Supplies, drugs & other prices at Fairfield Medical Center
Lancaster, OH · every code in this section with a posted price and a Medicare benchmark.
47 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $886.05 | $1,969 | 1.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $622.80 | $1,384 | 1.9× |
| Adm of soc dtr assess 5-15 m (G0136) | $26.10 | $58 | 0.7× |
| Adm tocilizu covid-19 1st (M0249) range across 2 matching MRF lines |
$246.60–$258.75 | $548–$575 | varies |
| Adm tocilizu covid-19 2nd (M0250) range across 2 matching MRF lines |
$246.60–$258.75 | $548–$575 | varies |
| Admin influenza virus vac (G0008) | $45 | $100 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $45 | $100 | 1.0× |
| Diab manage trn per indiv (G0108) | $49.95 | $111 | 0.9× |
| Diab manage trn ind/group (G0109) | $17.55 | $39 | 1.1× |
| Direct refer hospital observ (G0379) | $341.55 | $759 | 0.6× |
| Drug test def 1-7 classes (G0480) range across 55 matching MRF lines |
$22.05–$306 | $49–$680 | varies |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $1,090.80 | $2,424 | 0.9× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $1,239.75 | $2,755 | 1.8× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $8,434.80 | $18,744 | 1.1× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $37.35 | $83 | 1.0× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $40.95 | $91 | 1.1× |
| Mra w/cont, lwr ext (C8912) | $918.45 | $2,041 | 2.7× |
| Mra w/cont, pelvis (C8918) | $918.45 | $2,041 | 2.7× |
| Mra w/o cont, chest (C8910) | $1,409.40 | $3,132 | 6.1× |
| Mra w/o cont, lwr ext (C8913) | $918.45 | $2,041 | 4.0× |
| Mra w/o cont, pelvis (C8919) | $918.45 | $2,041 | 4.0× |
| Mra w/o fol w/cont, chest (C8911) | $1,409.40 | $3,132 | 4.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $918.45 | $2,041 | 2.7× |
| Mri w/o fol w/cont, breast, (C8908) | $1,469.25 | $3,265 | 4.4× |
| Oth resp proc, group (G0239) | $88.65 | $197 | 2.5× |
| Oth resp proc, indiv (G0238) range across 2 matching MRF lines |
$65.25–$67.95 | $145–$151 | varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$5,263.65 | $11,697 | 0.5× |
| Place device/marker, non pro (C9728) | $1,356.30 | $3,014 | 1.0× |
| Pre 3d mdl w/ccta and/or mri (C9793) | $967.95 | $2,151 | 1.2× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $37.35 | $83 | 1.0× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $40.95 | $91 | 1.1× |
| Prostate biopsy, any mthd (G0416) | $206.10 | $458 | 0.6× |
| Psa screening (G0103) | $36.90 | $82 | 1.9× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) | $40.95 | $91 | 1.1× |
| Removal Ss Dfb Electrode (0573T) | $3,293.55 | $7,319 | 0.9× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $3,293.55 | $7,319 | 0.9× |
| Revasc intra lithotrip-ather (C9766) | $11,117.25 | $24,705 | 0.6× |
| Revasc intra lithotrip-stent (C9765) | $11,117.25 | $24,705 | 0.6× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$5,487.75 | $12,195 | 0.5× |
| Revasc lithotrip-stent-ather (C9767) | $17,784 | $39,520 | 1.0× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $3,293.55 | $7,319 | 0.9× |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$65.25–$67.95 | $145–$151 | varies |
| Trluml perip athrc abd aorta (0236T) range across 2 matching MRF lines |
$6,447.15–$11,759.85 | $14,327–$26,133 | varies |
| Trluml Perip Athrc Brchiocph (0237T) | $10,933.20 | $24,296 | 1.0× |
| Trluml Perip Athrc Iliac Art (0238T) range across 2 matching MRF lines |
$8,968.95–$9,215.55 | $19,931–$20,479 | varies |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) range across 2 matching MRF lines |
$9,953.10–$11,565 | $22,118–$25,700 | varies |
| Tte w or wo fol wcon,doppler (C8929) | $886.05 | $1,969 | 1.2× |
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.