Fairview Park Hospital
Dublin, GA
Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-22.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $8,042 | $8,042 | 85.9× |
| MRI brain without contrast (70551) | $10,308 | $10,308 | 48.2× |
| MRI brain with contrast (70552) | $12,324 | $12,324 | 39.4× |
| MRI brain without and with contrast (70553) | $13,388 | $13,388 | 42.8× |
| X-ray lower spine, 4+ views (72110) | $2,815 | $2,815 | 30.1× |
| MRI lumbar spine without contrast (72148) | $10,411 | $10,411 | 48.7× |
| CT pelvis with contrast (72193) | $7,301 | $7,301 | 46.5× |
| MRI lower-extremity joint without contrast (73721) | $9,391 | $9,391 | 43.9× |
| CT abdomen and pelvis with contrast (74177) | $15,781 | $15,781 | 50.5× |
| Ultrasound, abdomen complete (76700) | $5,525.75 | $5,525.75 | 59.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $3,375.75 | $3,375.75 | 36.0× |
| Ultrasound, transvaginal (76830) | $3,991.75 | $3,991.75 | 42.6× |
| Mammography, one breast (diagnostic) (77065) | $716.25 | $716.25 | 8.3× |
| Mammography, both breasts (diagnostic) (77066) | $877.75 | $877.75 | 7.9× |
| Mammography, screening (bilateral) (77067) | $811 | $811 | 8.9× |
| Basic metabolic panel (80048) | $1,205.25 | $1,205.25 | 142.5× |
| Comprehensive metabolic panel (80053) | $1,444.25 | $1,444.25 | 136.8× |
| Lipid panel (80061) | $902 | $902 | 67.4× |
| Renal function panel (80069) | $1,618.25 | $1,618.25 | 186.4× |
| Hepatic function panel (80076) | $1,267.50 | $1,267.50 | 155.1× |
| Urinalysis, non-automated, without microscopy (81002) | $252 | $252 | 72.4× |
| PSA, total (84153) | $1,248.50 | $1,248.50 | 67.9× |
| Thyroid stimulating hormone (TSH) (84443) | $846.25 | $846.25 | 50.4× |
| CBC, automated (85027) | $711 | $711 | 109.9× |
| Prothrombin time (PT) (85610) | $486 | $486 | 113.3× |
| Partial thromboplastin time (PTT) (85730) | $609.50 | $609.50 | 101.4× |
| Sleep study (attended polysomnography) (95810) | $7,141.50 | $7,141.50 | 9.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $387.62 | $387.62 | 13.3× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $892.50 | $892.50 | 7.5× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $1,149 | $1,149 | 9.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $1,505.50 | $1,505.50 | 12.6× |
More prices at this hospital
- Imaging: 317 codes with posted prices and Medicare benchmarks
- Lab & pathology: 715 codes with posted prices and Medicare benchmarks
- Visits & medical services: 189 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 19 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 45 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 480.8 MB) ↓ — captured 2026-08-22
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