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 2026-07-29.

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ProcedureCash priceGross charge× Medicare
Upper GI endoscopy (EGD) with biopsy (43239) $3,064.20 $5,107 3.5×
Colonoscopy with biopsy (45380) $2,812.80 $4,688 2.4×
Colonoscopy with lesion removal (45385) $2,854.20 $4,757 2.5×
CT head/brain without contrast (70450) $1,047.60 $1,746 10.4×
MRI brain without and with contrast (70553) $2,056.20 $3,427 6.1×
X-ray lower spine, 4+ views (72110) $260.40 $434 2.6×
MRI lumbar spine without contrast (72148) $1,323.60 $2,206 5.8×
MRI lower-extremity joint without contrast (73721) $1,323.60 $2,163 5.8×
CT abdomen and pelvis with contrast (74177) $1,837.80 $3,063 5.5×
Ultrasound, abdomen complete (76700) $463.80 $773 4.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $463.80 $773 4.6×
Ultrasound, transvaginal (76830) $463.80 $773 4.6×
Basic metabolic panel (80048) $54.60 $91 6.5×
Comprehensive metabolic panel (80053) $80.40 $134 7.6×
Lipid panel (80061) $49.20 $82 3.7×
Hepatic function panel (80076) $63.60 $106 7.8×
PSA, total (84153) $68.70 $114.50 3.7×
Thyroid stimulating hormone (TSH) (84443) $68.40 $114 4.1×
CBC with automated differential (85025) $29.40 $49 3.8×
CBC, automated (85027) $27 $45 4.2×
Prothrombin time (PT) (85610) $21.80 $35 5.1×
Partial thromboplastin time (PTT) (85730) $27 $45 4.5×
Psychotherapy, 30 minutes (90832) $121.20 $202 0.7×
Psychotherapy, 45 minutes (90834) $155.40 $259 0.9×
Psychotherapy, 60 minutes (90837) $162 $270 0.9×
Physical therapy, therapeutic exercise (per 15 min) (97110) $57.60 $96 2.0×
Office visit, new patient (low complexity, ~30 min) (99203) $106.80 $178 0.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $150.60 $251 1.2×

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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