Supplies, drugs & other prices at Fairbanks Memorial Hospital
Fairbanks, AK · every code in this section with a posted price and a Medicare benchmark.
58 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $45.60 | $48 | 0.9× |
| Admin influenza virus vac (G0008) | $45.60 | $48 | 0.9× |
| Admin pneumococcal vaccine (G0009) | $45.60 | $48 | 0.9× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $93.38 | $98.29 | 3.0× |
| Asstv alg ECG rsk asmt cncrt (0764T) range across 2 matching MRF lines |
$229.90–$285 | $242–$300 | varies |
| Asstv alg ECG rsk asmt prev (0765T) | $285 | $300 | 1.9× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$881.60–$962.53 | $928–$1,013.19 | varies |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$166.25–$181.52 | $175–$191.07 | varies |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$1,835.40–$2,003.89 | $1,932–$2,109.36 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,835.40–$2,003.89 | $1,932–$2,109.36 | varies |
| Depression screen annual (G0444) | $77.90 | $82 | 1.9× |
| Diab manage trn per indiv (G0108) | $229.90 | $242 | 4.1× |
| Diab manage trn ind/group (G0109) | $71.25 | $75 | 4.4× |
| Direct refer hospital observ (G0379) range across 3 matching MRF lines |
$723.87–$745.59 | $761.97–$784.83 | varies |
| Drug test def 1-7 classes (G0480) range across 25 matching MRF lines |
$35–$321.52 | $36.84–$338.44 | varies |
| Drug test def 15-21 classes (G0482) | $451.52 | $475.28 | 2.3× |
| Drug test def 8-14 classes (G0481) | $283.83 | $298.77 | 1.8× |
| Ekg tracing for initial prev (G0404) | $727.15 | $765.42 | 22.7× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$59.85–$71.34 | $63–$75.09 | varies |
| Extracorporeal shock wave muscskel sys nos (0101T) range across 2 matching MRF lines |
$311.60–$543.93 | $328–$572.56 | varies |
| Fern test (Q0114) | $107.87 | $113.55 | 11.1× |
| Home sleep test/type 4 porta (G0400) range across 2 matching MRF lines |
$1,440.33–$1,507 | $1,516.14–$1,586.32 | varies |
| Hospital outpt clinic visit (G0463) range across 2 matching MRF lines |
$318.25–$337.35 | $335–$355.10 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) range across 2 matching MRF lines |
$195.42–$313.36 | $205.71–$329.85 | varies |
| Impltj ant sgm io nbiodegradable rx eluting sys (0660T) | $9,104.77 | $9,583.97 | 2.0× |
| Initial preventive exam (G0402) | $670.70 | $706 | 4.5× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) range across 2 matching MRF lines |
$605.21–$664.25 | $637.06–$699.21 | varies |
| Mra, w/o dye, upper extr (C8935) | $769.80 | $810.32 | 2.9× |
| Obtaining screen pap smear (Q0091) | $177.65 | $187 | 5.5× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $13,463.07 | $14,171.65 | 1.1× |
| Ppps, initial visit (G0438) | $687.80 | $724 | 3.9× |
| Ppps, subseq visit (G0439) | $468.35 | $493 | 3.4× |
| Prolonged iv inf, req pump (C8957) | $932.52 | $981.60 | 4.0× |
| Prostate biopsy, any mthd (G0416) | $681.83 | $717.72 | 1.7× |
| Psa screening (G0103) | $229.17 | $241.23 | 11.9× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $1,330.54 | $1,400.57 | 1.9× |
| Revasc intra lithotrip-ather (C9766) | $42,177.24 | $44,397.09 | 2.1× |
| Revasc intra lithotrip-stent (C9765) | $42,177.24 | $44,397.09 | 2.1× |
| Revasc intravasc lithotripsy (C9764) | $26,064.45 | $27,436.26 | 2.0× |
| Revasc lith-sten-ath tib/per (C9775) | $42,177.24 | $44,397.09 | 2.1× |
| Revasc lithotr-ather tib/per (C9774) | $42,177.24 | $44,397.09 | 2.1× |
| Revasc lithotr-stent tib/per (C9773) | $42,177.24 | $44,397.09 | 2.1× |
| Revasc lithotrip tibi/perone (C9772) | $26,064.45 | $27,436.26 | 2.0× |
| Revasc lithotrip-stent-ather (C9767) | $42,177.24 | $44,397.09 | 2.1× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $629.38 | $662.50 | 0.8× |
| Scr c/v cyto,thinlayer,rescr (G0144) | $121.60 | $128 | 2.8× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $150.80 | $158.74 | 5.7× |
| Screen cerv/vag thin layer (G0123) range across 3 matching MRF lines |
$71.40–$150.80 | $75.16–$158.74 | varies |
| Screen pap by tech w md supv (P3000) range across 4 matching MRF lines |
$24.17–$151.73 | $25.44–$159.72 | varies |
| Tpmt and Nudt15 Genotype (0034U) | $1,643.03 | $1,729.50 | 3.5× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$3,024.71–$4,839.55 | $3,183.91–$5,094.26 | varies |
| Trim nail(s) (G0127) range across 3 matching MRF lines |
$70.54–$109.94 | $74.25–$115.73 | varies |
| Trluml perip athrc abd aorta (0236T) range across 2 matching MRF lines |
$11,702.32–$24,344.61 | $12,318.23–$25,625.90 | varies |
| Trluml Perip Athrc Brchiocph (0237T) | $39,285.45 | $41,353.10 | 3.1× |
| Trluml Perip Athrc Iliac Art (0238T) range across 2 matching MRF lines |
$11,702.32–$52,471.98 | $12,318.23–$55,233.66 | varies |
| Unsched dialysis esrd pt hos (G0257) | $10,302.16 | $10,844.38 | 13.5× |
| Ven blood coll snf/hha (G0471) | $54.58 | $57.45 | 4.8× |
| Visit to determ ldct elig (G0296) | $73.15 | $77 | 0.6× |
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.