Supplies, drugs & other prices at Fairfield Memorial Hospital 1
Fairfield, IL · every code in this section with a posted price and a Medicare benchmark.
27 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) | $126.40 | $158 | 2.5× |
| Admin influenza virus vac (G0008) | $49.60 | $62 | 1.0× |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$19.20–$49.60 | $24–$62 | varies |
| Ca screen;flexi sigmoidscope (G0104) | $2,153.60 | $2,692 | 2.2× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$1,004.80–$3,248 | $1,256–$4,060 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 3 matching MRF lines |
$1,004.80–$3,248 | $1,256–$4,060 | varies |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$84.80–$1,283.20 | $106–$1,604 | varies |
| Diab manage trn ind/group (G0109) | $60.80 | $76 | 3.8× |
| Direct refer hospital observ (G0379) | $461.60 | $577 | 0.7× |
| Drug test def 1-7 classes (G0480) range across 25 matching MRF lines |
$20.80–$764.80 | $26–$956 | varies |
| Drug test def 15-21 classes (G0482) | $336.80 | $421 | 1.7× |
| Drug test def 22+ classes (G0483) | $336.80 | $421 | 1.4× |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
$272–$336.80 | $340–$421 | varies |
| Ekg tracing for initial prev (G0404) | $336.80 | $421 | 10.9× |
| Elec stim other than wound (G0283) range across 6 matching MRF lines |
$72.80–$261.60 | $91–$327 | varies |
| Elec stim unattend for press (G0281) | $72.80 | $91 | 6.2× |
| Group mnt 2 or more 30 mins (G0271) | $46.40 | $58 | 2.7× |
| Hospital outpt clinic visit (G0463) range across 13 matching MRF lines |
$126.40–$799.20 | $158–$999 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines |
$764–$2,873.60 | $955–$3,592 | varies |
| Mnt subs tx for change dx (G0270) | $22.40 | $28 | 0.7× |
| Oth resp proc, group (G0239) | $137.60 | $172 | 3.4× |
| Oth resp proc, indiv (G0238) | $224.80 | $281 | 7.3× |
| Psa screening (G0103) | $201.60 | $252 | 10.4× |
| Therapeutic procd strg endur (G0237) | $242.40 | $303 | 7.8× |
| Tomosynthesis, mammo (G0279) | $261.60 | $327 | 20.6× |
| Trim nail(s) (G0127) | $75.20 | $94 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $2,939.20 | $3,674 | 3.5× |
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.