Jefferson County Health Center

Fairfield, IA · Critical Access Hospital

Posts prices for 51 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120) $780.60 $1,301 0.2×
Shoulder arthroscopy with decompression (29826) $211.80 $353 —
Knee arthroscopy with meniscectomy (29881)
range across 2 matching MRF lines
$889.80–$1,442.40 $1,483–$2,404 varies
Upper GI endoscopy (EGD), diagnostic (43235) $453.60 $756 0.5×
Upper GI endoscopy (EGD) with biopsy (43239) $679.80 $1,133 0.8×
Diagnostic colonoscopy (45378) $1,114.20 $1,857 1.2×
Colonoscopy with biopsy (45380) $1,214.40 $2,024 1.1×
Colonoscopy with lesion removal (45385) $850.80 $1,418 0.7×
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure
$1,173.60 $1,956 0.2×
Inguinal hernia repair (age 5+) (49505) $880.80 $1,468 0.3×
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 3 matching MRF lines
$685.20–$769.20 $1,142–$1,282 varies
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$687–$696.60 $1,145–$1,161 varies
After-cataract laser surgery (YAG capsulotomy) (66821)
range across 2 matching MRF lines
$567.60–$607.80 $946–$1,013 varies
Cataract removal with lens insertion (66984) $712.20 $1,187 0.3×
CT head/brain without contrast (70450) $1,030.80 $1,718 10.3×
MRI brain without contrast (70551) $1,717.80 $2,863 7.5×
MRI brain with contrast (70552) $1,774.80 $2,958 5.3×
MRI brain without and with contrast (70553) $1,831.20 $3,052 5.5×
X-ray lower spine, 4+ views (72110) $249 $415 2.5×
MRI lumbar spine without contrast (72148) $1,310.40 $2,184 5.7×
CT pelvis with contrast (72193) $1,102.80 $1,838 6.5×
MRI lower-extremity joint without contrast (73721) $1,615.80 $2,693 7.0×
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
$1,501.80–$1,985.40 $2,503–$3,309 varies
Ultrasound, abdomen complete (76700) $470.40 $784 4.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $294 $490 2.9×
Ultrasound, transvaginal (76830) $384.60 $641 3.8×
Mammography, one breast (diagnostic) (77065)
range across 3 matching MRF lines
$60–$216 $100–$360 varies
Mammography, both breasts (diagnostic) (77066) $276 $460 2.5×
Mammography, screening (bilateral) (77067)
range across 2 matching MRF lines
$131.40–$232.80 $219–$388 varies
Basic metabolic panel (80048) $72 $120 8.5×
Comprehensive metabolic panel (80053)
range across 2 matching MRF lines
$30–$100.20 $50–$167 varies
Lipid panel (80061)
range across 4 matching MRF lines
$24–$77.40 $40–$129 varies
Renal function panel (80069) $79.20 $132 9.1×
Hepatic function panel (80076) $72 $120 8.8×
Urinalysis, non-automated, without microscopy (81002)
range across 2 matching MRF lines
$8.40–$20.40 $14–$34 varies
PSA, total (84153)
range across 3 matching MRF lines
$21–$94.80 $35–$158 varies
Thyroid stimulating hormone (TSH) (84443)
range across 5 matching MRF lines
$21–$147 $35–$245 varies
CBC with automated differential (85025) $55.80 $93 7.2×
CBC, automated (85027)
range across 2 matching MRF lines
$21–$42.60 $35–$71 varies
Prothrombin time (PT) (85610)
range across 2 matching MRF lines
$8.40–$29.40 $14–$49 varies
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines
$40.80–$43.20 $68–$72 varies
Electrocardiogram (ECG), complete (93000) $58.80 $98 1.0×
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$856.20–$2,068.20 $1,427–$3,447 varies
Physical therapy, therapeutic exercise (per 15 min) (97110) $66.60 $111 2.3×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 4 matching MRF lines
$71.40–$282.60 $119–$471 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 4 matching MRF lines
$143.40–$432.60 $239–$721 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 3 matching MRF lines
$229.80–$507.60 $383–$846 varies
Office consultation (low complexity, ~30 min) (99243) $144 $240 1.1×
Office consultation (moderate complexity, ~40 min) (99244) $214.80 $358 1.7×
Preventive visit, new patient (age 18–39) (99385) $129 $215 —
Preventive visit, new patient (age 40–64) (99386) $150.60 $251 —

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, 90.6 MB) ↓ — captured 2026-09-08

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