Allendale County Hospital
Fairfax, SC · Critical Access Hospital
Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-22.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$127.50–$637.50 | $150–$750 | varies |
| X-ray lower spine, 4+ views (72110) | $182.75 | $215 | 1.9× |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$127.50–$658.75 | $150–$775 | varies |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$170–$1,317.50 | $200–$1,550 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$127.50–$229.50 | $150–$270 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$127.50–$263.50 | $150–$310 | varies |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$127.50–$204 | $150–$240 | varies |
| Mammography, one breast (diagnostic) (77065) range across 6 matching MRF lines |
$63.75–$170 | $75–$200 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 3 matching MRF lines |
$106.25–$191.25 | $125–$225 | varies |
| Mammography, screening (bilateral) (77067) range across 8 matching MRF lines |
$106.25–$191.25 | $125–$225 | varies |
| Basic metabolic panel (80048) | $77.35 | $91 | 9.1× |
| Comprehensive metabolic panel (80053) | $161.50 | $190 | 15.3× |
| Obstetric panel (80055) | $181.90 | $214 | 3.8× |
| Lipid panel (80061) | $72.25 | $85 | 5.4× |
| Renal function panel (80069) | $81.60 | $96 | 9.4× |
| Hepatic function panel (80076) | $109.65 | $129 | 13.4× |
| Urinalysis, non-automated, with microscopy (81000) | $8.50 | $10 | 2.1× |
| Urinalysis, non-automated, without microscopy (81002) range across 8 matching MRF lines |
$15.30–$34.85 | $18–$41 | varies |
| PSA, total (84153) range across 2 matching MRF lines |
$78.20–$138.92 | $92–$163.43 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $67.15 | $79 | 4.0× |
| CBC with automated differential (85025) | $57.80 | $68 | 7.4× |
| CBC, automated (85027) | $44.20 | $52 | 6.8× |
| Prothrombin time (PT) (85610) | $44.20 | $52 | 10.3× |
| Partial thromboplastin time (PTT) (85730) | $44.20 | $52 | 7.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $75.65 | $89 | 2.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$85–$246.24 | $100–$289.69 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$110.50–$246.24 | $130–$289.69 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$148.75–$246.24 | $175–$289.69 | varies |
| Preventive visit, new patient (age 18–39) (99385) range across 2 matching MRF lines |
$76.50–$85 | $90–$100 | varies |
| Preventive visit, new patient (age 40–64) (99386) | $89.25 | $105 | — |
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: 132 codes with posted prices and Medicare benchmarks
- Lab & pathology: 494 codes with posted prices and Medicare benchmarks
- Visits & medical services: 111 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 153 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 19 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 5.8 MB) ↓ — captured 2026-08-22
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.