Adena Fayette Medical Center

1430 Columbus Avenue, Washington Ch, OH 43160 · (740) 335-1210

Critical Access HospitalsGovernment - LocalCMS rating 3/5Washington Court House, OH metro

Price file

Prices published

File dated 2026-08-19

2,825 price rows for 62 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $40

$40

cash

$3 to $61

43 negotiated rates

$40

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $4,032

$4,032

cash

$713 to $4,557

43 negotiated rates

$4,032

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,529

$1,529

cash

$214 to $1,727

43 negotiated rates

$1,529

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $2,016

$2,016

cash

$358 to $2,278

43 negotiated rates

$2,016

list

Cataract surgery with lens implant

CPT 66984

—

cash

$4,716 to $4,834

2 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$4,837 to $4,958

2 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines · metro median $191

$191

cash

$17 to $253

86 negotiated rates

$191

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $5,981

$5,981

cash

$1,555 to $6,758

43 negotiated rates

$5,981

list

Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $6,673

$6,673

cash

$1,735 to $7,540

43 negotiated rates

$6,673

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines · metro median $6,440

$6,440

cash

$1,674 to $7,277

43 negotiated rates

$6,440

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $43

$43

cash

$4 to $56

43 negotiated rates

$43

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $58

$58

cash

$5 to $76

43 negotiated rates

$58

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $750

$750

cash

$195 to $847

43 negotiated rates

$750

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$29 to $30

2 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $214

$214

cash

$56 to $378

43 negotiated rates

$214

list

Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $562

$562

cash

$146 to $635

43 negotiated rates

$562

list

Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $394

$394

cash

$102 to $445

43 negotiated rates

$394

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$12,353 to $12,662

2 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $191

$191

cash

$17 to $253

86 negotiated rates

$191

list

Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $381

$381

cash

$99 to $431

43 negotiated rates

$381

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$7,316 to $7,499

2 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$6,686 to $6,853

2 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$1,124 to $1,152

2 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$6,624 to $6,790

2 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines · metro median $70

$70

cash

$6 to $96

86 negotiated rates

$70

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $35

$35

cash

$3 to $59

43 negotiated rates

$35

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,990

$2,990

cash

$713 to $3,379

43 negotiated rates

$2,990

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $4,232

$4,232

cash

$488 to $4,782

43 negotiated rates

$4,232

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $2,289

$2,289

cash

$488 to $2,586

43 negotiated rates

$2,289

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $2,302

$2,302

cash

$488 to $2,601

43 negotiated rates

$2,302

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$11,632 to $12,214

5 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $11,099

$11,099

cash

$1,807 to $12,541

43 negotiated rates

$11,099

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $190

$190

cash

$49 to $231

43 negotiated rates

$190

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $230

$230

cash

$60 to $349

43 negotiated rates

$230

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $258

$258

cash

$67 to $466

43 negotiated rates

$258

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $88

$88

cash

$9 to $132

86 negotiated rates

$88

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $33

$33

cash

$8 to $43

86 negotiated rates

$33

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 6 lines · metro median $223

$223

cash

$56 to $252

129 negotiated rates

$223

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $355

$355

cash

$92 to $401

43 negotiated rates

$355

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$258 to $264

2 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$299 to $306

2 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$21,720 to $22,263

2 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $22

$22

cash

$5 to $31

86 negotiated rates

$22

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $562

$562

cash

$146 to $635

43 negotiated rates

$562

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $562

$562

cash

$146 to $635

43 negotiated rates

$562

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $562

$562

cash

$146 to $635

43 negotiated rates

$562

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$8,000 to $8,200

2 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $288

$288

cash

$75 to $325

43 negotiated rates

$288

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$290 to $298

2 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $5,396

$5,396

cash

$1,403 to $6,097

43 negotiated rates

$5,396

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $3,272

$3,272

cash

$851 to $3,697

43 negotiated rates

$3,272

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $4,672

$4,672

cash

$1,215 to $5,279

43 negotiated rates

$4,672

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $80

$80

cash

$8 to $121

86 negotiated rates

$80

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$12,096 to $12,399

2 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $818

$818

cash

$213 to $925

43 negotiated rates

$818

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $818

$818

cash

$213 to $925

43 negotiated rates

$818

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $5,190

$5,190

cash

$1,349 to $5,864

43 negotiated rates

$5,190

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $5,767

$5,767

cash

$1,499 to $6,516

43 negotiated rates

$5,767

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $17

$17

cash

$4 to $23

43 negotiated rates

$17

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$4,560 to $4,674

2 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$4,326 to $4,434

2 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $608

$608

cash

$158 to $687

43 negotiated rates

$608

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://sthpiprd.blob.core.windows.net/machine-readable-files/10269/852985806_adena-fayette-medical-center_standardcharges.csv
Adena Fayette Medical Center · parsed · tall v3.0.0 · file dated 2026-08-19 · 1295.1 MB · 2825 price rows read · read Nov 2026