Home › Hospitals › Community Hospital – Fairfax Posts prices for 40 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,408
$1,408
1.5×
Upper GI endoscopy (EGD) with biopsy (43239) $1,464.50
$1,464.50
1.6×
Diagnostic colonoscopy (45378) $1,490.50
$1,490.50
1.6×
Colonoscopy with biopsy (45380) $1,622
$1,622
1.4×
Inguinal hernia repair (age 5+) (49505) $1,000
$1,000
0.3×
Obstetric care, vaginal delivery (global) (59400) $2,500
$2,500
—
Obstetric care, cesarean delivery (global) (59510) $3,000
$3,000
—
Transforaminal epidural injection, lumbar/sacral (64483) $3,685
$3,685
4.2×
CT head/brain without contrast (70450) $3,925
$3,925
37.5×
MRI brain without contrast (70551) $1,950
$1,950
8.2×
MRI brain without and with contrast (70553) $3,250
$3,250
9.3×
X-ray lower spine, 4+ views (72110) $386
$386
3.7×
MRI lumbar spine without contrast (72148) $1,950
$1,950
8.2×
MRI lower-extremity joint without contrast (73721) $1,950
$1,950
8.2×
CT abdomen and pelvis with contrast (74177) $3,000
$3,000
8.6×
Ultrasound, abdomen complete (76700) $888
$888
8.5×
Mammography, one breast (diagnostic) (77065) $334
$334
3.9×
Mammography, both breasts (diagnostic) (77066) $599
$599
5.4×
Mammography, screening (bilateral) (77067) $299.50
$299.50
3.3×
Basic metabolic panel (80048) $65
$65
7.7×
Comprehensive metabolic panel (80053) $75
$75
7.1×
Obstetric panel (80055) $91
$91
1.9×
Lipid panel (80061) $60
$60
4.5×
Renal function panel (80069) $65
$65
7.5×
Hepatic function panel (80076) $93
$93
11.4×
Urinalysis, non-automated, without microscopy (81002) $22
$22
6.3×
PSA, total (84153) $60
$60
3.3×
Thyroid stimulating hormone (TSH) (84443) $75
$75
4.5×
CBC with automated differential (85025) $44
$44
5.7×
CBC, automated (85027) $69
$69
10.7×
Prothrombin time (PT) (85610) $30
$30
7.0×
Partial thromboplastin time (PTT) (85730) $54
$54
9.0×
Electrocardiogram (ECG), complete (93000) $64
$64
1.1×
Sleep study (attended polysomnography) (95810) $3,105
$3,105
3.6×
Physical therapy, therapeutic exercise (per 15 min) (97110) $131
$131
4.5×
Office visit, new patient (low complexity, ~30 min) (99203) $209
$209
1.6×
Office visit, new patient (moderate complexity, ~45 min) (99204) $258
$258
1.9×
Office visit, new patient (high complexity, ~60 min) (99205) $389
$389
2.9×
Preventive visit, new patient (age 18–39) (99385) $251
$251
—
Preventive visit, new patient (age 40–64) (99386) $296
$296
—
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.
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