Visits & medical services prices at Fairfield Memorial Hospital 1
Fairfield, IL · every code in this section with a posted price and a Medicare benchmark.
147 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acoustic Reflex Testing (92568) | $84 | $105 | 2.1× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$54.40–$670.40 | $68–$838 | varies |
| Analyze neurostim complex (95972) range across 4 matching MRF lines |
$124–$521.60 | $155–$652 | varies |
| Analyze neurostim no prog (95970) | $386.40 | $483 | 2.7× |
| Analyze Neurostim Simple (95971) | $521.60 | $652 | 5.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 11 matching MRF lines |
$50.40–$261.60 | $63–$327 | varies |
| Application Modality 1/> Areas Diathermy (97024) | $194.40 | $243 | 26.4× |
| Application Modality 1/> Areas Infrared (97026) range across 2 matching MRF lines |
$107.20–$109.60 | $134–$137 | varies |
| Basic vestibular evaluation (92540) | $350.40 | $438 | 1.5× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$279.20–$505.60 | $349–$632 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $776.80 | $971 | 1.9× |
| Caloric Vstblr Test W/Rec (92537) | $179.20 | $224 | 1.3× |
| Canalith repositioning proc (95992) | $179.20 | $224 | 4.4× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$330.40–$1,135.20 | $413–$1,419 | varies |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$583.20–$1,200.80 | $729–$1,501 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$520–$2,318.40 | $650–$2,898 | varies |
| Cbt 1st hour (94644) | $194.40 | $243 | 1.4× |
| Chest Wall Manipulation (94668) range across 3 matching MRF lines |
$62.40–$239.20 | $78–$299 | varies |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $821.60 | $1,027 | 2.1× |
| Color/duplex Doppler, limited (93976) | $1,616.80 | $2,021 | 14.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 5 matching MRF lines |
$46.40–$150.40 | $58–$188 | varies |
| Computerized dynamic posturography (92548) | $350.40 | $438 | 2.5× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $840 | $1,050 | 5.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 5 matching MRF lines |
$162.40–$888.80 | $203–$1,111 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$80–$137.60 | $100–$172 | varies |
| Critical care first hour (99291) range across 4 matching MRF lines |
$356.80–$2,176.80 | $446–$2,721 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 21 matching MRF lines |
$67.20–$933.60 | $84–$1,167 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$1,114.40–$1,179.20 | $1,393–$1,474 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $962.40 | $1,203 | 3.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $860 | $1,075 | 7.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$860–$1,191.20 | $1,075–$1,489 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 7 matching MRF lines |
$387.20–$1,234.40 | $484–$1,543 | varies |
| Duplex up extrem art bilat (93930) | $982.40 | $1,228 | 3.8× |
| Echo Heart Xthoracic,Limited (93308) | $1,597.60 | $1,997 | 6.2× |
| EEG awake drowsy (95816) | $2,263.20 | $2,829 | 9.8× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$184–$184.80 | $230–$231 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$15.20–$336.80 | $19–$421 | varies |
| Emergency Dept Visit Level 2 (99282) range across 7 matching MRF lines |
$112.80–$376.80 | $141–$471 | varies |
| Emergency Dept Visit Level 3 (99283) range across 5 matching MRF lines |
$356–$693.60 | $445–$867 | varies |
| Emergency Dept Visit Level 4 (99284) range across 5 matching MRF lines |
$544.80–$1,066.40 | $681–$1,333 | varies |
| Emg 3 Extremities (95863) range across 2 matching MRF lines |
$259.20–$953.60 | $324–$1,192 | varies |
| Emg 4 Extremities (95864) range across 2 matching MRF lines |
$277.60–$1,095.20 | $347–$1,369 | varies |
| Er level 1 (99281) range across 12 matching MRF lines |
$56.80–$241.60 | $71–$302 | varies |
| Er level v (99285) range across 6 matching MRF lines |
$706.40–$1,683.20 | $883–$2,104 | varies |
| Evaluate pt use of inhaler (94664) range across 5 matching MRF lines |
$35.20–$150.40 | $44–$188 | varies |
| Evaluate Speech Production (92522) | $505.60 | $632 | 4.5× |
| Evaluate Swallowing Function (92610) | $464.80 | $581 | 5.5× |
