Fairbanks Memorial Hospital

1650 Cowles Street, Fairbanks, AK 99701 · (907) 452-8181

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 2/5Website ↗

Price file

Prices published

File dated 2026-06-16

1,524 price rows for 52 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

$121

cash

$8 to $136

20 negotiated rates

$127

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

$3,002

cash

$387 to $3,097

10 negotiated rates

$3,160

list

CT scan of the head, no contrast

CPT 70450

$1,381

cash

$116 to $1,424

10 negotiated rates

$1,453

list

CT scan of the pelvis, with contrast

CPT 72193

$711

cash

$195 to $733

10 negotiated rates

$748

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

$12,289

cash

$3,007 to $12,931

10 negotiated rates

$12,936

list

Chlamydia test (DNA)

CPT 87491

$241

cash

$35 to $248

10 negotiated rates

$253

list

Colonoscopy (diagnostic)

CPT 45378

$1,835

cash

$215 to $2,423

30 negotiated rates

$1,932

list

Colonoscopy with biopsy

CPT 45380

$1,910

cash

$232 to $3,061

30 negotiated rates

$2,011

list

Colonoscopy with polyp removal

CPT 45385

$2,724

cash

$294 to $3,349

30 negotiated rates

$2,867

list

Complete blood count (CBC) with differential

CPT 85025

$143

cash

$8 to $147

20 negotiated rates

$150

list

Comprehensive metabolic panel (blood test)

CPT 80053

$160

cash

$11 to $165

20 negotiated rates

$168

list

Diagnostic mammogram (both breasts)

CPT 77066

$690

cash

$180 to $712

10 negotiated rates

$726

list

Electrocardiogram (ECG) with interpretation

CPT 93000

$133

cash

$18 to $137

10 negotiated rates

$140

list

Established patient office visit (about 40 minutes)

CPT 99215

$2,416

cash

$76 to $2,492

150 negotiated rates

$2,543

list

Gallbladder removal (laparoscopic)

CPT 47562

cash

$1 to $5,351

20 negotiated rates

list

Gonorrhea test (DNA)

CPT 87591

$241

cash

$35 to $248

10 negotiated rates

$253

list

Inguinal hernia repair (age 5 and up)

CPT 49505

$3,649

cash

$619 to $3,836

10 negotiated rates

$3,841

list

Knee arthroscopy with meniscus repair

CPT 29881

$5,532

cash

$625 to $5,707

10 negotiated rates

$5,823

list

Left heart catheterization

CPT 93452

$21,543

cash

$3,598 to $22,223

10 negotiated rates

$22,677

list

Lipid panel (cholesterol test)

CPT 80061

$98

cash

$13 to $101

10 negotiated rates

$103

list

Liver function panel

CPT 80076

$171

cash

$8 to $177

20 negotiated rates

$180

list

MRI of the brain, with and without contrast

CPT 70553

$3,328

cash

$387 to $3,433

10 negotiated rates

$3,503

list

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

CPT 72148

$2,643

cash

$265 to $2,726

10 negotiated rates

$2,782

list

MRI of the neck (cervical spine), no contrast

CPT 72141

$2,643

cash

$265 to $2,726

10 negotiated rates

$2,782

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

$1,436

cash

$130 to $2,210

30 negotiated rates

$1,512

list

New patient office visit (about 30 minutes)

CPT 99203

$608

cash

$55 to $1,043

110 negotiated rates

$640

list

New patient office visit (about 45 minutes)

CPT 99204

$827

cash

$84 to $1,402

110 negotiated rates

$870

list

New patient office visit (about 60 minutes)

CPT 99205

$898

cash

$109 to $1,882

120 negotiated rates

$945

list

PSA test (prostate)

CPT 84153

$229

cash

$18 to $236

10 negotiated rates

$241

list

Partial thromboplastin time (blood clotting test)

CPT 85730

$167

cash

$6 to $172

10 negotiated rates

$175

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

$186

cash

$37 to $192

20 negotiated rates

$196

list

Pregnancy ultrasound (after first trimester)

CPT 76805

$657

cash

$63 to $1,088

30 negotiated rates

$692

list

Preventive visit, new patient age 18 to 39

CPT 99385

$318

cash

$90 to $386

21 negotiated rates

$335

list

Preventive visit, new patient age 40 to 64

CPT 99386

$318

cash

$90 to $421

28 negotiated rates

$335

list

Prostate biopsy

CPT 55700

$1,699

cash

$483 to $1,783

7 negotiated rates

$1,788

list

Prothrombin time (blood clotting test)

CPT 85610

$117

cash

$4 to $120

30 negotiated rates

$123

list

Psychotherapy, 30 minutes

CPT 90832

$260

cash

$62 to $269

20 negotiated rates

$274

list

Psychotherapy, 45 minutes

CPT 90834

$340

cash

$81 to $350

20 negotiated rates

$358

list

Psychotherapy, 60 minutes

CPT 90837

$498

cash

$119 to $514

20 negotiated rates

$524

list

Removal of a breast lump (biopsy by excision)

CPT 19120

$3,254

cash

$493 to $3,420

10 negotiated rates

$3,425

list

Screening mammogram (both breasts)

CPT 77067

$690

cash

$144 to $712

10 negotiated rates

$726

list

Spinal injection, lower back, no imaging guidance

CPT 62322

$2,011

cash

$98 to $2,075

20 negotiated rates

$2,117

list

Spinal injection, lower back, with imaging guidance

CPT 62323

$2,011

cash

$118 to $2,294

30 negotiated rates

$2,117

list

TSH test (thyroid)

CPT 84443

$146

cash

$17 to $150

10 negotiated rates

$153

list

Transvaginal ultrasound

CPT 76830

$578

cash

$44 to $778

30 negotiated rates

$609

list

Ultrasound of the abdomen (complete)

CPT 76700

$1,546

cash

$116 to $1,595

10 negotiated rates

$1,627

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines

$1,142

cash

$143 to $2,076

36 negotiated rates

$1,202

list

Upper endoscopy with biopsy

CPT 43239

$1,520

cash

$161 to $2,616

30 negotiated rates

$1,600

list

Urinalysis with microscope

CPT 81001

$119

cash

$3 to $122

20 negotiated rates

$125

list

Vaginal delivery after a previous cesarean

CPT 59610

$14,654

cash

$2,831 to $15,117

10 negotiated rates

$15,425

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

$11,173

cash

$2,715 to $11,756

10 negotiated rates

$11,761

list

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

CPT 72110

$558

cash

$116 to $575

10 negotiated rates

$587

list

Source files

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

https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbFMHFAIRBANKSAK&type=CDMWithoutLabel&fileType=CSV
FAIRBANKS MEMORIAL HOSPITAL · parsed · tall v3.0.0 · file dated 2026-06-16 · 43.1 MB · 1524 price rows read · read Nov 2026