Fairview Regional Medical Center Authority

Fairview, OK · Critical Access Hospital

Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-11.

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ProcedurePosted cashPosted gross× Medicare
Upper GI endoscopy (EGD) with biopsy (43239) $5,107 — 5.9×
Colonoscopy with biopsy (45380) $4,688 — 4.1×
Colonoscopy with lesion removal (45385) $4,757 — 4.1×
CT head/brain without contrast (70450) $1,746 — 17.4×
MRI brain without and with contrast (70553) $3,427 — 10.2×
X-ray lower spine, 4+ views (72110) $434 — 4.3×
MRI lumbar spine without contrast (72148) $2,206 — 9.6×
MRI lower-extremity joint without contrast (73721) $2,163 — 9.4×
CT abdomen and pelvis with contrast (74177) $3,063 — 9.1×
Ultrasound, abdomen complete (76700) $773 — 7.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $773 — 7.7×
Ultrasound, transvaginal (76830) $773 — 7.7×
Basic metabolic panel (80048) $91 — 10.8×
Comprehensive metabolic panel (80053) $134 — 12.7×
Lipid panel (80061) $82 — 6.1×
Hepatic function panel (80076) $106 — 13.0×
PSA, total (84153)
range across 2 matching MRF lines
$114–$115 — varies
Thyroid stimulating hormone (TSH) (84443) $114 — 6.8×
CBC with automated differential (85025) $49 — 6.3×
CBC, automated (85027) $45 — 7.0×
Prothrombin time (PT) (85610)
range across 5 matching MRF lines
$33–$37 — varies
Partial thromboplastin time (PTT) (85730) $45 — 7.5×
Psychotherapy, 30 minutes (90832) $202 — 1.2×
Psychotherapy, 45 minutes (90834) $259 — 1.5×
Psychotherapy, 60 minutes (90837) $270 — 1.6×
Physical therapy, therapeutic exercise (per 15 min) (97110) $96 — 3.3×
Office visit, new patient (low complexity, ~30 min) (99203) $178 — 1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $251 — 2.0×

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.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (CSV, 153.0 KB) ↓ — captured 2026-09-11

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