| Evaluation of speech fluency (92521) | $505.60 | $632 | 3.8× |
| External ECG rec>48hr<7d recording (93242) | $2,060.80 | $2,576 | 51.5× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $673.60 | $842 | 4.7× |
| Extracranial Bilat Study (93880) | $1,114.40 | $1,393 | 4.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) range across 3 matching MRF lines |
$492–$3,904.80 | $615–$4,881 | varies |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) range across 2 matching MRF lines |
$918.40–$2,443.20 | $1,148–$3,054 | varies |
| Group Therapeutic Procedures (97150) | $105.60 | $132 | 5.9× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $126.40 | $158 | 1.6× |
| Immunization administration (90471) range across 4 matching MRF lines |
$29.60–$126.40 | $37–$158 | varies |
| Insert/Place Heart Catheter (93503) | $474.40 | $593 | 0.3× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$196–$196.80 | $245–$246 | varies |
| Irrig Drug Delivery Device (96523) range across 5 matching MRF lines |
$86.40–$176.80 | $108–$221 | varies |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$90.40–$108.80 | $113–$136 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$268–$307.20 | $335–$384 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $192.80 | $241 | 2.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$108.80–$120 | $136–$150 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$112.80–$304.80 | $141–$381 | varies |
| Mechanical chest wall oscillation per session (94669) | $284 | $355 | 1.2× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $22.40 | $28 | 0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $22.40 | $28 | 0.6× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $46.40 | $58 | 2.7× |
| Motility study esophagus (91010) range across 2 matching MRF lines |
$1,615.20–$4,140.80 | $2,019–$5,176 | varies |
| Motion Fluoroscopy/Swallow (92611) | $479.20 | $599 | 5.2× |
| Multiple Family Group Psychotherapy (90849) | $513.60 | $642 | 2.7× |
| Muscle Test 2 Limbs (95861) range across 2 matching MRF lines |
$214.40–$812 | $268–$1,015 | varies |
| Muscle Test One Limb (95860) range across 2 matching MRF lines |
$133.60–$670.40 | $167–$838 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $87.20 | $109 | 0.2× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 4 matching MRF lines |
$87.20–$933.60 | $109–$1,167 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $933.60 | $1,167 | 2.1× |
| Nerve Conduction Studies 1-2 Studies (95907) range across 3 matching MRF lines |
$138.40–$500 | $173–$625 | varies |
| Nerve Conduction Studies 11-12 Studies (95912) range across 2 matching MRF lines |
$410.40–$1,529.60 | $513–$1,912 | varies |
| Nerve conduction studies 13 or more studies (95913) range across 2 matching MRF lines |
$488–$1,529.60 | $610–$1,912 | varies |
| Nerve Conduction Studies 3-4 Studies (95908) | $850.40 | $1,063 | 3.7× |
| Nerve conduction studies 5-6 studies (95909) range across 2 matching MRF lines |
$208–$850.40 | $260–$1,063 | varies |
| Nerve conduction studies 7-8 studies (95910) range across 2 matching MRF lines |
$278.40–$850.40 | $348–$1,063 | varies |
| Nerve Conduction Studies 9-10 Studies (95911) range across 2 matching MRF lines |
$345.60–$1,529.60 | $432–$1,912 | varies |
| Neurobehavioral Status Exam (96116) | $238.40 | $298 | 1.0× |
| Neuromuscular Reeducation (97112) | $125.60 | $157 | 3.8× |
| Optokinetic Nystagmus Test (92544) | $88 | $110 | 0.6× |
| Oral Function Therapy (92526) | $403.20 | $504 | 4.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 6 matching MRF lines |
$54.40–$162.40 | $68–$203 | varies |
| Oscillating Tracking Test (92545) | $88 | $110 | 0.4× |
| Ot Contrast Bath Ea 15 Min (97034) range across 5 matching MRF lines |
$141.60–$196.80 | $177–$246 | varies |
| Ot eval high complexity (97167) | $276.80 | $346 | 2.8× |
| Ot Eval Low Complex (97165) | $276.80 | $346 | 2.8× |
| Ot Eval Moderate Complexity (97166) range across 3 matching MRF lines |
$152–$278.40 | $190–$348 | varies |
| Ot manual therapy 15 min (97140) | $125.60 | $157 | 4.5× |
| Ot paraffin bath (97018) | $118.40 | $148 | 19.7× |
| Ot Prosthetic Training, Each 15 Min (97761) range across 5 matching MRF lines |
$48–$170.40 | $60–$213 | varies |
