subunit, Qnt, Serum Send Out | INPATIENT / FACILITY2 observed cash value(s) | $31.05MRF range $17.55–$31.05 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| Pregnancy blood testCPT 84702 · hCG,Beta Subunit, Qnt, Serum Send Out | OUTPATIENT / FACILITY2 observed cash value(s) | $31.05MRF range $17.55–$31.05 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| CBC with differentialCPT 85025 · Automated Diff | INPATIENT / FACILITY1 observed cash value(s) | $15.75 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| CBC with differentialCPT 85025 · Automated Diff | OUTPATIENT / FACILITY1 observed cash value(s) | $15.75 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Urine cultureCPT 87086 · Culture, Urine | INPATIENT / FACILITY1 observed cash value(s) | $49.05 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Urine cultureCPT 87086 · Culture, Urine | OUTPATIENT / FACILITY1 observed cash value(s) | $49.05 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| EchocardiogramCPT 93306 · TTE W/DOPPLER COMPLETE | INPATIENT / FACILITY2 observed cash value(s) | $886.27MRF range $886.05–$886.50 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| EchocardiogramCPT 93306 · TTE W/DOPPLER COMPLETE | OUTPATIENT / FACILITY2 observed cash value(s) | $886.27MRF range $886.05–$886.50 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| SpirometryCPT 94010 · BREATHING CAPACITY TEST | INPATIENT / FACILITY2 observed cash value(s) | $212.40MRF range $212.40–$218.70 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| SpirometryCPT 94010 · BREATHING CAPACITY TEST | OUTPATIENT / FACILITY2 observed cash value(s) | $212.40MRF range $212.40–$218.70 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| Lung diffusion testCPT 94729 · CO/MEMBANE DIFFUSE CAPACITY | OUTPATIENT / FACILITY1 observed cash value(s) | $106.65 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Lung diffusion testCPT 94729 · CO/MEMBANE DIFFUSE CAPACITY | INPATIENT / FACILITY1 observed cash value(s) | $106.65 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Sleep studyCPT 95810 · POLYSOMNOGRAPHY, 4 OR MORE | INPATIENT / FACILITY1 observed cash value(s) | $966.60 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Sleep studyCPT 95810 · POLYSOMNOGRAPHY, 4 OR MORE | OUTPATIENT / FACILITY1 observed cash value(s) | $966.60 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Physical therapy exerciseCPT 97110 · OT Therapeutic Exercise Units | INPATIENT / FACILITY1 observed cash value(s) | $75.15 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Physical therapy exerciseCPT 97110 · OT Therapeutic Exercise Units | OUTPATIENT / FACILITY1 observed cash value(s) | $75.15 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Manual therapyCPT 97140 · OT Manual Therapy Units | INPATIENT / FACILITY3 observed cash value(s) | $68.84MRF range $68.84–$109.35 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| Manual therapyCPT 97140 · OT Manual Therapy Units | OUTPATIENT / FACILITY3 observed cash value(s) | $68.84MRF range $68.84–$109.35 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| PT evaluation, low complexityCPT 97161 · PT Evaluation Units, Low Complexity | INPATIENT / FACILITY1 observed cash value(s) | $157.94 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| PT evaluation, low complexityCPT 97161 · PT Evaluation Units, Low Complexity | OUTPATIENT / FACILITY1 observed cash value(s) | $157.94 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| PT evaluation, moderate complexityCPT 97162 · PT Evaluation Units, Moderate Complexity | INPATIENT / FACILITY2 observed cash value(s) | $165.37MRF range $157.94–$172.80 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| PT evaluation, moderate complexityCPT 97162 · PT Evaluation Units, Moderate Complexity | OUTPATIENT / FACILITY2 observed cash value(s) | $165.37MRF range $157.94–$172.80 | Needs ReviewThe hospital published multiple cash amounts for this exact code and context; the range is shown but not ranked. | 2026-10-19Confidence 90/100 · ingestion ddbf4979… |
| Therapeutic activitiesCPT 97530 · OT Therapeutic Activities Units | INPATIENT / FACILITY1 observed cash value(s) | $77.84 | InformationalThis row has a different care setting or billing class and is not ranked against outpatient facility prices. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
| Therapeutic activitiesCPT 97530 · OT Therapeutic Activities Units | OUTPATIENT / FACILITY1 observed cash value(s) | $77.84 | ComparableSame exact code, outpatient setting, facility billing, and one published cash value. | 2026-10-19Confidence 100/100 · ingestion ddbf4979… |
About these prices
Every amount on this page comes from the hospital’s machine-readable file and remains tied to its exact billing code, care setting, and billing class. Rows with multiple published amounts show the source range and are not ranked as a single comparable price.