Adena Fayette Medical Center
Washington Ch, OH · Critical Access Hospital
Posts prices for 47 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-07.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) range across 2 matching MRF lines |
$2,594.85–$5,189.70 | $5,189.70 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$2,883.30–$5,766.60 | $5,766.60 | varies |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$2,990.28–$5,980.55 | $5,980.55 | varies |
| Colonoscopy with biopsy (45380) range across 2 matching MRF lines |
$3,336.40–$6,672.80 | $6,672.80 | varies |
| Colonoscopy with lesion removal (45385) range across 2 matching MRF lines |
$3,219.84–$6,439.67 | $6,439.67 | varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 2 matching MRF lines |
$1,635.91–$3,271.82 | $3,271.82 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 2 matching MRF lines |
$5,549.32–$11,098.63 | $11,098.63 | varies |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$764.32–$1,528.63 | $1,528.63 | varies |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$1,159.83–$2,319.65 | $2,319.65 | varies |
| MRI brain with contrast (70552) range across 2 matching MRF lines |
$1,258.52–$2,517.04 | $2,517.04 | varies |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$1,495.18–$2,990.35 | $2,990.35 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$304.14–$608.28 | $608.28 | varies |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$1,144.25–$2,288.50 | $2,288.50 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$1,008.12–$2,016.23 | $2,016.23 | varies |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$2,116–$4,232 | $4,232 | varies |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$2,016.23–$4,032.45 | $4,032.45 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$409.20–$818.40 | $818.40 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$177.50–$355 | $355 | varies |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$409.20–$818.40 | $818.40 | varies |
| Mammography, one breast (diagnostic) (77065) range across 2 matching MRF lines |
$326.03–$652.05 | $652.05 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 2 matching MRF lines |
$374.90–$749.80 | $749.80 | varies |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$143.75–$287.50 | $287.50 | varies |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$20.11–$40.22 | $40.22 | varies |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$28.97–$57.93 | $57.93 | varies |
| Lipid panel (80061) range across 4 matching MRF lines |
$34.88–$69.76 | $69.76 | varies |
| Renal function panel (80069) range across 2 matching MRF lines |
$23.81–$47.62 | $47.62 | varies |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$17.33–$34.66 | $34.66 | varies |
| Urinalysis, non-automated, without microscopy (81002) range across 2 matching MRF lines |
$6.33–$12.65 | $12.65 | varies |
| PSA, total (84153) range across 4 matching MRF lines |
$43.86–$87.71 | $87.71 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 4 matching MRF lines |
$40.06–$80.12 | $80.12 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$21.32–$42.63 | $42.63 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$17.74–$35.47 | $35.47 | varies |
| Prothrombin time (PT) (85610) range across 4 matching MRF lines |
$10.80–$21.59 | $21.59 | varies |
| Partial thromboplastin time (PTT) (85730) range across 4 matching MRF lines |
$16.47–$32.94 | $32.94 | varies |
| Psychotherapy, 30 minutes (90832) range across 2 matching MRF lines |
$281.18–$562.35 | $562.35 | varies |
| Psychotherapy, 45 minutes (90834) range across 2 matching MRF lines |
$281.18–$562.35 | $562.35 | varies |
| Psychotherapy, 60 minutes (90837) range across 2 matching MRF lines |
$281.18–$562.35 | $562.35 | varies |
| Family psychotherapy, without patient (50 min) (90846) range across 2 matching MRF lines |
$196.88–$393.75 | $393.75 | varies |
| Family psychotherapy, with patient (50 min) (90847) range across 2 matching MRF lines |
$281.18–$562.35 | $562.35 | varies |
| Group psychotherapy (90853) range across 2 matching MRF lines |
$190.55–$381.09 | $381.09 | varies |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$2,697.88–$5,395.76 | $5,395.76 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 6 matching MRF lines |
$111.58–$223.15 | $223.15 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$94.82–$189.63 | $189.63 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$115.21–$230.42 | $230.42 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$129–$257.99 | $257.99 | varies |
| Office consultation (low complexity, ~30 min) (99243) range across 2 matching MRF lines |
$71.67–$143.33 | $143.33 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) range across 2 matching MRF lines |
$104.74–$209.48 | $209.48 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 317 codes with posted prices and Medicare benchmarks
- Lab & pathology: 778 codes with posted prices and Medicare benchmarks
- Visits & medical services: 235 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 513 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 62 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 1.4 GB) ↓ — captured 2026-10-07
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.