| Ot Re-Eval Est Plan Care (97168) | $152 | $190 | 2.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 2 matching MRF lines |
$293.60–$456 | $367–$570 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) range across 2 matching MRF lines |
$39.20–$105.60 | $49–$132 | varies |
| Phlebotomy therapeutic (99195) | $242.40 | $303 | 1.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) range across 3 matching MRF lines |
$144.80–$242.40 | $181–$303 | varies |
| Physical Performance Test (97750) | $143.20 | $179 | 4.2× |
| Plethysmography (94726) range across 3 matching MRF lines |
$23.20–$291.20 | $29–$364 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$5,336.80–$5,484 | $6,671–$6,855 | varies |
| Positional nystagmus test (92542) | $88 | $110 | 0.6× |
| Psych diag eval w/med srvcs (90792) | $671.20 | $839 | 3.5× |
| Psychiatric diagnostic evaluation (90791) | $671.20 | $839 | 3.5× |
| Pt Eval High Complex (97163) | $276.80 | $346 | 2.8× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$90.40–$276.80 | $113–$346 | varies |
| Pt Eval Mod Complex (97162) range across 3 matching MRF lines |
$152–$276.80 | $190–$346 | varies |
| Pt gait training 15 min (97116) range across 4 matching MRF lines |
$52.80–$119.20 | $66–$149 | varies |
| Pt mechanical traction (97012) range across 5 matching MRF lines |
$139.20–$150.40 | $174–$188 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$45.60–$152 | $57–$190 | varies |
| Pulmonary service/procedure (94799) range across 6 matching MRF lines |
$39.20–$143.20 | $49–$179 | varies |
| Pulmonary Stress Testing (94618) | $343.20 | $429 | 2.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $708 | $885 | 2.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $708 | $885 | 3.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $364 | $455 | 9.1× |
| Remote 30 Day Ecg Tech Supp (93229) range across 2 matching MRF lines |
$364–$5,006.40 | $455–$6,258 | varies |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $54.40 | $68 | 0.4× |
| Respiratory flow volume loop (94375) | $94.40 | $118 | 0.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $933.60 | $1,167 | 4.3× |
| Self Care Mngment Training (97535) | $156 | $195 | 4.8× |
| Sensory Integration Ea 15 Min (97533) | $147.20 | $184 | 2.4× |
| Sinusoidal Vertical Axis Rotational Testing (92546) | $350.40 | $438 | 2.5× |
| Sleep study unattended (95806) | $540 | $675 | 2.3× |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$191.20–$505.60 | $239–$632 | varies |
| Spirometry (94010) range across 2 matching MRF lines |
$336.80–$442.40 | $421–$553 | varies |
| Spontaneous Nystagmus Test (92541) | $88 | $110 | 0.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 5 matching MRF lines |
$120–$133.60 | $150–$167 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$120–$133.60 | $150–$167 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) range across 3 matching MRF lines |
$147.20–$150.40 | $184–$188 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 5 matching MRF lines |
$44–$118.40 | $55–$148 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 23 matching MRF lines |
$34.40–$340.80 | $43–$426 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$120–$382.40 | $150–$478 | varies |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$156–$184.80 | $195–$231 | varies |
| Tte w/doppler, complete (93306) | $2,594.40 | $3,243 | 4.4× |
| Tte W/O Doppler Complete (93307) | $1,335.20 | $1,669 | 5.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 4 matching MRF lines |
$23.20–$400.80 | $29–$501 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$126.40–$307.20 | $158–$384 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $404 | $505 | 2.8× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$530.40–$962.40 | $663–$1,203 | varies |
| Vasopneumatic device (97016) | $184 | $230 | 15.3× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$888.80–$955.20 | $1,111–$1,194 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$171.20–$888.80 | $214–$1,111 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) range across 6 matching MRF lines |
$141.60–$143.20 | $177–$179 | varies |
| Whirlpool Therapy (97022) range across 7 matching MRF lines |
$70.40–$235.20 | $88–$294 | varies |
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.